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HESI Comprehensive Exit Exam 2026/2027 version 2||Just
Out!!!
Discharge instructions for a client taking alprazolam (Xanax)
should include which of the following?
A) Sedative hypnotics are effective analgesics
B) Sudden cessation of alprazolam (Xanax) can cause rebound
insomnia and nightmares C) Caffeine beverages can increase
the effect of sedative hypnotics
D) Avoidance of excessive exercise and high temperature is
recommended - ANSWER-The correct answer is B: Sudden
cessation of alprazolam
A client has received 2 units of whole blood today following an
episode of GI bleeding. Which of the following laboratory
reports would the nurse monitor most closely?
A) Bleeding time
B) Hemoglobin and hematocrit
C) White blood cells
D) Platelets - ANSWER-The correct answer is B: Hemoglobin and
hematocrit
A client is receiving intravenous heparin therapy. What
medication should the
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nurse have available in the event of an overdose of heparin?
A) Protamine
B) Amicar
C) Imferon
D) Diltiazem - ANSWER-The correct answer is A: Protamine .
Protamine binds heparin making it ineffective.
The nurse has been teaching a client with Insulin Dependent
Diabetes Mellitus. Which statement by the client indicates a
need for further teaching?
A) "I use a sliding scale to adjust regular insulin to my sugar
level."
B) "Since my eyesight is so bad, I ask the nurse to fill several
syringes."
C) "I keep my regular insulin bottle in the refrigerator."
D) "I always make sure to shake the NPH bottle hard to mix it
well." - ANSWER-The correct answer is D: "I always make sure
to shake the NPH bottle hard to mix it well."
Why is it important for the nurse to monitor blood pressure in
clients receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
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B) Most antipsychotic drugs cause elevated blood pressure
C) This provides information on the amount of sodium allowed
in the diet
D) It will indicate the need to institute anti parkinsonian drugs -
ANSWER-The correct answer is A: Orthostatic hypotension is a
common side effect
The nurse is teaching the client to select foods rich in potassium
to help prevent digitalis toxicity. Which choice indicates the
client understands dietary needs?
A) Three apricots
B) Medium banana
C) Naval orange
D) Baked potato - ANSWER-The correct answer is D: Baked
potato.
An 86 year-old nursing home resident who has decreased
mental status is hospitalized with pneumonic infiltrates in the
right lower lobe. When the nurse assists the client with a clear
liquid diet, the client begins to cough. What should the nurse
do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
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C) Feed the client only solid foods
D) Increase the rate of intravenous fluids - ANSWER-The correct
answer is B: Check the client's gag reflex
The nurse is planning care for a client with a CVA. Which of the
following measures planned by the nurse would be most
effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence - ANSWER-The correct
answer is C: Reposition every two hours
A nurse is assessing several clients in a long term health care
facility. Which client is at highest risk for development of
decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client - ANSWER-The
correct answer is A: A 79 year-old malnourished client on bed
rest
HESI Comprehensive Exit Exam 2026/2027 version 2||Just
Out!!!
Discharge instructions for a client taking alprazolam (Xanax)
should include which of the following?
A) Sedative hypnotics are effective analgesics
B) Sudden cessation of alprazolam (Xanax) can cause rebound
insomnia and nightmares C) Caffeine beverages can increase
the effect of sedative hypnotics
D) Avoidance of excessive exercise and high temperature is
recommended - ANSWER-The correct answer is B: Sudden
cessation of alprazolam
A client has received 2 units of whole blood today following an
episode of GI bleeding. Which of the following laboratory
reports would the nurse monitor most closely?
A) Bleeding time
B) Hemoglobin and hematocrit
C) White blood cells
D) Platelets - ANSWER-The correct answer is B: Hemoglobin and
hematocrit
A client is receiving intravenous heparin therapy. What
medication should the
,2|Page
nurse have available in the event of an overdose of heparin?
A) Protamine
B) Amicar
C) Imferon
D) Diltiazem - ANSWER-The correct answer is A: Protamine .
Protamine binds heparin making it ineffective.
The nurse has been teaching a client with Insulin Dependent
Diabetes Mellitus. Which statement by the client indicates a
need for further teaching?
A) "I use a sliding scale to adjust regular insulin to my sugar
level."
B) "Since my eyesight is so bad, I ask the nurse to fill several
syringes."
C) "I keep my regular insulin bottle in the refrigerator."
D) "I always make sure to shake the NPH bottle hard to mix it
well." - ANSWER-The correct answer is D: "I always make sure
to shake the NPH bottle hard to mix it well."
Why is it important for the nurse to monitor blood pressure in
clients receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
,3|Page
B) Most antipsychotic drugs cause elevated blood pressure
C) This provides information on the amount of sodium allowed
in the diet
D) It will indicate the need to institute anti parkinsonian drugs -
ANSWER-The correct answer is A: Orthostatic hypotension is a
common side effect
The nurse is teaching the client to select foods rich in potassium
to help prevent digitalis toxicity. Which choice indicates the
client understands dietary needs?
A) Three apricots
B) Medium banana
C) Naval orange
D) Baked potato - ANSWER-The correct answer is D: Baked
potato.
An 86 year-old nursing home resident who has decreased
mental status is hospitalized with pneumonic infiltrates in the
right lower lobe. When the nurse assists the client with a clear
liquid diet, the client begins to cough. What should the nurse
do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
, 4|Page
C) Feed the client only solid foods
D) Increase the rate of intravenous fluids - ANSWER-The correct
answer is B: Check the client's gag reflex
The nurse is planning care for a client with a CVA. Which of the
following measures planned by the nurse would be most
effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence - ANSWER-The correct
answer is C: Reposition every two hours
A nurse is assessing several clients in a long term health care
facility. Which client is at highest risk for development of
decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client - ANSWER-The
correct answer is A: A 79 year-old malnourished client on bed
rest
