BSN 366 HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2026 /HESI EXIT RN NEXT GENERATION
EXAM ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS Nightingale College \LATEST UPDATE
FOR 2026-2027
An adolescent who was diagnosed with diabetes mellitus Type 1 at
the age of 9, is admitted to the hospital in diabetic ketoacidosis.
Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch
C. Had a cold and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to
manifest signs of impending death. After notifying the family of the
client's status,
what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
C. The client's need for pain medication should be determined
,Which self care measure is most important for the nurse to include
in the plan of care of a client recently diagnosed with type 2
diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the
infant. During the assessment, the nurse observes that both breasts
are swollen, warm, and tender on palpation. Which instruction should
the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
, The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations
should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A client presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which
action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring
D. Begin continuous fetal monitoring
, A toddler presenting with a history of intermittent skin rashes, hives,
abdominal pain, and vomiting that occurs after ingesting of milk
products arrives to the clinic accompanied by the parents. Which
type of testing
should the nurse provide education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
C. Instruct client to write down the questions
VERSION B 2026 /HESI EXIT RN NEXT GENERATION
EXAM ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS Nightingale College \LATEST UPDATE
FOR 2026-2027
An adolescent who was diagnosed with diabetes mellitus Type 1 at
the age of 9, is admitted to the hospital in diabetic ketoacidosis.
Which occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch
C. Had a cold and ear infection for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to
manifest signs of impending death. After notifying the family of the
client's status,
what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
C. The client's need for pain medication should be determined
,Which self care measure is most important for the nurse to include
in the plan of care of a client recently diagnosed with type 2
diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the
infant. During the assessment, the nurse observes that both breasts
are swollen, warm, and tender on palpation. Which instruction should
the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
A. Apply ice to the breasts for comfort
, The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations
should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water
B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A client presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which
action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring
D. Begin continuous fetal monitoring
, A toddler presenting with a history of intermittent skin rashes, hives,
abdominal pain, and vomiting that occurs after ingesting of milk
products arrives to the clinic accompanied by the parents. Which
type of testing
should the nurse provide education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge
A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack
C. Instruct client to write down the questions
