HESI RN EMERGENCY NURSING ACCURATE
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A client arrives to the emergency department
with sudden onset of severe chest pain
radiating to the left arm. Which intervention
should the nurse perform first?
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead electrocardiogram
C. Draw serum cardiac biomarkers
, D. Administer chewable aspirin
Rationale: For a client presenting with
suspected acute coronary syndrome, obtaining
a 12-lead ECG within 10 minutes of arrival is
the priority to identify ST-segment elevation
myocardial infarction and determine the need
for immediate reperfusion therapy.
2. The nurse is triaging four clients. Which client
should be seen first?
A. A 45-year-old with a fractured wrist and pain
rating of 7 out of 10
B. A 22-year-old with a laceration to the
forearm with controlled bleeding
C. A 60-year-old with sudden onset of slurred
speech and facial droop
D. A 35-year-old with abdominal pain, nausea,
and vomiting
Rationale: Sudden onset of slurred speech and
facial droop indicate a possible acute stroke.
Time-sensitive interventions such as
thrombolytic therapy must be initiated rapidly,
making this client the highest priority.
,3. A client with an acute asthma exacerbation has
wheezing that becomes absent and a
respiratory rate of 8 breaths per minute. Which
action should the nurse take?
A. Prepare for discharge with inhaler teaching
B. Prepare for immediate endotracheal
intubation
C. Administer an oral corticosteroid
D. Encourage the client to use an incentive
spirometer
Rationale: Absent wheezing with a decreased
respiratory rate in an asthma exacerbation
signals respiratory muscle fatigue and
impending respiratory failure. Immediate
airway management and ventilatory support
are required.
4. A client presents with a penetrating wound to
the chest and decreased breath sounds on the
right side. Which finding would confirm a
tension pneumothorax?
A. Wheezing on the affected side
B. Hypertension and bradycardia
, C. Tracheal deviation away from the affected
side
D. Absence of jugular venous distention
Rationale: Tracheal deviation away from the
affected side occurs in tension pneumothorax
due to accumulation of air under pressure in
the pleural space, shifting mediastinal
structures.
5. The nurse is caring for a client with a suspected
spinal cord injury from a motor vehicle collision.
Which action is essential during the primary
survey?
A. Remove the cervical collar to assess the neck
B. Maintain cervical spine immobilization and
log-roll the client
C. Sit the client upright to facilitate breathing
D. Perform a neurological assessment of deep
tendon reflexes
Rationale: Maintaining cervical spine
immobilization and using log-rolling technique
prevents further spinal cord damage during
assessment and movement.
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A client arrives to the emergency department
with sudden onset of severe chest pain
radiating to the left arm. Which intervention
should the nurse perform first?
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead electrocardiogram
C. Draw serum cardiac biomarkers
, D. Administer chewable aspirin
Rationale: For a client presenting with
suspected acute coronary syndrome, obtaining
a 12-lead ECG within 10 minutes of arrival is
the priority to identify ST-segment elevation
myocardial infarction and determine the need
for immediate reperfusion therapy.
2. The nurse is triaging four clients. Which client
should be seen first?
A. A 45-year-old with a fractured wrist and pain
rating of 7 out of 10
B. A 22-year-old with a laceration to the
forearm with controlled bleeding
C. A 60-year-old with sudden onset of slurred
speech and facial droop
D. A 35-year-old with abdominal pain, nausea,
and vomiting
Rationale: Sudden onset of slurred speech and
facial droop indicate a possible acute stroke.
Time-sensitive interventions such as
thrombolytic therapy must be initiated rapidly,
making this client the highest priority.
,3. A client with an acute asthma exacerbation has
wheezing that becomes absent and a
respiratory rate of 8 breaths per minute. Which
action should the nurse take?
A. Prepare for discharge with inhaler teaching
B. Prepare for immediate endotracheal
intubation
C. Administer an oral corticosteroid
D. Encourage the client to use an incentive
spirometer
Rationale: Absent wheezing with a decreased
respiratory rate in an asthma exacerbation
signals respiratory muscle fatigue and
impending respiratory failure. Immediate
airway management and ventilatory support
are required.
4. A client presents with a penetrating wound to
the chest and decreased breath sounds on the
right side. Which finding would confirm a
tension pneumothorax?
A. Wheezing on the affected side
B. Hypertension and bradycardia
, C. Tracheal deviation away from the affected
side
D. Absence of jugular venous distention
Rationale: Tracheal deviation away from the
affected side occurs in tension pneumothorax
due to accumulation of air under pressure in
the pleural space, shifting mediastinal
structures.
5. The nurse is caring for a client with a suspected
spinal cord injury from a motor vehicle collision.
Which action is essential during the primary
survey?
A. Remove the cervical collar to assess the neck
B. Maintain cervical spine immobilization and
log-roll the client
C. Sit the client upright to facilitate breathing
D. Perform a neurological assessment of deep
tendon reflexes
Rationale: Maintaining cervical spine
immobilization and using log-rolling technique
prevents further spinal cord damage during
assessment and movement.
