NEXT GENERATION (NGN) Hesi Leadership and Management Exam 2026 UPDATED EXAM QUESTIONS WITH 100?CURATE ANSWERS (MULTIPLE CHOICES)

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NEXT GENERATION (NGN) Hesi Leadership and Management Exam 2026 UPDATED EXAM

QUESTIONS WITH 100?CURATE ANSWERS

(MULTIPLE CHOICES)

• 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?

• Serum albumin
• Culture for sensitive organisms
• Serum blood glucose level
• Creatinine level

Correct Answer: B. Culture for sensitive organisms

• To auscultate for a carotid bruit, the nurse places the stethoscope at what location.

(Select the location on the image with a red dot).

Correct Answer: Base of the neck on the right side

• 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)?

• Tachycardia and tachypnea
• Sluggish and unequal pupillary responses
• Increased head circumference and bulging fontanels
• Blood pressure fluctuations and syncope

Correct Answer: B. Sluggish and unequal pupillary responses

• 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?

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• Supine
• Supine; feet elevated higher than head
• Supine; head elevated higher than feet
• Fowlers

Correct Answer: D. Fowlers

• 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?

• Has she taken a bath since the rape occurred?
• Is the place where she lives a safe place?
• Does she know the person who raped her?
• Did she report the rape to the police department?

Correct Answer: A. Has she taken a bath since the rape occurred?

• 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)

• Frequent syncope
• Occasional nocturia
• Flat affect
• Blurred vision
• Frequent drooling

Correct Answer: A. Frequent syncope; C. Flat affect; D. Blurred vision

• 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?

• Abdominal pain decreases when lying supine
• Pain lasts an hour and leaves the abdomen tender
• Right upper quadrant pain refers to right scapula

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• Drinks alcohol until intoxicated at least twice weekly.

Correct Answer: A. Abdominal pain decreases when lying supine

• After receiving report on an inpatient acute care unit, which client should the nurse

assess first?

• The client with an obstruction of the large intestine who is experiencing abdominal

distention

• The client who had surgery yesterday and is experiencing a paralytic ileus with absent

bowel sounds

• The client with a small bowel obstruction who has a nasogastric tube that is draining

greenish fluid

• The client with a bowel obstruction due to a volvulus who is experiencing abdominal

rigidity

Correct Answer: D. The client with a bowel obstruction due to a volvulus who is

experiencing abdominal rigidity

• 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?

• Instructions about how much fluid the child should drink daily.
• Signs of addiction to opioid pain medications
• Information about non-pharmaceutical pain relief measures
• Referral for social services for the child and family

Correct Answer: A. Instructions about how much fluid the child should drink daily

• 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?

• Respiratory acidosis
• Metabolic alkalosis
• Metabolic acidosis
• Respiratory alkalosis

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Correct Answer: D. Respiratory alkalosis

• A preschool-aged boy is admitted to the pediatric unit following successful

resuscitation from a near-drowning incident. While providing care to the child, the nurse begins talking with his preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what happened. Which action should the nurse take?

• Develop a water safety teaching plan for the family
• Ask the older brother how he felt during the incident
• Tell the older brother that he seems depressed
• Commend the older brother for his heroic actions

Correct Answer: B. Ask the older brother how he felt during the incident

• 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?

• Encourage the client to use cooler water and apply calamine lotion after soaking
• Obtain a PRN prescription for an analgesic that the client can use for symptom relief
• Suggest that the client take brief showers and apply oil-based lotion after showering
• Explain that the symptoms are caused by liver damage and cannot be relieved

Correct 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?

• Increased cardiac contractility
• Reduced preload
• Relaxed vascular tone
• Decreased afterload

Correct Answer: B. Reduced preload