HESI EXIT NGN EXAM QUESTIONS AND
ANSWERS 100% PASS 2026/2027
A pt presses the call bell and requests pain medication for a severe headache. To assess the
quality of the pt. Pain, which approach should the nurse use? - ANS Ask the patient to
describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the
room, which PPE should be removed first? - ANS Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANS Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times a week
in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep
at night. Which action should the nurse implement? - ANS Ask the pt for a description of the
exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering
from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA - ANS -review safe transfer
strategies
-develop a nutritional plan
-help identify community support
@2026 ALLRIGHTS RESERVED 1
,The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic.
Which outcome indicates that the program was effective? - ANS pt who develop disease
complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African American
women who are at risk for developing breast cancer. Which resource is most important in
designing this program? - ANS participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries
occurred. The healthcare provider instructs the nurse to avoid auto contamination when
performing dressing changes. Which intervention is most important for the nurse to
implement? - ANS use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are
infusing. The pt is sedated but responds to instructions. After changing positions, the pt
complains of pain at the right groin insertion site. What action should the nurse implement? -
ANS Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most
important for the nurse to obtain? - ANS upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never
falling. Which action should the nurse take? - ANS Continue to obtain pt data needed to
complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is
weak and begins coughing while attempting to drink through a straw. Which intervention should
the nurse implement? - ANS Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit placement.
When reviewing the information, which statement should the nurse recognize as needing
additional education? - ANS Empty the pouch when it is half full.
@2026 ALLRIGHTS RESERVED 2
,A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum.
Which action is most important for the nurse to implement? - ANS initiate prescribed IV
fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the
nurse should ensure that the pt bed is in which position? - ANS Picture with the bed sitting
up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse
numerous questions about the procedure. In preparing the pt for the procedure, which
intervention has the highest priority? - ANS Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the provider, the nurse should review which of the pt
lab values? - ANS culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO
every 12hrs. When the client requests an afternoon snack, which dietary choice should the
nurse provide? - ANS Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM
and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should
the nurse implement these interventions? - ANS Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the med. Which side effect should the nurse report
to the healthcare provider? - ANS Somnambulism
@2026 ALLRIGHTS RESERVED 3
, A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow up by the nurse? - ANS take metformin for
type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2 mEq/? -
ANS Spironolactone
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The
previous nurse reports that it was necessary to change the client's perineal pad hourly and that
it is again saturated. The previous nurse also reports that the client's urinary output has
decreased. Which action should the nurse implement first? - ANS Assess for weakness or
dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions? - ANS -
Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the admission assessment is relevant to the nurse's plan for taking the blood
pressure reading? SATA - ANS Blurred Vision
Flat Affect
frequent syncope
After administering a proton pump inhibitor, which action should the nurse take to evaluate the
effectiveness of the medication? - ANS Ask the pt about gastrointestinal pain
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects
of the medication, which serum laboratory value most important for the nurse to monitor -
ANS platelet count
@2026 ALLRIGHTS RESERVED 4
ANSWERS 100% PASS 2026/2027
A pt presses the call bell and requests pain medication for a severe headache. To assess the
quality of the pt. Pain, which approach should the nurse use? - ANS Ask the patient to
describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the
room, which PPE should be removed first? - ANS Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANS Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times a week
in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep
at night. Which action should the nurse implement? - ANS Ask the pt for a description of the
exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering
from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA - ANS -review safe transfer
strategies
-develop a nutritional plan
-help identify community support
@2026 ALLRIGHTS RESERVED 1
,The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic.
Which outcome indicates that the program was effective? - ANS pt who develop disease
complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African American
women who are at risk for developing breast cancer. Which resource is most important in
designing this program? - ANS participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries
occurred. The healthcare provider instructs the nurse to avoid auto contamination when
performing dressing changes. Which intervention is most important for the nurse to
implement? - ANS use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are
infusing. The pt is sedated but responds to instructions. After changing positions, the pt
complains of pain at the right groin insertion site. What action should the nurse implement? -
ANS Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most
important for the nurse to obtain? - ANS upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never
falling. Which action should the nurse take? - ANS Continue to obtain pt data needed to
complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is
weak and begins coughing while attempting to drink through a straw. Which intervention should
the nurse implement? - ANS Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit placement.
When reviewing the information, which statement should the nurse recognize as needing
additional education? - ANS Empty the pouch when it is half full.
@2026 ALLRIGHTS RESERVED 2
,A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum.
Which action is most important for the nurse to implement? - ANS initiate prescribed IV
fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the
nurse should ensure that the pt bed is in which position? - ANS Picture with the bed sitting
up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse
numerous questions about the procedure. In preparing the pt for the procedure, which
intervention has the highest priority? - ANS Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the provider, the nurse should review which of the pt
lab values? - ANS culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO
every 12hrs. When the client requests an afternoon snack, which dietary choice should the
nurse provide? - ANS Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM
and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should
the nurse implement these interventions? - ANS Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the med. Which side effect should the nurse report
to the healthcare provider? - ANS Somnambulism
@2026 ALLRIGHTS RESERVED 3
, A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow up by the nurse? - ANS take metformin for
type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2 mEq/? -
ANS Spironolactone
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The
previous nurse reports that it was necessary to change the client's perineal pad hourly and that
it is again saturated. The previous nurse also reports that the client's urinary output has
decreased. Which action should the nurse implement first? - ANS Assess for weakness or
dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions? - ANS -
Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the admission assessment is relevant to the nurse's plan for taking the blood
pressure reading? SATA - ANS Blurred Vision
Flat Affect
frequent syncope
After administering a proton pump inhibitor, which action should the nurse take to evaluate the
effectiveness of the medication? - ANS Ask the pt about gastrointestinal pain
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects
of the medication, which serum laboratory value most important for the nurse to monitor -
ANS platelet count
@2026 ALLRIGHTS RESERVED 4
