NGN NURS HESI EXIT RN COMPREHENSIVE EXAM
(750 QUESTIONS AND ANSWERS, RATIONALE OF
EACH ANSWER INCLUDED) ATTAINED SCORE A+
LATEST UPDATE 2025
A nurse is reviewing the laboratory results for a client who is at 29
weeks of gestation. For which of the following results should the
nurse notify the provider?
61. Platelet count 95,000 mm^3A mother wants to switch her 9 month-old infant
from an iron fortified formula to whole milk because of the expense. Upon further
assessment, the nurse finds that the baby eats table foods well, but drinks less milk
than before. What is the best advice by the nurse?
A) Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently
62. Privacy and confidentiality of all client information is legally protected. In which of
these situations would the nurse make an exception to this practice?
A) When a family member offers information about their loved one
B) When the client threatens self-harm and harm to others
C) When the health care provider decides the family has a right to know the client's
diagnosis
D) When a visitor insists that the visitor has been given permission by the client
63. The nurse is caring for a client who is in the late stage of multiple myeloma. Which of
the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
C) Precautions with position changes
D) Administer diuretics as ordered
64. The nurse is making a home visit to a client with chronic obstructive pulmonary
disease (COPD). The client tells the nurse that he used to be able to walk from the house
to the mailbox without difficulty. Now, he has to pause to catch his breath halfway
through the trip. Which diagnosis would be most appropriate for this client based on
this assessment?
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self-care deficit caused by fatigue related to dyspnea
,D) Ineffective airway clearance related to increased bronchial secretions
65. The nurse admits a client newly diagnosed with hypertension. What is the
best method for assessing the blood pressure?
,A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position
66. The nurse is caring for residents in a long term care setting for the elderly. Which of
the following activities will be most effective in meeting the growth and development
needs for persons in this age group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities
67. Post-procedure nursing interventions for electroconvulsive therapy include
A) Applying hard restraints if seizure occurs
B) Expecting client to sleep for 4 to 6 hours
C) Remaining with client until oriented
D) Expecting long-term memory loss
68. The nurse assesses delayed gross motor development in a 3 year-old child.
The inability of the child to do which action confirms this finding?
A) Stand on 1 foot
B) Catch a ball
C) Skip on alternate feet
D) Ride a bicycle
69. The mother of a 15 month-old child asks the nurse to explain her child's lab
results and how they show her child has iron deficiency anemia. The nurse's best
response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation."
70. In a child with suspected coarctation of the aorta, the nurse would expect to find
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
, 71. At the day treatment center a client diagnosed with Schizophrenia -
Paranoid Type sits alone alertly watching the activities of clients and staff. The
client is hostile when approached and asserts that the doctor gives her
medication to control her mind. The client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment
72. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6
on a 0- to-10 scale. The client refuses all pain medication other than Motrin,
which does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
A nurse is discussing alopecia with a client who is scheduled to
begin chemotherapy. Which of the following statements should
the nurse make?
(750 QUESTIONS AND ANSWERS, RATIONALE OF
EACH ANSWER INCLUDED) ATTAINED SCORE A+
LATEST UPDATE 2025
A nurse is reviewing the laboratory results for a client who is at 29
weeks of gestation. For which of the following results should the
nurse notify the provider?
61. Platelet count 95,000 mm^3A mother wants to switch her 9 month-old infant
from an iron fortified formula to whole milk because of the expense. Upon further
assessment, the nurse finds that the baby eats table foods well, but drinks less milk
than before. What is the best advice by the nurse?
A) Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently
62. Privacy and confidentiality of all client information is legally protected. In which of
these situations would the nurse make an exception to this practice?
A) When a family member offers information about their loved one
B) When the client threatens self-harm and harm to others
C) When the health care provider decides the family has a right to know the client's
diagnosis
D) When a visitor insists that the visitor has been given permission by the client
63. The nurse is caring for a client who is in the late stage of multiple myeloma. Which of
the following should be included in the plan of care?
A) Monitor for hyperkalemia
B) Place in protective isolation
C) Precautions with position changes
D) Administer diuretics as ordered
64. The nurse is making a home visit to a client with chronic obstructive pulmonary
disease (COPD). The client tells the nurse that he used to be able to walk from the house
to the mailbox without difficulty. Now, he has to pause to catch his breath halfway
through the trip. Which diagnosis would be most appropriate for this client based on
this assessment?
A) Activity intolerance caused by fatigue related to chronic tissue hypoxia
B) Impaired mobility related to chronic obstructive pulmonary disease
C) Self-care deficit caused by fatigue related to dyspnea
,D) Ineffective airway clearance related to increased bronchial secretions
65. The nurse admits a client newly diagnosed with hypertension. What is the
best method for assessing the blood pressure?
,A) Standing and sitting
B) In both arms
C) After exercising
D) Supine position
66. The nurse is caring for residents in a long term care setting for the elderly. Which of
the following activities will be most effective in meeting the growth and development
needs for persons in this age group?
A) Aerobic exercise classes
B) Transportation for shopping trips
C) Reminiscence groups
D) Regularly scheduled social activities
67. Post-procedure nursing interventions for electroconvulsive therapy include
A) Applying hard restraints if seizure occurs
B) Expecting client to sleep for 4 to 6 hours
C) Remaining with client until oriented
D) Expecting long-term memory loss
68. The nurse assesses delayed gross motor development in a 3 year-old child.
The inability of the child to do which action confirms this finding?
A) Stand on 1 foot
B) Catch a ball
C) Skip on alternate feet
D) Ride a bicycle
69. The mother of a 15 month-old child asks the nurse to explain her child's lab
results and how they show her child has iron deficiency anemia. The nurse's best
response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation."
70. In a child with suspected coarctation of the aorta, the nurse would expect to find
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
, 71. At the day treatment center a client diagnosed with Schizophrenia -
Paranoid Type sits alone alertly watching the activities of clients and staff. The
client is hostile when approached and asserts that the doctor gives her
medication to control her mind. The client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment
72. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6
on a 0- to-10 scale. The client refuses all pain medication other than Motrin,
which does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
A nurse is discussing alopecia with a client who is scheduled to
begin chemotherapy. Which of the following statements should
the nurse make?
