HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
1. 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?: Ask the patient to describe the pain
2. The nurse is wearing personal protective equipment while caring for a pt.
When exiting the room, which PPE should be removed first?: Gloves
3. 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?: Increasing confusion of the pt.
4. 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?: Ask the pt for a description of the exercise schedule that is being followed
5. 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: -review safe transfer strategies
-develop a nutritional plan
-help identify community support
6. The nurse implements a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the program was effective?: pt
who develop disease complications promptly received rehabilitation
7. 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?: participation of community
leaders in planning the program
8. 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 inter-
, HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
vention is most important for the nurse to implement?: use gown, mask, and gloves with
dressing changes
9. 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?: Stimulate the pt to take deep breaths
10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain?: upper body muscle strength
11. 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?: Continue to
obtain pt data needed to complete the fall risk survey
12. 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?: Teach coughing
and deep breathing exercises
13. 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?: Empty the pouch when it is half
full.
14. 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?: initiate prescribed IV fluids
15. 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?: -
Picture with the bed sitting up
16. 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?: Instruct pt to
write down questions
, HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
17. 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?: culture for sensitive organisms
18. 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?: Cinnamon apple sauce
19. 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?: Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
20. 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?: Somnam-
bulism
21. A pt is scheduled for a spiral CT scan with contrast to evaluate for pul-
monary embolism. Which information in the client's history requires follow
up by the nurse?: take metformin for type 2 diabetes
22. The nurse should withhold which medication if the client's serum potassi-
um level is 6.2 mEq/?: Spironolactone
23. 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?: Assess for weakness or dizziness
24. A pt who is admitted for primary hypothyroidism has early signs of myxede-
ma coma. In assessing the pt, in which sequence should the nurse complete
these actions?: -Observe breathing patterns
-assess blood pressure
, HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
-measure body temp
-palpate for pedal edema
25. The nurse is taking the blood pressure measurement of a client with Parkin-
son's disease. Which information in the admission assessment is relevant to
the nurse's plan for taking the blood pressure reading? SATA: Blurred Vision
Flat Affect
frequent syncope
26. After administering a proton pump inhibitor, which action should the nurse
take to evaluate the effectiveness of the medication?: Ask the pt about gastrointestinal
pain
27. 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: platelet count
28. A pediatric client is taking the beta-adrenergic blocking agent propranolol.
In developing a teaching plan, the nurse should teach the parents to report
which sign of overdose?: Bradycardia
29. The nurse is demonstrating correct transfer procedures to the unlicensed
assistive personnel working on a rehab unit. The UAP asks the nurse how to
safely move a physically disabled pt from the... wheelchair to the bed. Which
action should the nurse recommend?: Place the pt locked wheelchair on the pt strong side next
to the bed
30. The nurse has completed the diet teaching of a client who is being dis-
charged following tx of a leg wound. A high protein diet is encouraged to
promote wound healing. Which lunch choice by the pt indicates that the
teaching was effective?: A tuna fish sandwich with chips and ice cream
31. When conducting diet teaching for a pt who was dx with a myocardial
infarction, which snack foods should the nurse encourage the pt to eat?
SATA: Fresh Turkey slices and berries
chick bouillon soup and toast
raw unsalted almonds and apples
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
1. 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?: Ask the patient to describe the pain
2. The nurse is wearing personal protective equipment while caring for a pt.
When exiting the room, which PPE should be removed first?: Gloves
3. 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?: Increasing confusion of the pt.
4. 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?: Ask the pt for a description of the exercise schedule that is being followed
5. 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: -review safe transfer strategies
-develop a nutritional plan
-help identify community support
6. The nurse implements a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the program was effective?: pt
who develop disease complications promptly received rehabilitation
7. 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?: participation of community
leaders in planning the program
8. 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 inter-
, HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
vention is most important for the nurse to implement?: use gown, mask, and gloves with
dressing changes
9. 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?: Stimulate the pt to take deep breaths
10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain?: upper body muscle strength
11. 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?: Continue to
obtain pt data needed to complete the fall risk survey
12. 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?: Teach coughing
and deep breathing exercises
13. 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?: Empty the pouch when it is half
full.
14. 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?: initiate prescribed IV fluids
15. 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?: -
Picture with the bed sitting up
16. 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?: Instruct pt to
write down questions
, HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
17. 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?: culture for sensitive organisms
18. 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?: Cinnamon apple sauce
19. 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?: Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
20. 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?: Somnam-
bulism
21. A pt is scheduled for a spiral CT scan with contrast to evaluate for pul-
monary embolism. Which information in the client's history requires follow
up by the nurse?: take metformin for type 2 diabetes
22. The nurse should withhold which medication if the client's serum potassi-
um level is 6.2 mEq/?: Spironolactone
23. 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?: Assess for weakness or dizziness
24. A pt who is admitted for primary hypothyroidism has early signs of myxede-
ma coma. In assessing the pt, in which sequence should the nurse complete
these actions?: -Observe breathing patterns
-assess blood pressure
, HESI EXIT NGN, HESI RN Exit Exam (2026) comprehensive questions and
verified answers ( detailed & elaborated) ACTUAL EXAM 2026 TEST!!
Study online at https://quizlet.com/_j5jbt2
-measure body temp
-palpate for pedal edema
25. The nurse is taking the blood pressure measurement of a client with Parkin-
son's disease. Which information in the admission assessment is relevant to
the nurse's plan for taking the blood pressure reading? SATA: Blurred Vision
Flat Affect
frequent syncope
26. After administering a proton pump inhibitor, which action should the nurse
take to evaluate the effectiveness of the medication?: Ask the pt about gastrointestinal
pain
27. 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: platelet count
28. A pediatric client is taking the beta-adrenergic blocking agent propranolol.
In developing a teaching plan, the nurse should teach the parents to report
which sign of overdose?: Bradycardia
29. The nurse is demonstrating correct transfer procedures to the unlicensed
assistive personnel working on a rehab unit. The UAP asks the nurse how to
safely move a physically disabled pt from the... wheelchair to the bed. Which
action should the nurse recommend?: Place the pt locked wheelchair on the pt strong side next
to the bed
30. The nurse has completed the diet teaching of a client who is being dis-
charged following tx of a leg wound. A high protein diet is encouraged to
promote wound healing. Which lunch choice by the pt indicates that the
teaching was effective?: A tuna fish sandwich with chips and ice cream
31. When conducting diet teaching for a pt who was dx with a myocardial
infarction, which snack foods should the nurse encourage the pt to eat?
SATA: Fresh Turkey slices and berries
chick bouillon soup and toast
raw unsalted almonds and apples
