NUR 555 HESI REVIEW QUESTIONS
Latest 2026/2027 Study Guide Questions
with Answers and Rationales
Q1. A patient presses the call bell and requests pain medication for a severe
headache. To assess the quality of the patient's pain, which approach should
the nurse use?
A) Observe the patient's facial expression
B) Ask the patient to rate the pain on a scale of 0-10
C) Ask the patient to describe the pain
D) Determine when the pain started
Correct ,,,,answer,,,,: C
Rationale: Assessing pain quality involves having the patient describe
characteristics such as sharp, dull, burning, or stabbing. This subjective data is the
most accurate way to assess pain quality and guide appropriate intervention .
Q2. The nurse is wearing personal protective equipment while caring for a
patient. When exiting the room, which PPE should be removed first?
A) Gown
B) Mask
C) Gloves
D) Goggles
Correct ,,,,answer,,,,: C
,Rationale: Gloves are the most contaminated PPE and should be removed first to
prevent contaminating other PPE. The order for removal is: gloves, goggles/face
shield, gown, then mask .
Q3. An older patient is brought to the ED with a sudden onset of confusion
that occurred after experiencing a fall at home. The daughter, who has power
of attorney, has brought the client's prescriptions. Which information should
the nurse provide first when reporting to the healthcare provider using SBAR
communication?
A) List of current medications
B) Patient's vital signs
C) Increasing confusion of the patient
D) Fall history
Correct ,,,,answer,,,,: C
Rationale: The "S" in SBAR (Situation) should contain the most urgent, current
information. The acute change in mental status (confusion) is the primary concern
requiring immediate attention .
Q4. A patient tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep better. The
patient states that it still is taking hours to fall asleep at night. Which action
should the nurse implement?
A) Suggest taking a sleep aid
B) Ask the patient for a description of the exercise schedule
,C) Recommend increasing exercise intensity
D) Advise the patient to exercise in the morning only
Correct ,,,,answer,,,,: B
Rationale: Exercise too close to bedtime can interfere with sleep. The nurse
should first assess the timing of the patient's exercise routine to determine if it may
be contributing to sleep difficulty .
Q5. Two days prior to discharge from the rehab facility, the nurse is teaching
a patient who is recovering from Guillain-Barré syndrome about home care.
Which actions should the nurse include when providing discharge teaching to
the patient and spouse? (Select all that apply)
A) Review safe transfer strategies
B) Develop a nutritional plan
C) Help identify community support
D) Instruct on medication administration only
Correct ,,,,answer,,,,: A, B, C
Rationale: Comprehensive discharge teaching for a patient with Guillain-Barré
syndrome should include safe transfer strategies to prevent falls, nutritional
planning to support recovery, and community resources for ongoing support. All
these contribute to safe transition home .
, Q6. The nurse implements a tertiary prevention program for type 2 diabetes
in a rural health clinic. Which outcome indicates that the program was
effective?
A) Patients maintain normal blood glucose levels
B) Patients with disease complications promptly received rehabilitation
C) Patients attend regular screening appointments
D) Patients report increased knowledge of diabetes
Correct ,,,,answer,,,,: B
Rationale: Tertiary prevention focuses on reducing complications and restoring
function in patients who already have a disease. Prompt rehabilitation for those
with complications is the defining outcome of tertiary prevention .
Q7. The nurse has received funding to design a health promotion project for
African American women who are at risk for developing breast cancer.
Which resource is most important in designing this program?
A) Published research articles
B) Participation of community leaders in planning the program
C) Standardized educational materials
D) Grants from national organizations
Correct ,,,,answer,,,,: B
Rationale: Community leaders have cultural insight and trust within the
community. Their participation ensures cultural relevance and increases the
likelihood of program acceptance and success .
Latest 2026/2027 Study Guide Questions
with Answers and Rationales
Q1. A patient presses the call bell and requests pain medication for a severe
headache. To assess the quality of the patient's pain, which approach should
the nurse use?
A) Observe the patient's facial expression
B) Ask the patient to rate the pain on a scale of 0-10
C) Ask the patient to describe the pain
D) Determine when the pain started
Correct ,,,,answer,,,,: C
Rationale: Assessing pain quality involves having the patient describe
characteristics such as sharp, dull, burning, or stabbing. This subjective data is the
most accurate way to assess pain quality and guide appropriate intervention .
Q2. The nurse is wearing personal protective equipment while caring for a
patient. When exiting the room, which PPE should be removed first?
A) Gown
B) Mask
C) Gloves
D) Goggles
Correct ,,,,answer,,,,: C
,Rationale: Gloves are the most contaminated PPE and should be removed first to
prevent contaminating other PPE. The order for removal is: gloves, goggles/face
shield, gown, then mask .
Q3. An older patient is brought to the ED with a sudden onset of confusion
that occurred after experiencing a fall at home. The daughter, who has power
of attorney, has brought the client's prescriptions. Which information should
the nurse provide first when reporting to the healthcare provider using SBAR
communication?
A) List of current medications
B) Patient's vital signs
C) Increasing confusion of the patient
D) Fall history
Correct ,,,,answer,,,,: C
Rationale: The "S" in SBAR (Situation) should contain the most urgent, current
information. The acute change in mental status (confusion) is the primary concern
requiring immediate attention .
Q4. A patient tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep better. The
patient states that it still is taking hours to fall asleep at night. Which action
should the nurse implement?
A) Suggest taking a sleep aid
B) Ask the patient for a description of the exercise schedule
,C) Recommend increasing exercise intensity
D) Advise the patient to exercise in the morning only
Correct ,,,,answer,,,,: B
Rationale: Exercise too close to bedtime can interfere with sleep. The nurse
should first assess the timing of the patient's exercise routine to determine if it may
be contributing to sleep difficulty .
Q5. Two days prior to discharge from the rehab facility, the nurse is teaching
a patient who is recovering from Guillain-Barré syndrome about home care.
Which actions should the nurse include when providing discharge teaching to
the patient and spouse? (Select all that apply)
A) Review safe transfer strategies
B) Develop a nutritional plan
C) Help identify community support
D) Instruct on medication administration only
Correct ,,,,answer,,,,: A, B, C
Rationale: Comprehensive discharge teaching for a patient with Guillain-Barré
syndrome should include safe transfer strategies to prevent falls, nutritional
planning to support recovery, and community resources for ongoing support. All
these contribute to safe transition home .
, Q6. The nurse implements a tertiary prevention program for type 2 diabetes
in a rural health clinic. Which outcome indicates that the program was
effective?
A) Patients maintain normal blood glucose levels
B) Patients with disease complications promptly received rehabilitation
C) Patients attend regular screening appointments
D) Patients report increased knowledge of diabetes
Correct ,,,,answer,,,,: B
Rationale: Tertiary prevention focuses on reducing complications and restoring
function in patients who already have a disease. Prompt rehabilitation for those
with complications is the defining outcome of tertiary prevention .
Q7. The nurse has received funding to design a health promotion project for
African American women who are at risk for developing breast cancer.
Which resource is most important in designing this program?
A) Published research articles
B) Participation of community leaders in planning the program
C) Standardized educational materials
D) Grants from national organizations
Correct ,,,,answer,,,,: B
Rationale: Community leaders have cultural insight and trust within the
community. Their participation ensures cultural relevance and increases the
likelihood of program acceptance and success .
