HESI
HESI RN 2024 EXIT NGN EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse
collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - ANS ✓D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are
dry. He has a productive cough with thick, yellow secretions. His capillary
refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm,
respiratory rate 28 breaths per minute, blood pressure 145/89, oxygen
saturation 90% on room air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
1
HESI RN
,HESI
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough. - ANS ✓Cardiovascular: capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a _______________ position to promote
_____________. - ANS ✓Semi-Fowler , lung expansion.
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal saline
150 ML per hour, acetaminophen 350mg PO every six hours for temp
greater than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than 94%.
(mark whether the statements by the new grad nurse indicate
understanding or no understanding of the use of facemask in the care of
this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
2
HESI RN
,HESI
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for
expiration.
-I should place the mask first over the nose and then cover the mouth. - ANS
✓-I should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour.
(NOT UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT
UNDERSTANDING ????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for
expiration. (NOT UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He
states I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower lobe. His mucus membranes are dry. He has
a productive cough with thick, yellow secretions. His capillary refill is four
seconds. Heart rate 101 BPM, oxygen saturation 90%. Blood pressure
145/89, temperature 100.2 F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No improvement in oxygen
saturation on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
3
HESI RN
, HESI
E) The client will report pain less than 3/10. - ANS ✓B) The client will have
quit smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
The nurse has completed the diet teaching of a client who is being
discharged following treatment of a leg wound. A high-protein diet is
encouraged to promote wound healing. Which lunch toys by the client
indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. - ANS ✓C) A tuna fish
sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm
is admitted with a suspected MRSA. Which nursing intervention should the
nurse include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. - ANS ✓A) Institute contact
precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
An adult client who is admitted to the mental health unit for treatment of
bipolar disorder has a slightly slurred speech pattern and an unsteady gait.
4
HESI RN
HESI RN 2024 EXIT NGN EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse
collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - ANS ✓D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are
dry. He has a productive cough with thick, yellow secretions. His capillary
refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm,
respiratory rate 28 breaths per minute, blood pressure 145/89, oxygen
saturation 90% on room air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
1
HESI RN
,HESI
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough. - ANS ✓Cardiovascular: capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a _______________ position to promote
_____________. - ANS ✓Semi-Fowler , lung expansion.
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal saline
150 ML per hour, acetaminophen 350mg PO every six hours for temp
greater than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than 94%.
(mark whether the statements by the new grad nurse indicate
understanding or no understanding of the use of facemask in the care of
this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
2
HESI RN
,HESI
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for
expiration.
-I should place the mask first over the nose and then cover the mouth. - ANS
✓-I should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour.
(NOT UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT
UNDERSTANDING ????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for
expiration. (NOT UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He
states I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower lobe. His mucus membranes are dry. He has
a productive cough with thick, yellow secretions. His capillary refill is four
seconds. Heart rate 101 BPM, oxygen saturation 90%. Blood pressure
145/89, temperature 100.2 F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No improvement in oxygen
saturation on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
3
HESI RN
, HESI
E) The client will report pain less than 3/10. - ANS ✓B) The client will have
quit smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
The nurse has completed the diet teaching of a client who is being
discharged following treatment of a leg wound. A high-protein diet is
encouraged to promote wound healing. Which lunch toys by the client
indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. - ANS ✓C) A tuna fish
sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm
is admitted with a suspected MRSA. Which nursing intervention should the
nurse include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. - ANS ✓A) Institute contact
precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
An adult client who is admitted to the mental health unit for treatment of
bipolar disorder has a slightly slurred speech pattern and an unsteady gait.
4
HESI RN
