HESI EXIT EXAM NGN 2026 COMPLETE STUDY GUIDE
PDF – VERIFIED Q&A | PROCTORED & EXIT EXAM |
TEST BANK
1. (NGN Case Study) A 72‑year‑old female with heart failure on furosemide,
lisinopril, carvedilol. Today: BP 88/52, HR 58, K+ 5.1, creatinine 1.8 (baseline 1.0).
Which findings are concerning? (Select all that apply)
A. BP 88/52
B. HR 58
C. K+ 5.1
D. Creatinine increase
E. Carvedilol prescription
Correct answer: A, B, C, D
Rationale: Hypotension, bradycardia, hyperkalemia, and acute kidney injury are
concerning. The carvedilol prescription itself is not a finding.
2. For the same client, what is the most likely cause?
A. Dehydration
B. ACE inhibitor‑induced hyperkalemia and acute kidney injury
C. Beta‑blocker toxicity
D. Worsening heart failure
Correct answer: B
Rationale: Lisinopril (ACE inhibitor) can cause hyperkalemia and AKI.
, 3. What should the nurse do first?
A. Give furosemide
B. Hold lisinopril and carvedilol, notify provider
C. Start IV fluids wide open
D. Administer calcium gluconate
Correct answer: B
Rationale: Stop offending agents (ACE inhibitor and beta‑blocker) and notify provider.
4. A client with diabetic ketoacidosis has glucose 550 mg/dL, pH 7.20, K+ 5.5.
Which intervention is priority?
A. Administer potassium
B. Start insulin drip
C. Infuse 0.9% normal saline
D. Administer sodium bicarbonate
Correct answer: C
Rationale: Fluid resuscitation is first to correct dehydration and improve perfusion.
PDF – VERIFIED Q&A | PROCTORED & EXIT EXAM |
TEST BANK
1. (NGN Case Study) A 72‑year‑old female with heart failure on furosemide,
lisinopril, carvedilol. Today: BP 88/52, HR 58, K+ 5.1, creatinine 1.8 (baseline 1.0).
Which findings are concerning? (Select all that apply)
A. BP 88/52
B. HR 58
C. K+ 5.1
D. Creatinine increase
E. Carvedilol prescription
Correct answer: A, B, C, D
Rationale: Hypotension, bradycardia, hyperkalemia, and acute kidney injury are
concerning. The carvedilol prescription itself is not a finding.
2. For the same client, what is the most likely cause?
A. Dehydration
B. ACE inhibitor‑induced hyperkalemia and acute kidney injury
C. Beta‑blocker toxicity
D. Worsening heart failure
Correct answer: B
Rationale: Lisinopril (ACE inhibitor) can cause hyperkalemia and AKI.
, 3. What should the nurse do first?
A. Give furosemide
B. Hold lisinopril and carvedilol, notify provider
C. Start IV fluids wide open
D. Administer calcium gluconate
Correct answer: B
Rationale: Stop offending agents (ACE inhibitor and beta‑blocker) and notify provider.
4. A client with diabetic ketoacidosis has glucose 550 mg/dL, pH 7.20, K+ 5.5.
Which intervention is priority?
A. Administer potassium
B. Start insulin drip
C. Infuse 0.9% normal saline
D. Administer sodium bicarbonate
Correct answer: C
Rationale: Fluid resuscitation is first to correct dehydration and improve perfusion.
