HESI RN EXIT Comprehensive V3 Exam
Comprehensive Exam 3A, Comprehensive Exam 3B,
Comprehensive Exam 3C, Comprehensive Exam 3D
1. to avoid a false positive result for fecal occult blood in stool specimen,
thenurse should instruct client to avoid ingestion of which substances
prior to collecting a sample?
Answer: fish, beef, vit c, ibuprofen
2. The nurse manager is developing a plan to increase the local
population'sutilization of a new community-based public clinic. Which
approach should the nurse utilize to obtain the most impact on
developing a collaborative partnership with the community?
Answer: Conduct a focus group in community to gatherdata on culturally
significant needs
Nursing's unique role in improving community health relies on an approach
basedon knowledge of the community's diversities and specific needs, which
is obtained through relationships with leaders and members of the
community.
,3. The nurse instills an atropine ophthalmic solution into both eyes for a
client who is having a routine eye exam. Which side effects should the
nurse tell theclient to anticipate?
Answer: Blurred vision
atropine ophthalmic solution is used during eye exams to dilate the pupil
(mydriasis) and paralyze the ciliary muscle (cycloplegic refraction) which
prevents accommoda-tion and causes blurred vision
4. A client is using an otic solution, hydrocortisone and polymyxin B
(Otobioticotic), for external otitis media. Which therapeutic response
should the nurse tell the client to expect?
Answer: Decreases inflammation and pain
The otic preparation of polymyxin B and hycrocortisone is a combo
antibiotic andcorticosteroid used to reduce imflammation and control pain.
5. the nurse is providing tracheostomy care for a client who has
encrusted secretions inside the inner cannula. Which solution should
the nurse use toremove the debris?
,Answer: hydrogen peroxide
an oxidizing antiseptic is used as a cleAnswer: ing agent to loosen dried
secretions thatcollect on the inner cannula and around the tracheostomy
stoma.
6. The nurse is reviewing the lab results of an older client who is
admitted to a medical unit, Which serum chemistry values should the
nurse recognize asmost commonly affected by the aging process?
Answer: Calcium, potassium, sodium
7. An 11-year-old boy with oppositional defiant disorder becomes angry
anddefiant over the rules of the day treatment mental health program.
Which response by the nurse is the most effective way to defuse the
situation?
Answer: Tellthe child to go to the gym to play basketball
, Redirecting the expression of feelings into nondestructive, age-appropriate
behav-iors, such as a physical activity, helps a child learn how to moderate
the expressionof feelings and exert self-control. The least restrictive
alternative should be imple- mented before resorting to more restrictive
measures
8. A male client with degenerative arthritis of the knees and hips takes an
OTCNSAID for pain. During a routine clinic visit, the client tells the
nurse, "For the past month I've been having a lot of trouble sleeping. I
can't seem to fall asleep, and when I finally do get sleep, I find that I
wake up a number of timesduring the night." Which info should the nurse
obtain first?
Answer: How intense doesthe client rate his pain on a scale of 1-10?
A client with degenerative arthritis may have sleep disturbances related to
chronicpain, so the client's pain intensity should be determined.
9. An adolescent who lost fifty pounds during the past 3 mo is
hospitalized. during the admission assessment, the client complains of
dry skin, poor skinturgor, hair breakage, brittle nails, and a history of
menstrual cycle problems.Which finding is most important for the nurse
to obtain additional assessmentinfo?
Comprehensive Exam 3A, Comprehensive Exam 3B,
Comprehensive Exam 3C, Comprehensive Exam 3D
1. to avoid a false positive result for fecal occult blood in stool specimen,
thenurse should instruct client to avoid ingestion of which substances
prior to collecting a sample?
Answer: fish, beef, vit c, ibuprofen
2. The nurse manager is developing a plan to increase the local
population'sutilization of a new community-based public clinic. Which
approach should the nurse utilize to obtain the most impact on
developing a collaborative partnership with the community?
Answer: Conduct a focus group in community to gatherdata on culturally
significant needs
Nursing's unique role in improving community health relies on an approach
basedon knowledge of the community's diversities and specific needs, which
is obtained through relationships with leaders and members of the
community.
,3. The nurse instills an atropine ophthalmic solution into both eyes for a
client who is having a routine eye exam. Which side effects should the
nurse tell theclient to anticipate?
Answer: Blurred vision
atropine ophthalmic solution is used during eye exams to dilate the pupil
(mydriasis) and paralyze the ciliary muscle (cycloplegic refraction) which
prevents accommoda-tion and causes blurred vision
4. A client is using an otic solution, hydrocortisone and polymyxin B
(Otobioticotic), for external otitis media. Which therapeutic response
should the nurse tell the client to expect?
Answer: Decreases inflammation and pain
The otic preparation of polymyxin B and hycrocortisone is a combo
antibiotic andcorticosteroid used to reduce imflammation and control pain.
5. the nurse is providing tracheostomy care for a client who has
encrusted secretions inside the inner cannula. Which solution should
the nurse use toremove the debris?
,Answer: hydrogen peroxide
an oxidizing antiseptic is used as a cleAnswer: ing agent to loosen dried
secretions thatcollect on the inner cannula and around the tracheostomy
stoma.
6. The nurse is reviewing the lab results of an older client who is
admitted to a medical unit, Which serum chemistry values should the
nurse recognize asmost commonly affected by the aging process?
Answer: Calcium, potassium, sodium
7. An 11-year-old boy with oppositional defiant disorder becomes angry
anddefiant over the rules of the day treatment mental health program.
Which response by the nurse is the most effective way to defuse the
situation?
Answer: Tellthe child to go to the gym to play basketball
, Redirecting the expression of feelings into nondestructive, age-appropriate
behav-iors, such as a physical activity, helps a child learn how to moderate
the expressionof feelings and exert self-control. The least restrictive
alternative should be imple- mented before resorting to more restrictive
measures
8. A male client with degenerative arthritis of the knees and hips takes an
OTCNSAID for pain. During a routine clinic visit, the client tells the
nurse, "For the past month I've been having a lot of trouble sleeping. I
can't seem to fall asleep, and when I finally do get sleep, I find that I
wake up a number of timesduring the night." Which info should the nurse
obtain first?
Answer: How intense doesthe client rate his pain on a scale of 1-10?
A client with degenerative arthritis may have sleep disturbances related to
chronicpain, so the client's pain intensity should be determined.
9. An adolescent who lost fifty pounds during the past 3 mo is
hospitalized. during the admission assessment, the client complains of
dry skin, poor skinturgor, hair breakage, brittle nails, and a history of
menstrual cycle problems.Which finding is most important for the nurse
to obtain additional assessmentinfo?
