1|Page
HESI RN EXIT EXAM WITH NGN EXACT AND LATEST
VERSION B 2025-2026/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
A female client presents in the emergency department and tells the nurse that she was raped last
night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
A. Has she taken a bath since the rape occurred?
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
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A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated
serum amylase. Which additional information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) 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 should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
A. Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
location on the image with a red dot).
I placed the red dot on the base of the neck on the right side
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
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B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish
fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
A teenager presents to the emergency department with palpitations after vaping at a party. The
client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which
acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
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D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the client's admission assessment is relevant to the nurse's plan for taking the
blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider, the nurse should review which of
the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
HESI RN EXIT EXAM WITH NGN EXACT AND LATEST
VERSION B 2025-2026/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
A female client presents in the emergency department and tells the nurse that she was raped last
night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
A. Has she taken a bath since the rape occurred?
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
,2|Page
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated
serum amylase. Which additional information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) 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 should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
A. Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
location on the image with a red dot).
I placed the red dot on the base of the neck on the right side
After receiving report on an inpatient acute care unit, which client should the nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
,3|Page
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish
fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
A teenager presents to the emergency department with palpitations after vaping at a party. The
client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which
acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
, 4|Page
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the client's admission assessment is relevant to the nurse's plan for taking the
blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider, the nurse should review which of
the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
