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HESI COMPREHENSIVE EXIT EXAM 2027
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
1- Enalapril maleate (Vasotec) is prescribed for a
hospitalized client. Which assessment does the
nurse perform as a priority before administering
the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for
the last 24 hours - correct answer- A. Checking the
client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting
enzyme (ACE) inhibitor used to treat hypertension.
One common side effect is postural hypotension.
Therefore the nurse would check the client's blood
pressure immediately before administering each
dose. Checking the client's peripheral pulses, the
results of the most recent potassium level, and the
intake and output for the previous 24 hours are not
specifically associated with this mediation.
2-A client is scheduled to undergo an upper
gastrointestinal (GI) series, and the nurse provides
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instructions to the client
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about the test. Which statement by the client
indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema on
the morning of the test."
D. "I need to take a laxative after the test is
completed, because the liquid that I'll have to
drink for the test can be constipating." - correct
answer- C. "I need to drink citrate of magnesia
the night before the test and give myself a Fleet
enema on the morning of the
test."
An upper GI series involves visualization of the
esophagus, duodenum, and upper jejunum by
means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films
are taken at intervals during the test, which takes
about 30 minutes. No special preparation is
necessary before a GI series, except that NPO
status must be maintained for 8 hours before the
test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the
barium. Barium that remains in the colon may
become hard and difficult to expel, leading to fecal
impaction.
3-A nurse on the evening shift checks a physician's
prescriptions and notes that the dose of a prescribed
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medication is higher than the normal dose. The nurse
calls the physician's answering service and is told
that the physician is
HESI COMPREHENSIVE EXIT EXAM 2027
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
1- Enalapril maleate (Vasotec) is prescribed for a
hospitalized client. Which assessment does the
nurse perform as a priority before administering
the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for
the last 24 hours - correct answer- A. Checking the
client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting
enzyme (ACE) inhibitor used to treat hypertension.
One common side effect is postural hypotension.
Therefore the nurse would check the client's blood
pressure immediately before administering each
dose. Checking the client's peripheral pulses, the
results of the most recent potassium level, and the
intake and output for the previous 24 hours are not
specifically associated with this mediation.
2-A client is scheduled to undergo an upper
gastrointestinal (GI) series, and the nurse provides
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instructions to the client
,3 | Page
about the test. Which statement by the client
indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema on
the morning of the test."
D. "I need to take a laxative after the test is
completed, because the liquid that I'll have to
drink for the test can be constipating." - correct
answer- C. "I need to drink citrate of magnesia
the night before the test and give myself a Fleet
enema on the morning of the
test."
An upper GI series involves visualization of the
esophagus, duodenum, and upper jejunum by
means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films
are taken at intervals during the test, which takes
about 30 minutes. No special preparation is
necessary before a GI series, except that NPO
status must be maintained for 8 hours before the
test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the
barium. Barium that remains in the colon may
become hard and difficult to expel, leading to fecal
impaction.
3-A nurse on the evening shift checks a physician's
prescriptions and notes that the dose of a prescribed
, 4 | Page
medication is higher than the normal dose. The nurse
calls the physician's answering service and is told
that the physician is
