NGN HESI Exit Exam Review – 130
Recent Exam Questions and Correct
Verified Answers / HESI EXIT NGN
Exam 2026-2027 Prep (130 Ideal
Questions and Answers for the 2026-
2027 HESI Exit Exam Prep)
Herzing Hesi Exit Exam with NGN
, Hesi Midpoint Exam 130 Questions
1. While caring for a small bowel resection, the nurse is informed that the client has a history of MRSA.
To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most
important to implement?-NEW NAXLEX HESI
a. Report any increase in the white blood cell count
b. Change the surgical dressing readily when soiled-
c. Instruct the family to adhere to contact precautions
d. Wear a face mask while performing wound care.
2. A client with foul smelling drainage from an incision on the upper left arm is admitted with a
suspected MRSA. Which nursing interventions should the nurse include in the plan of care? SATA-
diagnostic exam,
a. Use standard precautions and wear a mask
b. Explain the purpose of a low bacteria diet
c. Send wound drainage for culture and sensitivity
d. Institute contact precautions for staff and visitors
3. A client is admitted to the surgical intensive care unit following the removal of a large portion of the
intestines due to a gunshot wound to the abdomen. The client begins to display signs of septic shock
and a sepsis protocol is initiated. Which intervention is most important for the nurse to include in the
plan of care? (HESI DX EXAM 1)
a. Maintain strict intake and output
b. Assess warmth of extremities
c. Keep head of bead raised 45 degrees
d. Monitor blood glucose level
4. What lab values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic
crisis?
a. Glucose and calcium levels
b. Electrolytes and hgb
c. Renal and liver function tests
d. Blood and urine cultures
5. To evaluate the effectiveness of a male client’s new prescription for ezetimbe (cholesterol med), which
action should the clinic nurse implement?
a. Remind the client to keep his appointments to have his cholesterol level checked
b. Teach the client to weigh himself weekly and keep a log of the measurements
c. Encourage the client to keep a diary of his food intake until his next visit to the clinic
d. Assess the elasticity of the client’s skin at the next scheduled clinic appointment
6. The nurse provides sliding scale insulin administration instructions to an adult who was recently
diagnosed with Diabetes mellitus. The client demonstrates an understanding of the instructions
provided by performing the procedure in which order?
a. Obtain blood glucose level. Determine the amount of insulin needed based on the sliding scale
b. Verify the insulin prescription
c. Draw insulin into insulin syringe.
d. Cleanse the selected site.
7. A client who has a borderline personality disorder is being discharged today. When the nurse makes
morning rounds, the client begins the interaction by claiming the night shift nurse is aloof and expresses joy
to see that, “My favorite nurse is on duty now.” Which response is best for the nurse to provide to this
client’s dichotomous tendency.
a. I am happy that you are getting better and will be able to go home
1
, b. Tomorrow I will talk to that nurse about how you were treated last night
c. What did the night nurse do that makes you think the nurse is aloof.
d. I am glad you are like me which nurse was acting aloof to you
8. After receiving report on an inpatient acute care unit, which client should the nurse assess first?
a. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
b. The client with a small bowel obstruction who has a NG tube that is draining greenish fluid
c. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
sounds
d. The client with an obstruction of the large intestine who is experiencing abdominal distention
9. A client with heart failure is admitted to the medical surgical unit with pneumonia. To reduce cardiac
workload, which intervention should the nurse include in the plan of care?
a. Provide a bedside commode for toileting
b. Assist with ambulation in the hallway
c. Teach to sleep in a side laying position
d. Encourage active range of motion exercise
10. The nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which problem?
a. Blood emesis
b. Abdominal cramping
c. Low grade fever
d. Bruising of the skin
11. Which instruction should the nurse delegate to an unlicensed assistive personnel (UAP) member?
a. Bring a sterile chest drainage unit from central supply to the unit.
b. Evaluate a clients urinary catheter for proper drainage
c. Call the pharmacy to obtain a clients next antibiotic dose
d. Observe a clients gait to determine the need for assistance
12. When performing suctioning for a client with a tracheostomy, which action should the nurse include?
a. Wear protective goggles while performing the procedure
b. Instruct the client to cough as the suction tip is removed
c. Instill 3 mL of 0.9% sodium chloride before suctioning
d. Apply a water-soluble lubricant to the catheter
13. A young adult is brought to the emergency department after taking a handful of drugs. The client is
unresponsive, so an endotracheal tube is inserted. How should the nurse determine if the ETT is
correctly placed? SATA
a. Auscultate for presence of bilateral breath sounds
b. Obtain a portable chest X ray to verify ETT
c. Assess for symmetrical chest movement
d. Monitor ETT markings between 22 and 26cm at teeth line
e. Check for capillary refill of 3 seconds or less
14. An older adult client is referred to a rehabilitation facility following a cerebrovascular accident CVA.
The client is aphasic with left sided paresis and is having difficulty swallowing. Which intervention is
most important for the nurse to include in the client’s plan of care?
a. Facilitate a consultation for speech therapy
b. Arrange for daily home care assistance
c. Use pictures and gestures to communicate
d. Initiate passive range of motion exercises
15. A healthcare provider prescribes the antibiotic cefdinir 300 mg PO Q12hr for a client with a
postoperative wound infection. Which foods should the nurse encourage this client to eat?
2
Recent Exam Questions and Correct
Verified Answers / HESI EXIT NGN
Exam 2026-2027 Prep (130 Ideal
Questions and Answers for the 2026-
2027 HESI Exit Exam Prep)
Herzing Hesi Exit Exam with NGN
, Hesi Midpoint Exam 130 Questions
1. While caring for a small bowel resection, the nurse is informed that the client has a history of MRSA.
To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most
important to implement?-NEW NAXLEX HESI
a. Report any increase in the white blood cell count
b. Change the surgical dressing readily when soiled-
c. Instruct the family to adhere to contact precautions
d. Wear a face mask while performing wound care.
2. A client with foul smelling drainage from an incision on the upper left arm is admitted with a
suspected MRSA. Which nursing interventions should the nurse include in the plan of care? SATA-
diagnostic exam,
a. Use standard precautions and wear a mask
b. Explain the purpose of a low bacteria diet
c. Send wound drainage for culture and sensitivity
d. Institute contact precautions for staff and visitors
3. A client is admitted to the surgical intensive care unit following the removal of a large portion of the
intestines due to a gunshot wound to the abdomen. The client begins to display signs of septic shock
and a sepsis protocol is initiated. Which intervention is most important for the nurse to include in the
plan of care? (HESI DX EXAM 1)
a. Maintain strict intake and output
b. Assess warmth of extremities
c. Keep head of bead raised 45 degrees
d. Monitor blood glucose level
4. What lab values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic
crisis?
a. Glucose and calcium levels
b. Electrolytes and hgb
c. Renal and liver function tests
d. Blood and urine cultures
5. To evaluate the effectiveness of a male client’s new prescription for ezetimbe (cholesterol med), which
action should the clinic nurse implement?
a. Remind the client to keep his appointments to have his cholesterol level checked
b. Teach the client to weigh himself weekly and keep a log of the measurements
c. Encourage the client to keep a diary of his food intake until his next visit to the clinic
d. Assess the elasticity of the client’s skin at the next scheduled clinic appointment
6. The nurse provides sliding scale insulin administration instructions to an adult who was recently
diagnosed with Diabetes mellitus. The client demonstrates an understanding of the instructions
provided by performing the procedure in which order?
a. Obtain blood glucose level. Determine the amount of insulin needed based on the sliding scale
b. Verify the insulin prescription
c. Draw insulin into insulin syringe.
d. Cleanse the selected site.
7. A client who has a borderline personality disorder is being discharged today. When the nurse makes
morning rounds, the client begins the interaction by claiming the night shift nurse is aloof and expresses joy
to see that, “My favorite nurse is on duty now.” Which response is best for the nurse to provide to this
client’s dichotomous tendency.
a. I am happy that you are getting better and will be able to go home
1
, b. Tomorrow I will talk to that nurse about how you were treated last night
c. What did the night nurse do that makes you think the nurse is aloof.
d. I am glad you are like me which nurse was acting aloof to you
8. After receiving report on an inpatient acute care unit, which client should the nurse assess first?
a. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
b. The client with a small bowel obstruction who has a NG tube that is draining greenish fluid
c. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
sounds
d. The client with an obstruction of the large intestine who is experiencing abdominal distention
9. A client with heart failure is admitted to the medical surgical unit with pneumonia. To reduce cardiac
workload, which intervention should the nurse include in the plan of care?
a. Provide a bedside commode for toileting
b. Assist with ambulation in the hallway
c. Teach to sleep in a side laying position
d. Encourage active range of motion exercise
10. The nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which problem?
a. Blood emesis
b. Abdominal cramping
c. Low grade fever
d. Bruising of the skin
11. Which instruction should the nurse delegate to an unlicensed assistive personnel (UAP) member?
a. Bring a sterile chest drainage unit from central supply to the unit.
b. Evaluate a clients urinary catheter for proper drainage
c. Call the pharmacy to obtain a clients next antibiotic dose
d. Observe a clients gait to determine the need for assistance
12. When performing suctioning for a client with a tracheostomy, which action should the nurse include?
a. Wear protective goggles while performing the procedure
b. Instruct the client to cough as the suction tip is removed
c. Instill 3 mL of 0.9% sodium chloride before suctioning
d. Apply a water-soluble lubricant to the catheter
13. A young adult is brought to the emergency department after taking a handful of drugs. The client is
unresponsive, so an endotracheal tube is inserted. How should the nurse determine if the ETT is
correctly placed? SATA
a. Auscultate for presence of bilateral breath sounds
b. Obtain a portable chest X ray to verify ETT
c. Assess for symmetrical chest movement
d. Monitor ETT markings between 22 and 26cm at teeth line
e. Check for capillary refill of 3 seconds or less
14. An older adult client is referred to a rehabilitation facility following a cerebrovascular accident CVA.
The client is aphasic with left sided paresis and is having difficulty swallowing. Which intervention is
most important for the nurse to include in the client’s plan of care?
a. Facilitate a consultation for speech therapy
b. Arrange for daily home care assistance
c. Use pictures and gestures to communicate
d. Initiate passive range of motion exercises
15. A healthcare provider prescribes the antibiotic cefdinir 300 mg PO Q12hr for a client with a
postoperative wound infection. Which foods should the nurse encourage this client to eat?
2
