Page 1 of 67
“NAXLEX NURSING HESI REVIEW 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
don't miss any practice revision materials contact me +254111429458
Naxlex nursing hesi review
Which client has the highest risk for developing skin cancer?
A. A 70-year-old fair-skinned client who works as a secretary.
B. A 25-year-old dark-skinned client whose mother had skin cancer.
C. A 65-year-old fair-skinned client who is a construction worker.
D. A 16-year-old dark-skinned client who tans in tanning beds once a week.
C. A 65-year-old fair-skinned client who is a construction worker.
A client with a gram positive bacterial skin infection is receiving daptomycin
500 mg IV every 24 hours. The pharmacy delivers a secondary infusion of 0.9%
sodium chloride with daptomycin 500 mg/100 mL to be infused in 30 minutes.
How many mL/hour should the nurse program the infusion pump? (Enter the
numerical value only.)
200ml/hr
A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a
, Page 2 of 67
person who was a casual acquaintance. Which action should the nurse
implement?
A. Assess for perineal itching, erythema, and excoriation.
B. Obtain a specimen of urethral drainage for culture.
C. Observe the perineal area for a chancroid-like lesion.
D. Identify all sexual partners in the last four days.
B. Obtain a specimen of urethral drainage for culture.
When explaining dietary guidelines to a client with acute glomerulonephritis
(AGN), which instruction should the nurse include in the dietary teaching?
A. Select a protein-rich food daily.
B. Eat high-potassium foods.
C. Avoid foods high in carbohydrates.
D. Restrict sodium intake.
D. Restrict sodium intake.
Click to highlight the findings that require follow up.
Neurological: Alert and oriented person, place, time, and situation Agitated.
Denies headaches.
Cardiovascular: Reported chest pain described as pressure and tightness that
is unrelieved with rest. Rapid regular rhythm. Normal heart tones. Radial and
pedal pulses 2+. Capillary refill 2 seconds.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout
bilateral lungs.
Gastrointestinal: Within normal limits (WNL).
Genitourinary: WNL.
Musculoskeletal M/MIL
Pain: Reported 7 on a 0 to 10 scale, tightness and pressure in chest. Started
approximately 2 hours ago and got progressively worse, unrelieved by rest.
-Alert and oriented person, place, time, and situation Agitated
-chest pain described as pressure and tightness that is unrelieved with rest
-Reported 7 on a 0 to 10 scale
For each assessment finding, click to specify if the finding is consistent with
angina or myocardial infarction, or both. Each column must have at least one
response option selected.
A. Epigastric distress
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B. Occurring without cause
C. Pain only relieved by opioids
D. Feelings of fear
E. Chest pain radiating down arm
F. Pain relived by nitroglycerin
Angina: Pain relieved by nitro
MI: occurring without cause, pain only relieved by opioids
BOTH: epigastric distress, feelings of fear, chest pain radiating down the arm
Choose the most likely options for the information missing from the statement
by selecting from the lists of options provided.
The nurse determines that the client has (ST elevation myocardial infarction,
new onset angina, Chronic stable angina) as evidenced by ST depression on
electrocardiogram and normal (troponin, prothrombin, INR level.)
The nurse determines that the client has new onset angina as evidenced by ST
depression on electrocardiogram and normal troponin.
Client was admitted to the hospital reporting chest pain. Describes the pain as
sharp and rates the pain 8 on a 0 to 10 scale. Informs the location of the pain is
in the middle of the chest and radiates down the left arm. 12-lead
electrocardiogram (ECG) shows ST segment elevation.
Exhibits
Vitals
Temperature: 98.6° F (37° C) orally
Heart rate: 88 beats/minute
Respirations: 20 breaths/minute
Blood pressure: 148/88 mm Hg
The nurse reviews chart data.
Complete the diagram by dragging from the choices area which potential
condition the client is experiencing, two actions to take, and two parameters
the nurse would monitor.
Actions to Take Choices
Choices
A. Draw laboratory cardiac markers
B. Insert two peripheral IV (PIV) access devices
C. Insert nasogastric tube (NGT) for nutritional intake
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D. Consult nutritionist
E. Begin strict bedrest
Potential Conditions Choices
Choices
A. Reflux
B. Costochondritis
C. Myocardial inf
Actions to take: Draw laboratory cardiac markers and Insert two peripheral IV (PIV)
access devices
Potential conditions: MI
Parameters to monitor: Pain and ECG
A client reports confusion and blurred vision after receiving a dose of
glipizide. Which action should the nurse implement?
A. Measure the client's vital signs.
B. Obtain a fingerstick blood glucose.
C. Perform a neurological exam.
D. Administer glucagon intramuscularly.
Obtain a fingerstick blood glucose.
The nurse is caring for the client the morning after her surgery. Select 5 of the
most important nursing interventions for post op client care.
1. Assess for sedation after pain medications
2. Encourage sitting up and ambulation
3. Use incentive spirometer every 1 hour
4. Complete neurologic assessment every 2 hours
5. Promote adequate hydrations
6. Administer pain medication after activity
7. Monitor for GI bleeding once daily
1. Assess for sedation after pain medications
2. Encourage sitting up and ambulation
3. Use incentive spirometer every 1 hour
5. Promote adequate hydrations
6. Administer pain medication after activity
The nurse is stabilizing the client and preparing her for surgery. What goals
should the nurse prioritize in the care plan for the client while in the
“NAXLEX NURSING HESI REVIEW 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
don't miss any practice revision materials contact me +254111429458
Naxlex nursing hesi review
Which client has the highest risk for developing skin cancer?
A. A 70-year-old fair-skinned client who works as a secretary.
B. A 25-year-old dark-skinned client whose mother had skin cancer.
C. A 65-year-old fair-skinned client who is a construction worker.
D. A 16-year-old dark-skinned client who tans in tanning beds once a week.
C. A 65-year-old fair-skinned client who is a construction worker.
A client with a gram positive bacterial skin infection is receiving daptomycin
500 mg IV every 24 hours. The pharmacy delivers a secondary infusion of 0.9%
sodium chloride with daptomycin 500 mg/100 mL to be infused in 30 minutes.
How many mL/hour should the nurse program the infusion pump? (Enter the
numerical value only.)
200ml/hr
A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a
, Page 2 of 67
person who was a casual acquaintance. Which action should the nurse
implement?
A. Assess for perineal itching, erythema, and excoriation.
B. Obtain a specimen of urethral drainage for culture.
C. Observe the perineal area for a chancroid-like lesion.
D. Identify all sexual partners in the last four days.
B. Obtain a specimen of urethral drainage for culture.
When explaining dietary guidelines to a client with acute glomerulonephritis
(AGN), which instruction should the nurse include in the dietary teaching?
A. Select a protein-rich food daily.
B. Eat high-potassium foods.
C. Avoid foods high in carbohydrates.
D. Restrict sodium intake.
D. Restrict sodium intake.
Click to highlight the findings that require follow up.
Neurological: Alert and oriented person, place, time, and situation Agitated.
Denies headaches.
Cardiovascular: Reported chest pain described as pressure and tightness that
is unrelieved with rest. Rapid regular rhythm. Normal heart tones. Radial and
pedal pulses 2+. Capillary refill 2 seconds.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout
bilateral lungs.
Gastrointestinal: Within normal limits (WNL).
Genitourinary: WNL.
Musculoskeletal M/MIL
Pain: Reported 7 on a 0 to 10 scale, tightness and pressure in chest. Started
approximately 2 hours ago and got progressively worse, unrelieved by rest.
-Alert and oriented person, place, time, and situation Agitated
-chest pain described as pressure and tightness that is unrelieved with rest
-Reported 7 on a 0 to 10 scale
For each assessment finding, click to specify if the finding is consistent with
angina or myocardial infarction, or both. Each column must have at least one
response option selected.
A. Epigastric distress
, Page 3 of 67
B. Occurring without cause
C. Pain only relieved by opioids
D. Feelings of fear
E. Chest pain radiating down arm
F. Pain relived by nitroglycerin
Angina: Pain relieved by nitro
MI: occurring without cause, pain only relieved by opioids
BOTH: epigastric distress, feelings of fear, chest pain radiating down the arm
Choose the most likely options for the information missing from the statement
by selecting from the lists of options provided.
The nurse determines that the client has (ST elevation myocardial infarction,
new onset angina, Chronic stable angina) as evidenced by ST depression on
electrocardiogram and normal (troponin, prothrombin, INR level.)
The nurse determines that the client has new onset angina as evidenced by ST
depression on electrocardiogram and normal troponin.
Client was admitted to the hospital reporting chest pain. Describes the pain as
sharp and rates the pain 8 on a 0 to 10 scale. Informs the location of the pain is
in the middle of the chest and radiates down the left arm. 12-lead
electrocardiogram (ECG) shows ST segment elevation.
Exhibits
Vitals
Temperature: 98.6° F (37° C) orally
Heart rate: 88 beats/minute
Respirations: 20 breaths/minute
Blood pressure: 148/88 mm Hg
The nurse reviews chart data.
Complete the diagram by dragging from the choices area which potential
condition the client is experiencing, two actions to take, and two parameters
the nurse would monitor.
Actions to Take Choices
Choices
A. Draw laboratory cardiac markers
B. Insert two peripheral IV (PIV) access devices
C. Insert nasogastric tube (NGT) for nutritional intake
, Page 4 of 67
D. Consult nutritionist
E. Begin strict bedrest
Potential Conditions Choices
Choices
A. Reflux
B. Costochondritis
C. Myocardial inf
Actions to take: Draw laboratory cardiac markers and Insert two peripheral IV (PIV)
access devices
Potential conditions: MI
Parameters to monitor: Pain and ECG
A client reports confusion and blurred vision after receiving a dose of
glipizide. Which action should the nurse implement?
A. Measure the client's vital signs.
B. Obtain a fingerstick blood glucose.
C. Perform a neurological exam.
D. Administer glucagon intramuscularly.
Obtain a fingerstick blood glucose.
The nurse is caring for the client the morning after her surgery. Select 5 of the
most important nursing interventions for post op client care.
1. Assess for sedation after pain medications
2. Encourage sitting up and ambulation
3. Use incentive spirometer every 1 hour
4. Complete neurologic assessment every 2 hours
5. Promote adequate hydrations
6. Administer pain medication after activity
7. Monitor for GI bleeding once daily
1. Assess for sedation after pain medications
2. Encourage sitting up and ambulation
3. Use incentive spirometer every 1 hour
5. Promote adequate hydrations
6. Administer pain medication after activity
The nurse is stabilizing the client and preparing her for surgery. What goals
should the nurse prioritize in the care plan for the client while in the
