HESI NGN RN 2025 Exit Exam – Latest Test Questions, Answers, and Study Guide for Guaranteed Success

• Latest test questions for HESI NGN RN 2025 Exit Exam
• Accurate answers with detailed explanations
• Comprehensive study guide for nursing students
• Focuses on essential RN concepts
• Builds confidence for exam success

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The charge nurse is making assignments for one practical nurse (PN) and three registered nurses
(RNs) 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 changed from 101°F to 102°F. ✅
C) Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7.
D) Myxedema, whose blood pressure changed from 80/50 to 70/40.
Rationale:
The best client for the PN is the one with viral meningitis whose temperature increased from
101°F to 102°F (Option B). While an elevated temperature in meningitis requires monitoring, it
is not an immediate life-threatening emergency. On the other hand, the other clients exhibit
serious neurological or cardiovascular deterioration requiring the advanced critical thinking
skills and interventions of an RN.
An adolescent client is admitted to the hospital after writing a suicide note to a teacher at
school. On the second day of hospitalization, the nurse asks 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 client’s goals and desire for treatment.
C) Ask the treatment team about the client’s behavior.
D) Go to the client’s room and ask what happened. ✅ Rationale:
The best response is to go to the client’s room and ask what happened (Option D). This
intervention shows immediate concern and emotional support, which is crucial for a client with
suicidal ideation. Ignoring or delaying an intervention (such as waiting for them to rest or asking
the team) can miss a critical opportunity to assess the client’s emotional state and risk for self
harm.
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.
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.
Rationale:
The nurse should withhold the medication until the dosage can be confirmed (Option B).
Medication discrepancies can lead to serious adverse effects, particularly in psychiatric patients
who require precise dosing. Administering an incorrect dose can result in toxicity or inadequate
treatment. Confirming the correct dosage with the healthcare provider ensures patient safety.