HESI RN EXIT EXAM WITH NGN
LATEST VERSION B 2025-
2026/HESI EXIT RN NEXT
GENERATION EXAM ALL 160
QUESTIONS AND CORRECT
DETAILED ANSWERS
The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intracranial
pressure (ICP)?
,A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - 🧠 ANSWER ✔✔B. Sluggish
and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the
client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - 🧠 ANSWER ✔✔A.
Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to
provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
,B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - 🧠 ANSWER ✔✔A.
Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot). - 🧠 ANSWER
✔✔I placed the red dot on the base of the neck on the right side
After receiving report on an inpatient acute care unit, which client should
the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity - 🧠 ANSWER ✔✔D. The client with a bowel obstruction
due to a volvulus who is experiencing abdominal rigidity
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A teenager presents to the emergency department with palpitations after
vaping at a party. The client is anxious, fearful, and hyperventilating. The
nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - 🧠 ANSWER ✔✔D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best prepare
for the client's arrival, the nurse should ensure that the client's bed is in
which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - 🧠 ANSWER ✔✔Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
LATEST VERSION B 2025-
2026/HESI EXIT RN NEXT
GENERATION EXAM ALL 160
QUESTIONS AND CORRECT
DETAILED ANSWERS
The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intracranial
pressure (ICP)?
,A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - 🧠 ANSWER ✔✔B. Sluggish
and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the
client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - 🧠 ANSWER ✔✔A.
Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to
provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
,B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - 🧠 ANSWER ✔✔A.
Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot). - 🧠 ANSWER
✔✔I placed the red dot on the base of the neck on the right side
After receiving report on an inpatient acute care unit, which client should
the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity - 🧠 ANSWER ✔✔D. The client with a bowel obstruction
due to a volvulus who is experiencing abdominal rigidity
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A teenager presents to the emergency department with palpitations after
vaping at a party. The client is anxious, fearful, and hyperventilating. The
nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - 🧠 ANSWER ✔✔D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best prepare
for the client's arrival, the nurse should ensure that the client's bed is in
which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - 🧠 ANSWER ✔✔Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
