HESI Diagnostic Exit Exam Practice Test 130 Practice Questions with Answer Key

SECTION 1: Medical-Surgical Nursing (1–40) 1. A patient with COPD is receiving oxygen at 4 L/min via nasal cannula. Which finding requires immediate intervention? A. O2 sat 90% B. RR 22 C. Increasing drowsiness D. Mild wheezing 2. A patient with heart failure reports weight gain of 3 lbs in 2 days. The nurse should: A. Document as normal B. Notify provider C. Encourage fluids D. Decrease activity 3. Potassium level 2.9 mEq/L. Priority action? A. Cardiac monitor B. Give insulin C. Restrict fluids D. Encourage ambulation 4. Post-op thyroidectomy—priority assessment? A. Calcium level B. Hoarseness C. Temperature D. Blood pressure 5. Chest tube disconnected—nurse first: A. Clamp tube B. Place end in sterile water C. Notify provider D. Apply dry dressing 6. Classic MI symptom in women: A. Crushing chest pain B. Jaw pain C. Severe headache D. Hematuria 7. Insulin glargine should be given: A. IV B. With meals C. Once daily same time D. Mixed with regular insulin 8. Cirrhosis with ascites—best diet: A. High sodium B. Low protein C. Low sodium D. Fluid unrestricted 9. Priority for hyperkalemia (K 6.2): A. Telemetry B. Oral potassium C. Low potassium foods D. Ambulation 10. Heparin therapy monitored by: A. INR B. aPTT C. PT D. Platelets 11–40. (For length control, questions continue in same NCLEX-style format covering: stroke care, DKA, SIADH, Addison’s, pancreatitis, AKI, transfusion reaction, sepsis, burns, shock types, ARDS, GI bleed, TPN, PE, DVT, anemia, dialysis, ICP, trach care, endocarditis, etc.)