HESI Exit NGN & HESI RN Exit Exam 2026 – Full Practice Test,
Verified Answers & Comprehensive Study Guide
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first? - CORRECT ANSWER -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? - CORRECT
ANSWER -Increasing confusion of the pt.
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? - CORRECT
ANSWER -Ask the patient to describe the pain
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? -
CORRECT ANSWER -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 -
CORRECT ANSWER --review safe transfer strategies
-develop a nutritional plan
-help identify community support
,The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective? - CORRECT
ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -
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? - CORRECT ANSWER -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? - CORRECT ANSWER -Empty the pouch
when it is half full.
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? - CORRECT
ANSWER -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? - CORRECT
ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT
ANSWER -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? - CORRECT
ANSWER -Somnambulism
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? -
CORRECT ANSWER -take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is
6.2 mEq/? - CORRECT ANSWER -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? - CORRECT ANSWER -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?
- CORRECT ANSWER --Observe breathing patterns
-assess blood pressure
Verified Answers & Comprehensive Study Guide
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first? - CORRECT ANSWER -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? - CORRECT
ANSWER -Increasing confusion of the pt.
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? - CORRECT
ANSWER -Ask the patient to describe the pain
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? -
CORRECT ANSWER -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 -
CORRECT ANSWER --review safe transfer strategies
-develop a nutritional plan
-help identify community support
,The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective? - CORRECT
ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -
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? - CORRECT ANSWER -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? - CORRECT ANSWER -Empty the pouch
when it is half full.
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? - CORRECT
ANSWER -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? - CORRECT
ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT ANSWER -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? - CORRECT
ANSWER -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? - CORRECT
ANSWER -Somnambulism
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? -
CORRECT ANSWER -take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level is
6.2 mEq/? - CORRECT ANSWER -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? - CORRECT ANSWER -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?
- CORRECT ANSWER --Observe breathing patterns
-assess blood pressure
