2025/2026 HESI Exit RN Exam V1-V7 with Next
Generation NCLEX (NGN) by Sandra Upchurch and
Health Education Systems Inc. (Elsevier) - Ultimate Test
Bank with Rationales to Pass on First Attempt
**Q1. A nurse is caring for a client on fall precautions. Which
intervention has the highest priority?**
A. Keep the bed in the lowest position.
B. Place non-slip socks on the client.
C. Remove clutter from the room.
D. Keep the call light within reach.
**Answer:** A. Keep the bed in the lowest position.
**Rationale:** While all options help reduce fall risk, keeping the bed
in the lowest position most directly minimizes the risk of injury if the
client does fall or attempts to get out of bed unsafely .
**Q2. A nurse receives a client from the PACU who is drowsy but
arousable. What is the first action?**
A. Monitor vital signs.
B. Assess airway patency.
C. Check the IV site.
D. Review intake and output.
,**Answer:** B. Assess airway patency.
**Rationale:** The ABCs (Airway, Breathing, Circulation) always take
priority in post-anesthesia care. Airway patency must be confirmed
before any other assessments .
**Q3. The nurse finds a fire in a client's room. Which action should the
nurse take first?**
A. Pull the fire alarm.
B. Attempt to extinguish the fire.
C. Rescue the client from the room.
D. Close the door.
**Answer:** C. Rescue the client from the room.
**Rationale:** The correct protocol for a fire is RACE: Rescue, Alarm,
Contain, Extinguish. The immediate safety of the client is the top
priority .
**Q4. A nurse is delegating tasks to an LPN. Which task is appropriate
to delegate?**
A. Performing the initial admission assessment on a new patient.
B. Administering oral medications to a stable patient with diabetes.
, C. Developing the nursing care plan for a patient with pneumonia.
D. Discharging a patient with new heart failure teaching.
**Answer:** B. Administering oral medications to a stable patient with
diabetes.
**Rationale:** LPNs can administer oral medications to stable patients.
The initial assessment, care plan development, and discharge teaching
are responsibilities of the RN and cannot be delegated .
**Q5. A client with a DNR order is pulseless and not breathing. The
family member begs the nurse to "do everything." What should the
nurse do?**
A. Begin CPR immediately to honor the family's wishes.
B. Tell the family there is nothing that can be done.
C. Notify the provider to discuss the DNR order with the family.
D. Move the client to a private room before calling a code.
**Answer:** C. Notify the provider to discuss the DNR order with the
family.
**Rationale:** The DNR order must be respected. However, the nurse
should address the family's distress by calling the provider to review
the order and clarify the client's wishes with the family .
Generation NCLEX (NGN) by Sandra Upchurch and
Health Education Systems Inc. (Elsevier) - Ultimate Test
Bank with Rationales to Pass on First Attempt
**Q1. A nurse is caring for a client on fall precautions. Which
intervention has the highest priority?**
A. Keep the bed in the lowest position.
B. Place non-slip socks on the client.
C. Remove clutter from the room.
D. Keep the call light within reach.
**Answer:** A. Keep the bed in the lowest position.
**Rationale:** While all options help reduce fall risk, keeping the bed
in the lowest position most directly minimizes the risk of injury if the
client does fall or attempts to get out of bed unsafely .
**Q2. A nurse receives a client from the PACU who is drowsy but
arousable. What is the first action?**
A. Monitor vital signs.
B. Assess airway patency.
C. Check the IV site.
D. Review intake and output.
,**Answer:** B. Assess airway patency.
**Rationale:** The ABCs (Airway, Breathing, Circulation) always take
priority in post-anesthesia care. Airway patency must be confirmed
before any other assessments .
**Q3. The nurse finds a fire in a client's room. Which action should the
nurse take first?**
A. Pull the fire alarm.
B. Attempt to extinguish the fire.
C. Rescue the client from the room.
D. Close the door.
**Answer:** C. Rescue the client from the room.
**Rationale:** The correct protocol for a fire is RACE: Rescue, Alarm,
Contain, Extinguish. The immediate safety of the client is the top
priority .
**Q4. A nurse is delegating tasks to an LPN. Which task is appropriate
to delegate?**
A. Performing the initial admission assessment on a new patient.
B. Administering oral medications to a stable patient with diabetes.
, C. Developing the nursing care plan for a patient with pneumonia.
D. Discharging a patient with new heart failure teaching.
**Answer:** B. Administering oral medications to a stable patient with
diabetes.
**Rationale:** LPNs can administer oral medications to stable patients.
The initial assessment, care plan development, and discharge teaching
are responsibilities of the RN and cannot be delegated .
**Q5. A client with a DNR order is pulseless and not breathing. The
family member begs the nurse to "do everything." What should the
nurse do?**
A. Begin CPR immediately to honor the family's wishes.
B. Tell the family there is nothing that can be done.
C. Notify the provider to discuss the DNR order with the family.
D. Move the client to a private room before calling a code.
**Answer:** C. Notify the provider to discuss the DNR order with the
family.
**Rationale:** The DNR order must be respected. However, the nurse
should address the family's distress by calling the provider to review
the order and clarify the client's wishes with the family .
