Duke University School of Nursing 2025 HESI Assessment Exam Practice: 100 Comprehensive Review with High-Yield Questions, Rationales, and Test-Taking Strategies for Guaranteed Success

• Includes 100 high-yield questions with detailed rationales and answers.
• Covers critical topics: physical assessment, clinical skills, and patient evaluation.
• Offers test-taking strategies to maximize performance on exam day.
• Features realistic scenarios to enhance clinical understanding.
• Aligned with Duke University School of Nursing’s curriculum standards.
• Supports HESI and NCLEX-RN preparation with targeted remediation tools.
• Provides insights into the 2025 HESI Assessment Exam format.

Preview

1. Cushing Syndrome Clinical Manifestations
Question: A client is admitted with a diagnosis of Cushing syndrome. Which clinical
manifestations should the nurse expect the client to exhibit? Select all that apply.
Choices:
1. Polyuria
2. Weakness ✅
3. Hypertension ✅
4. Truncal obesity ✅
5. Intermittent tonic spasms
Rationale:
• Weakness, hypertension, and truncal obesity are classic signs of Cushing
syndrome due to excess corticosteroids.
• Polyuria and tonic spasms are not typical.
2. Conservation Exercises in a 6-Year-Old
Question: Which conservation exercises should the nurse include in the assessment
process of a child who is 6 years of age? Select all that apply.
Choices:
1. Comparing the mass of two balls ✅
2. Comparing the weight of two balls
3. Comparing the length of pencils ✅
4. Comparing the volume in two cups
5. Comparing the number of marbles ✅
Rationale:
• Conservation tasks involving mass, number, and length are developmentally
appropriate for a 6-year-old, according to Piaget’s concrete operational stage.