HESI RN EXIT EXAM WITH NGN LATEST
VERSION QUESTIONS AND ANSWERS||
ALREADY GRADED A+|| GUARANTEED PASS||
LATEST VERSION 2026
Prior to surgery, written consent must be obtained. Which is the nurse's legal
responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the
consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in
the client's record.
D. Validate the client's understanding of the surgical procedure to be conducted
- ANSWER-C. Determine that the surgical consent form has been signed and is
included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a
subtotal thyroidectomy. Which of the client's serum laboratory values requires
intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANSWER-C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid. She
has an appointment with her healthcare provider in two weeks. What action
should the nurse take?
,A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - ANSWER-
C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at
home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
ANSWER-C. Continue to obtain client data needed to complete the fall risk
survey
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to information
about prescribed medication and administration, which instruction should the
nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - ANSWER-B. Practice using
muscle relaxation techniques
A young woman with multiple sclerosis just received several immunizations in
preparation for moving into a college dormitory. Two days later, she reports to
the nurse that she is experiencing increasing fatigue and visual problems. What
teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
,C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with
antibiotics - ANSWER-C. Immunizations can trigger a relapse of the disease, so
get plenty of extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and
sternal retractions. After administering surfactant, which assessment is most
important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - ANSWER-A. Arterial blood gasses
The nurse is managing 4 clients in the intensive care unit who are mechanically
ventilated. After performing a quick visual assessment, the nurse should
prioritize care for the client who is exhibiting which finding?
A. An audible voice when client is trying to communicate
B. High pressure alarm sounds when client is coughing
C. Restrained and restless with a low volume alarm sounding
D. Diminished breath sounds in the right posterior base - ANSWER-C.
Restrained and restless with a low volume alarm sounding
A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and a dull gnawing pain that is
relieved when he eats. Which is the best response by the nurse?
A. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
B. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms
C. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
, D. Assure the client that his symptoms may only reflect reflux, since ulcer pain
is not relieved with food - ANSWER-C. Encourage the client to obtain a
complete physical exam, since these symptoms are consistent with an ulcer
The nurse is evaluating the diet teaching of a client with hypertension. What
dinner selection indicates that the client understands the dietary
recommendations for hypertension?
A. Grilled steak, baked potato with sour cream, green beans, coffee, and raisin
cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon
meringue pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin pie -
ANSWER-B. Baked pork chops, applesauce, corn on the cob, 1% milk, and
key-lime pie
A client is admitted with a diagnosis of urolithiasis. Which finding is most
important for the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ANSWER-D. Hematuria that is
beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a ventricular
septal defect (VSD), the nurse assesses an increase in heart rate and blood
pressure. Which intervention is most important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate - ANSWER-B. Restrict intake of oral fluids
VERSION QUESTIONS AND ANSWERS||
ALREADY GRADED A+|| GUARANTEED PASS||
LATEST VERSION 2026
Prior to surgery, written consent must be obtained. Which is the nurse's legal
responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the
consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in
the client's record.
D. Validate the client's understanding of the surgical procedure to be conducted
- ANSWER-C. Determine that the surgical consent form has been signed and is
included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a
subtotal thyroidectomy. Which of the client's serum laboratory values requires
intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANSWER-C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid. She
has an appointment with her healthcare provider in two weeks. What action
should the nurse take?
,A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - ANSWER-
C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at
home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
ANSWER-C. Continue to obtain client data needed to complete the fall risk
survey
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to information
about prescribed medication and administration, which instruction should the
nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - ANSWER-B. Practice using
muscle relaxation techniques
A young woman with multiple sclerosis just received several immunizations in
preparation for moving into a college dormitory. Two days later, she reports to
the nurse that she is experiencing increasing fatigue and visual problems. What
teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
,C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with
antibiotics - ANSWER-C. Immunizations can trigger a relapse of the disease, so
get plenty of extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and
sternal retractions. After administering surfactant, which assessment is most
important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - ANSWER-A. Arterial blood gasses
The nurse is managing 4 clients in the intensive care unit who are mechanically
ventilated. After performing a quick visual assessment, the nurse should
prioritize care for the client who is exhibiting which finding?
A. An audible voice when client is trying to communicate
B. High pressure alarm sounds when client is coughing
C. Restrained and restless with a low volume alarm sounding
D. Diminished breath sounds in the right posterior base - ANSWER-C.
Restrained and restless with a low volume alarm sounding
A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and a dull gnawing pain that is
relieved when he eats. Which is the best response by the nurse?
A. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
B. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms
C. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
, D. Assure the client that his symptoms may only reflect reflux, since ulcer pain
is not relieved with food - ANSWER-C. Encourage the client to obtain a
complete physical exam, since these symptoms are consistent with an ulcer
The nurse is evaluating the diet teaching of a client with hypertension. What
dinner selection indicates that the client understands the dietary
recommendations for hypertension?
A. Grilled steak, baked potato with sour cream, green beans, coffee, and raisin
cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon
meringue pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin pie -
ANSWER-B. Baked pork chops, applesauce, corn on the cob, 1% milk, and
key-lime pie
A client is admitted with a diagnosis of urolithiasis. Which finding is most
important for the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ANSWER-D. Hematuria that is
beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a ventricular
septal defect (VSD), the nurse assesses an increase in heart rate and blood
pressure. Which intervention is most important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate - ANSWER-B. Restrict intake of oral fluids
