HESI Next Generation Practice Exam

These questions are part of the practice quiz. Start practicing

• If 3/5 of a number is 21, what is the number?
• Interpret the arterial blood gas with pH 7.42, PaCO2 50 mmHg, HCO3- 30 mEq/L. How should this be interpreted?
• During preoperative assessment for a 5'5", 200-pound patient, which question is most important to include?
• Which capitalization is correct for a date?
• Convert 500 milliliters to liters.
• Which statement describes periodic trends across a period on the periodic table?
• Which data source is most appropriate to understand long-term population growth and aging for planning health services?
• The nurse's instructions were so _______, that the patient could follow them easily.
• What is the mean of the values 2, 4, 6, and 8?
• Which sentence is a fragment?
• When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action will the nurse implement first?
• A male client is in the emergency department after a motorcycle crash and will not wear a helmet. Which response should the nurse provide?
• Which sentence demonstrates correct introductory phrase comma usage?
• Which sentence uses capitalization correctly?
• Which statement about the sugar components of DNA and RNA is true?
• A 70-year-old man is convalescing at home after a hip replacement. Which aging-related physical change contributes to the risk of developing decubitus ulcers?
• At the time of the first dressing change, the client refuses to look at her mastectomy incision. The nurse tells the client that the incision is healing well, but the client refuses to talk about it. What would be an appropriate response to this client's silence?
• What is a primary goal of public health nursing?
• The root 'nephro-' means which body part?
• A patient with dementia experiences confusion related to relocation; which statement best reflects this risk?
• For a patient with hyperglycemic hyperosmolar syndrome who is being infused with insulin at 0.1 unit/kg/hour with a current glucose of 670 mg/dL, which intervention should the nurse perform during this infusion?
• A critically ill patient with sepsis has ABG results showing pH 7.60, PaCO2 25 mmHg, HCO3 24 mEq/L, and PaO2 24 mmHg. Which assessment finding warrants immediate intervention?
• A terrorist attack occurred and several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients?
• Which sentence demonstrates correct subject-verb agreement?
• If a character in a story keeps glancing at the clock and tapping the desk, what can you infer about their state?
• Which example should be identified as a significant outcome for the Leading Health Indicators of Healthy People 2020?
• In a toxin exposure where there is no readily available antidote, what is the priority intervention?
• The rate of a chemical reaction increases with temperature primarily because:
• If the ratio of apples to oranges is 3:2 and you have 9 apples, how many oranges do you have?
• During bolus enteral feeding via a gastrostomy tube, which position is best for administration to minimize aspiration risk?
• Which statement best describes the mitochondrion's role in the cell?
• Which tissue type lines body surfaces and cavities and often protects underlying tissues?
• The nurse administers DTaP vaccine to an infant. Which level of prevention is this?
• Which strategy should the nurse address first to improve immunization rates in immigrant communities?
• Which sugar is found in RNA?
• Which word is most nearly a synonym for meticulous in professional writing?
• Which term describes the study of kidney diseases?
• In planning home health care for a client with Parkinson's disease, what should be the primary focus of care?
• What is the purpose of starting a passage with a surprising fact?
• Which meal demonstrates understanding of a low-sodium diet?
• During triage after a stab wound, which organs are at increased risk for injury?
• A male client removes the covering from an ice pack applied to his knee. What should the nurse do first?
• The nurse is planning a community-based project to reduce obesity in school-aged population. Which outcome statement best supports the goal for this population?
• The nurse is teaching about risks of cardiovascular disease. Several clients ask the nurse to determine the risk. What client should the nurse identify as having the greatest risk for cardiovascular disease?
• Which sentence is the most concise and clear?
• Which presentation indicates an infectious disease acquired through indirect transmission?
• After accepting a position as a school nurse, what strategy is best for the nurse to use to provide an overview of understanding the student body?
• Which chamber pumps oxygenated blood to the systemic circulation?
• Which factor most directly improves access to healthcare for immigrant populations with limited English proficiency?
• An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus enteral feedings through a gastrostomy tube. What is the best client position for administration of the bolus tube feedings?
• In the sentence 'The pharmacist dispensed an ______ for the patient's pain.'
• The patient who is postoperative and silent about the incision: which response is most appropriate?
• Add 1/3 and 1/6. What is the sum?
• For a patient with type 1 diabetes mellitus whose blood glucose continues to rise, which clinical manifestation is most important to report to the provider?
• Which organ system is primarily involved in delivering oxygen to tissues and removing carbon dioxide from the body?
• In syndrome of inappropriate antidiuretic hormone (SIADH) with a serum sodium of 112 mEq/L, which protocol prescription should the nurse implement first?
• A Vietnamese child with round swellings on the back after rubbing the edge of a coin on oiled skin; the nurse identifies the behavior is prompted by which cultural belief?
• In a cross between two heterozygous tall plants (Tt x Tt), what percentage of offspring will be tall?
• What is the most reliable method to confirm nasogastric tube placement after insertion?
• In planning care for a home health client with Parkinson's disease, which nursing diagnosis takes priority?
• In planning home health visits for a recently discharged patient, which scheduling practice is recommended?
• A young woman asks a public health nurse about Hepatitis B exposure risk after her friend was diagnosed. Which question is most important to ask this woman?
• In discharge planning for an elderly, recently widowed female client after a mild stroke, which referral is most important to arrange?
• A medication requires 2 mg per kilogram of body weight. How many milligrams should be administered to a 70 kg patient?
• Which statement defines SMART objectives?
• Which sentence demonstrates parallel structure in a list of actions?
• When assisting an 82-year-old client to ambulate, the center of gravity is in the
• During an initial clinic visit for a client who wants to confirm pregnancy, the client's last child has low birth weight. Which additional finding is most important to consider?
• For a patient with suspected sepsis or severe infection, which diagnostic test should be obtained first?
• In the sentence 'The policy was enacted to mitigate risk,' what does mitigate most nearly mean?
• The home health nurse planning a visit should implement which action?
• In planning secondary prevention for a community clinic serving mainly migrant families, which activity should be a priority?
• Which item would be appropriate for inclusion about the clinic's patient population?
• If 4 moles of hydrogen gas react with excess oxygen, how many moles of water are produced?
• Attendance at a community health clinic is rising and clients have long waits for service. The charge nurse believes that a computer system would be helpful in decreasing the time needed to conduct intake and exit processing. What is the best way for the nurse to introduce the idea of obtaining a computer system for the clinic?
• In a patient with diabetes insipidus, what is the most important reason to monitor serum sodium?
• While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing’s paradigm?
• The primary muscle responsible for inspiration during quiet breathing is the:
• A client with chronic renal failure selects scrambled eggs for breakfast. What action should the nurse take?
• In a patient approaching the end of life, which information should the nurse provide to facilitate the process?
• Which scenario represents tertiary prevention in a community setting?
• Which option is a sentence fragment?
• Which word describes an action that reduces risk?
• Choose the sentence that uses pronouns correctly to refer to the antecedent "the nurse and her patients."
• The nurse is teaching a client with numerous allergies how to avoid allergens. Which instruction should be included in this teaching plan?
• Which action should the nurse implement first when a desired outcome is not achieved in a care plan?
• In a motor-vehicle collision with left-sided thoracic pain and abdominal tenderness and signs of shock, which potential injuries should triage staff assess?
• Add 0.4 and 0.75. What is the sum?
• Choose the word that is most nearly a synonym for meticulous.
• Three days post-surgery, the ostomy stoma appears larger due to swelling. Which statement best describes why this occurs?
• Data obtained from which resources should be helpful to the nurse in developing a community healthcare plan for this community?
• Compared to a neutral solution, a solution with a pH of 3 is:
• In developing a plan of care for a client with dementia, which statement about elderly confusion is most accurate?
• A solution with a pH of 7 is considered
• Which sentence uses the word 'sharp' correctly to describe the time?
• Which combination of signs comprises Beck's triad associated with cardiac tamponade?
• A patient presents with fever, productive cough, edema, and hypotension. Which diagnostic procedure should be performed first?
• The multidisciplinary home healthcare team is discussing a female client diagnosed with Parkinson's disease. The home health care nurse reports the client is getting worst and her husband is no longer able to care for her in the home. Which action should the nurse implement first?
• Read the passage about pollinators. Based on the passage, which statement best explains the role of bees in plant reproduction?
• Which organelle is primarily responsible for energy production in the cell?
• Which chamber of the heart receives oxygenated blood from the lungs?
• The part of a neuron that receives signals from other neurons is called:
• In cellular respiration, which molecule serves as the final electron acceptor in the mitochondria?
• During photosynthesis, which gas is released as a byproduct?
• Which data type best demonstrates trends in disease incidence in the community?
• A patient with an intracranial hemorrhage is being treated with cisatracurium to induce paralysis. Which intervention should the nurse implement during this pharmacological paralysis?
• Postoperative thyroidectomy: if the patient suddenly becomes short of breath and develops stridor, what action should the nurse implement first?
• What is 25 percent of 200?
• Which topic belongs in a primary prevention class for adolescents?
• The arterial blood gas results pH 7.60, PaCO2 25 mmHg, HCO3 24 mEq/L indicate which acid-base disturbance?
• Which topic should the nurse include in planning a primary prevention class for adolescents?
• Which service is most important to include regarding an older adult post-stroke discharge to support independence?
• Which statement about the clinic's client population is most accurate for planning care?
• The nurse is evaluating client learning about a low sodium diet. Selection of which meal demonstrates understanding?
• Three days after surgery, a male client with a colostomy expresses concern about the stoma size; which response is best?
• A patient with dementia asks for reassurance about the stoma after surgery; which approach best supports concerns?
• A writer begins a passage with a surprising fact to engage readers. What is the author's likely purpose?
• In a neutralization reaction, the common products are:
• An infant abuse suspicion: which action is best for the community health nurse to take?
• A patient returns to the ICU after a permanent pacemaker was inserted. Which finding should the nurse observe for during the immediate hours after insertion?
• If a car travels at 60 kilometers per hour for 2.5 hours, how many kilometers will it travel?
• During transcription, the genetic information from DNA is copied into which molecule?
• Which type of bond involves the transfer of electrons from one atom to another?
• Given the reaction 2 H2 + O2 → 2 H2O, if 2 moles of H2 react with excess O2, how many moles of water are produced?
• Read the passage about decomposers. What is the main idea of the sentence?
• A solution with a pH of 2 is considered:
• The prefix 'nephro-' is commonly used in which medical specialty?
• Which organ system is primarily responsible for transporting nutrients, gases, and wastes through the body?
• Which sentence uses an apostrophe to show possession correctly?
• In a patient with pituitary tumor and diabetes insipidus, which finding indicates seizure precautions are needed?
• Which interventions should the public health nurse implement when addressing one of the Leading Health Indicators of Healthy People 2020?
• Which instruction should be included in a teaching plan to avoid allergens?
• A nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent immigrants from Africa. What problem should the nurse address first?
• Choose the sentence with correct subject-verb agreement when the subject is a collective noun.
• Which is a SMART objective for a community smoking cessation initiative?
• An IV solution contains 100 mL of fluid to be administered at 5 mL per hour. How many hours will it take to administer the full volume?
• The discussion notes how renewable energy sources reduce greenhouse gas emissions. What is the main idea?
• A 73 year old client had a hemiarthroplasty to the left hip yesterday due to a fracture resulting in a fall. What nursing interventions could help?
• In telemetry for a patient with a pacemaker, a pacing spike confirms that the device attempted to pace the heart. Which statement best describes this concept?
• Where should the scopolamine patch be placed?
• Which sentence uses commas correctly?
• When asked to develop interventions to combat obesity among children, the community health nurse should stress the importance of implementing which activity?
• During Nasogastric tube attached to low suction, patient reports nausea and there has been no drainage for two hours. What action should be taken first?
• In diabetes insipidus, which electrolyte abnormality is most associated with seizures?
• In a negative feedback loop, what happens when a body parameter deviates from its set point?
• A male client reports a non-painful, solid testicular mass found during self-examination. What instruction should the nurse give?
• Lillian Wald was a significant person in the history of American nursing. Which contribution is most closely associated with her work?
• A 73 year old client had a hemiarthroplasty to the left hip yesterday due to a fracture resulting in a fall. What nursing intervention could help prevent dislocation?
• Which snack food is best for a client with myasthenia gravis who is at risk for altered nutritional status?
• Convert 150 centimeters to meters.
• Which sentence uses apostrophes correctly?
• Which molecule carries genetic information from DNA to the ribosome for protein synthesis?
• Which health condition is identified with the 20-year trend in the US due to rapid urban industrial workforce expansion?
• Which statement is correct about DNA and RNA?
• The nurse is planning ambulation for an elderly client; where should the center of gravity be considered to optimize balance?
• In the stab wound scenario, which combination of organs is most at risk for injury?
• Which health condition is identified with both asthma and lung cancer as associated with urban industrial workforce expansion?
• Interpret the arterial blood gas with pH 7.52, PaCO2 30 mmHg, HCO3- 28 mEq/L. How should this be interpreted?
• In a patient with chronic kidney disease on strict fluid restriction, which assessment finding requires additional nursing action?
• In status epilepticus, which medication should the nurse administer immediately?
• Compute 0.75 + 0.20.
• Which action is most important for the nurse to implement when donning sterile gloves?
• When performing sterile gloving, which statement is correct?
• During the initial morning assessment, a male client denies dysuria but reports that his urine appears dark amber. Which intervention should the nurse implement?
• Which organ is primarily responsible for nutrient absorption and water reabsorption?
• Which aging-related change most contributes to the risk of pressure ulcers?
• Solve for x: 2x + 6 = 14.
• Which word means the opposite of 'benevolent'?
• A college student asks about scopolamine for motion sickness. When should the prescription patch be applied?
• Choose the word that is the antonym of 'critical' in a clinical context.
• The nucleus of an atom contains which particles?
• In planning a secondary prevention project for a local retirement community, which topic should be included?
• What is 3/4 of 60?
• A patient with a demand pacemaker has telemetry showing a pacing spike with no corresponding QRS complex, and the myocardium elicits a QRS after a delay of several seconds. What interpretation should the nurse conclude?
• What is the best approach when introducing a new school health program to a diverse student population?
• A 12-year-old female presents with signs such as protruding eyes, a staring expression, increased restlessness, and difficulty sitting still. What action should the nurse take first?
• A nurse working in a community health setting is performing primary health screenings. Which individual is at highest risk for contracting an HIV infection?
• In evaluating risk for low birth weight during initial pregnancy history, which demographic factor is noted?
• In a cross between two heterozygous tall plants (Tt x Tt), what is the probability of offspring being short (tt)?
• Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube?