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Quizzes > Quizzes for Business > Healthcare

Take the Nursing HESI V1 Practice Quiz Now

Boost Clinical Knowledge Through Targeted Practice Questions

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art promoting a Nursing HESI V1 Practice Quiz

Welcome to this Nursing HESI V1 Practice Quiz designed for nursing students seeking to sharpen their clinical judgment skills. Whether preparing for the HESI exam or solidifying fundamentals, this interactive 15-question assessment offers targeted practice in key areas. You can also explore our Nursing Knowledge Assessment Quiz or dive deeper with the Pharmacology HESI Practice Quiz to reinforce medication concepts. Feel free to customize every question in our editor to suit personal study needs. Ready for more? Check out all our quizzes for continuous learning.

Which personal protective equipment (PPE) is required when caring for a patient with Clostridioides difficile infection?
Face shield
Mask and goggles
N95 respirator
Gown and gloves
Clostridioides difficile spores are spread by contact, so gown and gloves are required to prevent transmission. Masks, respirators, and face shields are not necessary unless there is risk of splashing or airborne pathogens.
A nurse administers IV morphine to a postoperative patient. Which side effect should the nurse anticipate?
Diarrhea
Constipation
Insomnia
Tachycardia
Opioids like morphine commonly slow gastrointestinal motility, leading to constipation. Tachycardia, insomnia, and diarrhea are not typical primary side effects of morphine.
Which value is within the normal range for serum potassium?
3.2 mEq/L
5.5 mEq/L
2.8 mEq/L
4.2 mEq/L
Normal serum potassium ranges from 3.5 to 5.0 mEq/L, so 4.2 mEq/L is within the expected range. Values of 5.5, 3.2, and 2.8 mEq/L represent hyperkalemia or hypokalemia.
A client's heart rate is 102 beats per minute. This value is classified as:
Bradypnea
Tachycardia
Normal
Bradycardia
A heart rate above 100 beats per minute is defined as tachycardia. Bradycardia is below 60, normal is 60 - 100, and bradypnea refers to slow respiratory rate, not heart rate.
At the start of a shift, which patient should the nurse assess first?
A postoperative patient reporting new chest pain
A patient calling for water
A patient due for routine medication administration
A patient requesting assistance to ambulate
New-onset chest pain may indicate a life-threatening cardiac event and requires immediate assessment. Routine medications, ambulation, and water requests are lower priority compared to potential cardiac issues.
When should a nurse draw a peak serum drug level for an antibiotic administered by IV infusion?
Immediately before starting the infusion
30 minutes before the next dose
15 minutes after the infusion begins
30 minutes after the infusion is complete
A peak level is drawn after the infusion ends (usually 30 minutes after completion) to determine maximum serum concentration. Pre-dose levels are troughs, not peaks.
Which clinical finding is most indicative of a deep vein thrombosis (DVT) in a hospitalized patient?
Unilateral calf swelling and tenderness
Bilateral lower leg swelling
Symmetrical calf pain on ambulation
Generalized edema in both feet
A DVT often presents with unilateral calf swelling and tenderness. Bilateral or symmetrical findings more often indicate systemic causes, not a localized thrombus.
Which patient should the nurse assess first during morning rounds?
A patient with a low-grade fever of 100.4°F
A patient scheduled for discharge teaching
A patient with oxygen saturation of 89% and shortness of breath
A patient due for their daily wound dressing change
An oxygen saturation of 89% with shortness of breath indicates potential respiratory compromise and requires immediate attention. Fever, scheduled procedures, and teaching can be addressed afterward.
A serum sodium level of 155 mEq/L indicates which condition?
Hypernatremia
Hyponatremia
Normal sodium level
Euvolemia
Normal sodium ranges from 135 to 145 mEq/L. A value of 155 mEq/L is above normal and defines hypernatremia, which can cause neurologic symptoms.
Which method is most effective for sterilizing surgical instruments?
Autoclave steam under pressure
Chemical wipes
Ultraviolet light exposure
Boiling water for 5 minutes
Autoclaving uses high-pressure saturated steam to achieve sterilization, killing all microorganisms and spores. Boiling, chemical wipes, and UV light do not reliably sterilize instruments.
The nurse must administer 1,000 mL of normal saline over 8 hours using a microdrip set of 20 gtt/mL. What drip rate should the nurse set?
100 gtt/min
42 gtt/min
80 gtt/min
25 gtt/min
Calculate hourly rate: 1,000 mL ÷ 8 hours = 125 mL/hour. Then 125 mL à - 20 gtt/mL ÷ 60 minutes = about 41.7 gtt/min, rounded to 42 gtt/min.
What is an effective time management strategy for completing a multiple-choice nursing exam?
Read all questions fully before answering any
Skip difficult questions and return after completing others
Answer questions in random order without review
Spend equal time on each question regardless of difficulty
Skipping difficult questions and returning later prevents time loss on challenging items and ensures all questions are attempted. This approach maximizes time efficiency.
When administering a subcutaneous insulin injection, at which angle should the nurse insert the needle for an average-size adult?
15 degrees
45 degrees
60 degrees
90 degrees
For subcutaneous injections in an average adult, 45° is standard to ensure the medication enters the fatty tissue. Ninety degrees may risk intramuscular delivery and 15° or 60° are not recommended for subcutaneous insulin.
Which symptom most strongly suggests hypoglycemia in a diabetic patient?
Polydipsia
Dry mouth
Fruity breath odor
Diaphoresis and sweating
Sweating (diaphoresis) is a sympathetic response to hypoglycemia. Fruity breath suggests hyperglycemia with ketoacidosis, whereas polydipsia and dry mouth are more common in hyperglycemia.
An outpatient on warfarin therapy has an INR of 4.5. What is the clinical implication?
Decreased anticoagulant effect
Therapeutic range achieved
Increased risk of bleeding
Increased risk of clot formation
An INR above the typical therapeutic range (2 - 3) indicates excessive anticoagulation, raising the risk of bleeding. It does not imply clotting risk or decreased effect.
Interpret the arterial blood gas (ABG) values: pH 7.25, PaCO2 50 mm Hg, HCO3 - 24 mEq/L.
Respiratory alkalosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
A low pH with elevated PaCO2 and normal bicarbonate indicates respiratory acidosis due to hypoventilation or CO2 retention. Metabolic causes would show altered HCO3 - .
Which postoperative patient should the nurse assess first?
24 hours post-op with chest pain and hypotension
12 hours post-op scheduled for discharge teaching
6 hours post-op receiving patient-controlled analgesia
New post-op admission waiting for transport
Chest pain and hypotension 24 hours post-op suggest possible complications like bleeding or cardiac events and require immediate assessment. Others are lower acuity.
In initiating early sepsis management, which intervention should the nurse perform first?
Measure serum lactate level
Obtain blood cultures before antibiotics
Begin fluid resuscitation
Administer broad-spectrum antibiotics
Blood cultures must be obtained before antibiotic administration to identify causative organisms. While fluids and antibiotics are urgent, cultures come first within the sepsis bundle.
Before administering a dose of vancomycin, which laboratory value is most important for the nurse to review?
Serum creatinine
Peak and trough levels
White blood cell count
Serum albumin
Vancomycin is renally excreted, so checking serum creatinine ensures safe dosing and prevents toxicity. Peak and troughs are monitored but renal function guides initial dosing.
A 3-year-old child has lost 9% of body weight, BUN of 28 mg/dL, and urine specific gravity of 1.030. What is the severity of dehydration?
None
Mild
Moderate
Severe
A weight loss greater than 8%, elevated BUN, and high specific gravity indicate severe dehydration. Moderate is 6 - 8% weight loss, and mild is 3 - 5%.
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Learning Outcomes

  1. Analyse patient scenarios to prioritise nursing interventions accurately.
  2. Apply pharmacology principles to medication administration questions.
  3. Identify signs and symptoms across medical - surgical nursing topics.
  4. Evaluate critical lab values for informed clinical decision-making.
  5. Demonstrate knowledge of infection control and safety protocols.
  6. Master time management strategies for exam-style multiple-choice tests.

Cheat Sheet

  1. Master the "Five Rights" of Medication Administration - Ensuring the right patient, drug, dose, route, and time is like giving your patient the VIP treatment they deserve, preventing errors and boosting their safety. Practice these five pillars daily to build rock-solid medication habits that will impress your clinical instructors. Nurdemy Key Concepts & Practice Questions
  2. Understand Infection Control Protocols - Hand hygiene and the correct use of PPE are your frontline defense against pesky pathogens, keeping both you and your patients safe. Tighten up your infection-control game to prevent the spread of germs in any clinical setting. Examedge HESI Fundamentals Study Guide
  3. Familiarize Yourself with Medical-Surgical Conditions - Spotting patterns in signs and symptoms helps you play detective when diagnosing patients, turning complex cases into clear-cut solutions. Dive into common conditions to expand your clinical intuition and ace those assessment questions. Qwivy Health Assessment PDF
  4. Interpret Critical Lab Values - Knowing if blood glucose or electrolytes hit the danger zone is like having a secret superpower for patient care decisions. Practice reading lab reports so you can confidently call the shots when every number counts. Qwivy Health Assessment PDF
  5. Develop Time Management Strategies - Beat the clock by practicing timed quizzes and learning to flag tough questions for a quick return, keeping panic at bay during exams. Mastering pacing techniques turns exam day stress into a smooth cruise. Examedge HESI Practice Tests
  6. Enhance Your Pharmacology Knowledge - Understanding drug classes, mechanisms, and side effects is like cracking the code to safe and effective medication administration. Build a strong drug library in your mind to reduce errors and boost your confidence. Nurdemy Key Concepts & Practice Questions
  7. Practice Prioritizing Nursing Interventions - Sorting through patient scenarios to pick the most urgent need trains your critical thinking and decision-making muscles. The more you practice, the quicker you'll identify who needs care first in real-life clinical settings. Qwivy Health Assessment PDF
  8. Review Fire Extinguisher Steps - Memorizing "Pull, Aim, Squeeze, Sweep" turns you into an emergency-response pro, ready to tackle small fires before they grow. Adding this to your skillset keeps any clinical area extra safe. Examedge Fire Extinguisher Guide
  9. Engage in Group Study Sessions - Brainstorming with classmates unleashes fresh perspectives on complex topics, making tricky concepts click and boosting memorization. Sharing flashcards and role-playing patient scenarios adds a social twist to your studying. NursingTip HESI Practice Questions
  10. Prioritize Your Physical Health - Adequate rest, balanced nutrition, and regular exercise fuel your brain so you can stay focused and energized for marathon study sessions. Treat your body right to keep stress levels low and exam performance high. NursingTip Self-Care Tips
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