HERZING UNIVERSITY HESI RN EXIT 2026
PRACTICE TEST QUESTIONS AND DETAILED
PRIORITIZATION DELEGATION AND CLINICAL
JUDGMENT BREAKDOWN FULL REVIEW
◉ A male client tells the nurse that he is concerned that he may have
a stomach ulcer, because he is experiencing heartburn and dull
gnawing pain that is relieved when he eats. Which is the best
response by the nurse?
A. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since
ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms Answer: A. Encourage
the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
◉ A male client with stomach cancer returns to the unit following a
total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hr IV. One hour after
admission to the unit, the nurse notes 300mL of blood in the suction
,canister, the client's heart rate is 155 beats/minute, and his blood
pressure is 78/48 mmHg. In addition to reporting the findings to the
surgeon, which action should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution Answer: D.
Increase the infusion rate of Lactated Ringer's solution
◉ A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the nurse
calculates the infusion rate for the heparin solution as 18
units/kg/hour. The available solution is Heparin Sodium 25,000
Units in 5% Dextrose Injection 250 mL. The nurse should program
the infusion pump to deliver how many mL/hour? Answer: -1st:
calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
◉ An adult male who fell 20 feet from the roof of his home has
multiple injuries, including a right pneumothorax. Chest tubes were
inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). The nurse notes that the suction control
,chamber is bubbling at the -10cm H2O mark, which fluctuation in
the water seal, and over the past hour 75 mL of bright red blood is
measured in the collection chamber. Which intervention should the
nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal
Answer: A. Add sterile water to the suction control chamber
◉ An adult male was diagnosed with stage IV lung cancer three
weeks ago. His wife approaches the nurse and asks how she will
know that her husband's death is imminent because their two adult
children want to be there when he dies. Which is the best response
by the nurse?
A. Gather information regarding how long it will take for the
children to arrive
B. Explain that the client will start to lose consciousness and the
body systems will slow down
C. Reassure the spouse that the healthcare provider will notify when
to call the children
D. Offer to discuss the client's health status with each of the adult
children Answer: B. Explain that the client will start to lose
consciousness and the body systems will slow down
, ◉ The charge nurse of a critical care unit is informed at the
beginning of the shift that less than the optimal number of
registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter
who is experiencing nausea and vomiting due to electrolyte
disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy
who has a peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who
is receiving oxygen via nasal cannula and has a saline-locked
peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-
fractured femur who has a Foley catheter and soft wrist restraints
applied Answer: D. An 82-year-old client with Alzheimer's disease
and a newly-fractured femur who has a Foley catheter and soft wrist
restraints applied
◉ The nurse is preparing a dose of 60 mcg of teriparatide. The
medication is labeled "750 mcg/2.4mL". How many mL should the
nurse administer? Round to nearest tenth. Answer: 0.2 mL
◉ In caring for a client with Cushing's Syndrome, which serum
laboratory value is most important for the nurse to monitor?
A. Creatinine
PRACTICE TEST QUESTIONS AND DETAILED
PRIORITIZATION DELEGATION AND CLINICAL
JUDGMENT BREAKDOWN FULL REVIEW
◉ A male client tells the nurse that he is concerned that he may have
a stomach ulcer, because he is experiencing heartburn and dull
gnawing pain that is relieved when he eats. Which is the best
response by the nurse?
A. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since
ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms Answer: A. Encourage
the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
◉ A male client with stomach cancer returns to the unit following a
total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hr IV. One hour after
admission to the unit, the nurse notes 300mL of blood in the suction
,canister, the client's heart rate is 155 beats/minute, and his blood
pressure is 78/48 mmHg. In addition to reporting the findings to the
surgeon, which action should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution Answer: D.
Increase the infusion rate of Lactated Ringer's solution
◉ A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the nurse
calculates the infusion rate for the heparin solution as 18
units/kg/hour. The available solution is Heparin Sodium 25,000
Units in 5% Dextrose Injection 250 mL. The nurse should program
the infusion pump to deliver how many mL/hour? Answer: -1st:
calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
◉ An adult male who fell 20 feet from the roof of his home has
multiple injuries, including a right pneumothorax. Chest tubes were
inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). The nurse notes that the suction control
,chamber is bubbling at the -10cm H2O mark, which fluctuation in
the water seal, and over the past hour 75 mL of bright red blood is
measured in the collection chamber. Which intervention should the
nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal
Answer: A. Add sterile water to the suction control chamber
◉ An adult male was diagnosed with stage IV lung cancer three
weeks ago. His wife approaches the nurse and asks how she will
know that her husband's death is imminent because their two adult
children want to be there when he dies. Which is the best response
by the nurse?
A. Gather information regarding how long it will take for the
children to arrive
B. Explain that the client will start to lose consciousness and the
body systems will slow down
C. Reassure the spouse that the healthcare provider will notify when
to call the children
D. Offer to discuss the client's health status with each of the adult
children Answer: B. Explain that the client will start to lose
consciousness and the body systems will slow down
, ◉ The charge nurse of a critical care unit is informed at the
beginning of the shift that less than the optimal number of
registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter
who is experiencing nausea and vomiting due to electrolyte
disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy
who has a peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who
is receiving oxygen via nasal cannula and has a saline-locked
peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-
fractured femur who has a Foley catheter and soft wrist restraints
applied Answer: D. An 82-year-old client with Alzheimer's disease
and a newly-fractured femur who has a Foley catheter and soft wrist
restraints applied
◉ The nurse is preparing a dose of 60 mcg of teriparatide. The
medication is labeled "750 mcg/2.4mL". How many mL should the
nurse administer? Round to nearest tenth. Answer: 0.2 mL
◉ In caring for a client with Cushing's Syndrome, which serum
laboratory value is most important for the nurse to monitor?
A. Creatinine
