HESI Next Generation Practice Exam

These questions are part of the practice quiz. Start practicing

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