HESI RN EXIT EXAM WITH NGN LATEST VERSION
B 2025-2026/HESI EXIT RN NEXT GENERATION
EXAM ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. 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
2. 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?
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, 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
3. 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
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).: I placed the red dot on the
base of the neck on the right side
5. 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
mailto:https://www.stuvia.com/user/Wisdoms
, 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
6. 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
7. 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?
mailto:https://www.stuvia.com/user/Wisdoms
, A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers:
Answer Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkin-
son's disease. Which information in the client's admission assessment is rele-
vant to the nurse's plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
mailto:https://www.stuvia.com/user/Wisdoms
B 2025-2026/HESI EXIT RN NEXT GENERATION
EXAM ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. 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
2. 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?
mailto:https://www.stuvia.com/user/Wisdoms
, 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
3. 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
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).: I placed the red dot on the
base of the neck on the right side
5. 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
mailto:https://www.stuvia.com/user/Wisdoms
, 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
6. 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
7. 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?
mailto:https://www.stuvia.com/user/Wisdoms
, A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers:
Answer Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkin-
son's disease. Which information in the client's admission assessment is rele-
vant to the nurse's plan for taking the blood pressure reading? (Select all the
apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
mailto:https://www.stuvia.com/user/Wisdoms
