2026 HESI Exit Exam with NGN
Bundle V5 Exam New Latest
Versions with All Questions,
100% Correct Answers and
Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 5 (V5) | Answers & Rationales
The nurse is assessing a client with a chest tube. Which finding indicates proper
function?
A. Continuous bubbling in water seal
B. Tidaling with inspiration
C. Drainage 200 mL/hour
D. No fluctuation
Answer: B. Tidaling with inspiration
Rationale: Tidaling indicates a patent system. Continuous bubbling indicates air leak.
,A client receiving TPN has blood glucose of 350 mg/dL. Priority nursing action?
A. Slow TPN infusion
B. Check urine for ketones
C. Notify provider
D. Administer insulin
Answer: C. Notify provider
Rationale: Hyperglycemia requires provider notification for possible adjustment. TPN
should not be stopped abruptly.
The nurse is caring for a client with a femoral artery catheter after cardiac
catheterization. Client suddenly complains of severe back pain. Priority?
A. Administer analgesic
B. Assess insertion site
C. Notify provider immediately
D. Reposition client
Answer: C. Notify provider immediately
Rationale: Severe back pain may indicate retroperitoneal bleeding, a life-threatening
complication.
A client with heart failure is admitted with shortness of breath, crackles, and edema.
Which nursing diagnosis has highest priority?
A. Activity intolerance
B. Excess fluid volume
C. Impaired gas exchange
D. Anxiety
Answer: C. Impaired gas exchange
,Rationale: Impaired gas exchange affects oxygenation and can be life-threatening.
The nurse is assessing a client with a possible pulmonary embolism. Which finding is
most consistent?
A. Productive cough with green sputum
B. Gradual dyspnea
C. Sudden pleuritic chest pain
D. Fever and chills
Answer: C. Sudden pleuritic chest pain
Rationale: PE typically presents with sudden onset of pleuritic chest pain and dyspnea.
A client with bipolar disorder is admitted in a manic episode. Which nursing intervention
is most appropriate?
A. Encourage group activities
B. Provide stimulating environment
C. Offer high-calorie finger foods
D. Allow client to set schedule
Answer: C. Offer high-calorie finger foods
Rationale: Manic clients often have difficulty sitting still to eat. Finger foods help meet
nutritional needs.
The nurse is assessing a client with meningitis. Which finding requires immediate
intervention?
A. Fever 101.2°F
B. Photophobia
, C. Nuchal rigidity
D. Petechial rash on trunk
Answer: D. Petechial rash on trunk
Rationale: Petechial rash may indicate meningococcemia, which can progress rapidly to
septic shock and DIC.
A client with heart failure is receiving furosemide 40 mg IV. Which finding requires
immediate action?
A. Urine output 50 mL/hour
B. Serum potassium 3.2 mEq/L
C. Weight loss 1 kg in 24 hours
D. BP 130/80
Answer: B. Serum potassium 3.2 mEq/L
Rationale: Furosemide causes potassium loss. Hypokalemia increases risk of cardiac
dysrhythmias.
The nurse is caring for a client receiving a blood transfusion. Fifteen minutes after
initiation, the client reports low back pain. Priority action?
A. Slow transfusion
B. Stop transfusion, keep IV open with saline
C. Administer diphenhydramine
D. Notify provider
Answer: B. Stop transfusion, keep IV open with saline
Rationale: Low back pain indicates hemolytic transfusion reaction. Priority is to stop
transfusion immediately.
Bundle V5 Exam New Latest
Versions with All Questions,
100% Correct Answers and
Rationale.
HESI EXIT EXAM NGN PRACTICE BANK
VERSION 5 (V5) | Answers & Rationales
The nurse is assessing a client with a chest tube. Which finding indicates proper
function?
A. Continuous bubbling in water seal
B. Tidaling with inspiration
C. Drainage 200 mL/hour
D. No fluctuation
Answer: B. Tidaling with inspiration
Rationale: Tidaling indicates a patent system. Continuous bubbling indicates air leak.
,A client receiving TPN has blood glucose of 350 mg/dL. Priority nursing action?
A. Slow TPN infusion
B. Check urine for ketones
C. Notify provider
D. Administer insulin
Answer: C. Notify provider
Rationale: Hyperglycemia requires provider notification for possible adjustment. TPN
should not be stopped abruptly.
The nurse is caring for a client with a femoral artery catheter after cardiac
catheterization. Client suddenly complains of severe back pain. Priority?
A. Administer analgesic
B. Assess insertion site
C. Notify provider immediately
D. Reposition client
Answer: C. Notify provider immediately
Rationale: Severe back pain may indicate retroperitoneal bleeding, a life-threatening
complication.
A client with heart failure is admitted with shortness of breath, crackles, and edema.
Which nursing diagnosis has highest priority?
A. Activity intolerance
B. Excess fluid volume
C. Impaired gas exchange
D. Anxiety
Answer: C. Impaired gas exchange
,Rationale: Impaired gas exchange affects oxygenation and can be life-threatening.
The nurse is assessing a client with a possible pulmonary embolism. Which finding is
most consistent?
A. Productive cough with green sputum
B. Gradual dyspnea
C. Sudden pleuritic chest pain
D. Fever and chills
Answer: C. Sudden pleuritic chest pain
Rationale: PE typically presents with sudden onset of pleuritic chest pain and dyspnea.
A client with bipolar disorder is admitted in a manic episode. Which nursing intervention
is most appropriate?
A. Encourage group activities
B. Provide stimulating environment
C. Offer high-calorie finger foods
D. Allow client to set schedule
Answer: C. Offer high-calorie finger foods
Rationale: Manic clients often have difficulty sitting still to eat. Finger foods help meet
nutritional needs.
The nurse is assessing a client with meningitis. Which finding requires immediate
intervention?
A. Fever 101.2°F
B. Photophobia
, C. Nuchal rigidity
D. Petechial rash on trunk
Answer: D. Petechial rash on trunk
Rationale: Petechial rash may indicate meningococcemia, which can progress rapidly to
septic shock and DIC.
A client with heart failure is receiving furosemide 40 mg IV. Which finding requires
immediate action?
A. Urine output 50 mL/hour
B. Serum potassium 3.2 mEq/L
C. Weight loss 1 kg in 24 hours
D. BP 130/80
Answer: B. Serum potassium 3.2 mEq/L
Rationale: Furosemide causes potassium loss. Hypokalemia increases risk of cardiac
dysrhythmias.
The nurse is caring for a client receiving a blood transfusion. Fifteen minutes after
initiation, the client reports low back pain. Priority action?
A. Slow transfusion
B. Stop transfusion, keep IV open with saline
C. Administer diphenhydramine
D. Notify provider
Answer: B. Stop transfusion, keep IV open with saline
Rationale: Low back pain indicates hemolytic transfusion reaction. Priority is to stop
transfusion immediately.
