EXIT HESI Comprehensive B Evolve Practice
Questions/EXIT HESI Comprehensive B Evolve
Practice LATEST (2026/2027) ACCURATE
QUESTIONS AND ANSWERS (VERIFIED
ANSWERS) WITH EXPERT RATIONALES |
100% GUARANTEED PASS
{JUST RELEASED}
1. The nurse is caring for a client with a cerebrovascular accident (CVA)
who is receiving enteral tube feedings. Which task performed by the UAP
requires immediate intervention by the nurse?
A.Suctions oral secretions from mouth
B.Positions head of bed flat when changing sheets
C.Takes temperature using the axillary method
D.Keeps head of bed elevated at 30 degrees - ANSWER ✓ B
Expert Rationale:
Positioning the head of the bed flat when enteral feedings are in progress
puts the client at risk for aspiration (B). The others are all acceptable
tasks performed by the UAP (A, C, and D).
,2. When caring for a postsurgical client who has undergone multiple blood
transfusions, which serum laboratory finding is of most concern to the
nurse?
A.Sodium level, 137 mEq/L
B.Potassium level, 5.5 mEq/L
C.Blood urea nitrogen (BUN) level, 18 mg/dL
D.Calcium level, 10 mEq/L - ANSWER ✓ B
Expert Rationale:
Multiple blood transfusions are a risk factor for hyperkalemia. A serum
potassium level higher than 5.0 mEq/L indicates hyperkalemia (B). The
others are normal findings (A, C, and D).
3. Which vaccination should the nurse administer to a newborn?
A.Hepatitis B
B.Human papilloma virus (HPV)
C.Varicella
D.Meningococcal vaccine - ANSWER ✓ A
Expert Rationale:
, The hepatitis B vaccination should be given to all newborns before
hospital discharge (A). HPV is not recommended until adolescence (B).
Varicella immunization begins at 12 months (C). Meningococcal vaccine
is administered beginning at 2 years (D).
4. The nurse is caring for a client on the medical unit. Which task can be
delegated to unlicensed assistive personnel (UAP)?
A.Assess the need to change a central line dressing.
B.Obtain a fingerstick blood glucose level.
C.Answer a family member's questions about the client's plan of care.
D.Teach the client side effects to report related to the current medication
regimen. - ANSWER ✓ B
Expert Rationale:
Obtaining a fingerstick blood glucose level is a simple treatment and is
an appropriate skill for UAP to perform (B). (A, C, and D) are skills that
cannot be delegated to UAP.
5. The nurse is caring for a client with an ischemic stroke who has a
prescription for tissue plasminogen activator (t-PA) IV. Which action(s)
should the nurse expect to implement? (Select all that apply.)
A.Administer aspirin with tissue plasminogen activator (t-PA).
B.Complete the National Institute of Health Stroke Scale (NIHSS).
, C.Assess the client for signs of bleeding during and after the infusion.
D.Start t-PA within 6 hours after the onset of stroke symptoms.
E.Initiate multidisciplinary consult for potential rehabilitation. -
ANSWER ✓ B,C,E
Expert Rationale:
Neurologic assessment, including the NIHSS, is indicated for the client
receiving t-PA. This includes close monitoring for bleeding during and
after the infusion; if bleeding or other signs of neurologic impairment
occur, the infusion should be stopped (B, C, and E). Aspirin is
contraindicated with t-PA because it increases the risk for bleeding (A).
The administration of t-PA within 6 hours of symptoms is concurrent
with a diagnosis of a myocardial infarction and within 4.5 hours of
symptoms is concurrent for a stroke (D).
6. When caring for a client in labor, which finding is most important to
report to the primary health care provider?
A.Maternal heart rate, 90 beats/min.
B.Fetal heart rate, 100 beats/min
C.Maternal blood pressure, 140/86 mm Hg
D.Maternal temperature, 100.0° F - ANSWER ✓ B
Expert Rationale:
Questions/EXIT HESI Comprehensive B Evolve
Practice LATEST (2026/2027) ACCURATE
QUESTIONS AND ANSWERS (VERIFIED
ANSWERS) WITH EXPERT RATIONALES |
100% GUARANTEED PASS
{JUST RELEASED}
1. The nurse is caring for a client with a cerebrovascular accident (CVA)
who is receiving enteral tube feedings. Which task performed by the UAP
requires immediate intervention by the nurse?
A.Suctions oral secretions from mouth
B.Positions head of bed flat when changing sheets
C.Takes temperature using the axillary method
D.Keeps head of bed elevated at 30 degrees - ANSWER ✓ B
Expert Rationale:
Positioning the head of the bed flat when enteral feedings are in progress
puts the client at risk for aspiration (B). The others are all acceptable
tasks performed by the UAP (A, C, and D).
,2. When caring for a postsurgical client who has undergone multiple blood
transfusions, which serum laboratory finding is of most concern to the
nurse?
A.Sodium level, 137 mEq/L
B.Potassium level, 5.5 mEq/L
C.Blood urea nitrogen (BUN) level, 18 mg/dL
D.Calcium level, 10 mEq/L - ANSWER ✓ B
Expert Rationale:
Multiple blood transfusions are a risk factor for hyperkalemia. A serum
potassium level higher than 5.0 mEq/L indicates hyperkalemia (B). The
others are normal findings (A, C, and D).
3. Which vaccination should the nurse administer to a newborn?
A.Hepatitis B
B.Human papilloma virus (HPV)
C.Varicella
D.Meningococcal vaccine - ANSWER ✓ A
Expert Rationale:
, The hepatitis B vaccination should be given to all newborns before
hospital discharge (A). HPV is not recommended until adolescence (B).
Varicella immunization begins at 12 months (C). Meningococcal vaccine
is administered beginning at 2 years (D).
4. The nurse is caring for a client on the medical unit. Which task can be
delegated to unlicensed assistive personnel (UAP)?
A.Assess the need to change a central line dressing.
B.Obtain a fingerstick blood glucose level.
C.Answer a family member's questions about the client's plan of care.
D.Teach the client side effects to report related to the current medication
regimen. - ANSWER ✓ B
Expert Rationale:
Obtaining a fingerstick blood glucose level is a simple treatment and is
an appropriate skill for UAP to perform (B). (A, C, and D) are skills that
cannot be delegated to UAP.
5. The nurse is caring for a client with an ischemic stroke who has a
prescription for tissue plasminogen activator (t-PA) IV. Which action(s)
should the nurse expect to implement? (Select all that apply.)
A.Administer aspirin with tissue plasminogen activator (t-PA).
B.Complete the National Institute of Health Stroke Scale (NIHSS).
, C.Assess the client for signs of bleeding during and after the infusion.
D.Start t-PA within 6 hours after the onset of stroke symptoms.
E.Initiate multidisciplinary consult for potential rehabilitation. -
ANSWER ✓ B,C,E
Expert Rationale:
Neurologic assessment, including the NIHSS, is indicated for the client
receiving t-PA. This includes close monitoring for bleeding during and
after the infusion; if bleeding or other signs of neurologic impairment
occur, the infusion should be stopped (B, C, and E). Aspirin is
contraindicated with t-PA because it increases the risk for bleeding (A).
The administration of t-PA within 6 hours of symptoms is concurrent
with a diagnosis of a myocardial infarction and within 4.5 hours of
symptoms is concurrent for a stroke (D).
6. When caring for a client in labor, which finding is most important to
report to the primary health care provider?
A.Maternal heart rate, 90 beats/min.
B.Fetal heart rate, 100 beats/min
C.Maternal blood pressure, 140/86 mm Hg
D.Maternal temperature, 100.0° F - ANSWER ✓ B
Expert Rationale:
