HESI RN Exit NGN Version B (2026) – 160 Practice
Questions & Detailed Verified Answers | Graded A+
1. If a patient receiving haloperidol decanoate develops symptoms of tardive
dyskinesia, what should the nurse prioritize in their care plan?
Increasing the dosage of haloperidol.
Administering a different class of antipsychotic medication immediately.
Regular monitoring of involuntary movements and potential medication
adjustments.
Providing additional education on schizophrenia.
2. What is the most critical nursing assessment for initiating therapy in an
asymptomatic HIV-infected client?
States various side effects of retroviral agents
Willing to comply with complex drug schedules
Maintains an adequate social support system
Qualifies for a prescription assistance program
3. The nurse has administered a proton pump inhibitor (PPI) for an UGIB secondary to
peptic ulcer disease. Which data would indicate to the nurse the medication is
effective?
A decrease in alcohol intake
Maintaining a bland diet
A return to previous activities
, A decrease in gastric distress
4. The home health nurse is caring for a patient at their home. Their daughter, who
lives with them, asks why their mother becomes increasingly confused and agitated
towards the evening. The nurse should tell the daughter that their mother is likely
experiencing...
A normal symptom of aging
Sundowning
An allergic reaction to their sleep medication
Electrolyte imbalance
5. The nurse is caring for a child with tetanus. Nursing care is correct if which actions
are taken?
Maintain a well-lit room so localized muscle spasms can be detected.
Provide oral rinsing to stimulate the salivary glands and relax any jaw
stiffness.
Put cool packs on the back to reduce meningeal inflammation and muscle
spasms.
Decrease the environmental stimulation, including no bumping of the child's
bed.
6. Why is it critical for the nurse to begin chest compressions when a patient has no
spontaneous respirations and an unpalpable carotid pulse?
Beginning chest compressions is only necessary if the cardiac monitor shows
an abnormal rhythm.
Beginning chest compressions helps to stabilize the fracture site.
Beginning chest compressions is essential to maintain blood circulation and
oxygen delivery to vital organs.
, Beginning chest compressions is a routine procedure for all patients with
fractures.
7. What is the total fluid intake in mL after administering a 12 ounce can of nutritional
supplement, 3 teaspoons of medication, and 120 mL of water?
500
495
480
450
8. Why might a nurse advise a patient with multiple sclerosis to get extra rest after
receiving immunizations?
Vaccines are always safe and have no side effects.
Extra rest is not necessary after immunizations.
Resting will prevent all side effects from occurring.
Immunizations can trigger a relapse of the disease, so getting plenty of extra
rest is important.
9. Which snack foods are recommended for a client recovering from a myocardial
infarction?
Fresh turkey slices and berries, Chicken bouillon soup and toast,
Raw unsalted almonds and apples
Fresh vegetables with mayonnaise dip, Soda crackers and peanut butter
Processed meats and fried foods
Fresh fruits and sugary snacks
, 10. Sally asks the nurse whether she should be concerned that her 68-year-old mother,
who recently retired, is experiencing memory problems, seems unusually restless,
and loses her temper frequently. Sally wants to know whether this change is a
normal part of the aging process. What should the nurse tell Sally?
"If your mother changes her eating patterns, these symptoms will probably
end."
"Don't worry. Memory loss is a normal part of aging."
"Your mother will probably return to normal once she has had time to adjust
to retirement."
"Your mother should be evaluated for possible cognitive changes."
11. A nurse at a rehabilitation facility is supervising a newly hired assistive personnel
(AP) during the transfer of a client from the bed to a chair. Which of the following
actions by the (AP) demonstrates safe transfer technique?
Bends at the knees
Twists at the waist
Leans away from the client
Maintains a narrow stance
12. The cardiac index is calculated by:
Adding systolic pressure to diastolic pressure, and dividing by 3
Mapping the heart and taking the area under the curve
Multiplying the stroke volume by the mean arterial pressure
Dividing cardiac output by the body surface area
13. The nurse is preparing a client who has multiple sclerosis (MS) for discharge home
from a rehabilitation center. The client has been prescribed cyclophosphamide
Questions & Detailed Verified Answers | Graded A+
1. If a patient receiving haloperidol decanoate develops symptoms of tardive
dyskinesia, what should the nurse prioritize in their care plan?
Increasing the dosage of haloperidol.
Administering a different class of antipsychotic medication immediately.
Regular monitoring of involuntary movements and potential medication
adjustments.
Providing additional education on schizophrenia.
2. What is the most critical nursing assessment for initiating therapy in an
asymptomatic HIV-infected client?
States various side effects of retroviral agents
Willing to comply with complex drug schedules
Maintains an adequate social support system
Qualifies for a prescription assistance program
3. The nurse has administered a proton pump inhibitor (PPI) for an UGIB secondary to
peptic ulcer disease. Which data would indicate to the nurse the medication is
effective?
A decrease in alcohol intake
Maintaining a bland diet
A return to previous activities
, A decrease in gastric distress
4. The home health nurse is caring for a patient at their home. Their daughter, who
lives with them, asks why their mother becomes increasingly confused and agitated
towards the evening. The nurse should tell the daughter that their mother is likely
experiencing...
A normal symptom of aging
Sundowning
An allergic reaction to their sleep medication
Electrolyte imbalance
5. The nurse is caring for a child with tetanus. Nursing care is correct if which actions
are taken?
Maintain a well-lit room so localized muscle spasms can be detected.
Provide oral rinsing to stimulate the salivary glands and relax any jaw
stiffness.
Put cool packs on the back to reduce meningeal inflammation and muscle
spasms.
Decrease the environmental stimulation, including no bumping of the child's
bed.
6. Why is it critical for the nurse to begin chest compressions when a patient has no
spontaneous respirations and an unpalpable carotid pulse?
Beginning chest compressions is only necessary if the cardiac monitor shows
an abnormal rhythm.
Beginning chest compressions helps to stabilize the fracture site.
Beginning chest compressions is essential to maintain blood circulation and
oxygen delivery to vital organs.
, Beginning chest compressions is a routine procedure for all patients with
fractures.
7. What is the total fluid intake in mL after administering a 12 ounce can of nutritional
supplement, 3 teaspoons of medication, and 120 mL of water?
500
495
480
450
8. Why might a nurse advise a patient with multiple sclerosis to get extra rest after
receiving immunizations?
Vaccines are always safe and have no side effects.
Extra rest is not necessary after immunizations.
Resting will prevent all side effects from occurring.
Immunizations can trigger a relapse of the disease, so getting plenty of extra
rest is important.
9. Which snack foods are recommended for a client recovering from a myocardial
infarction?
Fresh turkey slices and berries, Chicken bouillon soup and toast,
Raw unsalted almonds and apples
Fresh vegetables with mayonnaise dip, Soda crackers and peanut butter
Processed meats and fried foods
Fresh fruits and sugary snacks
, 10. Sally asks the nurse whether she should be concerned that her 68-year-old mother,
who recently retired, is experiencing memory problems, seems unusually restless,
and loses her temper frequently. Sally wants to know whether this change is a
normal part of the aging process. What should the nurse tell Sally?
"If your mother changes her eating patterns, these symptoms will probably
end."
"Don't worry. Memory loss is a normal part of aging."
"Your mother will probably return to normal once she has had time to adjust
to retirement."
"Your mother should be evaluated for possible cognitive changes."
11. A nurse at a rehabilitation facility is supervising a newly hired assistive personnel
(AP) during the transfer of a client from the bed to a chair. Which of the following
actions by the (AP) demonstrates safe transfer technique?
Bends at the knees
Twists at the waist
Leans away from the client
Maintains a narrow stance
12. The cardiac index is calculated by:
Adding systolic pressure to diastolic pressure, and dividing by 3
Mapping the heart and taking the area under the curve
Multiplying the stroke volume by the mean arterial pressure
Dividing cardiac output by the body surface area
13. The nurse is preparing a client who has multiple sclerosis (MS) for discharge home
from a rehabilitation center. The client has been prescribed cyclophosphamide
