HESI COMPREHENSIVE REVIEW FOR
THE NCLEX-RN® EXAMINATION | MOCK
TEST & STUDY GUIDE EXAM
QUESTIONS ANSWER LATEST 2026/2027
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |
ALREADY GRADED A+
,SECTION A
1. The nurse is performing a neurological assessment on a
client and notes a positive Romberg's test. The nurse makes
this determination based on which observation?
1. An involuntary rhythmic, rapid, twitching of the eyeballs
2. A dorsiflexion of the great toe with fanning of the other toes
,3. A significant sway when the client stands erect with feet
together, arms at the side, and the eyes closed
4. A lack of normal sense of position when the client is unable
to return extended fingers to a point of reference: CORRECT
ANSWER : 3
Rationale: In Romberg's test, the client is asked to stand with
the feet together and the arms at the sides, and to close the
eyes and hold the position; normally the client can maintain
posture and balance. A positive Romberg's sign is a vestibular
neurological sign that is found when a client exhibits a loss of
balance when closing the eyes. This may occur with cerebellar
ataxia, loss of proprioception, and loss of vestibular function. A
lack of normal sense of position coupled with an inability to
return extended fingers to a point of reference is a finding that
, indicates a problem with coordination. A positive gaze
nystagmus evaluation results in an involuntary rhythmic, rapid
twitching of the eyeballs. A positive Babinski's test results in
dorsiflexion of the great toe with fanning of the other toes; if
this occurs in anyone older than 2 years it indicates the
presence of central nervous system disease.
2. The nurse notes documentation that a client is exhibiting
Cheyne-Stokes respirations. On assessment of the client, the
nurse should expect to note which finding?
1. Rhythmic respirations with periods of apnea
2. Regular rapid and deep, sustained respirations
THE NCLEX-RN® EXAMINATION | MOCK
TEST & STUDY GUIDE EXAM
QUESTIONS ANSWER LATEST 2026/2027
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |
ALREADY GRADED A+
,SECTION A
1. The nurse is performing a neurological assessment on a
client and notes a positive Romberg's test. The nurse makes
this determination based on which observation?
1. An involuntary rhythmic, rapid, twitching of the eyeballs
2. A dorsiflexion of the great toe with fanning of the other toes
,3. A significant sway when the client stands erect with feet
together, arms at the side, and the eyes closed
4. A lack of normal sense of position when the client is unable
to return extended fingers to a point of reference: CORRECT
ANSWER : 3
Rationale: In Romberg's test, the client is asked to stand with
the feet together and the arms at the sides, and to close the
eyes and hold the position; normally the client can maintain
posture and balance. A positive Romberg's sign is a vestibular
neurological sign that is found when a client exhibits a loss of
balance when closing the eyes. This may occur with cerebellar
ataxia, loss of proprioception, and loss of vestibular function. A
lack of normal sense of position coupled with an inability to
return extended fingers to a point of reference is a finding that
, indicates a problem with coordination. A positive gaze
nystagmus evaluation results in an involuntary rhythmic, rapid
twitching of the eyeballs. A positive Babinski's test results in
dorsiflexion of the great toe with fanning of the other toes; if
this occurs in anyone older than 2 years it indicates the
presence of central nervous system disease.
2. The nurse notes documentation that a client is exhibiting
Cheyne-Stokes respirations. On assessment of the client, the
nurse should expect to note which finding?
1. Rhythmic respirations with periods of apnea
2. Regular rapid and deep, sustained respirations
