HESI EXIT NGN, HESI RN EXIT EXAM
(2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS ( DETAILED
& ELABORATED) ACTUAL EXAM 2025
TEST!!
When-preparing-to-administer-a-prescribed-medication-to-a-homeless-client-at-a-
community-psychiatric-clinic.-The-client-tells-the-nurse-that-the-usual-dosage-taken-is-
different-from-the-dose-the-nurse-is-giving.-Which-action-should-the-nurse-take?-
A)-Inform-the-client-that-he-may-refuse-the-medication-and-document-whether-or-not-the-
client-takes-it.-
B)-Withhold-the-medication-until-the-dosage-can-be-confirmed.-
C)-Explain-to-the-client-that-the-dosage-has-been-changed.-
D)-Tell-the-client-to-take-the-medication-then-verify-the-dosage-at-the-next-healthcare-
team-meeting.---ans-✔✔B)-Withhold-the-medication-until-the-dosage-can-be-confirmed.
The-charge-nurse-is-making-assignments-for-one-practical-nurse-and-three-registered-
nurses-who-are-caring-for-neurologically-compromised-clients.-Which-client-with-which-
change-in-status-is-best-to-assign-to-the-PN?-
A)-Subdural-hematoma-whose-blood-pressure-changed-from-150/80-to-170/60.
B)-Viral-meningitis-whose-temperature-change-from-101-S-to-102F.-
C)-Diabetic-keto-acidosis-who-is-Glasgow-coma-scale-score-changed-from-10-to-7.-
D)-Myxedema,-whose-blood-pressure-change-from-80/50-to-70/40.---ans-✔✔B)-Viral-
meningitis-whose-temperature-change-from-101-S-to-102F.
The-nurse-is-caring-for-a-client-with-pneumonia-who-now-develops-initial-signs-of-septic-
shock-and-multi-organ-failure.-The-healthcare-provider-prescribes-a-sepsis-protocol.-
Which-intervention-is-most-important-for-the-nurse-to-include-in-the-plan-of-care?-
A)-Maintain-strict-intake-and-output.-
B)-Keep-head-of-bed-raised-45°.-
C)-Excess-warmth-of-extremities.-
D)-Monitor-blood-glucose-level.---ans-✔✔A)-Maintain-strict-intake-and-output.
And-adolescent-client-is-admitted-to-the-hospital-because-of-writing-a-suicide-note-to-a-
teacher-at-school.-On-the-second-day-of-hospitalization,-the-nurse-asked-the-client-to-
meet-with-the-treatment-team.-After-the-team-meeting,-the-client-leaves-in-tears-and-goes-
to-their-room.-Which-nursing-intervention-is-best?-
A)-Let-the-client-rest-quietly-in-their-room-for-a-while.-
,B)-Explore-the-clients-goals-and-desire-for-treatment.-
C)-Ask-the-treatment-team-about-the-clients-behavior.-
D)-Go-to-the-clients-room-and-ask-what-happened.---ans-✔✔D)-Go-to-the-clients-room-
and-ask-what-happened.
The-healthcare-provider-prescribes-dalteparin-200-units-per-kilogram-subcutaneous-once-
a-day-for-a-client-who-weighs-154-pounds.-The-medication-is-available-and-25,000-units-
per-milliliter-vial.-How-many-milliliters-should-the-nurse-administer?-(Enter-numerical-
value-only.-If-rounding-is-required,-round-to-the-nearest-10th.)---ans-✔✔0.6
NGN:-The-client-is-a-49-year-old-male-who-reports-flu-like-symptoms-including-fever-and-
chest-congestion-for-four-days.-He-came-to-the-emergency-department-last-night-when-
he-was-having-more-difficulty-breathing-he-has-a-history-of-1/2-pack-a-day-cigarette-
smoking-for-20-years.-He-has-no-significant-medical-or-surgical-history.-
Which-two-orders-should-the-nurse-complete-first?-
A)-Sputum-culture.-
B)-Start-oxygen-3-L-per-minute-via-nasal-cannula.-
C)-Place-the-client-on-a-cardio-respiratory-monitor.-
D)-Chest-x-ray.-
E)-Acetominophen-350-mg-PO-every-six-hours-for-temperature-control.-
F)-Run-0.9%-sodium-chloride-IV-infusion-at-150-mL-per-hour.-
G)-Start-peripheral-IV.-
H)-NPO.---ans-✔✔B)-Start-oxygen-3-L-per-minute-via-nasal-cannula.-
C)-Place-the-client-on-a-cardio-respiratory-monitor.
NGN:-0330:-place-the-client-on-a-cardio-respiratory-monitor,-NPO,-sputum-culture,-start-a-
peripheral-IV-infusion,-start-oxygen-3-L-per-minute-via-nasal-cannula,-begin-0.9%-sodium-
chloride-IV-infusion-at-150-mL-per-hour,-acetaminophen-350-mg-PO-every-six-hours-for-
temperature.
To-start-the-client-on-oxygen-as-ordered-which-items-should-the-nurse-collects-from-the-
supply-room?-SATA-
A)-humidifier-bottle.-
B)Suction-canister.-
C)Sterile-water.-
D)-Nasal-cannula.-
E)-Flow-meter.-
F)-Lambs-wool.-
G)-Tape.---ans-✔✔D)-Nasal-cannula.-
E)-Flow-meter.
NGN:-states,-I-am-feeling-extremely-anxious-right-now.-The-client-has-decreased-breath-
sounds-in-the-left-lower-low.-His-mucus-membranes-are-dry.-He-has-a-productive-cough-
with-thick,-yellow-secretions.-His-capillary-refill-is-four-seconds.-Vital-signs,-temperature-
100.2.-Heart-rate-101-bpm,-respiratory-rate-28-breaths-per-minute,-blood-pressure-
145/89,-oxygen-saturation-90%-on-room-air.
,(for-each-body-system-click-to-specify-the-assessment-findings-that-indicates-hypoxia)
Cardiovascular:-heart-rate-100-bpm,-capillary-refill-for-seconds,-blood-pressure-145/89.
Neurological:-anxious,-awake-and-alert,-restless.
Respiratory:-oxygen-saturation-90%-on-room-air,-respiratory-rate-28-bpm,-productive-
cough.---ans-✔✔Cardiovascular:-capillary-refill-for-seconds,-blood-pressure-145/89.
Neurological:-anxious,-restless.
Respiratory:-oxygen-saturation-90%-on-room-air,-respiratory-rate-28-bpm.
NGN:-The-client-is-a-49-year-old-male-who-reports-flu-like-symptoms-including-fever-and-
chest-congestion-for-four-days.-He-came-to-the-emergency-department-last-night-when-
he-was-having-more-difficulty-breathing-he-has-a-history-of-1/2-pack-a-day-cigarette-
smoking-for-20-years.-He-has-no-significant-medical-or-surgical-history.-
The-nurse-should-place-the-client-in-a-_______________-position-to-promote-
_____________.---ans-✔✔Semi-Fowler-,-lung-expansion.
NGN:-Orders:-0330:-place-the-client-on-a-cardio-respiratory-monitor,-NPO,-sputum-
culture,-start-a-PIV,-start-oxygen-3L-via-nasal-cannula,-normal-saline-150-ML-per-hour,-
acetaminophen-350mg-PO-every-six-hours-for-temp-greater-than-101F,-chest-x-ray.
0500:-Oxygen-8Lvia-simple-facemask,-titrate-to-keep-oxygen-saturation-greater-than-94%.
(mark-whether-the-statements-by-the-new-grad-nurse-indicate-understanding-or-no-
understanding-of-the-use-of-facemask-in-the-care-of-this-client)
-I-should-clean-the-facemask-once-per-shift.
-The-client-should-take-a-1-to-2-minute-break-from-the-facemask-each-hour.
-I-should-put-gauze-under-the-elastic-straps-over-the-ears.
-I-can-adjust-the-oxygen-level-on-the-flow-meter-to-keep-the-clients-oxygen-saturation-
greater-than-94%.
-The-mask-should-cover-only-the-mouth-and-leave-the-nose-open-for-expiration.
-I-should-place-the-mask-first-over-the-nose-and-then-cover-the-mouth.---ans-✔✔-I-should-
clean-the-facemask-once-per-shift.-(UNDERSTANDING)
-The-client-should-take-a-1-to-2-minute-break-from-the-facemask-each-hour.-(NOT-
UNDERSTANDING)
-I-should-put-gauze-under-the-elastic-straps-over-the-ears.-(NOT-
UNDERSTANDING-????)
-I-can-adjust-the-oxygen-level-on-the-flow-meter-to-keep-the-clients-oxygen-saturation-
greater-than-94%.-(UNDERSTANDING)
-The-mask-should-cover-only-the-mouth-and-leave-the-nose-open-for-expiration.-(NOT-
UNDERSTANDING)
-I-should-place-the-mask-first-over-the-nose-and-then-cover-the-mouth.-
(UNDERSTANDING)
, NGN:-Nurses-Notes:-0400,-the-client-is-awake-and-alert-but-restless.-He-states-I-am-
feeling-extremely-anxious-right-now.-The-client-has-decreased-breath-sounds-in-the-left-
lower-lobe.-His-mucus-membranes-are-dry.-He-has-a-productive-cough-with-thick,-yellow-
secretions.-His-capillary-refill-is-four-seconds.-Heart-rate-101-BPM,-oxygen-saturation-
90%.-Blood-pressure-145/89,-temperature-100.2-F,-respiratory-rate-28-BPM.-
0500:-Placedthe-client-in-semi-Fowlers-position.-No-improvement-in-oxygen-saturation-on-
3L-nasal-cannula...
(Which-are-the-three-most-important-goals?)
A)-The-client-will-remain-free-of-skin-breakdown.
B)-The-client-will-have-quit-smoking.
C)-The-client-will-be-afebrile-for-24-hours.
D)-The-client-will-maintain-oxygen-saturation-of-96%-without-supplemental-oxygen.
E)-The-client-will-report-pain-less-than-3/10.---ans-✔✔B)-The-client-will-have-quit-smoking.
C)-The-client-will-be-afebrile-for-24-hours.
E)-The-client-will-report-pain-less-than-3/10.
The-nurse-has-completed-the-diet-teaching-of-a-client-who-is-being-discharged-following-
treatment-of-a-leg-wound.-A-high-protein-diet-is-encouraged-to-promote-wound-healing.-
Which-lunch-toys-by-the-client-indicates-that-the-teaching-was-effective?-
A)-A-peanut-butter-sandwich-with-soda-and-cookies.-
B)-Vegetable-soup,-crackers,-and-milk.-
C)-A-tuna-fish-sandwich-with-chips-and-ice-cream.-
D)-A-salad-with-three-kinds-of-lettuce-and-fruit.---ans-✔✔C)-A-tuna-fish-sandwich-with-
chips-and-ice-cream.
A-client-with-foul-smelling-drainage-from-an-incision-on-the-upper-left-arm-is-admitted-with-
a-suspected-MRSA.-Which-nursing-intervention-should-the-nurse-include-in-the-plan-of-
care?-SATA.-
A)-Institute-contact-precautions-for-staff-and-visitors.-
B)-Use-standard-precautions-and-wear-a-mask.-
C)-Send-wound-drainage-for-culture-and-sensitivity.-
D)-Monitor-the-clients-white-blood-cell-count.-
E)-Explain-the-purpose-of-a-low-bacteria-diet.---ans-✔✔A)-Institute-contact-precautions-for-
staff-and-visitors.-
C)-Send-wound-drainage-for-culture-and-sensitivity.-
D)-Monitor-the-clients-white-blood-cell-count.
An-adult-client-who-is-admitted-to-the-mental-health-unit-for-treatment-of-bipolar-disorder-
has-a-slightly-slurred-speech-pattern-and-an-unsteady-gait.-Which-assessment-finding-is-
most-important-for-the-nurse-to-report-to-the-healthcare-provider?-
A)-Weight-loss-of-10-pounds-in-the-past-month.-
(2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS ( DETAILED
& ELABORATED) ACTUAL EXAM 2025
TEST!!
When-preparing-to-administer-a-prescribed-medication-to-a-homeless-client-at-a-
community-psychiatric-clinic.-The-client-tells-the-nurse-that-the-usual-dosage-taken-is-
different-from-the-dose-the-nurse-is-giving.-Which-action-should-the-nurse-take?-
A)-Inform-the-client-that-he-may-refuse-the-medication-and-document-whether-or-not-the-
client-takes-it.-
B)-Withhold-the-medication-until-the-dosage-can-be-confirmed.-
C)-Explain-to-the-client-that-the-dosage-has-been-changed.-
D)-Tell-the-client-to-take-the-medication-then-verify-the-dosage-at-the-next-healthcare-
team-meeting.---ans-✔✔B)-Withhold-the-medication-until-the-dosage-can-be-confirmed.
The-charge-nurse-is-making-assignments-for-one-practical-nurse-and-three-registered-
nurses-who-are-caring-for-neurologically-compromised-clients.-Which-client-with-which-
change-in-status-is-best-to-assign-to-the-PN?-
A)-Subdural-hematoma-whose-blood-pressure-changed-from-150/80-to-170/60.
B)-Viral-meningitis-whose-temperature-change-from-101-S-to-102F.-
C)-Diabetic-keto-acidosis-who-is-Glasgow-coma-scale-score-changed-from-10-to-7.-
D)-Myxedema,-whose-blood-pressure-change-from-80/50-to-70/40.---ans-✔✔B)-Viral-
meningitis-whose-temperature-change-from-101-S-to-102F.
The-nurse-is-caring-for-a-client-with-pneumonia-who-now-develops-initial-signs-of-septic-
shock-and-multi-organ-failure.-The-healthcare-provider-prescribes-a-sepsis-protocol.-
Which-intervention-is-most-important-for-the-nurse-to-include-in-the-plan-of-care?-
A)-Maintain-strict-intake-and-output.-
B)-Keep-head-of-bed-raised-45°.-
C)-Excess-warmth-of-extremities.-
D)-Monitor-blood-glucose-level.---ans-✔✔A)-Maintain-strict-intake-and-output.
And-adolescent-client-is-admitted-to-the-hospital-because-of-writing-a-suicide-note-to-a-
teacher-at-school.-On-the-second-day-of-hospitalization,-the-nurse-asked-the-client-to-
meet-with-the-treatment-team.-After-the-team-meeting,-the-client-leaves-in-tears-and-goes-
to-their-room.-Which-nursing-intervention-is-best?-
A)-Let-the-client-rest-quietly-in-their-room-for-a-while.-
,B)-Explore-the-clients-goals-and-desire-for-treatment.-
C)-Ask-the-treatment-team-about-the-clients-behavior.-
D)-Go-to-the-clients-room-and-ask-what-happened.---ans-✔✔D)-Go-to-the-clients-room-
and-ask-what-happened.
The-healthcare-provider-prescribes-dalteparin-200-units-per-kilogram-subcutaneous-once-
a-day-for-a-client-who-weighs-154-pounds.-The-medication-is-available-and-25,000-units-
per-milliliter-vial.-How-many-milliliters-should-the-nurse-administer?-(Enter-numerical-
value-only.-If-rounding-is-required,-round-to-the-nearest-10th.)---ans-✔✔0.6
NGN:-The-client-is-a-49-year-old-male-who-reports-flu-like-symptoms-including-fever-and-
chest-congestion-for-four-days.-He-came-to-the-emergency-department-last-night-when-
he-was-having-more-difficulty-breathing-he-has-a-history-of-1/2-pack-a-day-cigarette-
smoking-for-20-years.-He-has-no-significant-medical-or-surgical-history.-
Which-two-orders-should-the-nurse-complete-first?-
A)-Sputum-culture.-
B)-Start-oxygen-3-L-per-minute-via-nasal-cannula.-
C)-Place-the-client-on-a-cardio-respiratory-monitor.-
D)-Chest-x-ray.-
E)-Acetominophen-350-mg-PO-every-six-hours-for-temperature-control.-
F)-Run-0.9%-sodium-chloride-IV-infusion-at-150-mL-per-hour.-
G)-Start-peripheral-IV.-
H)-NPO.---ans-✔✔B)-Start-oxygen-3-L-per-minute-via-nasal-cannula.-
C)-Place-the-client-on-a-cardio-respiratory-monitor.
NGN:-0330:-place-the-client-on-a-cardio-respiratory-monitor,-NPO,-sputum-culture,-start-a-
peripheral-IV-infusion,-start-oxygen-3-L-per-minute-via-nasal-cannula,-begin-0.9%-sodium-
chloride-IV-infusion-at-150-mL-per-hour,-acetaminophen-350-mg-PO-every-six-hours-for-
temperature.
To-start-the-client-on-oxygen-as-ordered-which-items-should-the-nurse-collects-from-the-
supply-room?-SATA-
A)-humidifier-bottle.-
B)Suction-canister.-
C)Sterile-water.-
D)-Nasal-cannula.-
E)-Flow-meter.-
F)-Lambs-wool.-
G)-Tape.---ans-✔✔D)-Nasal-cannula.-
E)-Flow-meter.
NGN:-states,-I-am-feeling-extremely-anxious-right-now.-The-client-has-decreased-breath-
sounds-in-the-left-lower-low.-His-mucus-membranes-are-dry.-He-has-a-productive-cough-
with-thick,-yellow-secretions.-His-capillary-refill-is-four-seconds.-Vital-signs,-temperature-
100.2.-Heart-rate-101-bpm,-respiratory-rate-28-breaths-per-minute,-blood-pressure-
145/89,-oxygen-saturation-90%-on-room-air.
,(for-each-body-system-click-to-specify-the-assessment-findings-that-indicates-hypoxia)
Cardiovascular:-heart-rate-100-bpm,-capillary-refill-for-seconds,-blood-pressure-145/89.
Neurological:-anxious,-awake-and-alert,-restless.
Respiratory:-oxygen-saturation-90%-on-room-air,-respiratory-rate-28-bpm,-productive-
cough.---ans-✔✔Cardiovascular:-capillary-refill-for-seconds,-blood-pressure-145/89.
Neurological:-anxious,-restless.
Respiratory:-oxygen-saturation-90%-on-room-air,-respiratory-rate-28-bpm.
NGN:-The-client-is-a-49-year-old-male-who-reports-flu-like-symptoms-including-fever-and-
chest-congestion-for-four-days.-He-came-to-the-emergency-department-last-night-when-
he-was-having-more-difficulty-breathing-he-has-a-history-of-1/2-pack-a-day-cigarette-
smoking-for-20-years.-He-has-no-significant-medical-or-surgical-history.-
The-nurse-should-place-the-client-in-a-_______________-position-to-promote-
_____________.---ans-✔✔Semi-Fowler-,-lung-expansion.
NGN:-Orders:-0330:-place-the-client-on-a-cardio-respiratory-monitor,-NPO,-sputum-
culture,-start-a-PIV,-start-oxygen-3L-via-nasal-cannula,-normal-saline-150-ML-per-hour,-
acetaminophen-350mg-PO-every-six-hours-for-temp-greater-than-101F,-chest-x-ray.
0500:-Oxygen-8Lvia-simple-facemask,-titrate-to-keep-oxygen-saturation-greater-than-94%.
(mark-whether-the-statements-by-the-new-grad-nurse-indicate-understanding-or-no-
understanding-of-the-use-of-facemask-in-the-care-of-this-client)
-I-should-clean-the-facemask-once-per-shift.
-The-client-should-take-a-1-to-2-minute-break-from-the-facemask-each-hour.
-I-should-put-gauze-under-the-elastic-straps-over-the-ears.
-I-can-adjust-the-oxygen-level-on-the-flow-meter-to-keep-the-clients-oxygen-saturation-
greater-than-94%.
-The-mask-should-cover-only-the-mouth-and-leave-the-nose-open-for-expiration.
-I-should-place-the-mask-first-over-the-nose-and-then-cover-the-mouth.---ans-✔✔-I-should-
clean-the-facemask-once-per-shift.-(UNDERSTANDING)
-The-client-should-take-a-1-to-2-minute-break-from-the-facemask-each-hour.-(NOT-
UNDERSTANDING)
-I-should-put-gauze-under-the-elastic-straps-over-the-ears.-(NOT-
UNDERSTANDING-????)
-I-can-adjust-the-oxygen-level-on-the-flow-meter-to-keep-the-clients-oxygen-saturation-
greater-than-94%.-(UNDERSTANDING)
-The-mask-should-cover-only-the-mouth-and-leave-the-nose-open-for-expiration.-(NOT-
UNDERSTANDING)
-I-should-place-the-mask-first-over-the-nose-and-then-cover-the-mouth.-
(UNDERSTANDING)
, NGN:-Nurses-Notes:-0400,-the-client-is-awake-and-alert-but-restless.-He-states-I-am-
feeling-extremely-anxious-right-now.-The-client-has-decreased-breath-sounds-in-the-left-
lower-lobe.-His-mucus-membranes-are-dry.-He-has-a-productive-cough-with-thick,-yellow-
secretions.-His-capillary-refill-is-four-seconds.-Heart-rate-101-BPM,-oxygen-saturation-
90%.-Blood-pressure-145/89,-temperature-100.2-F,-respiratory-rate-28-BPM.-
0500:-Placedthe-client-in-semi-Fowlers-position.-No-improvement-in-oxygen-saturation-on-
3L-nasal-cannula...
(Which-are-the-three-most-important-goals?)
A)-The-client-will-remain-free-of-skin-breakdown.
B)-The-client-will-have-quit-smoking.
C)-The-client-will-be-afebrile-for-24-hours.
D)-The-client-will-maintain-oxygen-saturation-of-96%-without-supplemental-oxygen.
E)-The-client-will-report-pain-less-than-3/10.---ans-✔✔B)-The-client-will-have-quit-smoking.
C)-The-client-will-be-afebrile-for-24-hours.
E)-The-client-will-report-pain-less-than-3/10.
The-nurse-has-completed-the-diet-teaching-of-a-client-who-is-being-discharged-following-
treatment-of-a-leg-wound.-A-high-protein-diet-is-encouraged-to-promote-wound-healing.-
Which-lunch-toys-by-the-client-indicates-that-the-teaching-was-effective?-
A)-A-peanut-butter-sandwich-with-soda-and-cookies.-
B)-Vegetable-soup,-crackers,-and-milk.-
C)-A-tuna-fish-sandwich-with-chips-and-ice-cream.-
D)-A-salad-with-three-kinds-of-lettuce-and-fruit.---ans-✔✔C)-A-tuna-fish-sandwich-with-
chips-and-ice-cream.
A-client-with-foul-smelling-drainage-from-an-incision-on-the-upper-left-arm-is-admitted-with-
a-suspected-MRSA.-Which-nursing-intervention-should-the-nurse-include-in-the-plan-of-
care?-SATA.-
A)-Institute-contact-precautions-for-staff-and-visitors.-
B)-Use-standard-precautions-and-wear-a-mask.-
C)-Send-wound-drainage-for-culture-and-sensitivity.-
D)-Monitor-the-clients-white-blood-cell-count.-
E)-Explain-the-purpose-of-a-low-bacteria-diet.---ans-✔✔A)-Institute-contact-precautions-for-
staff-and-visitors.-
C)-Send-wound-drainage-for-culture-and-sensitivity.-
D)-Monitor-the-clients-white-blood-cell-count.
An-adult-client-who-is-admitted-to-the-mental-health-unit-for-treatment-of-bipolar-disorder-
has-a-slightly-slurred-speech-pattern-and-an-unsteady-gait.-Which-assessment-finding-is-
most-important-for-the-nurse-to-report-to-the-healthcare-provider?-
A)-Weight-loss-of-10-pounds-in-the-past-month.-
