NGN HESI EXIT NURSING Questions and
Answers GRADED A PLUS
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
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
89. At the day treatment center a client diagnosed with Schizophrenia - Paranoid Type sits
alone alertly watching the activities of clients and staff. The client is hostile when
approached and asserts that the doctor gives her medication to control her mind. The
client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment
90. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6 on a 0-
to-10 scale. The client refuses all pain medication other than Motrin, which does not
relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
91. What nursing assessment of a paralyzed client would indicate the probable presence of a
fecal impaction?
A) Presence of blood in stools
Answers GRADED A PLUS
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
A) Strong pedal pulses
B) Diminishing carotid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
89. At the day treatment center a client diagnosed with Schizophrenia - Paranoid Type sits
alone alertly watching the activities of clients and staff. The client is hostile when
approached and asserts that the doctor gives her medication to control her mind. The
client's behavior most likely indicates
A) Feelings of increasing anxiety related to paranoia
B) Social isolation related to altered thought processes
C) Sensory perceptual alteration related to withdrawal from environment
D) Impaired verbal communication related to impaired judgment
90. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6 on a 0-
to-10 scale. The client refuses all pain medication other than Motrin, which does not
relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
91. What nursing assessment of a paralyzed client would indicate the probable presence of a
fecal impaction?
A) Presence of blood in stools
