HESI COMPREHENSIVE EXAM ACTUAL
EXAM ALL QUESTIONS AND WELL
ELABORATED ANSWERS TOP RATED
VERSION FOR ALREADY A+ GRADED
HIGHLY RECOMMENDED |NEW AND
REVISED
EnalaprilCmaleateCisCprescribedCforCaChospitalizedCclient.CWhichCassessmentCdoesCtheCnurseCperfor
mCasCaCpriorityCbeforeCadministeringCtheCmedication?
CheckingCtheCclient'sCbloodCpressureC
CheckingCtheCclient'sCperipheralCpulses
CheckingCtheCmostCrecentCpotassiumClevel
CheckingCtheCclient'sCintake-and-outputCrecordCforCtheClastC24ChoursC-
CCORRECTCANSWERCheckingCtheCclient'sCbloodCpressureC
Rationale:CEnalaprilCmaleateCisCanCangiotensin-
convertingCenzymeC(ACE)CinhibitorCusedCtoCtreatChypertension.COneCcommonCsideCeffectCisCpostur
alChypotension.CThereforeCtheCnurseCwouldCcheckCtheCclient'sCbloodCpressureCimmediatelyCbefore
CadministeringCeachCdose.CCheckingCtheCclient'sCperipheralCpulses,CtheCresultsCofCtheCmostCrecentC
potassiumClevel,CandCtheCintakeCandCoutputCforCtheCpreviousC24ChoursCareCnotCspecificallyCassociat
edCwithCthisCmediation.
ACclientCisCscheduledCtoCundergoCanCupperCgastrointestinalC(GI)Cseries,CandCtheCnurseCprovidesCins
tructionsCtoCtheCclientCaboutCtheCtest.CWhichCstatementCbyCtheCclientCindicatesCaCneedCforCfurtherC
instruction?
"TheCtestCwillCtakeCaboutC30Cminutes."
"ICneedCtoCfastCforC8ChoursCbeforeCtheCtest."
,"ICneedCtoCdrinkCcitrateCofCmagnesiaCtheCnightCbeforeCtheCtestCandCgiveCmyselfCaCFleetCenemaConCt
heCmorningCofCtheCtest."C
"ICneedCtoCtakeCaClaxativeCafterCtheCtestCisCcompleted,CbecauseCtheCliquidCthatCI'llChaveCtoCdrinkCforC
theCtestCcanCbeCconstipating."C-
CCORRECTCANSWER"ICneedCtoCdrinkCcitrateCofCmagnesiaCtheCnightCbeforeCtheCtestCandCgiveCmyself
CaCFleetCenemaConCtheCmorningCofCtheCtest."C
Rationale:CNoCspecialCpreparationCisCnecessaryCbeforeCaCGICseries,CexceptCthatCNPOC(nothingCbyCm
outh)CstatusCmustCbeCmaintainedCforC8ChoursCbeforeCtheCtest.CAnCupperCGICseriesCinvolvesCvisualiz
ationCofCtheCesophagus,Cduodenum,CandCupperCjejunumCbyCmeansCofCtheCuseCofCaCcontrastCmediu
m.CItCinvolvesCswallowingCaCcontrastCmediumC(usuallyCbarium),CwhichCisCadministeredCinCaCflavore
dCmilkshake.CFilmsCareCtakenCatCintervalsCduringCtheCtest,CwhichCtakesCaboutC30Cminutes.CAfterCanC
upperCGICseries,CtheCclientCisCprescribedCaClaxativeCtoChastenCeliminationCofCtheCbarium.CBariumCth
atCremainsCinCtheCcolonCmayCbecomeChardCandCdifficultCtoCexpel,CleadingCtoCfecalCimpaction.
ACnurseConCtheCeveningCshiftCchecksCaCprimaryChealthCcareCprovider'sCprescriptionsCandCnotesCtha
tCtheCdoseCofCaCprescribedCmedicationCisChigherCthanCtheCnormalCdose.CTheCnurseCcallsCtheCprimar
yChealthCcareCprovider'sCansweringCserviceCandCisCtoldCthatCtheCprimaryChealthCcareCproviderCisCoff
CforCtheCnightCandCwillCbeCavailableCinCtheCmorning.CWhatCshouldCtheCnurseCdoCnext?
CallCtheCnursingCsupervisor
AskCtheCansweringCserviceCtoCcontactCtheCon-callCprimaryChealthCcareCproviderC
WithholdCtheCmedicationCuntilCtheCprimaryChealthCcareCproviderCcanCbeCreachedCinCtheCmorning
AdministerCtheCmedicationCbutCconsultCtheCprimaryChealthCcareCproviderCwhenCheCbecomesCavail
ableC-CCORRECTCANSWERAskCtheCansweringCserviceCtoCcontactCtheCon-
callCprimaryChealthCcareCproviderC
Rationale:CTheCnurseChasCaCdutyCtoCprotectCtheCclientCfromCharm.CACnurseCwhoCbelievesCthatCaCpri
maryChealthCcareCprovider'sCprescriptionCmayCbeCinCerrorCisCresponsibleCforCclarifyingCtheCprescrip
tionCbeforeCcarryingCitCout.CThereforeCtheCnurseCwouldCnotCadministerCtheCmedication;Cinstead,Cth
eCnurseCwouldCwithholdCtheCmedicationCuntilCtheCdoseCcanCbeCclarified.CTheCnurseCwouldCnotCwait
CuntilCtheCnextCmorningCtoCobtainCclarification.CItCisCprematureCtoCcallCtheCnursingCsupervisor.
,AnCemergencyCdepartmentC(ED)CnurseCisCmonitoringCaCclientCwithCsuspectedCacuteCmyocardialCinf
arctionC(MI)CwhoCisCawaitingCtransferCtoCtheCcoronaryCintensiveCcareCunit.CTheCnurseCnotesCtheCsu
ddenConsetCofCprematureCventricularCcontractionsC(PVCs)ConCtheCmonitor,CchecksCtheCclient'sCcaro
tidCpulse,CandCdeterminesCthatCtheCPVCsCareCnotCperfusing.CWhatCisCtheCnurse'sCmostCappropriateC
action?
DocumentCtheCfindings
AskCtheCEDCprimaryChealthCcareCproviderCtoCcheckCtheCclientC
ContinueCtoCmonitorCtheCclient'sCcardiacCstatus
InformCtheCclientCthatCPVCsCareCexpectedCafterCanCMIC-
CCORRECTCANSWERAskCtheCEDCprimaryChealthCcareCproviderCtoCcheckCtheCclientC
Rationale:CTheCmostCappropriateCactionCbyCtheCnurseCwouldCbeCtoCaskCtheCEDChealthCcareCprovide
rCtoCcheckCtheCclient.CPVCsCareCaCresultCofCincreasedCirritabilityCofCventricularCcells.CPeripheralCpuls
esCmayCbeCabsentCorCdiminishedCwithCtheCPVCsCthemselvesCbecauseCtheCdecreasedCstrokeCvolume
CofCtheCprematureCbeatsCmayCinCturnCdecreaseCperipheralCperfusion.CBecauseCotherCrhythmsCalsoC
causeCwidenedCQRSCcomplexes,CitCisCessentialCthatCtheCnurseCdetermineCwhetherCtheCprematureC
beatsCareCresultingCinCperfusionCofCtheCextremities.CThisCisCdoneCbyCpalpatingCtheCcarotid,Cbrachial
,CorCfemoralCarteryCwhileCobservingCtheCmonitorCforCwidenedCcomplexesCorCbyCauscultatingCforCapi
calCheartCsounds.CInCtheCsituationCofCacuteCMI,CPVCsCmayCbeCconsideredCwarningCdysrhythmias,Cp
ossiblyCheraldingCtheConsetCofCventricularCtachycardiaCorCventricularCfibrillation.CTherefore,CtheCn
urseCwouldCnotCtellCtheCclientCthatCtheCPVCsCareCexpected.CAlthoughCtheCnurseCwillCcontinueCtoCm
onitorCtheCclientCandCdocumentCtheCfindings,CtheseCareCnotCtheCmostCappropriateCactionsCofCthos
eCprovided.
NPOCstatusCisCimposedC8ChoursCbeforeCtheCprocedureConCaCclientCscheduledCtoCundergoCelectroco
nvulsiveCtherapyC(ECT)CatC1Cp.m.COnCtheCmorningCofCtheCprocedure,CtheCnurseCchecksCtheCclient'sCr
ecordCandCnotesCthatCtheCclientCroutinelyCtakesCanCoralCantihypertensiveCmedicationCeachCmornin
g.CWhatCactionCshouldCtheCnurseCtake?
AdministerCtheCantihypertensiveCwithCaCsmallCsipCofCwaterC
, WithholdCtheCantihypertensiveCandCadministerCitCatCbedtime
AdministerCtheCmedicationCbyCwayCofCtheCintravenousC(IV)Croute
HoldCtheCantihypertensiveCandCresumeCitsCadministrationConCtheCdayCafterCtheCECTC-
CCORRECTCANSWERAdministerCtheCantihypertensiveCwithCaCsmallCsipCofCwaterC
Rationale:CTheCnurseCshouldCadministerCtheCantihypertensiveCwithCaCsmallCsipCofCwater.CGeneralCa
nesthesiaCisCrequiredCforCECT,CsoCNPOCstatusCisCimposedCforC6CtoC8ChoursCbeforeCtreatmentCtoChelp
CpreventCaspiration.CExceptionsCincludeCclientsCwhoCroutinelyCreceiveCcardiacCmedications,Cantihy
pertensiveCagents,CorChistamineC(H2)Cblockers,CwhichCshouldCbeCadministeredCseveralChoursCbefor
eCtreatmentCwithCaCsmallCsipCofCwater.CWithholdingCtheCantihypertensiveCandCadministeringCitCatCb
edtimeCandCwithholdingCtheCantihypertensiveCandCresumingCadministrationConCtheCdayCafterCtheC
ECTCareCincorrectCactions,CbecauseCantihypertensivesCmustCbeCadministeredConCtime;Cotherwise,C
theCriskCforCreboundChypertensionCexists.CTheCnurseCwouldCnotCadministerCaCmedicationCbyCwayCo
fCaCrouteCthatChasCnotCbeenCprescribed.
ACclientCwhoCrecentlyCunderwentCcoronaryCarteryCbypassCgraftCsurgeryCcomesCtoCtheCprimaryCheal
thCcareCprovider'sCofficeCforCaCfollow-
upCvisit.COnCassessment,CtheCclientCtellsCtheCnurseCthatCheCisCfeelingCdepressed.CWhichCresponseCb
yCtheCnurseCisCtherapeutic?
"TellCmeCmoreCaboutCwhatCyou'reCfeeling."C
"That'sCaCnormalCresponseCafterCthisCtypeCofCsurgery."
"ItCwillCtakeCtime,CbutCICpromiseCyou,CyouCwillCgetCoverCthisCdepression."
"EveryCclientCwhoChasCthisCsurgeryCfeelsCtheCsameCwayCforCaboutCaCmonth."C-
CCORRECTCANSWER"TellCmeCmoreCaboutCwhatCyou'reCfeeling."C
Rationale:CTheCtherapeuticCresponseCbyCtheCnurseCis,C"TellCmeCmoreCaboutCwhatCyou'reCfeeling."C
WhenCaCclientCexpressesCfeelingsCofCdepression,CitCisCextremelyCimportantCforCtheCnurseCtoCfurther
CexploreCtheseCfeelingsCwithCtheCclient.CInCstating,C"ThisCisCaCnormalCresponseCafterCthisCtypeCofCsur
gery"CtheCnurseCprovidesCfalseCreassuranceCandCavoidsCaddressingCtheCclient'sCfeelings.C"ItCwillCtak
eCtime,CbutCICpromiseCyou,CyouCwillCgetCoverCtheCdepression"CisCalsoCaCfalseCreassurance,CandCitCdo
EXAM ALL QUESTIONS AND WELL
ELABORATED ANSWERS TOP RATED
VERSION FOR ALREADY A+ GRADED
HIGHLY RECOMMENDED |NEW AND
REVISED
EnalaprilCmaleateCisCprescribedCforCaChospitalizedCclient.CWhichCassessmentCdoesCtheCnurseCperfor
mCasCaCpriorityCbeforeCadministeringCtheCmedication?
CheckingCtheCclient'sCbloodCpressureC
CheckingCtheCclient'sCperipheralCpulses
CheckingCtheCmostCrecentCpotassiumClevel
CheckingCtheCclient'sCintake-and-outputCrecordCforCtheClastC24ChoursC-
CCORRECTCANSWERCheckingCtheCclient'sCbloodCpressureC
Rationale:CEnalaprilCmaleateCisCanCangiotensin-
convertingCenzymeC(ACE)CinhibitorCusedCtoCtreatChypertension.COneCcommonCsideCeffectCisCpostur
alChypotension.CThereforeCtheCnurseCwouldCcheckCtheCclient'sCbloodCpressureCimmediatelyCbefore
CadministeringCeachCdose.CCheckingCtheCclient'sCperipheralCpulses,CtheCresultsCofCtheCmostCrecentC
potassiumClevel,CandCtheCintakeCandCoutputCforCtheCpreviousC24ChoursCareCnotCspecificallyCassociat
edCwithCthisCmediation.
ACclientCisCscheduledCtoCundergoCanCupperCgastrointestinalC(GI)Cseries,CandCtheCnurseCprovidesCins
tructionsCtoCtheCclientCaboutCtheCtest.CWhichCstatementCbyCtheCclientCindicatesCaCneedCforCfurtherC
instruction?
"TheCtestCwillCtakeCaboutC30Cminutes."
"ICneedCtoCfastCforC8ChoursCbeforeCtheCtest."
,"ICneedCtoCdrinkCcitrateCofCmagnesiaCtheCnightCbeforeCtheCtestCandCgiveCmyselfCaCFleetCenemaConCt
heCmorningCofCtheCtest."C
"ICneedCtoCtakeCaClaxativeCafterCtheCtestCisCcompleted,CbecauseCtheCliquidCthatCI'llChaveCtoCdrinkCforC
theCtestCcanCbeCconstipating."C-
CCORRECTCANSWER"ICneedCtoCdrinkCcitrateCofCmagnesiaCtheCnightCbeforeCtheCtestCandCgiveCmyself
CaCFleetCenemaConCtheCmorningCofCtheCtest."C
Rationale:CNoCspecialCpreparationCisCnecessaryCbeforeCaCGICseries,CexceptCthatCNPOC(nothingCbyCm
outh)CstatusCmustCbeCmaintainedCforC8ChoursCbeforeCtheCtest.CAnCupperCGICseriesCinvolvesCvisualiz
ationCofCtheCesophagus,Cduodenum,CandCupperCjejunumCbyCmeansCofCtheCuseCofCaCcontrastCmediu
m.CItCinvolvesCswallowingCaCcontrastCmediumC(usuallyCbarium),CwhichCisCadministeredCinCaCflavore
dCmilkshake.CFilmsCareCtakenCatCintervalsCduringCtheCtest,CwhichCtakesCaboutC30Cminutes.CAfterCanC
upperCGICseries,CtheCclientCisCprescribedCaClaxativeCtoChastenCeliminationCofCtheCbarium.CBariumCth
atCremainsCinCtheCcolonCmayCbecomeChardCandCdifficultCtoCexpel,CleadingCtoCfecalCimpaction.
ACnurseConCtheCeveningCshiftCchecksCaCprimaryChealthCcareCprovider'sCprescriptionsCandCnotesCtha
tCtheCdoseCofCaCprescribedCmedicationCisChigherCthanCtheCnormalCdose.CTheCnurseCcallsCtheCprimar
yChealthCcareCprovider'sCansweringCserviceCandCisCtoldCthatCtheCprimaryChealthCcareCproviderCisCoff
CforCtheCnightCandCwillCbeCavailableCinCtheCmorning.CWhatCshouldCtheCnurseCdoCnext?
CallCtheCnursingCsupervisor
AskCtheCansweringCserviceCtoCcontactCtheCon-callCprimaryChealthCcareCproviderC
WithholdCtheCmedicationCuntilCtheCprimaryChealthCcareCproviderCcanCbeCreachedCinCtheCmorning
AdministerCtheCmedicationCbutCconsultCtheCprimaryChealthCcareCproviderCwhenCheCbecomesCavail
ableC-CCORRECTCANSWERAskCtheCansweringCserviceCtoCcontactCtheCon-
callCprimaryChealthCcareCproviderC
Rationale:CTheCnurseChasCaCdutyCtoCprotectCtheCclientCfromCharm.CACnurseCwhoCbelievesCthatCaCpri
maryChealthCcareCprovider'sCprescriptionCmayCbeCinCerrorCisCresponsibleCforCclarifyingCtheCprescrip
tionCbeforeCcarryingCitCout.CThereforeCtheCnurseCwouldCnotCadministerCtheCmedication;Cinstead,Cth
eCnurseCwouldCwithholdCtheCmedicationCuntilCtheCdoseCcanCbeCclarified.CTheCnurseCwouldCnotCwait
CuntilCtheCnextCmorningCtoCobtainCclarification.CItCisCprematureCtoCcallCtheCnursingCsupervisor.
,AnCemergencyCdepartmentC(ED)CnurseCisCmonitoringCaCclientCwithCsuspectedCacuteCmyocardialCinf
arctionC(MI)CwhoCisCawaitingCtransferCtoCtheCcoronaryCintensiveCcareCunit.CTheCnurseCnotesCtheCsu
ddenConsetCofCprematureCventricularCcontractionsC(PVCs)ConCtheCmonitor,CchecksCtheCclient'sCcaro
tidCpulse,CandCdeterminesCthatCtheCPVCsCareCnotCperfusing.CWhatCisCtheCnurse'sCmostCappropriateC
action?
DocumentCtheCfindings
AskCtheCEDCprimaryChealthCcareCproviderCtoCcheckCtheCclientC
ContinueCtoCmonitorCtheCclient'sCcardiacCstatus
InformCtheCclientCthatCPVCsCareCexpectedCafterCanCMIC-
CCORRECTCANSWERAskCtheCEDCprimaryChealthCcareCproviderCtoCcheckCtheCclientC
Rationale:CTheCmostCappropriateCactionCbyCtheCnurseCwouldCbeCtoCaskCtheCEDChealthCcareCprovide
rCtoCcheckCtheCclient.CPVCsCareCaCresultCofCincreasedCirritabilityCofCventricularCcells.CPeripheralCpuls
esCmayCbeCabsentCorCdiminishedCwithCtheCPVCsCthemselvesCbecauseCtheCdecreasedCstrokeCvolume
CofCtheCprematureCbeatsCmayCinCturnCdecreaseCperipheralCperfusion.CBecauseCotherCrhythmsCalsoC
causeCwidenedCQRSCcomplexes,CitCisCessentialCthatCtheCnurseCdetermineCwhetherCtheCprematureC
beatsCareCresultingCinCperfusionCofCtheCextremities.CThisCisCdoneCbyCpalpatingCtheCcarotid,Cbrachial
,CorCfemoralCarteryCwhileCobservingCtheCmonitorCforCwidenedCcomplexesCorCbyCauscultatingCforCapi
calCheartCsounds.CInCtheCsituationCofCacuteCMI,CPVCsCmayCbeCconsideredCwarningCdysrhythmias,Cp
ossiblyCheraldingCtheConsetCofCventricularCtachycardiaCorCventricularCfibrillation.CTherefore,CtheCn
urseCwouldCnotCtellCtheCclientCthatCtheCPVCsCareCexpected.CAlthoughCtheCnurseCwillCcontinueCtoCm
onitorCtheCclientCandCdocumentCtheCfindings,CtheseCareCnotCtheCmostCappropriateCactionsCofCthos
eCprovided.
NPOCstatusCisCimposedC8ChoursCbeforeCtheCprocedureConCaCclientCscheduledCtoCundergoCelectroco
nvulsiveCtherapyC(ECT)CatC1Cp.m.COnCtheCmorningCofCtheCprocedure,CtheCnurseCchecksCtheCclient'sCr
ecordCandCnotesCthatCtheCclientCroutinelyCtakesCanCoralCantihypertensiveCmedicationCeachCmornin
g.CWhatCactionCshouldCtheCnurseCtake?
AdministerCtheCantihypertensiveCwithCaCsmallCsipCofCwaterC
, WithholdCtheCantihypertensiveCandCadministerCitCatCbedtime
AdministerCtheCmedicationCbyCwayCofCtheCintravenousC(IV)Croute
HoldCtheCantihypertensiveCandCresumeCitsCadministrationConCtheCdayCafterCtheCECTC-
CCORRECTCANSWERAdministerCtheCantihypertensiveCwithCaCsmallCsipCofCwaterC
Rationale:CTheCnurseCshouldCadministerCtheCantihypertensiveCwithCaCsmallCsipCofCwater.CGeneralCa
nesthesiaCisCrequiredCforCECT,CsoCNPOCstatusCisCimposedCforC6CtoC8ChoursCbeforeCtreatmentCtoChelp
CpreventCaspiration.CExceptionsCincludeCclientsCwhoCroutinelyCreceiveCcardiacCmedications,Cantihy
pertensiveCagents,CorChistamineC(H2)Cblockers,CwhichCshouldCbeCadministeredCseveralChoursCbefor
eCtreatmentCwithCaCsmallCsipCofCwater.CWithholdingCtheCantihypertensiveCandCadministeringCitCatCb
edtimeCandCwithholdingCtheCantihypertensiveCandCresumingCadministrationConCtheCdayCafterCtheC
ECTCareCincorrectCactions,CbecauseCantihypertensivesCmustCbeCadministeredConCtime;Cotherwise,C
theCriskCforCreboundChypertensionCexists.CTheCnurseCwouldCnotCadministerCaCmedicationCbyCwayCo
fCaCrouteCthatChasCnotCbeenCprescribed.
ACclientCwhoCrecentlyCunderwentCcoronaryCarteryCbypassCgraftCsurgeryCcomesCtoCtheCprimaryCheal
thCcareCprovider'sCofficeCforCaCfollow-
upCvisit.COnCassessment,CtheCclientCtellsCtheCnurseCthatCheCisCfeelingCdepressed.CWhichCresponseCb
yCtheCnurseCisCtherapeutic?
"TellCmeCmoreCaboutCwhatCyou'reCfeeling."C
"That'sCaCnormalCresponseCafterCthisCtypeCofCsurgery."
"ItCwillCtakeCtime,CbutCICpromiseCyou,CyouCwillCgetCoverCthisCdepression."
"EveryCclientCwhoChasCthisCsurgeryCfeelsCtheCsameCwayCforCaboutCaCmonth."C-
CCORRECTCANSWER"TellCmeCmoreCaboutCwhatCyou'reCfeeling."C
Rationale:CTheCtherapeuticCresponseCbyCtheCnurseCis,C"TellCmeCmoreCaboutCwhatCyou'reCfeeling."C
WhenCaCclientCexpressesCfeelingsCofCdepression,CitCisCextremelyCimportantCforCtheCnurseCtoCfurther
CexploreCtheseCfeelingsCwithCtheCclient.CInCstating,C"ThisCisCaCnormalCresponseCafterCthisCtypeCofCsur
gery"CtheCnurseCprovidesCfalseCreassuranceCandCavoidsCaddressingCtheCclient'sCfeelings.C"ItCwillCtak
eCtime,CbutCICpromiseCyou,CyouCwillCgetCoverCtheCdepression"CisCalsoCaCfalseCreassurance,CandCitCdo
