HESI Next Generation Practice Exam

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