HESI COMPREHENSIVE EXAM
NEWEST 2026 COMPLETE EXAM| 250
ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| (NEW!!)
Enalaprilmmaleatemismprescribedmformamhospitalizedmclient.mWhichmassessmentmdoesmthemnursempe
rformmasmamprioritymbeforemadministeringmthemmedication?
Checkingmthemclient'smbloodmpressurem
Checkingmthemclient'smperipheralmpulses
Checkingmthemmostmrecentmpotassiummlevel
Checkingmthemclient'smintake-and-outputmrecordmformthemlastm24mhoursm-
mCORRECTmANSWERmCheckingmthemclient'smbloodmpressurem
Rationale:mEnalaprilmmaleatemismanmangiotensin-
convertingmenzymem(ACE)minhibitormusedmtomtreatmhypertension.mOnemcommonmsidemeffectmismpo
sturalmhypotension.mThereforemthemnursemwouldmcheckmthemclient'smbloodmpressuremimmediately
mbeforemadministeringmeachmdose.mCheckingmthemclient'smperipheralmpulses,mthemresultsmofmthemm
ostmrecentmpotassiummlevel,mandmthemintakemandmoutputmformthempreviousm24mhoursmaremnotmspe
cificallymassociatedmwithmthismmediation.
Amclientmismscheduledmtomundergomanmuppermgastrointestinalm(GI)mseries,mandmthemnursemprovides
minstructionsmtomthemclientmaboutmthemtest.mWhichmstatementmbymthemclientmindicatesmamneedmform
furtherminstruction?
"Themtestmwillmtakemaboutm30mminutes."
"Imneedmtomfastmform8mhoursmbeforemthemtest."
,"ImneedmtomdrinkmcitratemofmmagnesiamthemnightmbeforemthemtestmandmgivemmyselfmamFleetmenema
monmthemmorningmofmthemtest."m
"Imneedmtomtakemamlaxativemaftermthemtestmismcompleted,mbecausemthemliquidmthatmI'llmhavemtomdrin
kmformthemtestmcanmbemconstipating."m-
mCORRECTmANSWERm"Imneedmtomdrinkmcitratemofmmagnesiamthemnightmbeforemthemtestmandmgivem
myselfmamFleetmenemamonmthemmorningmofmthemtest."m
Rationale:mNomspecialmpreparationmismnecessarymbeforemamGImseries,mexceptmthatmNPOm(nothingmb
ymmouth)mstatusmmustmbemmaintainedmform8mhoursmbeforemthemtest.mAnmuppermGImseriesminvolves
mvisualizationmofmthemesophagus,mduodenum,mandmuppermjejunummbymmeansmofmthemusemofmamco
ntrastmmedium.mItminvolvesmswallowingmamcontrastmmediumm(usuallymbarium),mwhichmismadminist
eredminmamflavoredmmilkshake.mFilmsmaremtakenmatmintervalsmduringmthemtest,mwhichmtakesmaboutm
30mminutes.mAftermanmuppermGImseries,mthemclientmismprescribedmamlaxativemtomhastenmelimination
mofmthembarium.mBariummthatmremainsminmthemcolonmmaymbecomemhardmandmdifficultmtomexpel,mle
adingmtomfecalmimpaction.
Amnursemonmthemeveningmshiftmchecksmamprimarymhealthmcaremprovider'smprescriptionsmandmnotes
mthatmthemdosemofmamprescribedmmedicationmismhighermthanmthemnormalmdose.mThemnursemcallsmth
emprimarymhealthmcaremprovider'smansweringmservicemandmismtoldmthatmthemprimarymhealthmcaremp
rovidermismoffmformthemnightmandmwillmbemavailableminmthemmorning.mWhatmshouldmthemnursemdomn
ext?
Callmthemnursingmsupervisor
Askmthemansweringmservicemtomcontactmthemon-callmprimarymhealthmcaremproviderm
Withholdmthemmedicationmuntilmthemprimarymhealthmcaremprovidermcanmbemreachedminmthemmorni
ng
Administermthemmedicationmbutmconsultmthemprimarymhealthmcaremprovidermwhenmhembecomesma
vailablem-mCORRECTmANSWERmAskmthemansweringmservicemtomcontactmthemon-
callmprimarymhealthmcaremproviderm
Rationale:mThemnursemhasmamdutymtomprotectmthemclientmfrommharm.mAmnursemwhombelievesmthatm
amprimarymhealthmcaremprovider'smprescriptionmmaymbeminmerrormismresponsiblemformclarifyingmthem
,prescriptionmbeforemcarryingmitmout.mThereforemthemnursemwouldmnotmadministermthemmedication
;minstead,mthemnursemwouldmwithholdmthemmedicationmuntilmthemdosemcanmbemclarified.mThemnurse
mwouldmnotmwaitmuntilmthemnextmmorningmtomobtainmclarification.mItmismprematuremtomcallmthemnur
singmsupervisor.
Anmemergencymdepartmentm(ED)mnursemismmonitoringmamclientmwithmsuspectedmacutemmyocardial
minfarctionm(MI)mwhomismawaitingmtransfermtomthemcoronarymintensivemcaremunit.mThemnursemnotes
mthemsuddenmonsetmofmprematuremventricularmcontractionsm(PVCs)monmthemmonitor,mchecksmthemc
lient'smcarotidmpulse,mandmdeterminesmthatmthemPVCsmaremnotmperfusing.mWhatmismthemnurse'smm
ostmappropriatemaction?
Documentmthemfindings
AskmthemEDmprimarymhealthmcaremprovidermtomcheckmthemclientm
Continuemtommonitormthemclient'smcardiacmstatus
InformmthemclientmthatmPVCsmaremexpectedmaftermanmMIm-
mCORRECTmANSWERmAskmthemEDmprimarymhealthmcaremprovidermtomcheckmthemclientm
Rationale:mThemmostmappropriatemactionmbymthemnursemwouldmbemtomaskmthemEDmhealthmcarempro
vidermtomcheckmthemclient.mPVCsmaremamresultmofmincreasedmirritabilitymofmventricularmcells.mPeriph
eralmpulsesmmaymbemabsentmormdiminishedmwithmthemPVCsmthemselvesmbecausemthemdecreasedmst
rokemvolumemofmthemprematurembeatsmmayminmturnmdecreasemperipheralmperfusion.mBecausemoth
ermrhythmsmalsomcausemwidenedmQRSmcomplexes,mitmismessentialmthatmthemnursemdeterminemwhet
hermthemprematurembeatsmaremresultingminmperfusionmofmthemextremities.mThismismdonembympalpati
ngmthemcarotid,mbrachial,mormfemoralmarterymwhilemobservingmthemmonitormformwidenedmcomplex
esmormbymauscultatingmformapicalmheartmsounds.mInmthemsituationmofmacutemMI,mPVCsmmaymbemcons
ideredmwarningmdysrhythmias,mpossiblymheraldingmthemonsetmofmventricularmtachycardiamormventr
icularmfibrillation.mTherefore,mthemnursemwouldmnotmtellmthemclientmthatmthemPVCsmaremexpected.m
Althoughmthemnursemwillmcontinuemtommonitormthemclientmandmdocumentmthemfindings,mthesemare
mnotmthemmostmappropriatemactionsmofmthosemprovided.
NPOmstatusmismimposedm8mhoursmbeforemthemproceduremonmamclientmscheduledmtomundergomelectr
oconvulsivemtherapym(ECT)matm1mp.m.mOnmthemmorningmofmthemprocedure,mthemnursemchecksmthem
, client'smrecordmandmnotesmthatmthemclientmroutinelymtakesmanmoralmantihypertensivemmedicationm
eachmmorning.mWhatmactionmshouldmthemnursemtake?
Administermthemantihypertensivemwithmamsmallmsipmofmwaterm
Withholdmthemantihypertensivemandmadministermitmatmbedtime
Administermthemmedicationmbymwaymofmthemintravenousm(IV)mroute
HoldmthemantihypertensivemandmresumemitsmadministrationmonmthemdaymaftermthemECTm-
mCORRECTmANSWERmAdministermthemantihypertensivemwithmamsmallmsipmofmwaterm
Rationale:mThemnursemshouldmadministermthemantihypertensivemwithmamsmallmsipmofmwater.mGener
almanesthesiamismrequiredmformECT,msomNPOmstatusmismimposedmform6mtom8mhoursmbeforemtreatment
mtomhelpmpreventmaspiration.mExceptionsmincludemclientsmwhomroutinelymreceivemcardiacmmedicati
ons,mantihypertensivemagents,mormhistaminem(H2)mblockers,mwhichmshouldmbemadministeredmsever
almhoursmbeforemtreatmentmwithmamsmallmsipmofmwater.mWithholdingmthemantihypertensivemandma
dministeringmitmatmbedtimemandmwithholdingmthemantihypertensivemandmresumingmadministration
monmthemdaymaftermthemECTmaremincorrectmactions,mbecausemantihypertensivesmmustmbemadministe
redmonmtime;motherwise,mthemriskmformreboundmhypertensionmexists.mThemnursemwouldmnotmadmi
nistermammedicationmbymwaymofmamroutemthatmhasmnotmbeenmprescribed.
Amclientmwhomrecentlymunderwentmcoronarymarterymbypassmgraftmsurgerymcomesmtomthemprimarym
healthmcaremprovider'smofficemformamfollow-
upmvisit.mOnmassessment,mthemclientmtellsmthemnursemthatmhemismfeelingmdepressed.mWhichmrespon
sembymthemnursemismtherapeutic?
"Tellmmemmoremaboutmwhatmyou'remfeeling."m
"That'smamnormalmresponsemaftermthismtypemofmsurgery."
"Itmwillmtakemtime,mbutmImpromisemyou,myoumwillmgetmovermthismdepression."
"Everymclientmwhomhasmthismsurgerymfeelsmthemsamemwaymformaboutmammonth."m-
mCORRECTmANSWERm"Tellmmemmoremaboutmwhatmyou'remfeeling."m
NEWEST 2026 COMPLETE EXAM| 250
ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| (NEW!!)
Enalaprilmmaleatemismprescribedmformamhospitalizedmclient.mWhichmassessmentmdoesmthemnursempe
rformmasmamprioritymbeforemadministeringmthemmedication?
Checkingmthemclient'smbloodmpressurem
Checkingmthemclient'smperipheralmpulses
Checkingmthemmostmrecentmpotassiummlevel
Checkingmthemclient'smintake-and-outputmrecordmformthemlastm24mhoursm-
mCORRECTmANSWERmCheckingmthemclient'smbloodmpressurem
Rationale:mEnalaprilmmaleatemismanmangiotensin-
convertingmenzymem(ACE)minhibitormusedmtomtreatmhypertension.mOnemcommonmsidemeffectmismpo
sturalmhypotension.mThereforemthemnursemwouldmcheckmthemclient'smbloodmpressuremimmediately
mbeforemadministeringmeachmdose.mCheckingmthemclient'smperipheralmpulses,mthemresultsmofmthemm
ostmrecentmpotassiummlevel,mandmthemintakemandmoutputmformthempreviousm24mhoursmaremnotmspe
cificallymassociatedmwithmthismmediation.
Amclientmismscheduledmtomundergomanmuppermgastrointestinalm(GI)mseries,mandmthemnursemprovides
minstructionsmtomthemclientmaboutmthemtest.mWhichmstatementmbymthemclientmindicatesmamneedmform
furtherminstruction?
"Themtestmwillmtakemaboutm30mminutes."
"Imneedmtomfastmform8mhoursmbeforemthemtest."
,"ImneedmtomdrinkmcitratemofmmagnesiamthemnightmbeforemthemtestmandmgivemmyselfmamFleetmenema
monmthemmorningmofmthemtest."m
"Imneedmtomtakemamlaxativemaftermthemtestmismcompleted,mbecausemthemliquidmthatmI'llmhavemtomdrin
kmformthemtestmcanmbemconstipating."m-
mCORRECTmANSWERm"Imneedmtomdrinkmcitratemofmmagnesiamthemnightmbeforemthemtestmandmgivem
myselfmamFleetmenemamonmthemmorningmofmthemtest."m
Rationale:mNomspecialmpreparationmismnecessarymbeforemamGImseries,mexceptmthatmNPOm(nothingmb
ymmouth)mstatusmmustmbemmaintainedmform8mhoursmbeforemthemtest.mAnmuppermGImseriesminvolves
mvisualizationmofmthemesophagus,mduodenum,mandmuppermjejunummbymmeansmofmthemusemofmamco
ntrastmmedium.mItminvolvesmswallowingmamcontrastmmediumm(usuallymbarium),mwhichmismadminist
eredminmamflavoredmmilkshake.mFilmsmaremtakenmatmintervalsmduringmthemtest,mwhichmtakesmaboutm
30mminutes.mAftermanmuppermGImseries,mthemclientmismprescribedmamlaxativemtomhastenmelimination
mofmthembarium.mBariummthatmremainsminmthemcolonmmaymbecomemhardmandmdifficultmtomexpel,mle
adingmtomfecalmimpaction.
Amnursemonmthemeveningmshiftmchecksmamprimarymhealthmcaremprovider'smprescriptionsmandmnotes
mthatmthemdosemofmamprescribedmmedicationmismhighermthanmthemnormalmdose.mThemnursemcallsmth
emprimarymhealthmcaremprovider'smansweringmservicemandmismtoldmthatmthemprimarymhealthmcaremp
rovidermismoffmformthemnightmandmwillmbemavailableminmthemmorning.mWhatmshouldmthemnursemdomn
ext?
Callmthemnursingmsupervisor
Askmthemansweringmservicemtomcontactmthemon-callmprimarymhealthmcaremproviderm
Withholdmthemmedicationmuntilmthemprimarymhealthmcaremprovidermcanmbemreachedminmthemmorni
ng
Administermthemmedicationmbutmconsultmthemprimarymhealthmcaremprovidermwhenmhembecomesma
vailablem-mCORRECTmANSWERmAskmthemansweringmservicemtomcontactmthemon-
callmprimarymhealthmcaremproviderm
Rationale:mThemnursemhasmamdutymtomprotectmthemclientmfrommharm.mAmnursemwhombelievesmthatm
amprimarymhealthmcaremprovider'smprescriptionmmaymbeminmerrormismresponsiblemformclarifyingmthem
,prescriptionmbeforemcarryingmitmout.mThereforemthemnursemwouldmnotmadministermthemmedication
;minstead,mthemnursemwouldmwithholdmthemmedicationmuntilmthemdosemcanmbemclarified.mThemnurse
mwouldmnotmwaitmuntilmthemnextmmorningmtomobtainmclarification.mItmismprematuremtomcallmthemnur
singmsupervisor.
Anmemergencymdepartmentm(ED)mnursemismmonitoringmamclientmwithmsuspectedmacutemmyocardial
minfarctionm(MI)mwhomismawaitingmtransfermtomthemcoronarymintensivemcaremunit.mThemnursemnotes
mthemsuddenmonsetmofmprematuremventricularmcontractionsm(PVCs)monmthemmonitor,mchecksmthemc
lient'smcarotidmpulse,mandmdeterminesmthatmthemPVCsmaremnotmperfusing.mWhatmismthemnurse'smm
ostmappropriatemaction?
Documentmthemfindings
AskmthemEDmprimarymhealthmcaremprovidermtomcheckmthemclientm
Continuemtommonitormthemclient'smcardiacmstatus
InformmthemclientmthatmPVCsmaremexpectedmaftermanmMIm-
mCORRECTmANSWERmAskmthemEDmprimarymhealthmcaremprovidermtomcheckmthemclientm
Rationale:mThemmostmappropriatemactionmbymthemnursemwouldmbemtomaskmthemEDmhealthmcarempro
vidermtomcheckmthemclient.mPVCsmaremamresultmofmincreasedmirritabilitymofmventricularmcells.mPeriph
eralmpulsesmmaymbemabsentmormdiminishedmwithmthemPVCsmthemselvesmbecausemthemdecreasedmst
rokemvolumemofmthemprematurembeatsmmayminmturnmdecreasemperipheralmperfusion.mBecausemoth
ermrhythmsmalsomcausemwidenedmQRSmcomplexes,mitmismessentialmthatmthemnursemdeterminemwhet
hermthemprematurembeatsmaremresultingminmperfusionmofmthemextremities.mThismismdonembympalpati
ngmthemcarotid,mbrachial,mormfemoralmarterymwhilemobservingmthemmonitormformwidenedmcomplex
esmormbymauscultatingmformapicalmheartmsounds.mInmthemsituationmofmacutemMI,mPVCsmmaymbemcons
ideredmwarningmdysrhythmias,mpossiblymheraldingmthemonsetmofmventricularmtachycardiamormventr
icularmfibrillation.mTherefore,mthemnursemwouldmnotmtellmthemclientmthatmthemPVCsmaremexpected.m
Althoughmthemnursemwillmcontinuemtommonitormthemclientmandmdocumentmthemfindings,mthesemare
mnotmthemmostmappropriatemactionsmofmthosemprovided.
NPOmstatusmismimposedm8mhoursmbeforemthemproceduremonmamclientmscheduledmtomundergomelectr
oconvulsivemtherapym(ECT)matm1mp.m.mOnmthemmorningmofmthemprocedure,mthemnursemchecksmthem
, client'smrecordmandmnotesmthatmthemclientmroutinelymtakesmanmoralmantihypertensivemmedicationm
eachmmorning.mWhatmactionmshouldmthemnursemtake?
Administermthemantihypertensivemwithmamsmallmsipmofmwaterm
Withholdmthemantihypertensivemandmadministermitmatmbedtime
Administermthemmedicationmbymwaymofmthemintravenousm(IV)mroute
HoldmthemantihypertensivemandmresumemitsmadministrationmonmthemdaymaftermthemECTm-
mCORRECTmANSWERmAdministermthemantihypertensivemwithmamsmallmsipmofmwaterm
Rationale:mThemnursemshouldmadministermthemantihypertensivemwithmamsmallmsipmofmwater.mGener
almanesthesiamismrequiredmformECT,msomNPOmstatusmismimposedmform6mtom8mhoursmbeforemtreatment
mtomhelpmpreventmaspiration.mExceptionsmincludemclientsmwhomroutinelymreceivemcardiacmmedicati
ons,mantihypertensivemagents,mormhistaminem(H2)mblockers,mwhichmshouldmbemadministeredmsever
almhoursmbeforemtreatmentmwithmamsmallmsipmofmwater.mWithholdingmthemantihypertensivemandma
dministeringmitmatmbedtimemandmwithholdingmthemantihypertensivemandmresumingmadministration
monmthemdaymaftermthemECTmaremincorrectmactions,mbecausemantihypertensivesmmustmbemadministe
redmonmtime;motherwise,mthemriskmformreboundmhypertensionmexists.mThemnursemwouldmnotmadmi
nistermammedicationmbymwaymofmamroutemthatmhasmnotmbeenmprescribed.
Amclientmwhomrecentlymunderwentmcoronarymarterymbypassmgraftmsurgerymcomesmtomthemprimarym
healthmcaremprovider'smofficemformamfollow-
upmvisit.mOnmassessment,mthemclientmtellsmthemnursemthatmhemismfeelingmdepressed.mWhichmrespon
sembymthemnursemismtherapeutic?
"Tellmmemmoremaboutmwhatmyou'remfeeling."m
"That'smamnormalmresponsemaftermthismtypemofmsurgery."
"Itmwillmtakemtime,mbutmImpromisemyou,myoumwillmgetmovermthismdepression."
"Everymclientmwhomhasmthismsurgerymfeelsmthemsamemwaymformaboutmammonth."m-
mCORRECTmANSWERm"Tellmmemmoremaboutmwhatmyou'remfeeling."m
