HERZING UNIVERSITY HESI RN EXIT 2026
REVISION NOTES AND STRUCTURED NCLEX
STYLE OVERVIEW GUIDE
◉ Which information is most important for the nurse to obtain
when determining a client's risk for obstructive sleep apnea
syndrome (OSAS)?
A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness Answer: A. Body mass index
◉ The nurse is caring for a client who is entering the second stage of
labor. Which action should the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery Answer: C.
Convey to the client that birth is imminent
◉ A nurse determines that more than 25% of the students at a
middle school are overweight. The nurse presents the information at
,a parent-teacher meeting. What action is most important for the
nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with
obesity
C. Distribute a shopping list of suggested healthy snack ideas
D. Determine the parents' degree of concern Answer: A. Provide
information on ways to increase activity for the family
◉ The nurse is assigning rooms for four clients, each newly
diagnosed, and being admitted to the acute neuro unit for treatment.
The client with which condition should be assigned the only private
room available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess Answer: A. Bacterial meningitis
◉ A male client on the psychiatric unit is making sexual advances
towards a female nurse. Which action should this nurse implement
first?
A. Document as specifically as possible the client's behavior in the
nurse's notes
,B. Discuss with the client why he is making sexual advances toward
the nurse
C. Tell the client in a matter-of-fact manner to stop the sexual
advances
D. Request an immediate team meeting to discuss the inappropriate
behavior Answer: C. Tell the client in a matter-of-fact manner to stop
the sexual advances
◉ After several months of chronic fatigue, morning stiffness, and
joint pain, a young adult is diagnosed with rheumatoid arthritis, and
the healthcare provider prescribes prednisone. Which education
should the nurse provide the client with regard to taking
prednisone?
A. Take prednisone doses before meals on an empty stomach
B. Wear sunglasses when exposed to bring sunlight
C. If sequential doses are missed, notify the healthcare provider
D. Schedule a monthly laboratory visit for a complete blood count
Answer: C. If sequential doses are missed, notify the healthcare
provider
◉ The nurse is caring for four clients. Client A, who has emphysema
and whose oxygen saturation is 94%; Client B, with a postoperative
hemoglobin of 8.2 mg/dL; Client C, newly admitted with a potassium
level of 3.8 mEq/L; and Client D, scheduled for an appendectomy
who has a white blood cell count of 14,000 mm3. Which intervention
should the nurse implement?
, A. Move Client D into an isolation room 24 hours before surgery
B. Increase Client A's oxygen to 4 liters a minute per cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available Answer:
D. Verify that Client B has two units of packed cells available
◉ Which laboratory results should the nurse closely monitor in a
client who has end-stage renal disease (ESRD)?
A. Leukocytes, neutrophils, and thyroxine
B. Serum potassium, calcium, and phosphorus
C. Blood pressure, heart rate, and temperatue
D. Erythrocytes, hemoglobin, and hematocrit Answer: B. Serum
potassium, calcium, and phosphorus
◉ The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the nurse's immediate action?
A. A 16-year-old client diagnosed with major depression who
refuses to participate in group
B. A 14-year-old with anorexia nervosa who is refusing to eat the
evening snack
C. An 18-year-old client with antisocial behavior who is being yelled
at by other clients
REVISION NOTES AND STRUCTURED NCLEX
STYLE OVERVIEW GUIDE
◉ Which information is most important for the nurse to obtain
when determining a client's risk for obstructive sleep apnea
syndrome (OSAS)?
A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness Answer: A. Body mass index
◉ The nurse is caring for a client who is entering the second stage of
labor. Which action should the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery Answer: C.
Convey to the client that birth is imminent
◉ A nurse determines that more than 25% of the students at a
middle school are overweight. The nurse presents the information at
,a parent-teacher meeting. What action is most important for the
nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with
obesity
C. Distribute a shopping list of suggested healthy snack ideas
D. Determine the parents' degree of concern Answer: A. Provide
information on ways to increase activity for the family
◉ The nurse is assigning rooms for four clients, each newly
diagnosed, and being admitted to the acute neuro unit for treatment.
The client with which condition should be assigned the only private
room available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess Answer: A. Bacterial meningitis
◉ A male client on the psychiatric unit is making sexual advances
towards a female nurse. Which action should this nurse implement
first?
A. Document as specifically as possible the client's behavior in the
nurse's notes
,B. Discuss with the client why he is making sexual advances toward
the nurse
C. Tell the client in a matter-of-fact manner to stop the sexual
advances
D. Request an immediate team meeting to discuss the inappropriate
behavior Answer: C. Tell the client in a matter-of-fact manner to stop
the sexual advances
◉ After several months of chronic fatigue, morning stiffness, and
joint pain, a young adult is diagnosed with rheumatoid arthritis, and
the healthcare provider prescribes prednisone. Which education
should the nurse provide the client with regard to taking
prednisone?
A. Take prednisone doses before meals on an empty stomach
B. Wear sunglasses when exposed to bring sunlight
C. If sequential doses are missed, notify the healthcare provider
D. Schedule a monthly laboratory visit for a complete blood count
Answer: C. If sequential doses are missed, notify the healthcare
provider
◉ The nurse is caring for four clients. Client A, who has emphysema
and whose oxygen saturation is 94%; Client B, with a postoperative
hemoglobin of 8.2 mg/dL; Client C, newly admitted with a potassium
level of 3.8 mEq/L; and Client D, scheduled for an appendectomy
who has a white blood cell count of 14,000 mm3. Which intervention
should the nurse implement?
, A. Move Client D into an isolation room 24 hours before surgery
B. Increase Client A's oxygen to 4 liters a minute per cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available Answer:
D. Verify that Client B has two units of packed cells available
◉ Which laboratory results should the nurse closely monitor in a
client who has end-stage renal disease (ESRD)?
A. Leukocytes, neutrophils, and thyroxine
B. Serum potassium, calcium, and phosphorus
C. Blood pressure, heart rate, and temperatue
D. Erythrocytes, hemoglobin, and hematocrit Answer: B. Serum
potassium, calcium, and phosphorus
◉ The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the nurse's immediate action?
A. A 16-year-old client diagnosed with major depression who
refuses to participate in group
B. A 14-year-old with anorexia nervosa who is refusing to eat the
evening snack
C. An 18-year-old client with antisocial behavior who is being yelled
at by other clients
