EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE | NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW AND FINAL EXAM STUDY GUIDE
The nurse enters the examination room of a client who has been told by her
health care provider that she has advanced ovarian cancer. Which response
by the nurse is likely to be most supportive for the client?
A."I know many women who have survived ovarian cancer."
B."Let's talk about the treatments of ovarian cancer."
C."In my opinion I would suggest getting a second opinion."
D."Tell me about what you are feeling right now." - CORRECT ANSWER -D
Rationale:
The most therapeutic action for the nurse is to be an active listener and to
encourage the client to explore her feelings (D). Giving false reassurance or
personal suggestions are not therapeutic communication for the client (A,
B, and C).
A client in an acute psychiatric setting asks the nurse if their conversations
will remain confidential. How should the nurse respond?
,A."The Health Insurance Portability and Accountability Act (HIPAA)
prevents me from repeating what you say."
B."You can be assured that I will keep all of our conversations confidential
because it is important that you can trust me."
C."For your safety and well-being, it may be necessary to share some of our
conversations with the health care team."
D."I am legally required to document all of our conversations in the
electronic medical record." - CORRECT ANSWER -C
Rationale:
Some information, such as a suicide plan, must be shared with other team
members for the client's safety and optimal therapy (C). HIPAA does not
prevent a member of the health care team from repeating all conversations,
particularly if safety is an issue (A). Ensuring a client that a conversation
will remain confidential puts the nurse at risk, particularly if safety is an
issue (B). Although pertinent information should be documented, the nurse
is not legally required to document all conversations with a client (D).
A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to leave home
for the last 6 months. The client has not gone to work for a month, has been
terminated from her job, and has not left the house since that time. This
client is displaying symptoms of which disorder?
A.Claustrophobia
B.Acrophobia
C.Agoraphobia
D.Necrophobia - CORRECT ANSWER -C
Rationale:
Agoraphobia (C) is the fear of crowds or of being in an open place. (A) is the
fear of being in closed places. (B) is the fear of high places. (D) is an
,abnormal fear of death or bodies after death. A phobia is an unrealistic fear
associated with severe anxiety.
The nurse reviews the comprehensive metabolic panel for a client with an
electrolyte imbalance. Which data requires the most immediate
intervention by the nurse?
A.Potassium level, 3.9 mEq/dL
B.Creatinine level,1.1 mg/dL
C.Sodium level, 125 mEq/L
D.Calcium level, 9 mg/dL - CORRECT ANSWER -C
Rationale:
The normal serum sodium level is 135 to 145 mEq/L (C). This value
indicates hyponatremia. Symptoms of hyponatremia include nausea and
vomiting, headache, confusion, and seizures, which can be severe and need
immediate attention. (A, B, and D) are all within normal parameters.
The nurse anticipates administering Rho(D) immune globulin (RhoGAM)
to which individual(s)? (Select all that apply.)
A.An Rh-negative woman who has had a miscarriage at 24 weeks
B.The father of a baby of an Rh-positive fetus
C.An Rh-negative mother after delivery of an Rh-positive infant with a
negative direct Coombs' test
D.An Rh-positive infant within 72 hours after birth
E.An Rh-negative mother with a negative antibody titer at 28 weeks -
CORRECT ANSWER -A,C,E
Rationale:
, (A, C, and E) are all candidates for RhoGAM. RhoGAM should never be
given to an infant or father (B and D).
Which nursing intervention should be implemented postoperatively in an
infant with spina bifida after repair of a meningocele?
A.Limit fluids to prevent infection to the surgical site.
B.Place the infant in the prone position.
C.Provide a low-residue diet to limit bowel movements.
D.Cover sac with a moist sterile dressing. - CORRECT ANSWER -B
Rationale:
The infant should be placed in the prone position to alleviate pressure on
the surgical site, which is in the sacrum (B). Fluids should be increased
postoperatively to prevent dehydration (A). A high-fiber diet should be
implemented to prevent constipation (C). After the repair, the sac is no
longer exposed, so (D) does not apply.
Which intervention(s) should the nurse implement when administering a
new prescription of amitriptyline HCl (Elavil) to a client with a depressive
disorder? (Select all that apply.)
A.Explain that therapeutic effects should be achieved within 1 to 3 days.
B.Administer at bedtime to minimize sedative effects.
C.Give 1 hour after the administration of isocarboxazid (Marplan).
D.Take blood pressure prior to and after administration.
E.Assess for adverse reactions such as dry mouth and blurred vision. -
CORRECT ANSWER -B,D,E
Rationale:
PRACTICE QUESTIONS 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE | NGN-STYLE
CLINICAL JUDGMENT, DETAILED
RATIONALES, COMPREHENSIVE NURSING
REVIEW AND FINAL EXAM STUDY GUIDE
The nurse enters the examination room of a client who has been told by her
health care provider that she has advanced ovarian cancer. Which response
by the nurse is likely to be most supportive for the client?
A."I know many women who have survived ovarian cancer."
B."Let's talk about the treatments of ovarian cancer."
C."In my opinion I would suggest getting a second opinion."
D."Tell me about what you are feeling right now." - CORRECT ANSWER -D
Rationale:
The most therapeutic action for the nurse is to be an active listener and to
encourage the client to explore her feelings (D). Giving false reassurance or
personal suggestions are not therapeutic communication for the client (A,
B, and C).
A client in an acute psychiatric setting asks the nurse if their conversations
will remain confidential. How should the nurse respond?
,A."The Health Insurance Portability and Accountability Act (HIPAA)
prevents me from repeating what you say."
B."You can be assured that I will keep all of our conversations confidential
because it is important that you can trust me."
C."For your safety and well-being, it may be necessary to share some of our
conversations with the health care team."
D."I am legally required to document all of our conversations in the
electronic medical record." - CORRECT ANSWER -C
Rationale:
Some information, such as a suicide plan, must be shared with other team
members for the client's safety and optimal therapy (C). HIPAA does not
prevent a member of the health care team from repeating all conversations,
particularly if safety is an issue (A). Ensuring a client that a conversation
will remain confidential puts the nurse at risk, particularly if safety is an
issue (B). Although pertinent information should be documented, the nurse
is not legally required to document all conversations with a client (D).
A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to leave home
for the last 6 months. The client has not gone to work for a month, has been
terminated from her job, and has not left the house since that time. This
client is displaying symptoms of which disorder?
A.Claustrophobia
B.Acrophobia
C.Agoraphobia
D.Necrophobia - CORRECT ANSWER -C
Rationale:
Agoraphobia (C) is the fear of crowds or of being in an open place. (A) is the
fear of being in closed places. (B) is the fear of high places. (D) is an
,abnormal fear of death or bodies after death. A phobia is an unrealistic fear
associated with severe anxiety.
The nurse reviews the comprehensive metabolic panel for a client with an
electrolyte imbalance. Which data requires the most immediate
intervention by the nurse?
A.Potassium level, 3.9 mEq/dL
B.Creatinine level,1.1 mg/dL
C.Sodium level, 125 mEq/L
D.Calcium level, 9 mg/dL - CORRECT ANSWER -C
Rationale:
The normal serum sodium level is 135 to 145 mEq/L (C). This value
indicates hyponatremia. Symptoms of hyponatremia include nausea and
vomiting, headache, confusion, and seizures, which can be severe and need
immediate attention. (A, B, and D) are all within normal parameters.
The nurse anticipates administering Rho(D) immune globulin (RhoGAM)
to which individual(s)? (Select all that apply.)
A.An Rh-negative woman who has had a miscarriage at 24 weeks
B.The father of a baby of an Rh-positive fetus
C.An Rh-negative mother after delivery of an Rh-positive infant with a
negative direct Coombs' test
D.An Rh-positive infant within 72 hours after birth
E.An Rh-negative mother with a negative antibody titer at 28 weeks -
CORRECT ANSWER -A,C,E
Rationale:
, (A, C, and E) are all candidates for RhoGAM. RhoGAM should never be
given to an infant or father (B and D).
Which nursing intervention should be implemented postoperatively in an
infant with spina bifida after repair of a meningocele?
A.Limit fluids to prevent infection to the surgical site.
B.Place the infant in the prone position.
C.Provide a low-residue diet to limit bowel movements.
D.Cover sac with a moist sterile dressing. - CORRECT ANSWER -B
Rationale:
The infant should be placed in the prone position to alleviate pressure on
the surgical site, which is in the sacrum (B). Fluids should be increased
postoperatively to prevent dehydration (A). A high-fiber diet should be
implemented to prevent constipation (C). After the repair, the sac is no
longer exposed, so (D) does not apply.
Which intervention(s) should the nurse implement when administering a
new prescription of amitriptyline HCl (Elavil) to a client with a depressive
disorder? (Select all that apply.)
A.Explain that therapeutic effects should be achieved within 1 to 3 days.
B.Administer at bedtime to minimize sedative effects.
C.Give 1 hour after the administration of isocarboxazid (Marplan).
D.Take blood pressure prior to and after administration.
E.Assess for adverse reactions such as dry mouth and blurred vision. -
CORRECT ANSWER -B,D,E
Rationale:
