Page 1 of 85
HESI EXIT NGN, HESI RN EXIT EXAM (2026)
COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(DETAILED & ELABORATED) ACTUAL EXAM 2026 TEST!!
An older adult client with systemic inflammatory response syndrome (SIRS) has a temperature
of 101.8F, heart rate of 110 beats/minute, and respiratory rate of 24 breaths/minute. Which
additional finding is most important to report to the healthcare provider?
A. Capillary glucose reading of 110 mg/dL
B. Serum creatinine of 2.0 mg/dL
C. Blood pressure of 130/88 mmHg
D. Hemoglobin of 12 g/dL
B. Serum creatinine of 2.0 mg/dL
The nurse leading a care team on a medical surgical unit is assigning client care to a practical
nurse (PN) and an unlicensed assistive personnel (UAP). Which task should the nurse delegate to
the UAP?
A. Evaluate a client's mobility progress toward the plan of care
B. Assess for side effects of administered pain medications
C. Turn and reposition a client with a total hip replacement
D. Monitor an intravenous infusion rate on an established schedule
C. Turn and reposition a client with a total hip replacement
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After an older client receives treatment for drug toxicity, the healthcare provider prescribes a 24-
hour creatinine clearance test. Prior to starting the urine collection, the nurse notes that the
client's serum creatinine is 0.3 mg/dL. Which action should the nurse implement?
A. Evaluate the client's serum BUN level
B. Initiate the urine collection as prescribed
C. Notify the healthcare provider of the results
D. Assess the client for signs of hypokalemia
C. Notify the healthcare provider of the results
The nurse is developing a plan of care for a client who reports tingling of the feet and who is
newly diagnosed with peripheral vascular disease. Which outcome should the nurse include in
the plan of care for this client?
A. The client's skin on the lower legs will be intact at the next clinic visit
B. The client will express acceptance of their newly diagnosed health status
C. The client's blood pressure readings will be less than 160/90 mmHg
D. The nurse will encourage the client to walk thirty minutes every day
C. The client's blood pressure readings will be less than 160/90 mmHg
The nurse is preparing a discharge teaching plan for a client who had a liver transplant. Which
instruction is most important to include in this plan?
A. Increase activity and exercise gradually, as tolerated
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B. Limit intake of fatty foods for one month after surgery
C. Avoid crowds for first two months after surgery
D. Notify the healthcare provider if edema occurs
C. Avoid crowds for first two months after surgery
What might the nurse suggest to a client with fibrocystic breasts in an attempt to help relieve her
symptoms?
A. "Eliminate caffeine from your diet"
B. "Avoid vigorous physical exercise immediately after your menstrual periods"
C. "Eat a low-carbohydrate, high-protein diet"
D. "Increase high-calcium foods in your diet"
D. "Increase high-calcium foods in your diet"
When conducting diet teaching for a client who is on a postoperative full liquid diet, which foods
should the nurse encourage the client to eat? (Select all that apply)
A. Cheese
B. Tea
C. Lentils
D. Whole grain breads
E. Potato soup
B. Tea
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C. Lentils
E. Potato soup
The mother of a 2 day old infant girl expresses concern about a "flea bite" type rash on her
daughter's body. The nurse identifies a pink papular rash with vesicles superimposed over the
thorax, back, buttocks, and abdomen. Which explanation should the nurse offer?
A. This is a common newborn rash that will resolve after several days
B. The rash is due to distended oil glands that will resolve in a few weeks
C. The healthcare provider is being notified about the rash
D. This rash is characteristic of a medication reaction
A. This is a common newborn rash that will resolve after several days
A client is diagnosed with Meniere's disease. Which problem should the nurse identify as most
important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle
C. Risk for injury related to vertigo.
The nurse should withhold which medication if the client's serum potassium level is 6.2 mEq/L?
A. Metolazone
HESI EXIT NGN, HESI RN EXIT EXAM (2026)
COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(DETAILED & ELABORATED) ACTUAL EXAM 2026 TEST!!
An older adult client with systemic inflammatory response syndrome (SIRS) has a temperature
of 101.8F, heart rate of 110 beats/minute, and respiratory rate of 24 breaths/minute. Which
additional finding is most important to report to the healthcare provider?
A. Capillary glucose reading of 110 mg/dL
B. Serum creatinine of 2.0 mg/dL
C. Blood pressure of 130/88 mmHg
D. Hemoglobin of 12 g/dL
B. Serum creatinine of 2.0 mg/dL
The nurse leading a care team on a medical surgical unit is assigning client care to a practical
nurse (PN) and an unlicensed assistive personnel (UAP). Which task should the nurse delegate to
the UAP?
A. Evaluate a client's mobility progress toward the plan of care
B. Assess for side effects of administered pain medications
C. Turn and reposition a client with a total hip replacement
D. Monitor an intravenous infusion rate on an established schedule
C. Turn and reposition a client with a total hip replacement
, Page 2 of 85
After an older client receives treatment for drug toxicity, the healthcare provider prescribes a 24-
hour creatinine clearance test. Prior to starting the urine collection, the nurse notes that the
client's serum creatinine is 0.3 mg/dL. Which action should the nurse implement?
A. Evaluate the client's serum BUN level
B. Initiate the urine collection as prescribed
C. Notify the healthcare provider of the results
D. Assess the client for signs of hypokalemia
C. Notify the healthcare provider of the results
The nurse is developing a plan of care for a client who reports tingling of the feet and who is
newly diagnosed with peripheral vascular disease. Which outcome should the nurse include in
the plan of care for this client?
A. The client's skin on the lower legs will be intact at the next clinic visit
B. The client will express acceptance of their newly diagnosed health status
C. The client's blood pressure readings will be less than 160/90 mmHg
D. The nurse will encourage the client to walk thirty minutes every day
C. The client's blood pressure readings will be less than 160/90 mmHg
The nurse is preparing a discharge teaching plan for a client who had a liver transplant. Which
instruction is most important to include in this plan?
A. Increase activity and exercise gradually, as tolerated
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B. Limit intake of fatty foods for one month after surgery
C. Avoid crowds for first two months after surgery
D. Notify the healthcare provider if edema occurs
C. Avoid crowds for first two months after surgery
What might the nurse suggest to a client with fibrocystic breasts in an attempt to help relieve her
symptoms?
A. "Eliminate caffeine from your diet"
B. "Avoid vigorous physical exercise immediately after your menstrual periods"
C. "Eat a low-carbohydrate, high-protein diet"
D. "Increase high-calcium foods in your diet"
D. "Increase high-calcium foods in your diet"
When conducting diet teaching for a client who is on a postoperative full liquid diet, which foods
should the nurse encourage the client to eat? (Select all that apply)
A. Cheese
B. Tea
C. Lentils
D. Whole grain breads
E. Potato soup
B. Tea
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C. Lentils
E. Potato soup
The mother of a 2 day old infant girl expresses concern about a "flea bite" type rash on her
daughter's body. The nurse identifies a pink papular rash with vesicles superimposed over the
thorax, back, buttocks, and abdomen. Which explanation should the nurse offer?
A. This is a common newborn rash that will resolve after several days
B. The rash is due to distended oil glands that will resolve in a few weeks
C. The healthcare provider is being notified about the rash
D. This rash is characteristic of a medication reaction
A. This is a common newborn rash that will resolve after several days
A client is diagnosed with Meniere's disease. Which problem should the nurse identify as most
important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle
C. Risk for injury related to vertigo.
The nurse should withhold which medication if the client's serum potassium level is 6.2 mEq/L?
A. Metolazone
