HESI ExIt RN Exam V1-V7 wItH NExt GENERatIoN
NCLEx (NGN) by SaNdRa UpCHURCH aNd HEaLtH
EdUCatIoN SyStEmS LatESt EdItIoN 2026 – 2027
wItH aLL CoRRECt qUEStIoNS aNd aNSwERS
qUaLIfIEd 100% paSS!!!!
The HESI Exit RN exam generally contains 75–150 questions depending on the school version.
Questions include:
• Multiple choice
• Select-all-that-apply (SATA)
• Bow-tie questions
• Matrix/grid items
• Ordered response
• Cloze/drop-down items
• Trend questions
• NGN unfolding case studies
The exam focuses on the following major nursing categories:
1. Management of Care
2. Safety and Infection Control
3. Pharmacological Therapies
4. Physiological Adaptation
5. Reduction of Risk Potential
, 6. Health Promotion and Maintenance
7. Psychosocial Integrity
8. Pediatric, Maternal, Mental Health, and Adult Medical-Surgical Nursing
Recent NGN-focused reviews emphasize that prioritization, delegation, and clinical judgment
dominate the current versions.
High-Yield Content Areas
1. Prioritization and Delegation
One of the most tested concepts is deciding which patient the nurse should see first. Students
must apply:
• ABCs (Airway, Breathing, Circulation)
• Maslow’s hierarchy
• Acute vs chronic conditions
• Stable vs unstable patients
Example:
A nurse has four patients. Which patient should be assessed first?
• Client with COPD requesting pain medication
• Post-op patient with sudden shortness of breath
• Stable diabetic patient awaiting discharge
• Hypertensive patient requesting food
Correct Answer: Post-op patient with sudden shortness of breath.
Rationale: Airway and oxygenation are immediate priorities. Sudden dyspnea may indicate
pulmonary embolism or respiratory compromise.
Delegation questions are also heavily emphasized:
• RNs handle assessment, teaching, and unstable clients.
• LPN/LVNs can administer routine medications and stable care.
• UAPs perform non-invasive tasks like bathing and vital signs.
2. Pharmacology
, Medication safety remains one of the most difficult sections. Commonly tested medications
include:
• Insulin
• Anticoagulants
• Digoxin
• Opioids
• Antihypertensives
• Antibiotics
• Psychiatric medications
Example:
A client taking digoxin reports nausea and visual halos. What action should the nurse take first?
Correct Answer: Check the apical pulse and hold the medication.
Rationale: These findings suggest digoxin toxicity, especially if pulse is below 60 bpm.
Students should know:
• Therapeutic ranges
• Side effects
• Antidotes
• Drug interactions
• Nursing interventions
The HESI and NGN exams focus heavily on:
• Medication safety
• Clinical judgment
• Adverse effects
• Priority interventions
• High-alert medications
NCLEx (NGN) by SaNdRa UpCHURCH aNd HEaLtH
EdUCatIoN SyStEmS LatESt EdItIoN 2026 – 2027
wItH aLL CoRRECt qUEStIoNS aNd aNSwERS
qUaLIfIEd 100% paSS!!!!
The HESI Exit RN exam generally contains 75–150 questions depending on the school version.
Questions include:
• Multiple choice
• Select-all-that-apply (SATA)
• Bow-tie questions
• Matrix/grid items
• Ordered response
• Cloze/drop-down items
• Trend questions
• NGN unfolding case studies
The exam focuses on the following major nursing categories:
1. Management of Care
2. Safety and Infection Control
3. Pharmacological Therapies
4. Physiological Adaptation
5. Reduction of Risk Potential
, 6. Health Promotion and Maintenance
7. Psychosocial Integrity
8. Pediatric, Maternal, Mental Health, and Adult Medical-Surgical Nursing
Recent NGN-focused reviews emphasize that prioritization, delegation, and clinical judgment
dominate the current versions.
High-Yield Content Areas
1. Prioritization and Delegation
One of the most tested concepts is deciding which patient the nurse should see first. Students
must apply:
• ABCs (Airway, Breathing, Circulation)
• Maslow’s hierarchy
• Acute vs chronic conditions
• Stable vs unstable patients
Example:
A nurse has four patients. Which patient should be assessed first?
• Client with COPD requesting pain medication
• Post-op patient with sudden shortness of breath
• Stable diabetic patient awaiting discharge
• Hypertensive patient requesting food
Correct Answer: Post-op patient with sudden shortness of breath.
Rationale: Airway and oxygenation are immediate priorities. Sudden dyspnea may indicate
pulmonary embolism or respiratory compromise.
Delegation questions are also heavily emphasized:
• RNs handle assessment, teaching, and unstable clients.
• LPN/LVNs can administer routine medications and stable care.
• UAPs perform non-invasive tasks like bathing and vital signs.
2. Pharmacology
, Medication safety remains one of the most difficult sections. Commonly tested medications
include:
• Insulin
• Anticoagulants
• Digoxin
• Opioids
• Antihypertensives
• Antibiotics
• Psychiatric medications
Example:
A client taking digoxin reports nausea and visual halos. What action should the nurse take first?
Correct Answer: Check the apical pulse and hold the medication.
Rationale: These findings suggest digoxin toxicity, especially if pulse is below 60 bpm.
Students should know:
• Therapeutic ranges
• Side effects
• Antidotes
• Drug interactions
• Nursing interventions
The HESI and NGN exams focus heavily on:
• Medication safety
• Clinical judgment
• Adverse effects
• Priority interventions
• High-alert medications
