NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
NU272 HESI PRACTICE EXAM NEWEST 2025/2026 COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client with acute appendicitis is experiencing anxiety and loss of sleep about
missing final examination week at college. Which outcome is most important for
the nurse to include in the plan of care? - ANSWER-Achieve a sense of control.
-
The experience of psychological discomfort may be as real as physical pain for the
client and should be seen as a priority in care. Because the client is experiencing
anxiety, achieving a sense of control is the overall outcome of this client's nursing
care plan.
The nurse is caring for a client with a small bowel obstruction. The client is
vomiting foul smelling fecal-like material. What action should the nurse
implement? - ANSWER-Give IV fluids with electrolytes.
-
When the bowel is obstructed, electrolytes and fluids are not absorbed, so
parenteral fluids with sodium chloride, bicarbonate, and potassium should be
administered to prevent electrolyte imbalance and dehydration.
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client tells the nurse that he sleeps fine but that his wife moved into
the spare bedroom to sleep when he returned home. He states, "I guess we will
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, NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
never have sex again after this." Which response is best for the nurse to provide? -
ANSWER-Sexual activity is similar in cardiac workload and energy expenditure as
climbing two flights of stairs and may be resumed like other activities.
-
Sexual intercourse after an MI, or acute coronary syndrome, has been found to
require no more energy expenditure or cardiac stress than walking briskly up two
flights of stairs, so if you do not experience shortness of breath or chest
discomfort doing the stairs then you should be okay to resume sexual activity.
A young adult female reports that she is experiencing a lack of appetite,
hypersomnia, stress incontinence, and heart palpitations. Which symptom is
characteristic of premenstrual syndrome? - ANSWER-Heart palpitations.
-
Characteristic features of premenstrual syndrome include heart palpitations,
sleeplessness, increased appetite and food cravings, and oliguria or enuresis.
The nurse assesses a long-term resident of a nursing home and finds the client has
a fungal infection (candidiasis) beneath both breasts. To prevent nosocomial
infection, which protocol should the nurse review with the rest of the staff? -
ANSWER-Wash hands after caring for the client.
-
The organism Candida albicans, that causes this infection, is part of the normal
flora on the skin of most adults. Good handwashing is all that is needed to prevent
nosocomial spread.
2|Page
, NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
A client with acute osteomyelitis has undergone surgical debridement of the
diseased bone and asks the nurse how long will antibiotics have to be
administered. Which information should the nurse communicate? - ANSWER-
Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
-
Treatment of acute osteomyelitis requires administration of high doses of
parenteral antibiotics for 4 to 8 weeks, followed by oral antibiotics for another 4 to
8 weeks.
The healthcare provider prescribes high-protein, high-fat, low-carbohydrate diet
with limited fluids during meals for a client recovering from gastric surgery. The
client asks the nurse what the purpose is for this type of diet. Which rationale
should be included in the nurse's explanation to this client? - ANSWER-It is slow to
leave the stomach.
-
This type of diet is slowly digested and is slow to leave the stomach, thereby the
possibility of dumping syndrome is reduced as a result of its density from proteins
and fats, and the reduction of fluids.
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this device will help him. How should the nurse explain the action of a
synchronous pacemaker? - ANSWER-An electrical stimulus is discharged when no
ventricular response is sensed.
-
3|Page
, NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
The artificial cardiac pacemaker is an electronic device used to pace the heart
when the normal conduction pathway is damaged or diseased, such as a
symptomatic dysrhythmias like atrial fibrillation with a slow ventricular response.
Pacing modes that are synchronous (impulse generated on demand or as needed
according to the patient's intrinsic rhythm) send an electrical signal from the
pacemaker to the wall of the myocardium stimulating it to contract when no
ventricular depolarization is sensed.
The nurse is caring for a client with end stage liver disease who is being assessed
for the presence of asterixis. To assess the client for asterixis, what position should
the nurse ask the client to demonstrate? - ANSWER-Extend the arm, dorsiflex the
wrist, and extend the fingers.
-
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen
frequently in hepatic encephalopathy. The tremor is induced by extending the arm
and dorsiflexing the wrist causing rapid, non-rhythmic extension and flexion of the
wrist while attempting to hold position.
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the
infection to other areas of the client's urinary tract? - ANSWER-Have intercourse
or masturbate at least twice a week.
-
The prostate is not easily penetrated by antibiotics and can serve as a reservoir for
microorganisms, which can infect other areas of the genitourinary tract. Draining
the prostate regularly through intercourse or masturbation decreases the number
of microorganisms present and reduces the risk for further infection from stored
contaminated seminal fluids.
4|Page
NU272 HESI PRACTICE EXAM NEWEST 2025/2026 COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client with acute appendicitis is experiencing anxiety and loss of sleep about
missing final examination week at college. Which outcome is most important for
the nurse to include in the plan of care? - ANSWER-Achieve a sense of control.
-
The experience of psychological discomfort may be as real as physical pain for the
client and should be seen as a priority in care. Because the client is experiencing
anxiety, achieving a sense of control is the overall outcome of this client's nursing
care plan.
The nurse is caring for a client with a small bowel obstruction. The client is
vomiting foul smelling fecal-like material. What action should the nurse
implement? - ANSWER-Give IV fluids with electrolytes.
-
When the bowel is obstructed, electrolytes and fluids are not absorbed, so
parenteral fluids with sodium chloride, bicarbonate, and potassium should be
administered to prevent electrolyte imbalance and dehydration.
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client tells the nurse that he sleeps fine but that his wife moved into
the spare bedroom to sleep when he returned home. He states, "I guess we will
1|Page
, NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
never have sex again after this." Which response is best for the nurse to provide? -
ANSWER-Sexual activity is similar in cardiac workload and energy expenditure as
climbing two flights of stairs and may be resumed like other activities.
-
Sexual intercourse after an MI, or acute coronary syndrome, has been found to
require no more energy expenditure or cardiac stress than walking briskly up two
flights of stairs, so if you do not experience shortness of breath or chest
discomfort doing the stairs then you should be okay to resume sexual activity.
A young adult female reports that she is experiencing a lack of appetite,
hypersomnia, stress incontinence, and heart palpitations. Which symptom is
characteristic of premenstrual syndrome? - ANSWER-Heart palpitations.
-
Characteristic features of premenstrual syndrome include heart palpitations,
sleeplessness, increased appetite and food cravings, and oliguria or enuresis.
The nurse assesses a long-term resident of a nursing home and finds the client has
a fungal infection (candidiasis) beneath both breasts. To prevent nosocomial
infection, which protocol should the nurse review with the rest of the staff? -
ANSWER-Wash hands after caring for the client.
-
The organism Candida albicans, that causes this infection, is part of the normal
flora on the skin of most adults. Good handwashing is all that is needed to prevent
nosocomial spread.
2|Page
, NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
A client with acute osteomyelitis has undergone surgical debridement of the
diseased bone and asks the nurse how long will antibiotics have to be
administered. Which information should the nurse communicate? - ANSWER-
Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
-
Treatment of acute osteomyelitis requires administration of high doses of
parenteral antibiotics for 4 to 8 weeks, followed by oral antibiotics for another 4 to
8 weeks.
The healthcare provider prescribes high-protein, high-fat, low-carbohydrate diet
with limited fluids during meals for a client recovering from gastric surgery. The
client asks the nurse what the purpose is for this type of diet. Which rationale
should be included in the nurse's explanation to this client? - ANSWER-It is slow to
leave the stomach.
-
This type of diet is slowly digested and is slow to leave the stomach, thereby the
possibility of dumping syndrome is reduced as a result of its density from proteins
and fats, and the reduction of fluids.
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this device will help him. How should the nurse explain the action of a
synchronous pacemaker? - ANSWER-An electrical stimulus is discharged when no
ventricular response is sensed.
-
3|Page
, NU272 HESI Practice Exam Newest 2025/2026 Complete Exam
The artificial cardiac pacemaker is an electronic device used to pace the heart
when the normal conduction pathway is damaged or diseased, such as a
symptomatic dysrhythmias like atrial fibrillation with a slow ventricular response.
Pacing modes that are synchronous (impulse generated on demand or as needed
according to the patient's intrinsic rhythm) send an electrical signal from the
pacemaker to the wall of the myocardium stimulating it to contract when no
ventricular depolarization is sensed.
The nurse is caring for a client with end stage liver disease who is being assessed
for the presence of asterixis. To assess the client for asterixis, what position should
the nurse ask the client to demonstrate? - ANSWER-Extend the arm, dorsiflex the
wrist, and extend the fingers.
-
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen
frequently in hepatic encephalopathy. The tremor is induced by extending the arm
and dorsiflexing the wrist causing rapid, non-rhythmic extension and flexion of the
wrist while attempting to hold position.
The nurse is giving discharge instructions to a client with chronic prostatitis. What
instruction should the nurse provide the client to reduce the risk of spreading the
infection to other areas of the client's urinary tract? - ANSWER-Have intercourse
or masturbate at least twice a week.
-
The prostate is not easily penetrated by antibiotics and can serve as a reservoir for
microorganisms, which can infect other areas of the genitourinary tract. Draining
the prostate regularly through intercourse or masturbation decreases the number
of microorganisms present and reduces the risk for further infection from stored
contaminated seminal fluids.
4|Page
