HESI COMPREHENSIVE EXAM 3 | LATEST 2026 EXPERT CERTIFIED QUESTIONS AND ANSWERS I [GRADED A+]
A 38-year-old female client is admitted to the mental health unit after a recent manic episode of spending large amounts of money on new
furniture, making excessive long-distance phone calls, and not sleeping for three days. During the admission process, the client is wearing a
green bathing suit. What intervention should the nurse implement? ✔️Assess the client's needs for food, liquids, and rest.
During a group therapy session, a client with hypomania threatens to strike another client. What intervention is best for the nurse to
implement? ✔️Firmly inform the client that acting out anger is not acceptable.
A client who is a laboratory technician and has a history of allergic rhinitis, asthma, and multiple food allergies is scheduled for surgery. Which
action should the nurse implement? ✔️Document a possible Type I latex allergy.
In reviewing the medical record, the nurse notes that a client's last eye examination revealed an IOP of 28 mmHg. What information should the
nurse ask the client? ✔️Use of prescribed eye drops since last exam by ophthalmologist.
Which action should the nurse implement to assess for JVD in a client with HF? ✔️Observe the vertical distention of the veins as the client is
gradually elevated to an upright position.
The nurse identifies a client's laboratory results and identifies an elevated serum ammonia level. Which pathophysiological process contributes
to this finding? ✔️Failure of the liver to convert ammonia absorbed from the bowel to urea.
A client with GERD is unconscious and unresponsive to stimuli. The nurse places the client in a side-lying position. The nurse should monitor for
the risk of which complication? ✔️Aspiration pneumonia.
A client returns to the unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action should the nurse implement? ✔️Irrigate the NGT with normal saline.
A male client who is admitted with a bleeding peptic ulcer develops sudden, severe upper abdominal pain. The client becomes diaphoretic and
draws his knees over his abdomen. Which finding should the nurse report to the healthcare provider? ✔️A rigid, boardlike abdomen.
A client returns to the postoperative unit after a gastroduodenostomy (Billroth I) for treatment of a perforated ulcer. The healthcare provider's
prescriptions include morphine with a patient-controlled analgesia (PCA), nasogastric tube (NGT) to low intermittent nasogastric suction, and IV
fluids and antibiotics. The client complains of increasing abdominal pain 12 hours after returning to the surgical unit. The nurse determines the
client has no bowel sounds, and 200 ml of bright red nasogastric drainage is in the suction canister in the past hour. What is the priority action
the nurse should implement? ✔️Notify the healthcare provider.
A patient returns from surgery following an abdominal-perineal resection with a sigmoid colostomy and abdominal and perineal incisions. The
colostomy is dressed with petroleum jelly gauze and dry gauze dressings. The perineal incision is partially closed and has two drains attached to
Jackson-Pratt suction. On the first postoperative day, the nurse gives the highest priority to
a. teaching about a low-residue diet.
b. monitoring drainage from the stoma.
c. assessing the perineal drainage and incision.
d. encouraging acceptance of the colostomy site. ✔️Maintain dry perineal dressings
C Assessing the perineal drainage and incision
What information in a client's history indicates the highest risk factor for hepatitis C? ✔️Intravenous drug abuse
A client with advanced cirrhosis and hepatic encephalopathy is manifesting.... ✔️Apply a pressure-relieving mattress under the client.
A female client arrives at the clinic because her boyfriend.... ✔️Gonorrhea is often asymptomatic in women because the infection is not visible.
A patient with comminuted fractures of the tibia and fibula is treated with open reduction and application of an external fixator. The next day,
the patient complains of severe pain in the leg, which is unrelieved by ordered analgesics. The patient's toes are pink, but the patient complains
of numbness and tingling. The most appropriate action by the nurse is to
a. notify the patient's health care provider.
b. check the patient's blood pressure.
, c. assess the external fixator pins for redness or drainage.
d. elevate the extremity and apply ice over the wound site. ✔️Notify the HCP
On the secound day after admission, a client with a fractures pelvis develops chest pain, tachypnea, and tachycardia. Which additional finding
should the nurse identify that is most likely related to a fat embolism? ✔️Petechiae of the anterior chest wall
A client is comatose upon arrival to the emergency room department after falling from the roof. The client flexes with painful stimuli, and the
nurse determines the client"s Glasgow Coma Scale is 6. Which intervention should the nurse prepare to implement to maintain the client"s
airway? ✔️A nasopharyngeal tube
The nurse is evaluating the external fetal monitor and identifies variable FHR decelerations... ✔️Umbilical cord compression
Which FHR finding should the nurse report to the HCP immediately? ✔️Late decelerations
A mother brings her 4-week-old infant for the first well-child visit and tells the nurse that the baby is not smiling. Which information should the
nurse provide? ✔️Social smiling begins at approximately 2 months of age.
During a prenatal visit, the nurse is explaining dietary management to a woman with pregestational diabetes. Which statement by the client
reassures the nurse that teaching has been effective?
a."I will need to eat 600 more calories per day because I am pregnant."
b."I can continue with the same diet as before pregnancy as long as it is well balanced."
c."Diet and insulin needs change during pregnancy."
d."I will plan my diet based on the results of urine glucose testing." ✔️Diet and insulin needs will change significantly throughout my pregnancy.
The nurse is assessing a postpartum client who delivered in the car... ✔️Temperature of 100.8 F 24 hours after delivery.
Which infant is at risk for Rh incompatibility? ✔️Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh
factor.
An infant who is delivered at 32 weeks gestation arrives in the nursery intubated. After the infant is placed under a radiant warmer with
prescribed ventilator settings, the nurse applies a cardiorespiratory monitor and pulse oximeter, which indicates an O2 sat of 80%. What action
should the nurse implement first? ✔️Ensure patency of the endotracheal tube.
A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal examination revealed the cervix to be dilated to
5 cm and 100% effaced, and the presenting part was at station 0. Five minutes ago her vaginal examination indicated that there had been no
change. What abnormal labor pattern is associated with this description? ✔️Arrest of active phase.
Which information is most important for the nurse to provide parents about long-term care for their child with hydrocephalus and a VP shunt?
✔️Shunt malfunction or infection requires immediate treatment.
The nurse is instructing a mother about the care of her child who has pediculosis capitis.... ✔️Use a fine-toothed comb or tweezers to remove
nits.
The nurse is teaching an obese adolescent about lifestyle choices and ways to improve diet. which interventions should the nurse include in the
teaching plan ✔️Incorporate favorite foods into the adolescent's diet.
The nurse is caring for an 8-year-old child who has a chronic illness. The child has a tracheostomy, and a parent is rooming-in during this
hospitalization. The parent insists on providing almost all of the child's care and tells the nurses how to care for the child. When planning the
child's care, the primary nurse should recognize that the parent is:
-controlling and demanding.
-assuming the nurse's role.
-the expert in care of the child.
- not allowing nurses to function independently. ✔️An expert in care of the child.
A 38-year-old female client is admitted to the mental health unit after a recent manic episode of spending large amounts of money on new
furniture, making excessive long-distance phone calls, and not sleeping for three days. During the admission process, the client is wearing a
green bathing suit. What intervention should the nurse implement? ✔️Assess the client's needs for food, liquids, and rest.
During a group therapy session, a client with hypomania threatens to strike another client. What intervention is best for the nurse to
implement? ✔️Firmly inform the client that acting out anger is not acceptable.
A client who is a laboratory technician and has a history of allergic rhinitis, asthma, and multiple food allergies is scheduled for surgery. Which
action should the nurse implement? ✔️Document a possible Type I latex allergy.
In reviewing the medical record, the nurse notes that a client's last eye examination revealed an IOP of 28 mmHg. What information should the
nurse ask the client? ✔️Use of prescribed eye drops since last exam by ophthalmologist.
Which action should the nurse implement to assess for JVD in a client with HF? ✔️Observe the vertical distention of the veins as the client is
gradually elevated to an upright position.
The nurse identifies a client's laboratory results and identifies an elevated serum ammonia level. Which pathophysiological process contributes
to this finding? ✔️Failure of the liver to convert ammonia absorbed from the bowel to urea.
A client with GERD is unconscious and unresponsive to stimuli. The nurse places the client in a side-lying position. The nurse should monitor for
the risk of which complication? ✔️Aspiration pneumonia.
A client returns to the unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action should the nurse implement? ✔️Irrigate the NGT with normal saline.
A male client who is admitted with a bleeding peptic ulcer develops sudden, severe upper abdominal pain. The client becomes diaphoretic and
draws his knees over his abdomen. Which finding should the nurse report to the healthcare provider? ✔️A rigid, boardlike abdomen.
A client returns to the postoperative unit after a gastroduodenostomy (Billroth I) for treatment of a perforated ulcer. The healthcare provider's
prescriptions include morphine with a patient-controlled analgesia (PCA), nasogastric tube (NGT) to low intermittent nasogastric suction, and IV
fluids and antibiotics. The client complains of increasing abdominal pain 12 hours after returning to the surgical unit. The nurse determines the
client has no bowel sounds, and 200 ml of bright red nasogastric drainage is in the suction canister in the past hour. What is the priority action
the nurse should implement? ✔️Notify the healthcare provider.
A patient returns from surgery following an abdominal-perineal resection with a sigmoid colostomy and abdominal and perineal incisions. The
colostomy is dressed with petroleum jelly gauze and dry gauze dressings. The perineal incision is partially closed and has two drains attached to
Jackson-Pratt suction. On the first postoperative day, the nurse gives the highest priority to
a. teaching about a low-residue diet.
b. monitoring drainage from the stoma.
c. assessing the perineal drainage and incision.
d. encouraging acceptance of the colostomy site. ✔️Maintain dry perineal dressings
C Assessing the perineal drainage and incision
What information in a client's history indicates the highest risk factor for hepatitis C? ✔️Intravenous drug abuse
A client with advanced cirrhosis and hepatic encephalopathy is manifesting.... ✔️Apply a pressure-relieving mattress under the client.
A female client arrives at the clinic because her boyfriend.... ✔️Gonorrhea is often asymptomatic in women because the infection is not visible.
A patient with comminuted fractures of the tibia and fibula is treated with open reduction and application of an external fixator. The next day,
the patient complains of severe pain in the leg, which is unrelieved by ordered analgesics. The patient's toes are pink, but the patient complains
of numbness and tingling. The most appropriate action by the nurse is to
a. notify the patient's health care provider.
b. check the patient's blood pressure.
, c. assess the external fixator pins for redness or drainage.
d. elevate the extremity and apply ice over the wound site. ✔️Notify the HCP
On the secound day after admission, a client with a fractures pelvis develops chest pain, tachypnea, and tachycardia. Which additional finding
should the nurse identify that is most likely related to a fat embolism? ✔️Petechiae of the anterior chest wall
A client is comatose upon arrival to the emergency room department after falling from the roof. The client flexes with painful stimuli, and the
nurse determines the client"s Glasgow Coma Scale is 6. Which intervention should the nurse prepare to implement to maintain the client"s
airway? ✔️A nasopharyngeal tube
The nurse is evaluating the external fetal monitor and identifies variable FHR decelerations... ✔️Umbilical cord compression
Which FHR finding should the nurse report to the HCP immediately? ✔️Late decelerations
A mother brings her 4-week-old infant for the first well-child visit and tells the nurse that the baby is not smiling. Which information should the
nurse provide? ✔️Social smiling begins at approximately 2 months of age.
During a prenatal visit, the nurse is explaining dietary management to a woman with pregestational diabetes. Which statement by the client
reassures the nurse that teaching has been effective?
a."I will need to eat 600 more calories per day because I am pregnant."
b."I can continue with the same diet as before pregnancy as long as it is well balanced."
c."Diet and insulin needs change during pregnancy."
d."I will plan my diet based on the results of urine glucose testing." ✔️Diet and insulin needs will change significantly throughout my pregnancy.
The nurse is assessing a postpartum client who delivered in the car... ✔️Temperature of 100.8 F 24 hours after delivery.
Which infant is at risk for Rh incompatibility? ✔️Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh
factor.
An infant who is delivered at 32 weeks gestation arrives in the nursery intubated. After the infant is placed under a radiant warmer with
prescribed ventilator settings, the nurse applies a cardiorespiratory monitor and pulse oximeter, which indicates an O2 sat of 80%. What action
should the nurse implement first? ✔️Ensure patency of the endotracheal tube.
A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal examination revealed the cervix to be dilated to
5 cm and 100% effaced, and the presenting part was at station 0. Five minutes ago her vaginal examination indicated that there had been no
change. What abnormal labor pattern is associated with this description? ✔️Arrest of active phase.
Which information is most important for the nurse to provide parents about long-term care for their child with hydrocephalus and a VP shunt?
✔️Shunt malfunction or infection requires immediate treatment.
The nurse is instructing a mother about the care of her child who has pediculosis capitis.... ✔️Use a fine-toothed comb or tweezers to remove
nits.
The nurse is teaching an obese adolescent about lifestyle choices and ways to improve diet. which interventions should the nurse include in the
teaching plan ✔️Incorporate favorite foods into the adolescent's diet.
The nurse is caring for an 8-year-old child who has a chronic illness. The child has a tracheostomy, and a parent is rooming-in during this
hospitalization. The parent insists on providing almost all of the child's care and tells the nurses how to care for the child. When planning the
child's care, the primary nurse should recognize that the parent is:
-controlling and demanding.
-assuming the nurse's role.
-the expert in care of the child.
- not allowing nurses to function independently. ✔️An expert in care of the child.
