NGN HESI RN 2026 EXIT EXAM 2026-2027 LATEST
UPDATED VERSION QUESTIONS AND ANSWERS
A client who is receiving zidovudine reports the appearance of pinpoint, red, brown spots on the skin. Which result
should the nurse report to the healthcare provider?
A) Skin biopsy.
B) Complete blood count.
C) Allergy test.
D) Electromyography. - answer>>B) Complete blood count.
Petechiae can occur due to low platelet counts. Zidovudine is used for HIV and can cause hematological toxicity,
anemia neutropenia.
A child newly diagnosed with sickle cell anemia 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 to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures. - answer>>A) Instructions about how much fluid
the child to drink daily.
During discharge teaching, and overweight client with heart failure is asked to make a grocery list for the nurse to
review. Which food choices include it on the clients list should the nurse encouraged? SATA.
A) Cheddar cheese cubes.
B) Canned fruit in heavy syrup.
C) Lightly salted potato chips.
,D) Plain, air-popped popcorn.
E) Natural whole almonds. - answer>>D) Plain, air-popped popcorn.
E) Natural whole almonds.
A client is receiving IV fluids by gravity infusion and exhibit signs of fluid volume overload. When assessing the
clients IV delivery system, where should the nurse assess first? - answer>>A
I can't see all the pics. Use the clamp on the IV tubing.
The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which
behaviors indicate the client understands how to maintain balance safely? SATA.
A) Widen stance while working near the sink.
B) Leans forward to pull a pan from a high shelf.
C) Tenths from the waist to pick trash off the floor.
D) Brings a heavy can close to body before lifting.
E) Lots knees while preparing food on the counter. - answer>>A) Widen stance while working near the sink.
D) Brings a heavy can close to body before lifting.
A client is receiving methylamine 800 mg PO three times a day. Which assessment should the nurse perform to
assess the effectiveness of the medication?
A) Bowel patterns.
B) Pupillary response.
C) Peripheral pulses.
D) Oxygen saturation. - answer>>A) Bowel patterns.
Ulcerative colitis medication that helps reduce inflammation in the G.I..
,Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty in
breathing. The nurse suspect the client may have had a pulmonary embolus. Which action should the nurse take
first?
A) Provide supplemental oxygen.
B) Prepare a continuous heparin infusion per protocol.
C) Bring the emergency craft cart to the bedside.
D) Notify the healthcare provider. - answer>>A) Provide supplemental oxygen.
The nurse identifies an electrolyte imbalance, elevated blood pressure, and exhibited changes in mental status for
a client with chronic kidney disease. Which is the most important action for the nurse to take?
A) Monitor daily sodium intake.
B) Auscultate for a regular heart rate.
C) Document abdominal girth.
D) Measure ankle circumference. - answer>>B) Auscultate for a regular heart rate.
The older adult client who has difficulty hearing is being discharged from the day surgeries following a cataract
extraction and lens in plantation. Which intervention is most important for the nurse to implement to help ensure
the client compliant with self-care?
A) Ensure that someone will stay with the client for 24 hours.
B) Have a client vocalize the instructions provided.
C) Speak clearly and face the client for lip reading.
D) Provide written instructions for eyedrop administration. - answer>>B) Have a client vocalize the instructions
provided.
NO QUESTION 68 - answer>>
, Well making rounds, the charge nurse notices that a young adult client with asthma who has admitted yesterday is
sitting on the side of the bed and leaning over the side table. The client is currently receiving oxygen at 2 L per
minute via nasal cannula. The client is wheezing and is using per slip breathing. Which intervention should the
nurse implement?
A) Increase oxygen to 6 L per minute.
B) Call for an Ambu resuscitation bag.
C) This is the client to lie back in bed.
D) Administer a nebulizer treatment. - answer>>D) Administer a nebulizer treatment.
An older client with Alzheimer's disease is confused and asking the nurse to call their mother who is deceased.
Which non-pharmacological intervention should the nurse implement?
A) Clarify reality with the client about delusional thoughts.
B) Use distraction and therapeutic communication skills.
C) Reduce the clients interaction with others during the day.
D) Awakening the client for reality checks every four hours at night. - answer>>B) Use distraction and therapeutic
communication skills.
Four hours after surgery, a client reports nausea and begins to vomit. The nurse knows that the client has a
scopolamine transdermal patch applied behind the ear. Which action should the nurse take?
A) Reposition the transdermal patch to the clients trunk.
B) Remove the transdermal patch until the vomiting subsides.
C) Notify the clients healthcare provider of the vomiting.
D) Explain that this is a side effect of the medication in the patch. - answer>>C) Notify the clients healthcare
provider of the vomiting.
This medication is used for nausea and the provider should be made aware if the medication is not effective.
UPDATED VERSION QUESTIONS AND ANSWERS
A client who is receiving zidovudine reports the appearance of pinpoint, red, brown spots on the skin. Which result
should the nurse report to the healthcare provider?
A) Skin biopsy.
B) Complete blood count.
C) Allergy test.
D) Electromyography. - answer>>B) Complete blood count.
Petechiae can occur due to low platelet counts. Zidovudine is used for HIV and can cause hematological toxicity,
anemia neutropenia.
A child newly diagnosed with sickle cell anemia 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 to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures. - answer>>A) Instructions about how much fluid
the child to drink daily.
During discharge teaching, and overweight client with heart failure is asked to make a grocery list for the nurse to
review. Which food choices include it on the clients list should the nurse encouraged? SATA.
A) Cheddar cheese cubes.
B) Canned fruit in heavy syrup.
C) Lightly salted potato chips.
,D) Plain, air-popped popcorn.
E) Natural whole almonds. - answer>>D) Plain, air-popped popcorn.
E) Natural whole almonds.
A client is receiving IV fluids by gravity infusion and exhibit signs of fluid volume overload. When assessing the
clients IV delivery system, where should the nurse assess first? - answer>>A
I can't see all the pics. Use the clamp on the IV tubing.
The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which
behaviors indicate the client understands how to maintain balance safely? SATA.
A) Widen stance while working near the sink.
B) Leans forward to pull a pan from a high shelf.
C) Tenths from the waist to pick trash off the floor.
D) Brings a heavy can close to body before lifting.
E) Lots knees while preparing food on the counter. - answer>>A) Widen stance while working near the sink.
D) Brings a heavy can close to body before lifting.
A client is receiving methylamine 800 mg PO three times a day. Which assessment should the nurse perform to
assess the effectiveness of the medication?
A) Bowel patterns.
B) Pupillary response.
C) Peripheral pulses.
D) Oxygen saturation. - answer>>A) Bowel patterns.
Ulcerative colitis medication that helps reduce inflammation in the G.I..
,Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty in
breathing. The nurse suspect the client may have had a pulmonary embolus. Which action should the nurse take
first?
A) Provide supplemental oxygen.
B) Prepare a continuous heparin infusion per protocol.
C) Bring the emergency craft cart to the bedside.
D) Notify the healthcare provider. - answer>>A) Provide supplemental oxygen.
The nurse identifies an electrolyte imbalance, elevated blood pressure, and exhibited changes in mental status for
a client with chronic kidney disease. Which is the most important action for the nurse to take?
A) Monitor daily sodium intake.
B) Auscultate for a regular heart rate.
C) Document abdominal girth.
D) Measure ankle circumference. - answer>>B) Auscultate for a regular heart rate.
The older adult client who has difficulty hearing is being discharged from the day surgeries following a cataract
extraction and lens in plantation. Which intervention is most important for the nurse to implement to help ensure
the client compliant with self-care?
A) Ensure that someone will stay with the client for 24 hours.
B) Have a client vocalize the instructions provided.
C) Speak clearly and face the client for lip reading.
D) Provide written instructions for eyedrop administration. - answer>>B) Have a client vocalize the instructions
provided.
NO QUESTION 68 - answer>>
, Well making rounds, the charge nurse notices that a young adult client with asthma who has admitted yesterday is
sitting on the side of the bed and leaning over the side table. The client is currently receiving oxygen at 2 L per
minute via nasal cannula. The client is wheezing and is using per slip breathing. Which intervention should the
nurse implement?
A) Increase oxygen to 6 L per minute.
B) Call for an Ambu resuscitation bag.
C) This is the client to lie back in bed.
D) Administer a nebulizer treatment. - answer>>D) Administer a nebulizer treatment.
An older client with Alzheimer's disease is confused and asking the nurse to call their mother who is deceased.
Which non-pharmacological intervention should the nurse implement?
A) Clarify reality with the client about delusional thoughts.
B) Use distraction and therapeutic communication skills.
C) Reduce the clients interaction with others during the day.
D) Awakening the client for reality checks every four hours at night. - answer>>B) Use distraction and therapeutic
communication skills.
Four hours after surgery, a client reports nausea and begins to vomit. The nurse knows that the client has a
scopolamine transdermal patch applied behind the ear. Which action should the nurse take?
A) Reposition the transdermal patch to the clients trunk.
B) Remove the transdermal patch until the vomiting subsides.
C) Notify the clients healthcare provider of the vomiting.
D) Explain that this is a side effect of the medication in the patch. - answer>>C) Notify the clients healthcare
provider of the vomiting.
This medication is used for nausea and the provider should be made aware if the medication is not effective.
