HESI COMPREHENSIVE REVIEW FOR NGN
NCLEX -RN EXAM 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A client says to the nurse, "My doctor just left. He told me that my abdominal scan showed a
mass in my pancreas and that it's probably cancer. Does this mean I'm going to die?" How does
the nurse interpret the client's initial reaction?
Fear
Denial
Acceptance
Anger
Fear
Rationale: The nurse interprets the client's initial reaction as fear. Fear is a response to a
threat that is consciously recognized as a danger. In this situation, the client's reaction is one
of fear, and the client verbalizes the object of fear (dying). There is no evidence of denial,
acceptance, or anger in the client's statement.
A nurse notes documentation in the client's medical record indicating that the client has a stage
II pressure ulcer. On the basis of this information, which finding does the nurse expect to note?
Rationale: A stage I ulcer is characterized by intact skin that is red and does not blanch under
external pressure. A stage II ulcer is characterized by nonintact skin. There is partial-thickness
skin loss, and the wound may appear as an abrasion, a shallow crater, or a blister. A stage III
ulcer is characterized by full-thickness skin loss, and the subcutaneous tissue may be
damaged or necrotic. The damage extends down to but not through the underlying tissues. A
1|Page
,deep crater-like appearance or eschar is present. A stage IV ulcer is characterized by full-
thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or
supporting structures. Sinus tracts may develop.
A nurse is providing instruction in how to perform Kegel exercises to a client with stress
incontinence. What does the nurse tell the client to do?
Always perform the exercises while lying down
Expect an improvement in the control of urine in about 1 week
Tighten the pelvic muscles for as long as 5 minutes, three or four times a day
Tighten the pelvic muscles for a slow count of 10, then relax for a slow count of 10
Tighten the pelvic muscles for a slow count of 10, then relax for a slow count of 10
Rationale: Kegel exercises strengthen the muscles of the pelvic floor. To perform the exercises,
the client is taught to tighten the pelvic muscles to a slow count of 10, then relax to a slow
count of 10. The client is also instructed to do this exercise 15 times while lying down, sitting
up, and standing (a total of 45 repetitions). The client is told that an improvement in the
control of urine will be noticed after several weeks of the exercises; some individuals report
that improvement takes as long as 3 months.
Ergotamine is prescribed to a client with cluster headaches. Which occurrence does the nurse
tell the client to report to the primary health care provider if she experiences them while taking
the medication?
Cough
Fatigue and lethargy
Dizziness and fatigue
Numbness and tingling of the fingers or toes
Numbness and tingling of the fingers or toes
Rationale: Ergotamine is an antimigraine medication. Prolonged administration or an
excessive dosage may produce ergotamine poisoning (ergotism). Signs/symptoms include
nausea, vomiting, weakness in the legs, pain in the limb muscles, and numbness and tingling
of the fingers and toes. The client is instructed to report these signs/symptoms to the primary
health care provider if they occur. Cough, fatigue, lethargy, and dizziness are side effects and
not adverse effects of the medication.
2|Page
,A client diagnosed with post-traumatic stress disorder tells the nurse that he/she has stopped
taking his/her prescribed medication because he/she didn't like how the medication was
making him/her feel. Which initial response by the nurse is appropriate?
"That's all right. I'd stop, too, if it made me feel funny."
"Tell me more about how the medication was making you feel."
"Did you let your doctor know that you stopped taking the medication?"
"It doesn't make sense to stop the medication. I don't know why you took it upon yourself to do
that."
"Tell me more about how the medication was making you feel."
Rationale: The appropriate response by the nurse acknowledges the client's feelings and
opens the channel of communication between the nurse and client. "That's all right. I'd stop,
too, if it made me feel funny," indicating approval, is a nontherapeutic response and is
therefore inappropriate. "Did you let your doctor know that you stopped taking the
medication?" may be an appropriate question at some point during the conversation, but it is
not the most appropriate initial question. "It doesn't make sense to stop the medication. I
don't know why you took it upon yourself to do that" demeans the client.
A nurse provides information to a client diagnosed with peripheral vascular disease about ways
to limit the disease's progression. Which measures does the nurse tell the client to take? Select
all that apply.
Crossing the legs at the ankles only
Engaging in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Inspecting the feet at least once a week for injuries, especially abrasions
Using a heating pad on the legs to help keep the blood vessels dilated
Engaging in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Rationale: Long-term management of peripheral vascular disease consists of measures that
increase peripheral circulation. The client is instructed to exercise regularly and is encouraged
to walk for 20 minutes each day. The client also needs to wash the feet daily with a mild soap,
to dry the feet well, and to inspect the feet daily for injuries or abrasions. Crossing the legs at
any level should be avoided because it promotes vasoconstriction. Keeping the extremities
warm is important; however, heating pads and hot water bottles should not be placed on the
3|Page
, extremity. Sensitivity may be diminished in the affected extremity, increasing the risk for
burns. Also, direct application of heat increases the oxygen and nutritional requirements of
the tissue even further.
A client diagnosed with depression is anorexic. Which measure does the nurse take to assist the
client in meeting nutritional needs?
Providing food and fluid as the client requests
Offering high-calorie and high-protein foods and fluids frequently throughout the day
Completing the dietary menu for the client to ensure that adequate nutrition is provided
Weighing the client daily so that the client may determine whether the nutritional plan is
working
Offering high-calorie and high-protein foods and fluids frequently throughout the day
Rationale: The client should be offered high-calorie and high-protein foods and fluids
frequently throughout the day. Small, frequent snacks are more easily tolerated than large
plates of food when the client is anorexic. The client should be offered choices of foods and
fluids he/she likes, because the client is more likely to consume foods he/she has selected.
The client should be weighed weekly, not daily. Weight gain may not be noted daily, which
may cause the client to view the interventions to improve nutritional status as useless.
Disulfiram is prescribed to a client with an alcohol abuse problem. The nurse provides
information about the medication. What does the nurse tell the client?
That driving is prohibited while the client is taking the medication
To take the medication immediately if the desire to drink alcohol occurs
That the effect of the medication ends as soon as the client stops taking the medication
That the medication cannot be started until at least 12 hours has elapsed since the client's last
ingestion of alcohol
That the medication cannot be started until at least 12 hours has elapsed since the client's last
ingestion of alcohol
Rationale: Disulfiram is an alcohol abuse deterrent prescribed to motivated clients who have
shown the ability to stay sober. Driving is not prohibited; however, the client is instructed to
use caution when driving and performing other tasks that require alertness. The medication is
taken daily (not just when the client has a desire to drink alcohol), and the effects of the
medication last 5 days to 2 weeks after the last dose is taken. The medication cannot be
started until at least 12 hours has elapsed since the client's last ingestion of alcohol.
4|Page
NCLEX -RN EXAM 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A client says to the nurse, "My doctor just left. He told me that my abdominal scan showed a
mass in my pancreas and that it's probably cancer. Does this mean I'm going to die?" How does
the nurse interpret the client's initial reaction?
Fear
Denial
Acceptance
Anger
Fear
Rationale: The nurse interprets the client's initial reaction as fear. Fear is a response to a
threat that is consciously recognized as a danger. In this situation, the client's reaction is one
of fear, and the client verbalizes the object of fear (dying). There is no evidence of denial,
acceptance, or anger in the client's statement.
A nurse notes documentation in the client's medical record indicating that the client has a stage
II pressure ulcer. On the basis of this information, which finding does the nurse expect to note?
Rationale: A stage I ulcer is characterized by intact skin that is red and does not blanch under
external pressure. A stage II ulcer is characterized by nonintact skin. There is partial-thickness
skin loss, and the wound may appear as an abrasion, a shallow crater, or a blister. A stage III
ulcer is characterized by full-thickness skin loss, and the subcutaneous tissue may be
damaged or necrotic. The damage extends down to but not through the underlying tissues. A
1|Page
,deep crater-like appearance or eschar is present. A stage IV ulcer is characterized by full-
thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or
supporting structures. Sinus tracts may develop.
A nurse is providing instruction in how to perform Kegel exercises to a client with stress
incontinence. What does the nurse tell the client to do?
Always perform the exercises while lying down
Expect an improvement in the control of urine in about 1 week
Tighten the pelvic muscles for as long as 5 minutes, three or four times a day
Tighten the pelvic muscles for a slow count of 10, then relax for a slow count of 10
Tighten the pelvic muscles for a slow count of 10, then relax for a slow count of 10
Rationale: Kegel exercises strengthen the muscles of the pelvic floor. To perform the exercises,
the client is taught to tighten the pelvic muscles to a slow count of 10, then relax to a slow
count of 10. The client is also instructed to do this exercise 15 times while lying down, sitting
up, and standing (a total of 45 repetitions). The client is told that an improvement in the
control of urine will be noticed after several weeks of the exercises; some individuals report
that improvement takes as long as 3 months.
Ergotamine is prescribed to a client with cluster headaches. Which occurrence does the nurse
tell the client to report to the primary health care provider if she experiences them while taking
the medication?
Cough
Fatigue and lethargy
Dizziness and fatigue
Numbness and tingling of the fingers or toes
Numbness and tingling of the fingers or toes
Rationale: Ergotamine is an antimigraine medication. Prolonged administration or an
excessive dosage may produce ergotamine poisoning (ergotism). Signs/symptoms include
nausea, vomiting, weakness in the legs, pain in the limb muscles, and numbness and tingling
of the fingers and toes. The client is instructed to report these signs/symptoms to the primary
health care provider if they occur. Cough, fatigue, lethargy, and dizziness are side effects and
not adverse effects of the medication.
2|Page
,A client diagnosed with post-traumatic stress disorder tells the nurse that he/she has stopped
taking his/her prescribed medication because he/she didn't like how the medication was
making him/her feel. Which initial response by the nurse is appropriate?
"That's all right. I'd stop, too, if it made me feel funny."
"Tell me more about how the medication was making you feel."
"Did you let your doctor know that you stopped taking the medication?"
"It doesn't make sense to stop the medication. I don't know why you took it upon yourself to do
that."
"Tell me more about how the medication was making you feel."
Rationale: The appropriate response by the nurse acknowledges the client's feelings and
opens the channel of communication between the nurse and client. "That's all right. I'd stop,
too, if it made me feel funny," indicating approval, is a nontherapeutic response and is
therefore inappropriate. "Did you let your doctor know that you stopped taking the
medication?" may be an appropriate question at some point during the conversation, but it is
not the most appropriate initial question. "It doesn't make sense to stop the medication. I
don't know why you took it upon yourself to do that" demeans the client.
A nurse provides information to a client diagnosed with peripheral vascular disease about ways
to limit the disease's progression. Which measures does the nurse tell the client to take? Select
all that apply.
Crossing the legs at the ankles only
Engaging in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Inspecting the feet at least once a week for injuries, especially abrasions
Using a heating pad on the legs to help keep the blood vessels dilated
Engaging in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Rationale: Long-term management of peripheral vascular disease consists of measures that
increase peripheral circulation. The client is instructed to exercise regularly and is encouraged
to walk for 20 minutes each day. The client also needs to wash the feet daily with a mild soap,
to dry the feet well, and to inspect the feet daily for injuries or abrasions. Crossing the legs at
any level should be avoided because it promotes vasoconstriction. Keeping the extremities
warm is important; however, heating pads and hot water bottles should not be placed on the
3|Page
, extremity. Sensitivity may be diminished in the affected extremity, increasing the risk for
burns. Also, direct application of heat increases the oxygen and nutritional requirements of
the tissue even further.
A client diagnosed with depression is anorexic. Which measure does the nurse take to assist the
client in meeting nutritional needs?
Providing food and fluid as the client requests
Offering high-calorie and high-protein foods and fluids frequently throughout the day
Completing the dietary menu for the client to ensure that adequate nutrition is provided
Weighing the client daily so that the client may determine whether the nutritional plan is
working
Offering high-calorie and high-protein foods and fluids frequently throughout the day
Rationale: The client should be offered high-calorie and high-protein foods and fluids
frequently throughout the day. Small, frequent snacks are more easily tolerated than large
plates of food when the client is anorexic. The client should be offered choices of foods and
fluids he/she likes, because the client is more likely to consume foods he/she has selected.
The client should be weighed weekly, not daily. Weight gain may not be noted daily, which
may cause the client to view the interventions to improve nutritional status as useless.
Disulfiram is prescribed to a client with an alcohol abuse problem. The nurse provides
information about the medication. What does the nurse tell the client?
That driving is prohibited while the client is taking the medication
To take the medication immediately if the desire to drink alcohol occurs
That the effect of the medication ends as soon as the client stops taking the medication
That the medication cannot be started until at least 12 hours has elapsed since the client's last
ingestion of alcohol
That the medication cannot be started until at least 12 hours has elapsed since the client's last
ingestion of alcohol
Rationale: Disulfiram is an alcohol abuse deterrent prescribed to motivated clients who have
shown the ability to stay sober. Driving is not prohibited; however, the client is instructed to
use caution when driving and performing other tasks that require alertness. The medication is
taken daily (not just when the client has a desire to drink alcohol), and the effects of the
medication last 5 days to 2 weeks after the last dose is taken. The medication cannot be
started until at least 12 hours has elapsed since the client's last ingestion of alcohol.
4|Page
