Concepts for Nursing
Practice HESI/NCLEX
Practice
HESI/NCLEX Practice
1. Perfusion
,Question:
A client has decreased perfusion. Which finding is most concerning?
A. Warm extremities
B. Capillary refill <2 seconds
C. Cool, pale skin
D. Strong peripheral pulses
Answer: C
Rationale: Poor perfusion leads to cool, pale skin due to reduced blood flow.
2. Gas Exchange
Question:
Which assessment finding indicates impaired gas exchange?
A. Oxygen saturation 98%
B. Respiratory rate 16
C. Shortness of breath
D. Pink mucous membranes
Answer: C
Rationale: Dyspnea (shortness of breath) indicates impaired oxygen exchange.
3. Mobility
Question:
A nurse assesses a client’s mobility. Which finding indicates impairment?
A. Steady gait
B. Full ROM
C. Requires walker
D. Walks independently
Answer: C
Rationale: Assistive devices indicate decreased functional mobility.
4. Infection
, Question:
Which finding suggests infection?
A. Normal WBC
B. Fever
C. Clear lungs
D. Normal BP
Answer: B
Rationale: Fever is a key sign of infection.
5. Pain
Question:
What is the most reliable indicator of pain?
A. Facial expression
B. Vital signs
C. Patient report
D. Nurse observation
Answer: C
Rationale: Pain is subjective — patient self-report is gold standard.
6. Safety
Question:
Which client is at highest risk for falls?
A. Young adult
B. Alert adult
C. Older adult with confusion
D. Athlete
Answer: C
Rationale: Age + confusion = high fall risk.
7. Fluid balance
Practice HESI/NCLEX
Practice
HESI/NCLEX Practice
1. Perfusion
,Question:
A client has decreased perfusion. Which finding is most concerning?
A. Warm extremities
B. Capillary refill <2 seconds
C. Cool, pale skin
D. Strong peripheral pulses
Answer: C
Rationale: Poor perfusion leads to cool, pale skin due to reduced blood flow.
2. Gas Exchange
Question:
Which assessment finding indicates impaired gas exchange?
A. Oxygen saturation 98%
B. Respiratory rate 16
C. Shortness of breath
D. Pink mucous membranes
Answer: C
Rationale: Dyspnea (shortness of breath) indicates impaired oxygen exchange.
3. Mobility
Question:
A nurse assesses a client’s mobility. Which finding indicates impairment?
A. Steady gait
B. Full ROM
C. Requires walker
D. Walks independently
Answer: C
Rationale: Assistive devices indicate decreased functional mobility.
4. Infection
, Question:
Which finding suggests infection?
A. Normal WBC
B. Fever
C. Clear lungs
D. Normal BP
Answer: B
Rationale: Fever is a key sign of infection.
5. Pain
Question:
What is the most reliable indicator of pain?
A. Facial expression
B. Vital signs
C. Patient report
D. Nurse observation
Answer: C
Rationale: Pain is subjective — patient self-report is gold standard.
6. Safety
Question:
Which client is at highest risk for falls?
A. Young adult
B. Alert adult
C. Older adult with confusion
D. Athlete
Answer: C
Rationale: Age + confusion = high fall risk.
7. Fluid balance
