HESI RN EXIT
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This*Document*contains:*
1000+*Questions*with*Correct*Answers
Passing*Score*Guarantee*
multiple-choice*format*(A,*B,*C,*D)*with*correct*answers
structured*rationales.*
Next*Generation*NCLEX*(NGN)-style.*
Some*questions*feature*“case*scenarios”*
Select*All*That*Apply*(SATA),*ordering,*fill-in-the-blank*for*dosage
,On*the*second*postoperative*day,*a*client*who*had*a*colon*resection*is*starting*to*eat*and*ambu
late*with*assistance.*Although*the*client*has*a*prescription*for*an*oral*analgesic,*they*request*t
hat*the*PCA*containing*morphine*be*continued*for*one*more*day*due*to*fear*of*pain.*Which*inter
vention*is*most*important*for*the*nurse*to*implement?
A.*Measure*urinary*output*to*ensure*renal*functioning.
B.*Administer*the*oral*analgesic*medication*an*hour*before*discontinuing*the*PCA*pump.
C.*Monitor*for*a*depressed*respiratory*rate.
D.*Teach*about*the*need*to*progress*to*a*high-fiber*diet.*
Correct*Answer:
*B.*Administer*the*oral*analgesic*medication*an*hour*before*discontinuing*the*PCA*pump.
The*nurse*is*triaging*several*children*as*they*present*to*the*emergency*room*after*a*school*bu
s*accident.*Which*child*requires*the*most*immediate*intervention*by*the*nurse?
A.*A*12-year-old*reporting*neck,*arm,*and*lower*back*discomfort.
B.*An*8-year-old*with*a*full*leg*air*splint*for*a*possible*broken*tibia.
C.*A*6-year-old*with*multiple*superficial*lacerations*of*all*extremities.
D.*An*11-year-old*with*a*headache,*nausea,*and*projectile*vomiting.*
Correct*Answer:
*D.*An*11-year-old*with*a*headache,*nausea,*and*projectile*vomiting.
When*the*parents*of*a*6-year-
old*boy*with*a*brain*tumor*are*told*that*his*condition*is*terminal,*the*mother*shouts*at*the*fath
er,*"This*is*your*fault!*It*never*would*have*happened*if*we*had*sought*treatment*sooner!"*Which
*intervention*is*best*for*the*nurse*to*implement?
A.*Refer*the*parents*to*the*chaplain*to*provide*grief*counseling.
B.*Tell*the*parents*that*blaming*each*other*will*not*change*the*situation
C.*Assure*the*parents*that*a*terminal*diagnosis*is*inevitable.
,D.*Explain*to*the*parents *that*anger*is*a*common*response*to*grief.*
Correct*Answer:
*D.*Explain*to*the*parents *that*anger*is*a*common*response*to*grief.
When*the*nurse*enters*the*room*of*a*male*client*who*was*admitted*for*a*fractured*femur,*his*c
ardiac*monitor*displays*a*normal*sinus*rhythm*(NSR),*but*he*has*no*spontaneous*respirations*a
nd*his*carotid*pulse*is*not*palpable.*Which*intervention*should*the*nurse*implement?
A.*Observe*for*swelling*at*the*fracture*site.
B.*Analyze*the*cardiac*rhythm*in*another*lead.
C.*Obtain*a*12-lead*electrocardiogram.
D.*Begin*chest*compressions*at*100/minute.*
Correct*Answer:
*D.*Begin*chest*compressions *at*100/minute.
A*client*with*persistent*low*back*pain*has*received*a*prescription*for*an*electronic*stimulator*(
TENS)*unit.*After*the*nurse*applies*the*electrodes*and*turns*on*the*power,*the*client*reports*fe
eling*a*tingling*sensation.*How*should*the*nurse*respond?
A.*Remove*electrodes*and*observe*for*skin*redness.
B.*Decrease*the*strength*of*the*electrical*signals.
C.*Check*the*amount*of*gel*coating*on*the*electrodes.
D.*Determine*if*the*sensation*feels*uncomfortable.*
Correct*Answer:
*D.*Determine*if*the*sensation*feels *uncomfortable.
The*nurse*implements*a*primary*prevention*program*for*sexually*transmitted*diseases*in*a*nur
se-managed*health*center.*Which*outcome*Indicates*that*the*program*was*effective?
A.*New*screening*protocols*were*developed,*validated,*and*implemented.
, B.*Clients*who*incurred*disease*complications *promptly*received*rehabilitation.
C.*Average*client*scores*improved*on*specific*risk*factor*knowledge*tests.
D.*More*than*half*of*at-risk*clients*were*diagnosed*early*in*their*disease*process.*
Correct*Answer:
*C.*Average*client*scores *improved*on*specific*risk*factor*knowledge*tests.
An*older*client*is*admitted*to*the*intensive*care*unit*unconscious*after*several*days*of*vomiting*and*diar
rhea.
Vital*Signs
Heart*Rate-beats/minute-*110*Respirations*-*breathes/minute-*28*Blood*Pressure*-*mmHG-*80/60
Arterial*blood*gases*(ABGs)
Ph-*7.34
PaCO2-*34*mmHg
HCO3-*20*mmol/L
pO2-*90*mmHg
Electrolytes*Results
Sodium
130*mEq/L(mmol/L)*Potassium
2.5*mEq/L*(mmol/L)*Chloride
95*mEq/L*(mmol/L)
Reference*Range:
Sodium*[136*to*145*mEq/L*(136*to*145*mmol/L)]
Potassium*[3.5*to*5*mEq/L*(3.5*to*5*mmol/L)]
Chloride*[98*to*106*mEq/L*(98*to*106*mmol/L)]
PaCO2*[35*to*45*mm*Hg]
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This*Document*contains:*
1000+*Questions*with*Correct*Answers
Passing*Score*Guarantee*
multiple-choice*format*(A,*B,*C,*D)*with*correct*answers
structured*rationales.*
Next*Generation*NCLEX*(NGN)-style.*
Some*questions*feature*“case*scenarios”*
Select*All*That*Apply*(SATA),*ordering,*fill-in-the-blank*for*dosage
,On*the*second*postoperative*day,*a*client*who*had*a*colon*resection*is*starting*to*eat*and*ambu
late*with*assistance.*Although*the*client*has*a*prescription*for*an*oral*analgesic,*they*request*t
hat*the*PCA*containing*morphine*be*continued*for*one*more*day*due*to*fear*of*pain.*Which*inter
vention*is*most*important*for*the*nurse*to*implement?
A.*Measure*urinary*output*to*ensure*renal*functioning.
B.*Administer*the*oral*analgesic*medication*an*hour*before*discontinuing*the*PCA*pump.
C.*Monitor*for*a*depressed*respiratory*rate.
D.*Teach*about*the*need*to*progress*to*a*high-fiber*diet.*
Correct*Answer:
*B.*Administer*the*oral*analgesic*medication*an*hour*before*discontinuing*the*PCA*pump.
The*nurse*is*triaging*several*children*as*they*present*to*the*emergency*room*after*a*school*bu
s*accident.*Which*child*requires*the*most*immediate*intervention*by*the*nurse?
A.*A*12-year-old*reporting*neck,*arm,*and*lower*back*discomfort.
B.*An*8-year-old*with*a*full*leg*air*splint*for*a*possible*broken*tibia.
C.*A*6-year-old*with*multiple*superficial*lacerations*of*all*extremities.
D.*An*11-year-old*with*a*headache,*nausea,*and*projectile*vomiting.*
Correct*Answer:
*D.*An*11-year-old*with*a*headache,*nausea,*and*projectile*vomiting.
When*the*parents*of*a*6-year-
old*boy*with*a*brain*tumor*are*told*that*his*condition*is*terminal,*the*mother*shouts*at*the*fath
er,*"This*is*your*fault!*It*never*would*have*happened*if*we*had*sought*treatment*sooner!"*Which
*intervention*is*best*for*the*nurse*to*implement?
A.*Refer*the*parents*to*the*chaplain*to*provide*grief*counseling.
B.*Tell*the*parents*that*blaming*each*other*will*not*change*the*situation
C.*Assure*the*parents*that*a*terminal*diagnosis*is*inevitable.
,D.*Explain*to*the*parents *that*anger*is*a*common*response*to*grief.*
Correct*Answer:
*D.*Explain*to*the*parents *that*anger*is*a*common*response*to*grief.
When*the*nurse*enters*the*room*of*a*male*client*who*was*admitted*for*a*fractured*femur,*his*c
ardiac*monitor*displays*a*normal*sinus*rhythm*(NSR),*but*he*has*no*spontaneous*respirations*a
nd*his*carotid*pulse*is*not*palpable.*Which*intervention*should*the*nurse*implement?
A.*Observe*for*swelling*at*the*fracture*site.
B.*Analyze*the*cardiac*rhythm*in*another*lead.
C.*Obtain*a*12-lead*electrocardiogram.
D.*Begin*chest*compressions*at*100/minute.*
Correct*Answer:
*D.*Begin*chest*compressions *at*100/minute.
A*client*with*persistent*low*back*pain*has*received*a*prescription*for*an*electronic*stimulator*(
TENS)*unit.*After*the*nurse*applies*the*electrodes*and*turns*on*the*power,*the*client*reports*fe
eling*a*tingling*sensation.*How*should*the*nurse*respond?
A.*Remove*electrodes*and*observe*for*skin*redness.
B.*Decrease*the*strength*of*the*electrical*signals.
C.*Check*the*amount*of*gel*coating*on*the*electrodes.
D.*Determine*if*the*sensation*feels*uncomfortable.*
Correct*Answer:
*D.*Determine*if*the*sensation*feels *uncomfortable.
The*nurse*implements*a*primary*prevention*program*for*sexually*transmitted*diseases*in*a*nur
se-managed*health*center.*Which*outcome*Indicates*that*the*program*was*effective?
A.*New*screening*protocols*were*developed,*validated,*and*implemented.
, B.*Clients*who*incurred*disease*complications *promptly*received*rehabilitation.
C.*Average*client*scores*improved*on*specific*risk*factor*knowledge*tests.
D.*More*than*half*of*at-risk*clients*were*diagnosed*early*in*their*disease*process.*
Correct*Answer:
*C.*Average*client*scores *improved*on*specific*risk*factor*knowledge*tests.
An*older*client*is*admitted*to*the*intensive*care*unit*unconscious*after*several*days*of*vomiting*and*diar
rhea.
Vital*Signs
Heart*Rate-beats/minute-*110*Respirations*-*breathes/minute-*28*Blood*Pressure*-*mmHG-*80/60
Arterial*blood*gases*(ABGs)
Ph-*7.34
PaCO2-*34*mmHg
HCO3-*20*mmol/L
pO2-*90*mmHg
Electrolytes*Results
Sodium
130*mEq/L(mmol/L)*Potassium
2.5*mEq/L*(mmol/L)*Chloride
95*mEq/L*(mmol/L)
Reference*Range:
Sodium*[136*to*145*mEq/L*(136*to*145*mmol/L)]
Potassium*[3.5*to*5*mEq/L*(3.5*to*5*mmol/L)]
Chloride*[98*to*106*mEq/L*(98*to*106*mmol/L)]
PaCO2*[35*to*45*mm*Hg]
