2025 HESI RN Exit Exam V1 with NGN
Questions and Verified Rationalized Answers,
100% Guarantee Pass
with 125 Multiple Choice Questions and Answers
1. The nurse is monitoring neurological vital signs for a male client who lost
consciousness after falling and hitting his head. Which assessment finding is the
earliest and most sensitive indication of altered cerebral function?
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of consciousness.: D
(Neurological vital signs include serial assessments of TPR, blood pressure, and
components of the Glasgow coma scale (GCS), which includes verbal, muscu- loskeletal,
and pupillary responses. A change in the client's level of consciousness, as indicated by
responses to commands during the GCS, is the first and the most sensitive sign of change
in cerebral function. The other assessment data choices are late signs of altered cerebral
function.)
2. A nurse is planning to teach self-care measures to a female client about prevention
of yeast infections. Which instructions should the nurse provide?
a. Use a douche preparation no more than once a month.
b. Increase daily intake of fiber and leafy green vegetables.
c. Select nylon underwear that is loose-fitting, white, and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath salts.: D
(A common genital tract infection in females is candidiasis, which is an overgrowth of the
normal vaginal flora of Candida albicans that thrives in an environment that is warm and
,moist and is perpetuated by tight-fitting clothing, underwear, or pantyhose made of
nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent,
such as cotton underwear, and avoid using bubble-bath or bath salts which further irritate
sensitive genital tissue. Douching is not recommended because it can irritate vaginal tissue,
alter pH, and contribute to fungal growth. While increasing dietary fiber intake encourages
healthy, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon
undergarments, provide absorbancy and reduce moisture in the perineal area.)
3. A client who has active tuberculosis (TB) is admitted to the medical unit.
What action is most important for the nurse to implement?
a. Place an isolation cart in the hallway.
b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
d. Assign the client to a negative air-flow room.: D
,(Active tuberculosis requires implementation of airborne precautions, so the client should
be assigned to a negative pressure air-flow room. Although isolation gowns and isolation
carts should be implemented for clients in isolation with contact precautions, it is most
important that air flow from the room is minimized when the client has TB. The respirator
mask should be implemented when the client leaves the isolation environment.)
4. The nurse is planning to conduct nutritional assessments and diet teaching to clients
at a family health clinic. Which individual has the greatest nutritional and energy
demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child.: A
A pregnant woman's metabolic demands are 20 to 24% more than the basic meta- bolic
rate. The other clients require only 15 to 20% more than the basic metabolic rate.
5. What nursing delivery of care provides the nurse to plan and direct care of a group of
clients over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing.: B
(Primary nursing is a model of delivery of care where a nurse is accountable for planning
care for clients around the clock. Functional nursing is a care delivery model that provides
client care by assignment of functions or tasks. Team nursing is a care delivery model where
assignments to a group of clients are provided by a mixed-staff team. Case management is
the delivery of care that uses a collaborative process of assessment, planning, facilitation,
and advocacy for options and services to meet an individual's health needs and promote
quality cost-effective outcomes.)
6. Which approach should the nurse use when preparing a toddler for a
procedure?
, a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.: A
Questions and Verified Rationalized Answers,
100% Guarantee Pass
with 125 Multiple Choice Questions and Answers
1. The nurse is monitoring neurological vital signs for a male client who lost
consciousness after falling and hitting his head. Which assessment finding is the
earliest and most sensitive indication of altered cerebral function?
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of consciousness.: D
(Neurological vital signs include serial assessments of TPR, blood pressure, and
components of the Glasgow coma scale (GCS), which includes verbal, muscu- loskeletal,
and pupillary responses. A change in the client's level of consciousness, as indicated by
responses to commands during the GCS, is the first and the most sensitive sign of change
in cerebral function. The other assessment data choices are late signs of altered cerebral
function.)
2. A nurse is planning to teach self-care measures to a female client about prevention
of yeast infections. Which instructions should the nurse provide?
a. Use a douche preparation no more than once a month.
b. Increase daily intake of fiber and leafy green vegetables.
c. Select nylon underwear that is loose-fitting, white, and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath salts.: D
(A common genital tract infection in females is candidiasis, which is an overgrowth of the
normal vaginal flora of Candida albicans that thrives in an environment that is warm and
,moist and is perpetuated by tight-fitting clothing, underwear, or pantyhose made of
nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent,
such as cotton underwear, and avoid using bubble-bath or bath salts which further irritate
sensitive genital tissue. Douching is not recommended because it can irritate vaginal tissue,
alter pH, and contribute to fungal growth. While increasing dietary fiber intake encourages
healthy, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon
undergarments, provide absorbancy and reduce moisture in the perineal area.)
3. A client who has active tuberculosis (TB) is admitted to the medical unit.
What action is most important for the nurse to implement?
a. Place an isolation cart in the hallway.
b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
d. Assign the client to a negative air-flow room.: D
,(Active tuberculosis requires implementation of airborne precautions, so the client should
be assigned to a negative pressure air-flow room. Although isolation gowns and isolation
carts should be implemented for clients in isolation with contact precautions, it is most
important that air flow from the room is minimized when the client has TB. The respirator
mask should be implemented when the client leaves the isolation environment.)
4. The nurse is planning to conduct nutritional assessments and diet teaching to clients
at a family health clinic. Which individual has the greatest nutritional and energy
demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child.: A
A pregnant woman's metabolic demands are 20 to 24% more than the basic meta- bolic
rate. The other clients require only 15 to 20% more than the basic metabolic rate.
5. What nursing delivery of care provides the nurse to plan and direct care of a group of
clients over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing.: B
(Primary nursing is a model of delivery of care where a nurse is accountable for planning
care for clients around the clock. Functional nursing is a care delivery model that provides
client care by assignment of functions or tasks. Team nursing is a care delivery model where
assignments to a group of clients are provided by a mixed-staff team. Case management is
the delivery of care that uses a collaborative process of assessment, planning, facilitation,
and advocacy for options and services to meet an individual's health needs and promote
quality cost-effective outcomes.)
6. Which approach should the nurse use when preparing a toddler for a
procedure?
, a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.: A
