HESI Exit Comprehensive B Evolve
Practice Exam Complete Exam
Questions with 100% Verified Correct
Answers and Rationales Latest Update
HESI Exit Comprehensive B Evolve Practice Exam |
Comprehensive Examination
HESI Exit Comprehensive B Evolve Practice Exam Complete
Exam Questions with 100% Verified Correct Answers and
Rationales Latest Update 2026/2027 actual exam preparation
INTRODUCTION
This document is an important and very helpful preparation
resource for HESI Exit Comprehensive B Evolve Practice Exam
Complete Exam Questions with 100% Verified Correct Answers
and Rationales Latest Update 2026/2027. Every item uses a
focused exam stem, four response options, a keyed response,
and a clear rationale, making it easier to understand the
subject, spot distractors, and build real exam confidence.
Page 1
, Question 1
A patient with acute decompensated heart failure is receiving a continuous
furosemide infusion. Which assessment finding most specifically indicates the
therapy has produced the desired hemodynamic effect rather than merely
symptomatic improvement?
A. Urine output of 150 mL/hr with a decrease in body weight of 1 kg over
24 hours
B. Reduction in jugular venous pressure from 14 cm to 6 cm H2O with
improved orthopnea
C. Serum potassium decrease from 4.2 to 3.4 mEq/L with resolution of
crackles
D. Decrease in brain natriuretic peptide (BNP) from 1200 to 900 pg/mL
with less dyspnea
Correct Answer: B - Reduction in jugular venous pressure from
14 cm to 6 cm H2O with improved orthopnea
RATIONALE
Jugular venous pressure directly reflects right-sided filling pressures
and preload; a reduction from elevated to normal range (6-8 cm H2O)
confirms true decongestion, not just diuresis. Urine output and weight
loss (A) can occur without resolving elevated filling pressures,
hypokalemia (C) is an adverse effect, and BNP (D) is a marker that
lags and is influenced by multiple factors.
Question 2
A laboring patient at 39 weeks gestation has a Category II fetal heart tracing
with repetitive variable decelerations. Which nursing action is the priority?
A. Administer oxygen at 10 L/min via non-rebreather mask and prepare
for immediate cesarean birth
B. Reposition the patient to a knee-chest or side-lying position, perform a
vaginal exam, and consider amnioinfusion
Page 2
Practice Exam Complete Exam
Questions with 100% Verified Correct
Answers and Rationales Latest Update
HESI Exit Comprehensive B Evolve Practice Exam |
Comprehensive Examination
HESI Exit Comprehensive B Evolve Practice Exam Complete
Exam Questions with 100% Verified Correct Answers and
Rationales Latest Update 2026/2027 actual exam preparation
INTRODUCTION
This document is an important and very helpful preparation
resource for HESI Exit Comprehensive B Evolve Practice Exam
Complete Exam Questions with 100% Verified Correct Answers
and Rationales Latest Update 2026/2027. Every item uses a
focused exam stem, four response options, a keyed response,
and a clear rationale, making it easier to understand the
subject, spot distractors, and build real exam confidence.
Page 1
, Question 1
A patient with acute decompensated heart failure is receiving a continuous
furosemide infusion. Which assessment finding most specifically indicates the
therapy has produced the desired hemodynamic effect rather than merely
symptomatic improvement?
A. Urine output of 150 mL/hr with a decrease in body weight of 1 kg over
24 hours
B. Reduction in jugular venous pressure from 14 cm to 6 cm H2O with
improved orthopnea
C. Serum potassium decrease from 4.2 to 3.4 mEq/L with resolution of
crackles
D. Decrease in brain natriuretic peptide (BNP) from 1200 to 900 pg/mL
with less dyspnea
Correct Answer: B - Reduction in jugular venous pressure from
14 cm to 6 cm H2O with improved orthopnea
RATIONALE
Jugular venous pressure directly reflects right-sided filling pressures
and preload; a reduction from elevated to normal range (6-8 cm H2O)
confirms true decongestion, not just diuresis. Urine output and weight
loss (A) can occur without resolving elevated filling pressures,
hypokalemia (C) is an adverse effect, and BNP (D) is a marker that
lags and is influenced by multiple factors.
Question 2
A laboring patient at 39 weeks gestation has a Category II fetal heart tracing
with repetitive variable decelerations. Which nursing action is the priority?
A. Administer oxygen at 10 L/min via non-rebreather mask and prepare
for immediate cesarean birth
B. Reposition the patient to a knee-chest or side-lying position, perform a
vaginal exam, and consider amnioinfusion
Page 2
