HESI RN EXIT
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This/Document/contains:/
1000+/Questions/with/Correct/Answers
Passing/Score/Guarantee/
multiple-choice/format/(A,/B,/C,/D)/with/correct/answers
structured/rationales./
Next/Generation/NCLEX/(NGN)-style./
Some/questions/feature/“case/scenarios”/
Select/All/That/Apply/(SATA),/ordering,/fill-in-the-blank/for/dosage
,On/the/second/postoperative/day,/a/client/who/had/a/colon/resection/is/starting/to/eat/and/ambul
ate/with/assistance./Although/the/client/has/a/prescription/for/an/oral/analgesic,/they/request/th
at/the/PCA/containing/morphine/be/continued/for/one/more/day/due/to/fear/of/pain./Which/interv
ention/is/most/important/for/the/nurse/to/implement?
A./Measure/urinary/output/to/ensure/renal/functioning.
B./Administer/the/oral/analgesic/medication/an/hour/before/discontinuing/the/PCA/pump.
C./Monitor/for/a/depressed/respiratory/rate.
D./Teach/about/the/need/to/progress/to/a/high-fiber/diet./
Correct/Answer:
/B./Administer/the/oral/analgesic/medication/an/hour/before/discontinuing/the/PCA/pump.
The/nurse/is/triaging/several/children/as/they/present/to/the/emergency/room/after/a/school/bu
s/accident./Which/child/requires/the/most/immediate/intervention/by/the/nurse?
A./A/12-year-old/reporting/neck,/arm,/and/lower/back/discomfort.
B./An/8-year-old/with/a/full/leg/air/splint/for/a/possible/broken/tibia.
C./A/6-year-old/with/multiple/superficial/lacerations/of/all/extremities.
D./An/11-year-old/with/a/headache,/nausea,/and/projectile/vomiting./
Correct/Answer:
/D./An/11-year-old/with/a/headache,/nausea,/and/projectile/vomiting.
When/the/parents/of/a/6-year-
old/boy/with/a/brain/tumor/are/told/that/his/condition/is/terminal,/the/mother/shouts/at/the/fathe
r,/"This/is/your/fault!/It/never/would/have/happened/if/we/had/sought/treatment/sooner!"/Which/i
ntervention/is/best/for/the/nurse/to/implement?
A./Refer/the/parents/to/the/chaplain/to/provide/grief/counseling.
B./Tell/the/parents/that/blaming/each/other/will/not/change/the/situation
C./Assure/the/parents/that/a/terminal/diagnosis/is/inevitable.
,D./Explain/to/the/parents /that/anger/is/a/common/response/to/grief./
Correct/Answer:
/D./Explain/to/the/parents /that/anger/is/a/common/response/to/grief.
When/the/nurse/enters/the/room/of/a/male/client/who/was/admitted/for/a/fractured/femur,/his/c
ardiac/monitor/displays/a/normal/sinus/rhythm/(NSR),/but/he/has/no/spontaneous/respirations/a
nd/his/carotid/pulse/is/not/palpable./Which/intervention/should/the/nurse/implement?
A./Observe/for/swelling/at/the/fracture/site.
B./Analyze/the/cardiac/rhythm/in/another/lead.
C./Obtain/a/12-lead/electrocardiogram.
D./Begin/chest/compressions/at/100/minute./
Correct/Answer:
/D./Begin/chest/compressions /at/100/minute.
A/client/with/persistent/low/back/pain/has/received/a/prescription/for/an/electronic/stimulator/(
TENS)/unit./After/the/nurse/applies/the/electrodes/and/turns/on/the/power,/the/client/reports/fee
ling/a/tingling/sensation./How/should/the/nurse/respond?
A./Remove/electrodes/and/observe/for/skin/redness.
B./Decrease/the/strength/of/the/electrical/signals.
C./Check/the/amount/of/gel/coating/on/the/electrodes.
D./Determine/if/the/sensation/feels/uncomfortable./
Correct/Answer:
/D./Determine/if/the/sensation/feels /uncomfortable.
The/nurse/implements/a/primary/prevention/program/for/sexually/transmitted/diseases/in/a/nur
se-managed/health/center./Which/outcome/Indicates/that/the/program/was/effective?
A./New/screening/protocols/were/developed,/validated,/and/implemented.
, B./Clients/who/incurred/disease/complications /promptly/received/rehabilitation.
C./Average/client/scores/improved/on/specific/risk/factor/knowledge/tests.
D./More/than/half/of/at-risk/clients/were/diagnosed/early/in/their/disease/process./
Correct/Answer:
/C./Average/client/scores /improved/on/specific/risk/factor/knowledge/tests.
An/older/client/is/admitted/to/the/intensive/care/unit/unconscious/after/several/days/of/vomiting/and/dia
rrhea.
Vital/Signs
Heart/Rate-beats/minute-/110/Respirations/-/breathes/minute-/28/Blood/Pressure/-/mmHG-/80/60
Arterial/blood/gases/(ABGs)
Ph-/7.34
PaCO2-/34/mmHg
HCO3-/20/mmol/L
pO2-/90/mmHg
Electrolytes/Results
Sodium
130/mEq/L(mmol/L)/Potassium
2.5/mEq/L/(mmol/L)/Chloride
95/mEq/L/(mmol/L)
Reference/Range:
Sodium/[136/to/145/mEq/L/(136/to/145/mmol/L)]
Potassium/[3.5/to/5/mEq/L/(3.5/to/5/mmol/L)]
Chloride/[98/to/106/mEq/L/(98/to/106/mmol/L)]
PaCO2/[35/to/45/mm/Hg]
1000+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This/Document/contains:/
1000+/Questions/with/Correct/Answers
Passing/Score/Guarantee/
multiple-choice/format/(A,/B,/C,/D)/with/correct/answers
structured/rationales./
Next/Generation/NCLEX/(NGN)-style./
Some/questions/feature/“case/scenarios”/
Select/All/That/Apply/(SATA),/ordering,/fill-in-the-blank/for/dosage
,On/the/second/postoperative/day,/a/client/who/had/a/colon/resection/is/starting/to/eat/and/ambul
ate/with/assistance./Although/the/client/has/a/prescription/for/an/oral/analgesic,/they/request/th
at/the/PCA/containing/morphine/be/continued/for/one/more/day/due/to/fear/of/pain./Which/interv
ention/is/most/important/for/the/nurse/to/implement?
A./Measure/urinary/output/to/ensure/renal/functioning.
B./Administer/the/oral/analgesic/medication/an/hour/before/discontinuing/the/PCA/pump.
C./Monitor/for/a/depressed/respiratory/rate.
D./Teach/about/the/need/to/progress/to/a/high-fiber/diet./
Correct/Answer:
/B./Administer/the/oral/analgesic/medication/an/hour/before/discontinuing/the/PCA/pump.
The/nurse/is/triaging/several/children/as/they/present/to/the/emergency/room/after/a/school/bu
s/accident./Which/child/requires/the/most/immediate/intervention/by/the/nurse?
A./A/12-year-old/reporting/neck,/arm,/and/lower/back/discomfort.
B./An/8-year-old/with/a/full/leg/air/splint/for/a/possible/broken/tibia.
C./A/6-year-old/with/multiple/superficial/lacerations/of/all/extremities.
D./An/11-year-old/with/a/headache,/nausea,/and/projectile/vomiting./
Correct/Answer:
/D./An/11-year-old/with/a/headache,/nausea,/and/projectile/vomiting.
When/the/parents/of/a/6-year-
old/boy/with/a/brain/tumor/are/told/that/his/condition/is/terminal,/the/mother/shouts/at/the/fathe
r,/"This/is/your/fault!/It/never/would/have/happened/if/we/had/sought/treatment/sooner!"/Which/i
ntervention/is/best/for/the/nurse/to/implement?
A./Refer/the/parents/to/the/chaplain/to/provide/grief/counseling.
B./Tell/the/parents/that/blaming/each/other/will/not/change/the/situation
C./Assure/the/parents/that/a/terminal/diagnosis/is/inevitable.
,D./Explain/to/the/parents /that/anger/is/a/common/response/to/grief./
Correct/Answer:
/D./Explain/to/the/parents /that/anger/is/a/common/response/to/grief.
When/the/nurse/enters/the/room/of/a/male/client/who/was/admitted/for/a/fractured/femur,/his/c
ardiac/monitor/displays/a/normal/sinus/rhythm/(NSR),/but/he/has/no/spontaneous/respirations/a
nd/his/carotid/pulse/is/not/palpable./Which/intervention/should/the/nurse/implement?
A./Observe/for/swelling/at/the/fracture/site.
B./Analyze/the/cardiac/rhythm/in/another/lead.
C./Obtain/a/12-lead/electrocardiogram.
D./Begin/chest/compressions/at/100/minute./
Correct/Answer:
/D./Begin/chest/compressions /at/100/minute.
A/client/with/persistent/low/back/pain/has/received/a/prescription/for/an/electronic/stimulator/(
TENS)/unit./After/the/nurse/applies/the/electrodes/and/turns/on/the/power,/the/client/reports/fee
ling/a/tingling/sensation./How/should/the/nurse/respond?
A./Remove/electrodes/and/observe/for/skin/redness.
B./Decrease/the/strength/of/the/electrical/signals.
C./Check/the/amount/of/gel/coating/on/the/electrodes.
D./Determine/if/the/sensation/feels/uncomfortable./
Correct/Answer:
/D./Determine/if/the/sensation/feels /uncomfortable.
The/nurse/implements/a/primary/prevention/program/for/sexually/transmitted/diseases/in/a/nur
se-managed/health/center./Which/outcome/Indicates/that/the/program/was/effective?
A./New/screening/protocols/were/developed,/validated,/and/implemented.
, B./Clients/who/incurred/disease/complications /promptly/received/rehabilitation.
C./Average/client/scores/improved/on/specific/risk/factor/knowledge/tests.
D./More/than/half/of/at-risk/clients/were/diagnosed/early/in/their/disease/process./
Correct/Answer:
/C./Average/client/scores /improved/on/specific/risk/factor/knowledge/tests.
An/older/client/is/admitted/to/the/intensive/care/unit/unconscious/after/several/days/of/vomiting/and/dia
rrhea.
Vital/Signs
Heart/Rate-beats/minute-/110/Respirations/-/breathes/minute-/28/Blood/Pressure/-/mmHG-/80/60
Arterial/blood/gases/(ABGs)
Ph-/7.34
PaCO2-/34/mmHg
HCO3-/20/mmol/L
pO2-/90/mmHg
Electrolytes/Results
Sodium
130/mEq/L(mmol/L)/Potassium
2.5/mEq/L/(mmol/L)/Chloride
95/mEq/L/(mmol/L)
Reference/Range:
Sodium/[136/to/145/mEq/L/(136/to/145/mmol/L)]
Potassium/[3.5/to/5/mEq/L/(3.5/to/5/mmol/L)]
Chloride/[98/to/106/mEq/L/(98/to/106/mmol/L)]
PaCO2/[35/to/45/mm/Hg]
