HESI COMPREHENSIVE EXIT EXAM 2025 VERSION 2 COPY - COMPLETE
QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1:
The nurse is caring for a client with clinical depression who is
receiving a MAO inhibitor. When providing instructions about
precautions with this medication, which action should the nurse
stress to the client as important?
A) Avoid chocolate and cheese
B) Take frequent naps
C) Take the medication with milk
D) Avoid walking without assistance
Answer:
The correct answer is A: Avoid chocolate and cheese
Question 2:
A parent asks the school nurse how to eliminate lice from their
child. What is the most appropriate response by the nurse?
A) Cut the child's hair short to remove the nits
B) Apply warm soaks to the head twice daily
C) Wash the child's linen and clothing in a bleach solution
D) Application of pediculicides
Answer:
The correct answer is D: Application of pediculicides
Question 3:
The nurse is teaching a client about precautions with Coumadin
therapy. The client should be instructed to avoid which
,over-the-counter medication?
A) Non-steroidal anti-inflammatory drugs
B) Cough medicines with guaifenesin
C) Histamine blockers
D) Laxatives containing magnesium salts
Answer:
The correct answer is A: Non-steroidal anti-inflammatory drugs
Question 4:
A client diagnosed with cirrhosis of the liver and ascites is
receiving Spironolactone (Aldactone). The nurse understands that
this medication spares elimination of which element?
A) Sodium
B) Potassium
C) Phosphate
D) Albumin
Answer:
The correct answer is B: Potassium
Question 5:
The nurse is caring for a client receiving a blood transfusion who
develops urticaria one-half hour after the transfusion has begun.
What is the first action the nurse should take?
A) Stop the infusion
B) Slow the rate of infusion
C) Take vital signs and observe for further deterioration
D) Administer Benadryl and continue the infusion
Answer:
, The correct answer is A: Stop the infusion
Question 6:
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
Question 7:
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
Question 8:
A client is receiving intravenous heparin therapy. What medication
should the 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.
Question 9:
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."
Question 10:
Why is it important for the nurse to monitor blood pressure in
clients receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
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:
QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1:
The nurse is caring for a client with clinical depression who is
receiving a MAO inhibitor. When providing instructions about
precautions with this medication, which action should the nurse
stress to the client as important?
A) Avoid chocolate and cheese
B) Take frequent naps
C) Take the medication with milk
D) Avoid walking without assistance
Answer:
The correct answer is A: Avoid chocolate and cheese
Question 2:
A parent asks the school nurse how to eliminate lice from their
child. What is the most appropriate response by the nurse?
A) Cut the child's hair short to remove the nits
B) Apply warm soaks to the head twice daily
C) Wash the child's linen and clothing in a bleach solution
D) Application of pediculicides
Answer:
The correct answer is D: Application of pediculicides
Question 3:
The nurse is teaching a client about precautions with Coumadin
therapy. The client should be instructed to avoid which
,over-the-counter medication?
A) Non-steroidal anti-inflammatory drugs
B) Cough medicines with guaifenesin
C) Histamine blockers
D) Laxatives containing magnesium salts
Answer:
The correct answer is A: Non-steroidal anti-inflammatory drugs
Question 4:
A client diagnosed with cirrhosis of the liver and ascites is
receiving Spironolactone (Aldactone). The nurse understands that
this medication spares elimination of which element?
A) Sodium
B) Potassium
C) Phosphate
D) Albumin
Answer:
The correct answer is B: Potassium
Question 5:
The nurse is caring for a client receiving a blood transfusion who
develops urticaria one-half hour after the transfusion has begun.
What is the first action the nurse should take?
A) Stop the infusion
B) Slow the rate of infusion
C) Take vital signs and observe for further deterioration
D) Administer Benadryl and continue the infusion
Answer:
, The correct answer is A: Stop the infusion
Question 6:
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
Question 7:
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
Question 8:
A client is receiving intravenous heparin therapy. What medication
should the 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.
Question 9:
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."
Question 10:
Why is it important for the nurse to monitor blood pressure in
clients receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
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:
