2024 2025 ACTUAL HESI RN EXIT EXAM
WITH NGN COMPLETE 140 QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS
GRADED A+/ NGN HESI EXIT EXAM RN
LATEST VERSION 2024 (MOST RECENT!)
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANSWER-B)
Viral meningitis whose temperature change from 101 S to 102F.
A client with a history of type one diabetes mellitus and asthma is readmitted to the
unit for the third time in two months with a current fasting blood sugar of 325. The
client describes to the nurse of not understanding why the blood glucose level
continues to be out of control. Which intervention should the nurse implement?
SATA.
A) Ask the client if they want a different manufacturers glucose monitoring device.
B) Determine if the client is using a new insulin needle each administration.
C) Evaluate the clients asthma medication's that can elevate the blood glucose.
D) Have the client describe a typical day at work, home, and social activities.
pg. 1
,E) Have the client demonstrate technique used to monitor blood glucose levels. -
ANSWER-C) Evaluate the clients asthma medication's that can elevate the blood
glucose.
D) Have the client describe a typical day at work, home, and social activities.
E) Have the client demonstrate technique used to monitor blood glucose levels.
A client with heart failure become short of breath, anxious, and has audible
reasoning with pink frothy sputum. The nurse sits the client upright and provides
oxygen per nasal cannula. The nurse receives a prescription to administer a one
time dose of morphine sulfate IV. Which action should the nurse take?
A) Administer the dose of morphine sulfate as prescribed.
B) Consult with the charge nurse regarding the morphine prescription.
C) Review the need for the prescription with the healthcare provider.
D) Withhold the morphine until the clients dyspnea resolves. - ANSWER-A)
Administer the dose of morphine sulfate as prescribed.
A client with acute asthma exacerbation is manifesting inspiratory and expiratory
wheezes and a decreased forced expiratory volume. Which prescribed drug class
should the nurse administer first to the client?
A) Inhaled short acting beta two agonists.
B) Inhaled corticosteroids.
C) Anti-cholinergics.
D) Leukotriene modifiers. - ANSWER-B) Inhaled corticosteroids.
The nurse enters a clients room to administer oral medication's and find an
unlicensed assistive personnel providing personal care to the client, whose
pg. 2
,condition has obviously deteriorated. The client is lying in a supine position and is
weak, pale, and diaphoretic. Which is the priority nursing action?
A) Determine why the UAP did not notify the nurse of the change in the clients
condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients
condition.
C) Explain to the UAP that changes in a clients condition should be reported
immediately.
D) Ask for UAP to position the client so the oral medication's can be administered.
- ANSWER-B) Advised the UAP to stop providing care so the nurse can assess the
clients condition.
The client who was admitted yesterday with severe dehydration is reporting pain
where a 24 gauge IV catheter with 0.9% sodium chloride is infusing at a rate of
150 mL per hour. Which intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return. - ANSWER-C) Stop the 0.9% sodium chloride
infusion.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
pg. 3
, B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANSWER-B) Withhold the medication until the dosage
can be confirmed.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANSWER-A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note
to a teacher at school. On the second day of hospitalization, the nurse asked the
client to meet with the treatment team. After the team meeting, the client leaves in
tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - ANSWER-D) Go to the clients
room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous
once a day for a client who weighs 154 pounds. The medication is available and
pg. 4
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