HESI RN EXIT EXAM WITH NGN LATEST VERSION B
2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
A female client presents in the emergency department A.Has she taken a bath since the rape occurred?
and tells the nurse that she was raped last night. Which
question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
The nurse is completing the admission assessment of a3- B. Sluggish and unequal pupillary responses
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
A client with acute pancreatitis is admitted with severe,piercing abdominal A. Abdominal pain decreases when lying supine
pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
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.
,A child newly diagnosed with sickle cell anemia (SCA) is being discharged A. Instructions about how much fluid the child should drink daily
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
I placed the red dot on the base of the neck on the right side
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
After receiving report on an inpatient acute care unit,which client D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigid
should the nurse assess first? ity
A.The client with an obstruction of the large intestine
who is experiencing 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
A teenager presents to the emergency department with palpitations after D. Respiratory alkalosis
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
A client with dyspnea is being admitted to the medical unit. To best Fowlers
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A.Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D.Fowlers
The nurse is taking the blood pressure measurement of a client with A.Frequent syncope
Parkinson's disease. Which information in the client's admission assessment C.Flat affect
is relevant to the nurse's
D.Blurred vision
plan for taking the blood pressure reading? (Select all the apply)
A.Frequent syncope
B. Occasional nocturia
C.Flat affect
D.Blurred vision
E.Frequent drooling
, B. Culture for sensitive organisms
While caring for a client's postoperative dressing,the nurse observes
purulent drainage at the wound.Before reporting this finding to the
healthcare provider,the nurse should review which of the client's
laboratory values?
A.Serum albumin
B. Culture for sensitive organisms
C.Serum blood glucose level
D.Creatinine level
A preschool-aged boy is admitted to the pediatric unit following successful B.Ask the older brother how he felt during the incident
resuscitation from a near-drowning incident. While providing care to the
child,the nurse begins talking with his preadolescent brother who
rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when
asked about what happened.Which
action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C.Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
A. Encourage the client to use cooler water and apply calamine lotion after soaking
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that
he has been soaking in hot baths at night with no relief of his discomfort.
Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for
symptom relief
C.Suggest that the client take brief showers and apply oil-based lotion
after showering
D. Explain that the symptoms are caused by liver damage and cannot be
relieved
An older client with a long history of coronary artery disease (CAD), B.Reduced preload
hypertension (HTN), and heart failure (HF)arrives in the Emergency
Department (ED) in respiratory
distress. The healthcare provider prescribes furosemide
IV.Which therapeutic response to furosemide should the nurse expected in
the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C.Relaxed vascular tone
D.Decreased afterload
Which intervention should the nurse include in the plan of care for a child B. Minimize the amount of stimuli in the room
with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D.Open window shades to provide natural light
2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
A female client presents in the emergency department A.Has she taken a bath since the rape occurred?
and tells the nurse that she was raped last night. Which
question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
The nurse is completing the admission assessment of a3- B. Sluggish and unequal pupillary responses
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
A client with acute pancreatitis is admitted with severe,piercing abdominal A. Abdominal pain decreases when lying supine
pain and an elevated serum amylase.
Which additional information is the client most likely to
report to the nurse?
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.
,A child newly diagnosed with sickle cell anemia (SCA) is being discharged A. Instructions about how much fluid the child should drink daily
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
I placed the red dot on the base of the neck on the right side
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
After receiving report on an inpatient acute care unit,which client D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigid
should the nurse assess first? ity
A.The client with an obstruction of the large intestine
who is experiencing 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
A teenager presents to the emergency department with palpitations after D. Respiratory alkalosis
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
A client with dyspnea is being admitted to the medical unit. To best Fowlers
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A.Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D.Fowlers
The nurse is taking the blood pressure measurement of a client with A.Frequent syncope
Parkinson's disease. Which information in the client's admission assessment C.Flat affect
is relevant to the nurse's
D.Blurred vision
plan for taking the blood pressure reading? (Select all the apply)
A.Frequent syncope
B. Occasional nocturia
C.Flat affect
D.Blurred vision
E.Frequent drooling
, B. Culture for sensitive organisms
While caring for a client's postoperative dressing,the nurse observes
purulent drainage at the wound.Before reporting this finding to the
healthcare provider,the nurse should review which of the client's
laboratory values?
A.Serum albumin
B. Culture for sensitive organisms
C.Serum blood glucose level
D.Creatinine level
A preschool-aged boy is admitted to the pediatric unit following successful B.Ask the older brother how he felt during the incident
resuscitation from a near-drowning incident. While providing care to the
child,the nurse begins talking with his preadolescent brother who
rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when
asked about what happened.Which
action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C.Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
A. Encourage the client to use cooler water and apply calamine lotion after soaking
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that
he has been soaking in hot baths at night with no relief of his discomfort.
Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for
symptom relief
C.Suggest that the client take brief showers and apply oil-based lotion
after showering
D. Explain that the symptoms are caused by liver damage and cannot be
relieved
An older client with a long history of coronary artery disease (CAD), B.Reduced preload
hypertension (HTN), and heart failure (HF)arrives in the Emergency
Department (ED) in respiratory
distress. The healthcare provider prescribes furosemide
IV.Which therapeutic response to furosemide should the nurse expected in
the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C.Relaxed vascular tone
D.Decreased afterload
Which intervention should the nurse include in the plan of care for a child B. Minimize the amount of stimuli in the room
with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D.Open window shades to provide natural light
