2025 [NGN] HESI EXIT EXAM
1 The nurse is planning care for a client with a CVA. Which of the following measures planned by the
nurse would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence
2 A nurse is assessing several clients in a long term health care facility. Which client is at highest
risk for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client
Constipation is one of the most frequent complaints of elders. When assessing this
problem, which action should be the nurse's priority?
A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight
After a client has an enteral feeding tube inserted, the most accurate method for verification of
placement is
A) Abdominal x-ray
B) Auscultation
D) Aspiration for gastric contents
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile
colored liquids. Which nursing measure will provide the most comfort to the client?
A) Allow the client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important
instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture
D) Exercise to strengthen muscles and thereby protect bones
The nurse has been teaching a client with congestive heart failure about proper nutrition. The
selection of which lunch indicates the client has learned about sodium restriction?
, A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream
Which bed position is preferred for use with a client in an extended care facility on falls risk
prevention protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall
The nurse is talking to parents about nutrition in school aged children. Which of the
following is the most common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition
At the geriatric day care program a client is crying and repeating "I want to go home. Call
my daddy to come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity
A victim of domestic violence states to the nurse, "If only I could change and be how
my companion wants me to be, I know things would be different." Which would be
the best response by the nurse?
A) "The violence is temporarily caused by unusual circumstances, don’t stop hoping for a
change."
B) "Perhaps, if you understood the need to abuse, you could stop the violence."
C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into
beating you?"
D) "Batterers lose self-control because of their own internal reasons, not because of
what their partner did or did not do."
, A 38 year-old female client is admitted to the hospital with an acute exacerbation of
asthma. This is her third admission for asthma in 7 months. She describes how she
doesn't really like having to use her medications all the time. Which explanation by
the nurse best describes the long-term consequence of uncontrolled airway
inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia
79.A 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
80.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
81.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
82.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
83.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
84.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
85. 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
86.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
87.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."
88. In a child with suspected coarctation of the aorta, the nurse would expect to find
1 The nurse is planning care for a client with a CVA. Which of the following measures planned by the
nurse would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence
2 A nurse is assessing several clients in a long term health care facility. Which client is at highest
risk for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client
Constipation is one of the most frequent complaints of elders. When assessing this
problem, which action should be the nurse's priority?
A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight
After a client has an enteral feeding tube inserted, the most accurate method for verification of
placement is
A) Abdominal x-ray
B) Auscultation
D) Aspiration for gastric contents
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile
colored liquids. Which nursing measure will provide the most comfort to the client?
A) Allow the client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important
instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture
D) Exercise to strengthen muscles and thereby protect bones
The nurse has been teaching a client with congestive heart failure about proper nutrition. The
selection of which lunch indicates the client has learned about sodium restriction?
, A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream
Which bed position is preferred for use with a client in an extended care facility on falls risk
prevention protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall
The nurse is talking to parents about nutrition in school aged children. Which of the
following is the most common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition
At the geriatric day care program a client is crying and repeating "I want to go home. Call
my daddy to come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity
A victim of domestic violence states to the nurse, "If only I could change and be how
my companion wants me to be, I know things would be different." Which would be
the best response by the nurse?
A) "The violence is temporarily caused by unusual circumstances, don’t stop hoping for a
change."
B) "Perhaps, if you understood the need to abuse, you could stop the violence."
C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into
beating you?"
D) "Batterers lose self-control because of their own internal reasons, not because of
what their partner did or did not do."
, A 38 year-old female client is admitted to the hospital with an acute exacerbation of
asthma. This is her third admission for asthma in 7 months. She describes how she
doesn't really like having to use her medications all the time. Which explanation by
the nurse best describes the long-term consequence of uncontrolled airway
inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia
79.A 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
80.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
81.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
82.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
83.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
84.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
85. 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
86.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
87.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."
88. In a child with suspected coarctation of the aorta, the nurse would expect to find
