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HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2025-2026/HESI EXIT RN
NEXT GENERATION EXAM
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that
he has been soaking in hot baths at night with no relief of his discomfort.
Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for
symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion after
showering
D. Explain that the symptoms are caused by liver damage and cannot be
relieved ......answer.....A. Encourage the client to use cooler water and apply
calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD),
hypertension (HTN), and heart failure (HF) arrives in the Emergency
Department (ED) in respiratory distress. The healthcare provider prescribes
furosemide IV. Which therapeutic response to furosemide should the nurse
expected in the client with acute HF?
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A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload ......answer.....B. Reduced preload
Which intervention should the nurse include in the plan of care for a child
with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light ......answer.....B. Minimize
the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of
9, is admitted to the hospital in diabetic ketoacidosis. Which occurrence is
the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
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D. Skipped eating lunch ......answer.....C. Had a cold and ear infection for the
past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest
signs of impending death. After notifying the family of the client's status,
what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
......answer.....C. The client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the
plan of care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan ......answer.....B. Blood glucose monitoring
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A client who gave birth 48 hours ago has decided to bottle feed the infant.
During the assessment, the nurse observes that both breasts are swollen,
warm, and tender on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
......answer.....A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation
for discharge to home. Which recommendations should the nurse provide
this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water ......answer.....B. Use a residual limb
shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2025-2026/HESI EXIT RN
NEXT GENERATION EXAM
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that
he has been soaking in hot baths at night with no relief of his discomfort.
Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for
symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion after
showering
D. Explain that the symptoms are caused by liver damage and cannot be
relieved ......answer.....A. Encourage the client to use cooler water and apply
calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD),
hypertension (HTN), and heart failure (HF) arrives in the Emergency
Department (ED) in respiratory distress. The healthcare provider prescribes
furosemide IV. Which therapeutic response to furosemide should the nurse
expected in the client with acute HF?
,2|Page
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload ......answer.....B. Reduced preload
Which intervention should the nurse include in the plan of care for a child
with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light ......answer.....B. Minimize
the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of
9, is admitted to the hospital in diabetic ketoacidosis. Which occurrence is
the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
,3|Page
D. Skipped eating lunch ......answer.....C. Had a cold and ear infection for the
past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest
signs of impending death. After notifying the family of the client's status,
what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status
......answer.....C. The client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the
plan of care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan ......answer.....B. Blood glucose monitoring
, 4|Page
A client who gave birth 48 hours ago has decided to bottle feed the infant.
During the assessment, the nurse observes that both breasts are swollen,
warm, and tender on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure
......answer.....A. Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation
for discharge to home. Which recommendations should the nurse provide
this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water ......answer.....B. Use a residual limb
shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
