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`tha
t`the`PCA`containing`morphine`be`continued`for`one`more`day`due`to`fear`of`pain.`Which`interven
tion`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`bus
`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`father
,`"This`is`your`fault!`It`never`would`have`happened`if`we`had`sought`treatment`sooner!"`Which`int
ervention`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`ca
rdiac`monitor`displays`a`normal`sinus`rhythm`(NSR),`but`he`has`no`spontaneous`respirations`and
`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`(T
ENS)`unit.`After`the`nurse`applies`the`electrodes`and`turns`on`the`power,`the`client`reports`feeli
ng`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`nurs
e-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`diar
rhea.
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`tha
t`the`PCA`containing`morphine`be`continued`for`one`more`day`due`to`fear`of`pain.`Which`interven
tion`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`bus
`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`father
,`"This`is`your`fault!`It`never`would`have`happened`if`we`had`sought`treatment`sooner!"`Which`int
ervention`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`ca
rdiac`monitor`displays`a`normal`sinus`rhythm`(NSR),`but`he`has`no`spontaneous`respirations`and
`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`(T
ENS)`unit.`After`the`nurse`applies`the`electrodes`and`turns`on`the`power,`the`client`reports`feeli
ng`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`nurs
e-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`diar
rhea.
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]
