: HESI RN Exit Exam NGN | 2025–2026 | Latest HESI EXIT NGN Exam
with 350+ Actual Questions and Correct Verified Answers |
GRADED A+
This 2025–2026 HESI RN Exit Exam NGN (Next Generation NCLEX) prep guide includes over 200 actual exam-style questions with correct and verified answers, fully aligned with the most current HESI and NGN standards. It covers core nursing content areas such as pharmacology, med-surg, maternal-child, mental health, critical care, and clinical judgment scenarios. Designed to simulate the real exam format, this A+ graded resource is ideal for nursing students preparing to pass their HESI Exit and transition confidently to the
NCLEX-RN.
The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention?
- A 14yo client with anorexia nervosa who is refusing to eat the evening snack
- A 16yo client diagnosed with major depression who refuses to participate in group
- A 17yo client diagnosed with bipolar disorder who is pacing around the lobby
- An 18yo client with antisocial behavior who is being yelled at by other clients - CORRECT ANSWER-
- An 18yo client with antisocial behavior who is being yelled at by other clients
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Which action is most important for the nurse to implement?
- Obtain the client's 24-hour dietary recall
- Document mucosal membrane status
- Schedule a consult with a nutritionist
- Initiate prescribed intravenous fluids - CORRECT ANSWER-D. Initiate prescribed intravenous fluids
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan, the nurse should teach the parents to report which sign of overdose?
- Bradycardia
- Tachypnea
- Hypertension
- Coughing - CORRECT ANSWER-A. Bradycardia 1 / 4
Prior to obtaining a trapeze bar for a client with limited mobility, which client assessment is most important for the nurse to obtain?
- Upper body muscle strength
- Balance and posture
- Risk for disuse syndrome
- Pressure sore risk - CORRECT ANSWER-A. Upper body muscle strength
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned that the child has regressed in his toileting behaviors. Which information should the nurse provide to the parents?
- A retraining program will need to be initiated when the child returns home.
- Diapering will be provided since hospitalization is stressful to preschoolers
- A potty chair should be brought from home so he can maintain his toileting skills
- Children usually resume their toileting behaviors when they leave the hospital - CORRECT
ANSWER-D. Children usually resume their toileting behaviors when they leave the hospital
The nurse is managing the care of a client with Cushing's syndrome. Which interventions should the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply)
- Report any client complaint of pain or discomfort
- Evaluate the client for sleep disturbances
- Assess the client for weakness and fatigue
- Weigh the client and report any weight gain
- Note and report the client's food and liquid intake during meals and snacks - CORRECT ANSWER-A.
- Weigh the client and report any weight gain
- Note and report the client's food and liquid intake during meals and snacks
Report any client complaint of pain or discomfort
A young adult visits the client reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?
- Consumes 10 or more drinks of alcohol every weekend
- Snacks on foods with very high salt content on a daily basis
- Exercises vigorously every evening right before going to bed 2 / 4
- Recently became a vegetarian and eats a lot of high fiber foods - CORRECT ANSWER-A. Consumes
10 or more drinks of alcohol every weekend
After administering a proton pump inhibitor (PPI), which action should the nurse take to evaluate the effectiveness of the medication?
- Auscultate for bowel sounds in all quadrants
- Ask the client about gastrointestinal pain
- Monitor the client's serum electrolyte levels
- Measure the client's fluid intake and output - CORRECT ANSWER-B. Ask the client about
gastrointestinal pain
When assessing a recently delivered, multigravida client, the nurse finds that her vaginal bleeding is more than expected. Which factor in this client's history is related to this finding?
- The second stage of labor lasted 10 minutes
- She received butorphanol 2mg IVP during labor
- She is over 35 years of age
- She is a gravida 6, para 5 - CORRECT ANSWER-D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and medication administration, the client complains of tenderness when the arm is touched above the site. Which additional assessment finding warrants immediate intervention by the nurse?
- Client uses the arm cautiously
- Red streak tracking the vein
- A sluggish blood return
- Spot of dried blood at insertion site - CORRECT ANSWER-B. Red streaks tracking the vein
An older adult male reporting abdominal pain is admitted to the hospital from a long-term care facility. It has been 7 days since his last bowel movement, his abdomen is distended, and he just vomited 150mL of dark brown emesis. In what order should the nurse implement these interventions? (Highest to lowest priority) - CORRECT ANSWER-1. Send emesis sample to the lab
- Elevate the head of the bed
- Complete focused assessment
- Offer PRN pain medication
- / 4
When taking a health history, which information collected by the nurse correlates most directly to a diagnosis of chronic peripheral arterial insufficiency?
- History of intermittent claudication
- A positive Brodie-Trendelenburg test
- Ankle ulceration and edema
- A serum cholesterol level of 250mg/dl (6.47mmol/L) - CORRECT ANSWER-A. History of
intermittent claudication
The nurse is providing discharge teaching to the parents of a 13 month old child who underwent repair for an atrial septal defect. The healthcare provider prescribes aspirin and an antibiotic for the first 6 months postoperatively to prevent infective endocarditis (IE). What information is most important for the nurse discuss with the parents about the child's recovery and prevention of IE?
- Refer the mother to the healthcare provider to discuss infective endocarditis
- Brush the child's teeth every day and ensure the child receives regular dental followup
- Give the child acetaminophen for pain or fever and visit the surgeon for follow-up
- Monitor the child for regular bowel movements and urine output that exceeds intake - CORRECT
ANSWER-B. Brush the child's teeth every day and ensure the child receives regular dental followup
An unlicensed assistive personnel (UAP) is assigned to ambulate a client with influenza who has droplet precautions implemented. The UAP requests a change in assignment, stating the reason of having not been fitted yet for a N95 respirator mask. Which action should the nurse take?
- send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this
- Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned
- Before changing assignments, determine which staff members have fitted particulate filter masks
- Advise the UAP to wear a standard face mask to take vital signs, and then get fitted for a filter
client.
client
mask before providing personal care - CORRECT ANSWER-B. Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned client
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic.Which outcome indicates that the program was effective?
- Only 30% of clients did not attend self-management education sessions.
- More than 50% of at-risk clients were diagnosed early in their disease process
- Clients who developed disease complications promptly received rehabilitation
- / 4