NGN HESI RN 2026 EXIT EXAM LATEST 2026-2027 130
QUESTIONS AND 100% Verified ANSWERS
A client with diabetes insipidus has an average urinary output of 500 ML of dilute urine every hour for the past
four hours. Which laboratory test is most important for the nurse to monitor?
A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count. - answer>>C) Serum sodium.
The nurse is managing the care of a client with Cushing syndrome. Which intervention should the nurse delegate
to be unlicensed assistive personnel? SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
C) Assess the client for weakness and fatigue.
D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort. - answer>>A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a prescription for an electronic stimulator tens unit. After the
nurse applies the electrodes and turns on the power, the client reports feeling a tingling sensation. How should
the nurse respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.
C) Remove electrodes and observe for skin redness.
,D) Determine if the sensation feels uncomfortable. - answer>>D) Determine if the sensation feels uncomfortable.
Before leaving the room of a confuse client, the nurse notes that a half bow not was used to attach the clients
wrist restraints to the movable portion of the clients bed frame. What action should the nurse take before leaving
the room?
A) Ensure that the number cannot be quickly released.
B) Ensure that the restraints are snug against the clients risk.
C) Tie the knot with a double turn or square knot.
D) Move the ties so the restraints are secured to the side rails. - answer>>A) Ensure that the number cannot be
quickly released.
A client is being urgently transported to radiology for a CT scan after a sudden decrease in level of consciousness.
The client is orally intubated and has a left lateral chest tube of 20 cm section. Which action is most important for
the nurse to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container. - answer>>B) Keep the chest tube container below the
site of insertion.
The nurse is managing for clients in the ICU who are mechanically ventilated. After performing a quick visual
assessment, the nurse should prioritize care for the client who is exhibiting which finding?
A) Diminished breath sounds in the right posterior base.
B) Restrained and restless with a slow volume alarm sounding.
C) High-pressure alarm sounds when client is coughing.
D) An audible voice when client is trying to communicate. - answer>>B) Restrained and restless with a slow volume
alarm sounding.
,NGN - answer>>????
Nurse is caring for a client with a sexually transmitted infections syphilis. The client reports having had prior
sexually transmitted infections. Which response should the nurse provide?
A) Notify that persons with STDs are reported to local health departments.
B) Answer questions directly and correct any misinformation.
C) Provide counseling that most contraceptives protect against infection.
D) Discuss that partners without similar symptoms may not be infected. - answer>>B) Answer questions directly
and correct any misinformation.
Which instruction should the nurse delegate to an unlicensed assistive personnel?
A) Call the pharmacy to obtain clients new antibiotic dose.
B) Observe the clients gate to determine the need for assistance.
C) Bring a sterile chest drainage unit from central supply to the unit.
D) Evaluate a clients urinary catheter for proper drainage. - answer>>C) Bring a sterile chest drainage unit from
central supply to the unit.
A client with unilateral hearing loss is admitted for a schedule surgery. Which technique should the nurse use to
provide education about pain relief options?
A) Speak directly facing the client.
B) Write information on a whiteboard.
C) Talk loudly into the infected ear.
D) Repeat information to the client. - answer>>A) Speak directly facing the client.
A client who is 65 kg receives a prescription for lorazepam 44 mcg/kg IV to be administered 20 minutes before a
scheduled procedure. The medication is available in 2 mg/mL vial. How many milliliters should the nurse
administer? (Enter numerical value only. If rounding is required, round to the nearest 10th) - answer>>1.4
, The nurse on a medical surgical unit receives a report from a post anesthesia care unit nurse for a client who is
being transferred following a right hemicolectomy. The PACU nurse reports, the client has an IV infusion of 1000
mL of lactated ringers infusing at 125 mL per hour into the left wrist with 300 mL remaining. Prescriptions and
food morphine sulfate 2 mg IV every 2 to 4 hours for pain. Last administer 30 minutes ago, and aspirin 4 mg IV
every eight hours for nausea, last administered 15 minutes ago. Which additional information is most important
for the nurse to obtain in the report?
A) History of vomiting at home for three days prior to surgery.
B) Peripheral pulse is present with full range of motion of both legs.
C) Soft abdomen, absent bowel sounds, no bleeding on dressing.
D) Declining to take ice chips for complaints of dry mouth. - answer>>C) Soft abdomen, absent bowel sounds, no
bleeding on dressing.
Entering the room of a sedated postoperative client, which assessment requires immediate intervention by the
nurse?
A) Low intermittent suction prescribe for the nasal gastric tube is turned off.
B) The urinary catheter drainage bag is almost completely full of amber urine.
C) A Hemovac drain is partially full of serious drainage and he's not impressed.
D) Oxygen has been administered via nasal cannula at 4 L per minute without humidification. - answer>>C) A
Hemovac drain is partially full of serious drainage and he's not impressed.
An older adult client presents to the emergency department with abdominal pain due to constipation. The nurse is
providing a list of high fiber foods to the client that the healthcare provider has recommended. Which action
should the nurse implement when reviewing the list of foods?
A) Turn on overhead lights while giving instructions.
B) Stand behind the client to avoid intimidation.
C) Use background music to promote relaxation.
D) Provide handouts written at a 12th grade reading level. - answer>>A) Turn on overhead lights while giving
instructions.
QUESTIONS AND 100% Verified ANSWERS
A client with diabetes insipidus has an average urinary output of 500 ML of dilute urine every hour for the past
four hours. Which laboratory test is most important for the nurse to monitor?
A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count. - answer>>C) Serum sodium.
The nurse is managing the care of a client with Cushing syndrome. Which intervention should the nurse delegate
to be unlicensed assistive personnel? SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
C) Assess the client for weakness and fatigue.
D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort. - answer>>A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a prescription for an electronic stimulator tens unit. After the
nurse applies the electrodes and turns on the power, the client reports feeling a tingling sensation. How should
the nurse respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.
C) Remove electrodes and observe for skin redness.
,D) Determine if the sensation feels uncomfortable. - answer>>D) Determine if the sensation feels uncomfortable.
Before leaving the room of a confuse client, the nurse notes that a half bow not was used to attach the clients
wrist restraints to the movable portion of the clients bed frame. What action should the nurse take before leaving
the room?
A) Ensure that the number cannot be quickly released.
B) Ensure that the restraints are snug against the clients risk.
C) Tie the knot with a double turn or square knot.
D) Move the ties so the restraints are secured to the side rails. - answer>>A) Ensure that the number cannot be
quickly released.
A client is being urgently transported to radiology for a CT scan after a sudden decrease in level of consciousness.
The client is orally intubated and has a left lateral chest tube of 20 cm section. Which action is most important for
the nurse to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container. - answer>>B) Keep the chest tube container below the
site of insertion.
The nurse is managing for clients in the ICU who are mechanically ventilated. After performing a quick visual
assessment, the nurse should prioritize care for the client who is exhibiting which finding?
A) Diminished breath sounds in the right posterior base.
B) Restrained and restless with a slow volume alarm sounding.
C) High-pressure alarm sounds when client is coughing.
D) An audible voice when client is trying to communicate. - answer>>B) Restrained and restless with a slow volume
alarm sounding.
,NGN - answer>>????
Nurse is caring for a client with a sexually transmitted infections syphilis. The client reports having had prior
sexually transmitted infections. Which response should the nurse provide?
A) Notify that persons with STDs are reported to local health departments.
B) Answer questions directly and correct any misinformation.
C) Provide counseling that most contraceptives protect against infection.
D) Discuss that partners without similar symptoms may not be infected. - answer>>B) Answer questions directly
and correct any misinformation.
Which instruction should the nurse delegate to an unlicensed assistive personnel?
A) Call the pharmacy to obtain clients new antibiotic dose.
B) Observe the clients gate to determine the need for assistance.
C) Bring a sterile chest drainage unit from central supply to the unit.
D) Evaluate a clients urinary catheter for proper drainage. - answer>>C) Bring a sterile chest drainage unit from
central supply to the unit.
A client with unilateral hearing loss is admitted for a schedule surgery. Which technique should the nurse use to
provide education about pain relief options?
A) Speak directly facing the client.
B) Write information on a whiteboard.
C) Talk loudly into the infected ear.
D) Repeat information to the client. - answer>>A) Speak directly facing the client.
A client who is 65 kg receives a prescription for lorazepam 44 mcg/kg IV to be administered 20 minutes before a
scheduled procedure. The medication is available in 2 mg/mL vial. How many milliliters should the nurse
administer? (Enter numerical value only. If rounding is required, round to the nearest 10th) - answer>>1.4
, The nurse on a medical surgical unit receives a report from a post anesthesia care unit nurse for a client who is
being transferred following a right hemicolectomy. The PACU nurse reports, the client has an IV infusion of 1000
mL of lactated ringers infusing at 125 mL per hour into the left wrist with 300 mL remaining. Prescriptions and
food morphine sulfate 2 mg IV every 2 to 4 hours for pain. Last administer 30 minutes ago, and aspirin 4 mg IV
every eight hours for nausea, last administered 15 minutes ago. Which additional information is most important
for the nurse to obtain in the report?
A) History of vomiting at home for three days prior to surgery.
B) Peripheral pulse is present with full range of motion of both legs.
C) Soft abdomen, absent bowel sounds, no bleeding on dressing.
D) Declining to take ice chips for complaints of dry mouth. - answer>>C) Soft abdomen, absent bowel sounds, no
bleeding on dressing.
Entering the room of a sedated postoperative client, which assessment requires immediate intervention by the
nurse?
A) Low intermittent suction prescribe for the nasal gastric tube is turned off.
B) The urinary catheter drainage bag is almost completely full of amber urine.
C) A Hemovac drain is partially full of serious drainage and he's not impressed.
D) Oxygen has been administered via nasal cannula at 4 L per minute without humidification. - answer>>C) A
Hemovac drain is partially full of serious drainage and he's not impressed.
An older adult client presents to the emergency department with abdominal pain due to constipation. The nurse is
providing a list of high fiber foods to the client that the healthcare provider has recommended. Which action
should the nurse implement when reviewing the list of foods?
A) Turn on overhead lights while giving instructions.
B) Stand behind the client to avoid intimidation.
C) Use background music to promote relaxation.
D) Provide handouts written at a 12th grade reading level. - answer>>A) Turn on overhead lights while giving
instructions.
