HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2025-2026 UPDATED
1. The nurse who works in labor and delivery is reassigned to the cardiac care unit
for the day because of a low census in labor and delivery. Which assignment is
best for the charge nurse to give this nurse?
A. Assist cardiac nurses with their assignments
B. Monitor the central telemetry
C. Perform the admission of a new client
D. Transfer a client to another unit
ANSWER A - Assist cardiac nurses with their assignments
2. A client is diagnosed with Meniere's disease. Which problem should the nurse
identify as most important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle
ANSWER C - Risk for injury related to vertigo
3. The nurse is evaluating the chest drainage system of a client with a chest tube
inserted to treat a left hemothorax. Which finding requires intervention by the
nurse?
A. Rise and fall of water level with respiration
B. Continuous bubbling in the water-seal chamber
C. Total fluid level in water-seal chamber unchanged
D. An average collection of 50 mL/hr drainage
ANSWER B - Continuous bubbling in the water-seal chamber
4. A client who is scheduled for a bronchoscopy in the morning is anxious and
asking the nurse numerous questions about the procedure. In preparing the
client for the procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
, C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
ANSWER C - Instruct client to write down the questions
5. A client with type 2 diabetes mellitus arrives to the clinic reporting episodes
of weakness and palpitations. Which finding should the nurse identify may
indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness
ANSWER B - Fingertips feel numb
6. 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
7. The nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. Which behaviors indicates the client understands
how to maintain balance safely? (Select all that apply)
A. Brings a heavy can close to body before lifting
B. Leans forward to pull on a pan from a high shelf
C. Locks knees while preparing food on the counter
D. Bends from the waist to pick trash off the floor
E. Widens stance while working near the sink
VERSION B 2025-2026 UPDATED
1. The nurse who works in labor and delivery is reassigned to the cardiac care unit
for the day because of a low census in labor and delivery. Which assignment is
best for the charge nurse to give this nurse?
A. Assist cardiac nurses with their assignments
B. Monitor the central telemetry
C. Perform the admission of a new client
D. Transfer a client to another unit
ANSWER A - Assist cardiac nurses with their assignments
2. A client is diagnosed with Meniere's disease. Which problem should the nurse
identify as most important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle
ANSWER C - Risk for injury related to vertigo
3. The nurse is evaluating the chest drainage system of a client with a chest tube
inserted to treat a left hemothorax. Which finding requires intervention by the
nurse?
A. Rise and fall of water level with respiration
B. Continuous bubbling in the water-seal chamber
C. Total fluid level in water-seal chamber unchanged
D. An average collection of 50 mL/hr drainage
ANSWER B - Continuous bubbling in the water-seal chamber
4. A client who is scheduled for a bronchoscopy in the morning is anxious and
asking the nurse numerous questions about the procedure. In preparing the
client for the procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
, C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
ANSWER C - Instruct client to write down the questions
5. A client with type 2 diabetes mellitus arrives to the clinic reporting episodes
of weakness and palpitations. Which finding should the nurse identify may
indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness
ANSWER B - Fingertips feel numb
6. 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
7. The nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. Which behaviors indicates the client understands
how to maintain balance safely? (Select all that apply)
A. Brings a heavy can close to body before lifting
B. Leans forward to pull on a pan from a high shelf
C. Locks knees while preparing food on the counter
D. Bends from the waist to pick trash off the floor
E. Widens stance while working near the sink
