NCLEX-PN Comprehensive Review (PDF) | (2026) NCLEX PN Review / NCLEX Questions | Practical Nursing

HESI RN Nursing Exam Prep 2026–2027




Exam Prep 2026–2027

COMPREHENSIVE REVIEW




HESI RN Nursing Exam Prep 2026–2027 | Practice Resource • Page 1

, HESI RN Nursing Exam Prep 2026–2027




HESI RN Nursing Exam Prep 2026–2027 Comprehensive
Review
This review uses original practice questions designed around major RN nursing content areas, including
leadership, medical-surgical nursing, pharmacology, maternity, pediatrics, mental health, gerontology,
safety, and clinical judgment. The current HESI Comprehensive Review for the NCLEX-RN, 8th Edition,
published in 2026, emphasizes clinical judgment, prioritization, alternate-item formats, and the major
clinical areas represented below.

Question 1
A nurse is caring for a client who has a potassium level of 2.8 mEq/L (2.8 mmol/L). Which finding should the
nurse expect?
A. Hyperactive deep-tendon reflexes
B. Muscle weakness and cardiac dysrhythmias
C. Increased bowel sounds and diarrhea
D. Peaked T waves
Correct answer: B. Muscle weakness and cardiac dysrhythmias

Question 2
A client with heart failure reports increasing shortness of breath and difficulty breathing while lying flat. Which
action should the nurse take first?
A. Encourage oral fluids
B. Place the client in high-Fowler's position
C. Obtain the client's daily weight
D. Administer a prescribed stool softener
Correct answer: B. Place the client in high-Fowler's position

Question 3
The nurse is assessing a client who is receiving a blood transfusion. Which finding requires immediate
intervention?
A. Temperature of 37.2°C (99°F)
B. Mild thirst
C. Chills and low back pain
D. Blood pressure of 128/76 mm Hg
Correct answer: C. Chills and low back pain




HESI RN Nursing Exam Prep 2026–2027 | Practice Resource • Page 2

, HESI RN Nursing Exam Prep 2026–2027


Question 4
A client with chronic obstructive pulmonary disease is receiving oxygen therapy. Which oxygen-delivery method
is most appropriate when a precise oxygen concentration is required?
A. Nonrebreather mask
B. Venturi mask
C. Simple face mask
D. Partial-rebreather mask
Correct answer: B. Venturi mask

Question 5
A nurse is caring for a client receiving IV potassium chloride. Which action is appropriate?
A. Administer potassium chloride by IV push
B. Dilute the medication and administer it using an infusion pump
C. Give the medication undiluted through a peripheral IV
D. Administer the medication rapidly if the potassium level is low
Correct answer: B. Dilute the medication and administer it using an infusion pump

Question 6
A client with diabetes mellitus becomes pale, shaky, and diaphoretic. The client is alert and able to swallow.
Which action should the nurse take?
A. Administer regular insulin
B. Give approximately 15 g of rapid-acting carbohydrate
C. Administer glucagon intramuscularly
D. Restrict oral intake until the glucose level is obtained
Correct answer: B. Give approximately 15 g of rapid-acting carbohydrate

Question 7
A client with suspected bacterial meningitis is admitted to the hospital. Which isolation precaution should the
nurse initiate initially?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
D. Protective precautions
Correct answer: C. Droplet precautions

Question 8
A postoperative client suddenly develops dyspnea, chest pain, tachycardia, and anxiety. Which complication
should the nurse suspect?
A. Atelectasis
B. Pulmonary embolism
C. Pneumonia
D. Pleural effusion
Correct answer: B. Pulmonary embolism




HESI RN Nursing Exam Prep 2026–2027 | Practice Resource • Page 3

, HESI RN Nursing Exam Prep 2026–2027


Question 9
A client is prescribed digoxin. Which assessment finding should cause the nurse to withhold the medication and
notify the provider?
A. Apical pulse of 54/min
B. Blood pressure of 132/78 mm Hg
C. Respiratory rate of 18/min
D. Temperature of 37°C (98.6°F)
Correct answer: A. Apical pulse of 54/min

Question 10
A nurse is teaching a client who has been prescribed warfarin. Which statement by the client indicates a need
for further teaching?
A. “I will report unusual bleeding.”
B. “I will keep my intake of vitamin K-containing foods consistent.”
C. “I can take aspirin whenever I develop a headache.”
D. “I will have my coagulation tests monitored as prescribed.”
Correct answer: C. “I can take aspirin whenever I develop a headache.”

Question 11
A client with a head injury has increasing intracranial pressure. Which finding is most concerning?
A. Mild headache
B. Increasing level of consciousness
C. Decreasing level of consciousness
D. Equal pupils measuring 3 mm
Correct answer: C. Decreasing level of consciousness

Question 12
A client with chronic kidney disease has a serum potassium level of 6.4 mEq/L (6.4 mmol/L). Which prescription
should the nurse question?
A. Cardiac monitoring
B. Sodium zirconium cyclosilicate as prescribed
C. Potassium chloride supplementation
D. Repeat serum electrolyte testing
Correct answer: C. Potassium chloride supplementation

Question 13
A nurse is caring for a client who has an NG tube connected to low intermittent suction. Which finding requires
intervention?
A. Gastric drainage is greenish
B. The tube is secured to the client's gown
C. The client reports increasing abdominal distention
D. The suction is intermittently operating as prescribed
Correct answer: C. The client reports increasing abdominal distention




HESI RN Nursing Exam Prep 2026–2027 | Practice Resource • Page 4