RN HESI EXIT EXAM VERSION 1 (V1) ALL 160
COMPREHENSIVE EXAM SCRIPT 2026 SOLVED
QUESTIONS FULL SOLUTION
◉ A client with type 2 diabetes mellitus arrives to the clinic
reporting episodes of weakness and palpitations. Which finding
should the nurse identify may indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness. Answer: B. Fingertips feel numb
◉ An older client is brought to the ED with a sudden onset of
confusion that occurred after experiencing a fall at home. The
client's daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first
when reporting to the healthcare provider using SBAR
communication?
A. currently prescribed medications
B. Client's healthcare power of attorney
C. Increasing confusion of the client
D. Fall at home as reason for admission. Answer: C. Increasing
confusion of the client
,◉ The nurse identifies an electrolyte imbalance, a weight gain of
4.4lbs (2kg) in 24 hours and an elevated central venous pressure for
a client with full thickness burns. Which intervention should the
nurse implement?
A. Auscultate for irregular heart rate
B. Review arterial blood gases results
C. Measure ankle circumference
D. Document abdominal girth. Answer: A. Auscultate for irregular
heart rate
◉ The nurse is caring for a group of clients with the help of a
practical nurse (PN). Which nursing actions should the nurse assign
to the PN? (Select all that apply)
A. Administer a dose of insulin per sliding scale for a client with
Type 2 DM
B. Start the second blood transfusion for a client 12 hours following
a BKA
C. Initiate patient controlled analgesia (PCA) pumps for two clients
immediately postoperatively
D. Perform daily surgical dressing change for a client who had an
abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following
unilateral knee arthroplasty. Answer: A. Administer a dose of insulin
per sliding scale for a client with Type 2 DM
,D. Perform daily surgical dressing change for a client who had an
abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following
unilateral knee arthroplasty
◉ The nurse is teaching a group of women about osteoporosis and
exercise. The nurse should emphasize the need for which type of
regular activity?
A. Core strengthening
B. Aerobic exercise
C. Weight-bearing exercise
D. Muscle stretching and toning. Answer: B. Aerobic exercise
◉ A client is scheduled for a spiral computed tomography (CT) scan
with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow-up by the nurse?
A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago
C. Report of client's sobriety for the last 5 years
D. Takes metformin for type 2 diabetes mellitus. Answer: D. Takes
metformin for type 2 diabetes mellitus
◉ A client with type 2 diabetes mellitus is admitted for frequent
hyperglycemic episodes and a glycosylated hemoglobin (A1C) of
, 10%. Insulin glargine 10 units subcutaneously once a day at bedtime
and a sliding scale of insulin aspart every 6h are prescribed. What
actions should the nurse include in this client's plan of care? (Select
all that apply)
A. Do not contaminate the insulin aspart so that it is available for IV
use
B. Review with the client proper foot care and prevention of injury
C. Teach subcutaneous injection technique, site rotation, and insulin
management
D. Coordinate carbohydrate controlled meals at consistent times and
intervals.
E. Mix bedtime dose of insulin glargine with insulin aspart sliding
scale dose
F. Fingerstick glucose assessments every 6h with meals. Answer: B.
Review with client proper foot care and prevention of injury
C. Teach subcutaneous injection technique, site rotation, and insulin
management
D. Coordinate carbohydrate controlled meals at consistent times and
intervals
F. Fingerstick glucose assessments every 6h with meals
◉ The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the nurse's immediate attention?
A. A 14yo client with anorexia nervosa who is refusing to eat the
evening snack
COMPREHENSIVE EXAM SCRIPT 2026 SOLVED
QUESTIONS FULL SOLUTION
◉ A client with type 2 diabetes mellitus arrives to the clinic
reporting episodes of weakness and palpitations. Which finding
should the nurse identify may indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness. Answer: B. Fingertips feel numb
◉ An older client is brought to the ED with a sudden onset of
confusion that occurred after experiencing a fall at home. The
client's daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first
when reporting to the healthcare provider using SBAR
communication?
A. currently prescribed medications
B. Client's healthcare power of attorney
C. Increasing confusion of the client
D. Fall at home as reason for admission. Answer: C. Increasing
confusion of the client
,◉ The nurse identifies an electrolyte imbalance, a weight gain of
4.4lbs (2kg) in 24 hours and an elevated central venous pressure for
a client with full thickness burns. Which intervention should the
nurse implement?
A. Auscultate for irregular heart rate
B. Review arterial blood gases results
C. Measure ankle circumference
D. Document abdominal girth. Answer: A. Auscultate for irregular
heart rate
◉ The nurse is caring for a group of clients with the help of a
practical nurse (PN). Which nursing actions should the nurse assign
to the PN? (Select all that apply)
A. Administer a dose of insulin per sliding scale for a client with
Type 2 DM
B. Start the second blood transfusion for a client 12 hours following
a BKA
C. Initiate patient controlled analgesia (PCA) pumps for two clients
immediately postoperatively
D. Perform daily surgical dressing change for a client who had an
abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following
unilateral knee arthroplasty. Answer: A. Administer a dose of insulin
per sliding scale for a client with Type 2 DM
,D. Perform daily surgical dressing change for a client who had an
abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following
unilateral knee arthroplasty
◉ The nurse is teaching a group of women about osteoporosis and
exercise. The nurse should emphasize the need for which type of
regular activity?
A. Core strengthening
B. Aerobic exercise
C. Weight-bearing exercise
D. Muscle stretching and toning. Answer: B. Aerobic exercise
◉ A client is scheduled for a spiral computed tomography (CT) scan
with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow-up by the nurse?
A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago
C. Report of client's sobriety for the last 5 years
D. Takes metformin for type 2 diabetes mellitus. Answer: D. Takes
metformin for type 2 diabetes mellitus
◉ A client with type 2 diabetes mellitus is admitted for frequent
hyperglycemic episodes and a glycosylated hemoglobin (A1C) of
, 10%. Insulin glargine 10 units subcutaneously once a day at bedtime
and a sliding scale of insulin aspart every 6h are prescribed. What
actions should the nurse include in this client's plan of care? (Select
all that apply)
A. Do not contaminate the insulin aspart so that it is available for IV
use
B. Review with the client proper foot care and prevention of injury
C. Teach subcutaneous injection technique, site rotation, and insulin
management
D. Coordinate carbohydrate controlled meals at consistent times and
intervals.
E. Mix bedtime dose of insulin glargine with insulin aspart sliding
scale dose
F. Fingerstick glucose assessments every 6h with meals. Answer: B.
Review with client proper foot care and prevention of injury
C. Teach subcutaneous injection technique, site rotation, and insulin
management
D. Coordinate carbohydrate controlled meals at consistent times and
intervals
F. Fingerstick glucose assessments every 6h with meals
◉ The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the nurse's immediate attention?
A. A 14yo client with anorexia nervosa who is refusing to eat the
evening snack
