HESI RN Exit Exam 2026/2027 | Nursing Practice
Questions & Verified Answers | Comprehensive
NCLEX-Style Review
1. A client is brought to the emergency department after falling from of a
ladder and is showing signs of confusion and disorientation. The spouse
states theclient appeared to have lost consciousness. The nurse is
provided with a list of current medications and healthcare power of
attorney. When reporting to the healthcare provider using BAR
(Situation, Background, Assessment, Recommendation) communication,
which information should the nurse provide first?Currently prescribed
medications.
Client's healthcare power of attorney.
Increasing confusion of the client.
2. Why is it important to monitor the platelet count in patients receiving
enoxaparin?
Monitoring platelet count is important for determining the
effectiveness of pain management.
Monitoring platelet count is necessary to evaluate the patient's
hydration status.
Monitoring platelet count is crucial to detect heparin-induced
thrombocytopenia, a potential adverse effect of enoxaparin.
Monitoring platelet count helps assess kidney function in patients
on enoxaparin.
3. Describe why bradycardia is a critical sign to monitor in a child taking
propranolol.
Bradycardia indicates a dangerously low heart rate, which can
lead to inadequate blood flow and oxygen delivery.
,Bradycardia is a normal response to medication and does not
require monitoring.
, Bradycardia is a sign of dehydration and should be treated with
fluids.
Bradycardia is unrelated to propranolol and should not be
monitored.
4. A nurse is caring for a patient with Herpes Zoster who reports
increased pain and difficulty moving. Which assessment should the
nurse prioritize to evaluate the effectiveness of the current treatment
plan?
Pain scale.
Functional ability.
Skin integrity.
Nutritional status.
5. Describe how a nurse can assess the effectiveness of a proton pump
inhibitor after administration.
The nurse can assess the effectiveness by evaluating the patient's
respiratory rate.
The nurse can assess the effectiveness by monitoring the
patient's symptoms and checking for a decrease in gastric
acidity.
The nurse can assess the effectiveness by observing the patient's
appetite.
The nurse can assess the effectiveness by measuring the patient's
blood pressure.
6. Describe how furosemide affects patients with heart failure and
respiratory distress.
Furosemide helps alleviate respiratory distress by promoting
diuresis, which reduces fluid accumulation in the lungs.
, Furosemide directly increases heart rate to improve circulation.
Furosemide is used to treat hypertension without affecting fluid
levels.
Furosemide increases blood volume, which can worsen heart
failure.
7. The nurse is evaluating a tertiary prevention program for clients with
cardiovascular disease implemented in a rural health clinic. Which
outcome indicates the program is effective?
At-risk clients received an increased number of routine health
screenings
Client relapse of 30% in a 5-year community-wide anti-smoking
campaign
Clients who incurred disease complications promptly received
rehabilitation
Clients reported having new confidence in making healthy food
choices
8. What is the primary goal of a tertiary prevention program for type 2
diabetes?
To screen for early signs of the disease.
To promote healthy lifestyle changes.
To prevent the onset of the disease.
To manage and reduce complications of the disease.
9. A client has been placed on a high protein diet before and after surgery
to assist with wound healing. Which food choice made by the client
indicates client understanding?
A cup of broccoli and half a cup of rice
Questions & Verified Answers | Comprehensive
NCLEX-Style Review
1. A client is brought to the emergency department after falling from of a
ladder and is showing signs of confusion and disorientation. The spouse
states theclient appeared to have lost consciousness. The nurse is
provided with a list of current medications and healthcare power of
attorney. When reporting to the healthcare provider using BAR
(Situation, Background, Assessment, Recommendation) communication,
which information should the nurse provide first?Currently prescribed
medications.
Client's healthcare power of attorney.
Increasing confusion of the client.
2. Why is it important to monitor the platelet count in patients receiving
enoxaparin?
Monitoring platelet count is important for determining the
effectiveness of pain management.
Monitoring platelet count is necessary to evaluate the patient's
hydration status.
Monitoring platelet count is crucial to detect heparin-induced
thrombocytopenia, a potential adverse effect of enoxaparin.
Monitoring platelet count helps assess kidney function in patients
on enoxaparin.
3. Describe why bradycardia is a critical sign to monitor in a child taking
propranolol.
Bradycardia indicates a dangerously low heart rate, which can
lead to inadequate blood flow and oxygen delivery.
,Bradycardia is a normal response to medication and does not
require monitoring.
, Bradycardia is a sign of dehydration and should be treated with
fluids.
Bradycardia is unrelated to propranolol and should not be
monitored.
4. A nurse is caring for a patient with Herpes Zoster who reports
increased pain and difficulty moving. Which assessment should the
nurse prioritize to evaluate the effectiveness of the current treatment
plan?
Pain scale.
Functional ability.
Skin integrity.
Nutritional status.
5. Describe how a nurse can assess the effectiveness of a proton pump
inhibitor after administration.
The nurse can assess the effectiveness by evaluating the patient's
respiratory rate.
The nurse can assess the effectiveness by monitoring the
patient's symptoms and checking for a decrease in gastric
acidity.
The nurse can assess the effectiveness by observing the patient's
appetite.
The nurse can assess the effectiveness by measuring the patient's
blood pressure.
6. Describe how furosemide affects patients with heart failure and
respiratory distress.
Furosemide helps alleviate respiratory distress by promoting
diuresis, which reduces fluid accumulation in the lungs.
, Furosemide directly increases heart rate to improve circulation.
Furosemide is used to treat hypertension without affecting fluid
levels.
Furosemide increases blood volume, which can worsen heart
failure.
7. The nurse is evaluating a tertiary prevention program for clients with
cardiovascular disease implemented in a rural health clinic. Which
outcome indicates the program is effective?
At-risk clients received an increased number of routine health
screenings
Client relapse of 30% in a 5-year community-wide anti-smoking
campaign
Clients who incurred disease complications promptly received
rehabilitation
Clients reported having new confidence in making healthy food
choices
8. What is the primary goal of a tertiary prevention program for type 2
diabetes?
To screen for early signs of the disease.
To promote healthy lifestyle changes.
To prevent the onset of the disease.
To manage and reduce complications of the disease.
9. A client has been placed on a high protein diet before and after surgery
to assist with wound healing. Which food choice made by the client
indicates client understanding?
A cup of broccoli and half a cup of rice
