Duke University School of Nursing Free HESI Practice Exam 2025: 70 Updated Questions with Correct Answers and Review Guide for Nursing Student Success

• Includes 70 updated practice questions with correct answers.
• Covers essential topics: clinical assessment, pharmacology, and patient care.
• Provides a review guide to reinforce key nursing concepts.
• Features realistic scenarios to support practical learning.
• Aligned with Duke University School of Nursing’s curriculum standards.
• Supports HESI and NCLEX-RN preparation with focused remediation tools.
• Offers insights into the 2025 HESI Exam format.

Preview

Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. – – correct ans- -Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet
and progresses upwards. As the condition progresses, the nurse must ensure that the
client is able to breathe effectively.
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and redness.
Express the discharge to determine color. – – correct ans- -Collect a culture of the penile
discharge.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of these
symptoms. The cause must be determined or confirmed through culture to identify the
organism and ensure effective treatment.
A client with history of atrial fibrillation is admitted to the telemetry unit with sudden
onset of shortness of breath. The nurse observes a new irregular heart rhythm and
should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit. – – correct ans- -Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs of
atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.