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HESI RN EXIT EXAM WITH NGN ACTUAL QUESTIONS
EXAM 2026-2027 ALL QUESTIONS WITH ANSWERS EXAM
2026 LATEST EDITION SOLVED QUESTIONS & ANSWERS
VERIFIED
The nurse is reviewing the diagnostic tests prescribed for a client with a
positive skin test. Which subjective findings reported by the client supports
the diagnosis of tuberculosis?
A. Barking cough and vomiting
B. Mucopurulent cough and night sweats
C. Dry cough and chest tightness
D. Chronic cough and fatty stools
B. Mucopurulent cough and night sweats
In assessing a client with type 1 diabetes mellitus, the nurse notes that the
client's respirations have changed from 16 breaths/min with a normal depth to
32 breaths/min and deep, and the client become lethargic. Which assessment
data should the nurse obtain next?
A. Temperature
B. Breath sounds
C. Blood glucose
D. White blood cell count
C. Blood glucose
A nurse receives report on a client who is four hours post-total abdominal
hysterectomy. The previous nurse reports that it was necessary to change the
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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?
A. Evaluate the skin turgor
B. Assess for weakness or dizziness
C. Change the perineal pad
D. Measure the urinary output
B. Assess for weakness or dizziness
The father of a 4-year-old has been battling metastatic lung cancer for the past
2 years. After discussing the remaining options with his healthcare provider,
the client requests that all treatment stop and that no heroic measures be
taken to save his life. When the client is transferred to the palliative care unit,
which action is most important for the nurse working on the palliative care unit
to take in facilitating continuity of care?
A. Reassure the client that his child will be allowed to visit
B. Provide the client written information about end-of-life care
C. Obtain a detailed report from the nurse transferring the client
D. Mark the chart with client's request for no heroic measures
C. Obtain a detailed report from the nurse transferring the client
While assessing a client who is admitted with heart failure and pulmonary
edema, the nurse identifies dependent peripheral edema, an irregular heart
rate, and a persistent cough that produces pink blood-tinged sputum. After
initiating continuous telemetry and positioning the client, which intervention
should the nurse implement?
A. Obtain sputum sample
B. Document degree of edema
C. Initiate hourly urine output measurement
D. Administer intravenous diuretics
A. Obtain sputum sample
A client who is admitted for primary hypothyroidism has early signs of
myxedema coma. In assessing the client, in which sequence should the nurse
complete these actions? (descending order)
1. Observe breathing patterns
2. Assess blood pressure
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3. Measure body temperature
4. Palpate for pedal edema
A client with type 2 diabetes mellitus arrives to the clinic reporting episodes of
weakness and palpitations. Which finding should the nurse identify may
indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness
B. Fingertips feel numb
An older client is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The client's 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?
A. currently prescribed medications
B. Client's healthcare power of attorney
C. Increasing confusion of the client
D. Fall at home as reason for admission
C. Increasing confusion of the client
The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs (2kg) in
24 hours and an elevated central venous pressure for a client with full
thickness burns. Which intervention should the nurse implement?
A. Auscultate for irregular heart rate
B. Review arterial blood gases results
C. Measure ankle circumference
D. Document abdominal girth
A. Auscultate for irregular heart rate
The nurse is caring for a group of clients with the help of a practical nurse
(PN). Which nursing actions should the nurse assign to the PN? (Select all that
apply)
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
B. Start the second blood transfusion for a client 12 hours following a BKA
C. Initiate patient controlled analgesia (PCA) pumps for two clients
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immediately postoperatively
D. Perform daily surgical dressing change for a client who had an abdominal
hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral
knee arthroplasty
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
D. Perform daily surgical dressing change for a client who had an abdominal
hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral knee
arthroplasty
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
B. Sluggish and unequal pupillary responses
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?
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. Abdominal pain decreases when lying supine
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
HESI RN EXIT EXAM WITH NGN ACTUAL QUESTIONS
EXAM 2026-2027 ALL QUESTIONS WITH ANSWERS EXAM
2026 LATEST EDITION SOLVED QUESTIONS & ANSWERS
VERIFIED
The nurse is reviewing the diagnostic tests prescribed for a client with a
positive skin test. Which subjective findings reported by the client supports
the diagnosis of tuberculosis?
A. Barking cough and vomiting
B. Mucopurulent cough and night sweats
C. Dry cough and chest tightness
D. Chronic cough and fatty stools
B. Mucopurulent cough and night sweats
In assessing a client with type 1 diabetes mellitus, the nurse notes that the
client's respirations have changed from 16 breaths/min with a normal depth to
32 breaths/min and deep, and the client become lethargic. Which assessment
data should the nurse obtain next?
A. Temperature
B. Breath sounds
C. Blood glucose
D. White blood cell count
C. Blood glucose
A nurse receives report on a client who is four hours post-total abdominal
hysterectomy. The previous nurse reports that it was necessary to change the
, Page 2 of 43
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?
A. Evaluate the skin turgor
B. Assess for weakness or dizziness
C. Change the perineal pad
D. Measure the urinary output
B. Assess for weakness or dizziness
The father of a 4-year-old has been battling metastatic lung cancer for the past
2 years. After discussing the remaining options with his healthcare provider,
the client requests that all treatment stop and that no heroic measures be
taken to save his life. When the client is transferred to the palliative care unit,
which action is most important for the nurse working on the palliative care unit
to take in facilitating continuity of care?
A. Reassure the client that his child will be allowed to visit
B. Provide the client written information about end-of-life care
C. Obtain a detailed report from the nurse transferring the client
D. Mark the chart with client's request for no heroic measures
C. Obtain a detailed report from the nurse transferring the client
While assessing a client who is admitted with heart failure and pulmonary
edema, the nurse identifies dependent peripheral edema, an irregular heart
rate, and a persistent cough that produces pink blood-tinged sputum. After
initiating continuous telemetry and positioning the client, which intervention
should the nurse implement?
A. Obtain sputum sample
B. Document degree of edema
C. Initiate hourly urine output measurement
D. Administer intravenous diuretics
A. Obtain sputum sample
A client who is admitted for primary hypothyroidism has early signs of
myxedema coma. In assessing the client, in which sequence should the nurse
complete these actions? (descending order)
1. Observe breathing patterns
2. Assess blood pressure
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3. Measure body temperature
4. Palpate for pedal edema
A client with type 2 diabetes mellitus arrives to the clinic reporting episodes of
weakness and palpitations. Which finding should the nurse identify may
indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness
B. Fingertips feel numb
An older client is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The client's 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?
A. currently prescribed medications
B. Client's healthcare power of attorney
C. Increasing confusion of the client
D. Fall at home as reason for admission
C. Increasing confusion of the client
The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs (2kg) in
24 hours and an elevated central venous pressure for a client with full
thickness burns. Which intervention should the nurse implement?
A. Auscultate for irregular heart rate
B. Review arterial blood gases results
C. Measure ankle circumference
D. Document abdominal girth
A. Auscultate for irregular heart rate
The nurse is caring for a group of clients with the help of a practical nurse
(PN). Which nursing actions should the nurse assign to the PN? (Select all that
apply)
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
B. Start the second blood transfusion for a client 12 hours following a BKA
C. Initiate patient controlled analgesia (PCA) pumps for two clients
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immediately postoperatively
D. Perform daily surgical dressing change for a client who had an abdominal
hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral
knee arthroplasty
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
D. Perform daily surgical dressing change for a client who had an abdominal
hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral knee
arthroplasty
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
B. Sluggish and unequal pupillary responses
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?
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. Abdominal pain decreases when lying supine
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
