HESI Comprehensive Exit Exam 2025 version 2 – All 140 Questions and Verified Answers

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HESI Comprehensive Exit Exam 2025
version 2 – All 140 Questions and Verified
Answers



Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment
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does the nurse perform as a priority before administering the medication?
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A. Checking the client's blood pressure
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B. Checking the client's peripheral pulses
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C. Checking the most recent potassium level
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D. Checking the client's intake-and-output record for the last 24 hours -
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g answerA. Checking the client's blood pressure
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Checking the client's blood pressure
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Enalapril maleate is an angiotensin- g g g g




converting enzyme (ACE) inhibitor used to treat hypertension. One common side eff
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ect is postural hypotension. Therefore the nurse would check the client's blood press
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ure immediately before administering each dose. Checking the client's peripheral puls
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es, the results of the most recent potassium level, and the intake and output for the pr
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evious 24 hours are not specifically associated with this mediation.
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2-

A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse pr
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ovides instructions to the client about the test. Which statement by the client indicate
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s a need for further instruction?
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A. "The test will take about 30 minutes."
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B. "I need to fast for 8 hours before the test."
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C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet
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enema on the morning of the test."
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D. "I need to take a laxative after the test is completed, because the liquid that I'll have
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to drink for the test can be constipating." -
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g answerC. "I need to drink citrate of magnesia the night before the test and give myself
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a Fleet enema on the morning of the test."
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An upper GI series involves visualization of the esophagus, duodenum, and upper jeju
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num by means of the use of a contrast medium. It involves swallowing a contrast medi
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um (usually barium), which is administered in a flavored milkshake. Films are taken at i
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ntervals during the test, which takes about 30 minutes. No special preparation is nece
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ssary before a GI series, except that NPO status must be maintained for 8 hours befor
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e the test. After an upper GI series, the client is prescribed a laxative to hasten elimina
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tion of the barium. Barium that remains in the colon may become hard and difficult to
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expel, leading to fecal impaction.
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3-

A nurse on the evening shift checks a physician's prescriptions and notes that the dose
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g of a prescribed medication is higher than the normal dose. The nurse calls the physici
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an's answering service and is told that the physician is off for the night and will be availa
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ble in the morning. The nurse should:
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A. Call the nursing supervisor
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B. Ask the answering service to contact the on-call physician
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C. Withhold the medication until the physician can be reached in the morning
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D. Administer the medication but consult the physician when he becomes available -
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g answerB. Ask the answering service to contact the on-call physician
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4.An emergency department (ED) nurse is monitoring a client with suspected acute m
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yocardial infarction (MI) who is awaiting transfer to the coronary intensive care unit.
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The nurse notes the sudden onset of premature ventricular contractions (PVCs) on t
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he monitor, checks the client's carotid pulse, and determines that the PVCs are not re
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sulting in perfusion. The appropriate action by the nurse is:
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A. Documenting the findings
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B. Asking the ED physician to check the client
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C. Continuing to monitor the client's cardiac status
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D. Informing the client that PVCs are expected after an MI -
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g answerB. Asking the ED physician to check the client
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