HESI COMPREHENSIVE EXIT
ACTUAL HESI COMPREHENSIVE EXIT EXAM 1 QUESTIONS
(AND ANSWERS WITH RATIONALE)
5.1 (40 REVIEWS)
QUESTIONS ANSWERS
The nurse is monitoring D
neurological vital signs for a male
client who lost (Neurological vital signs include serial assessments of TPR,
consciousness after falling and hitting blood pressure, and components of the Glasgow coma scale (GCS),
his head. Which which includes verbal, musculoskeletal, and pupillary responses. A
assessment finding is the earliest change in the client's level of consciousness, as
and most sensitive indicated by responses to commands during the GCS, is the first and the
indication of altered cerebral most sensitive sign of change in cerebral function. The other assessment
function? data choices are late signs of altered cerebral function.)
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of
consciousness.
, HESI COMPREHENSIVE EXIT
A nurse is planning to teach D
self-care measures to a female client
about prevention of yeast infections. (A common genital tract infection in females is candidiasis, which is an
Which instructions overgrowth of the normal vaginal flora of Candida albicans that thrives in
should the nurse provide? an environment that is warm and moist and is perpetuated by tight-
a. Use a douche preparation no fitting clothing, underwear, or pantyhose made of nonabsorbent
more than once a month. materials. The client should
b. Increase daily intake of fiber wear clothing that is loose fitting and absorbent, such as cotton
and leafy green vegetables. underwear, and avoid using bubble-bath or bath salts which
c. Select nylon underwear that is further irritate sensitive genital tissue. Douching is not
loose-fitting, white, and recommended because it can irritate vaginal tissue, alter pH,
comfortable. and contribute to fungal growth. While increasing dietary fiber intake
d. Avoid tight-fitting clothing encourages healthy, nutritional guidelines, it is not the focus of the
and do not use bubble-bath or bath teaching. Cotton, not nylon undergarments,
salts. provide absorbancy and reduce moisture in the perineal area.)
A client who has active D
tuberculosis (TB) is admitted to the
medical unit. What action is most (Active tuberculosis requires implementation of airborne
important for the nurse to precautions, so the client should be assigned to a negative
implement? pressure air-flow room. Although isolation gowns and isolation carts
should be implemented for clients in isolation with contact precautions,
a. Place an isolation cart in the it is most important that air flow from the room is minimized when the
hallway. client has TB. The respirator mask should be implemented when the client
b. Fit the client with a respirator leaves the isolation environment.)
mask.
c. Don a clean gown for client
care.
d. Assign the client to a
negative air-flow room.
The nurse is planning to A
conduct nutritional assessments and
diet teaching to clients at a family A pregnant woman's metabolic demands are 20 to 24% more than the
health clinic. Which basic metabolic rate. The other clients require only 15 to 20% more than
individual has the greatest nutritional the basic metabolic rate.
and energy demands?
a. A pregnant woman.
b. A teenager beginning
puberty.
c. A 3-month-old infant.
d. A school-aged child.
, HESI COMPREHENSIVE EXIT
B
What nursing delivery of care provides (Primary nursing is a model of delivery of care where a nurse is
the nurse to plan and accountable for planning care for clients around the clock.
direct care of a group of clients over a Functional nursing is a care delivery model that provides client care by
24-hour period? assignment of functions or tasks. Team nursing is a care delivery model
a. Team nursing. where assignments to a group of clients are
b. Primary nursing. provided by a mixed-staff team. Case management is the
c. Case management. delivery of care that uses a collaborative process of assessment,
d. Functional nursing. planning, facilitation, and advocacy for options and services to meet an
individual's health needs and promote quality cost- effective
outcomes.)
A
Which approach should the
nurse use when preparing a (Imitation is one of the most distinguishing characteristics of
toddler for a procedure? toddler play, so demonstration of a procedure on a doll enables a non-
threatening, dramatic experience that can help prepare the toddler for
a. Demonstrate the procedure the actual procedure. The primary
using a doll. developmental task in toddlerhood is acquiring a sense of
b. Avoid asking the child to autonomy, so giving choices whenever possible to a toddler is
make choices. recommended, not avoiding asking the toddler to make a choice. Since
the toddler's attention span is short, teaching sessions should be brief
c. Plan a teaching session to last
and can be repeated for reinforcement. Showing the equipment before
about 20 minutes.
its use helps relieve anxiety, but the child should be allowed to handle
d. Show equipment but prevent some of the equipment to prevent frustration and alleviate fear.)
child from handling it.
The nurse is caring for a client D
who is the daughter of a local
politician. When the nurse (Confidentiality is the nurse's primary responsibility and is
approaches a man who is supported by HIPAA, which mandates that personal information is not
reading the names on the hall doors, disclosed and access to sensitive client information is
he identifies himself as a reporter for limited. Caring involves the nurse's concern about how the client
the local experiences the world. Veracity is the nurse's duty to tell the truth and
newspaper and requests not deceive others. Advocacy is support of the client's best interests.)
information about the client's status.
Which standard of
nursing practice should the nurse
use to respond?
a. Caring.
b. Veracity.
c. Advocacy.
d. Confidentiality.
, HESI COMPREHENSIVE EXIT
A male client diagnosed with D
antisocial personality disorder is
morbidly obese and is placed on a (The nurse should provide a reality check by helping the client realize
low fat, low calorie diet. At dinner that there are consequences to his behavior. Removing the client from
the nurse notes that he is trying to the room or table does not help the client
get other clients on the unit to give realize that his behavior is manipulative and harmful to himself as well as
him part of their meals. What others. This behavior needs to be documented, but does not need to be
intervention should the nurse reported immediately.)
implement?
a. Remove the client from the
table and have him sit alone.
b. Send the client back to his
room and do not allow him to
eat.
c. Report the behavior to the
on-call psychologist
immediately.
d. Confront the client about the
consequences of the behavior.
The nurse is assessing a client who A
complains of weight loss, racing
heart rate, and difficulty sleeping. (This client is exhibiting symptoms associated with
The nurse determines the client has hyperthyroidism or Grave's disease, which is an autoimmune condition
moist skin with fine hair, prominent affecting the thyroid. Cushing syndrome, multiple sclerosis, or
eyes, lid Addison's disease are not associated with these symptoms.)
retraction, and a staring
expression. These findings are
consistent with which disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
ACTUAL HESI COMPREHENSIVE EXIT EXAM 1 QUESTIONS
(AND ANSWERS WITH RATIONALE)
5.1 (40 REVIEWS)
QUESTIONS ANSWERS
The nurse is monitoring D
neurological vital signs for a male
client who lost (Neurological vital signs include serial assessments of TPR,
consciousness after falling and hitting blood pressure, and components of the Glasgow coma scale (GCS),
his head. Which which includes verbal, musculoskeletal, and pupillary responses. A
assessment finding is the earliest change in the client's level of consciousness, as
and most sensitive indicated by responses to commands during the GCS, is the first and the
indication of altered cerebral most sensitive sign of change in cerebral function. The other assessment
function? data choices are late signs of altered cerebral function.)
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of
consciousness.
, HESI COMPREHENSIVE EXIT
A nurse is planning to teach D
self-care measures to a female client
about prevention of yeast infections. (A common genital tract infection in females is candidiasis, which is an
Which instructions overgrowth of the normal vaginal flora of Candida albicans that thrives in
should the nurse provide? an environment that is warm and moist and is perpetuated by tight-
a. Use a douche preparation no fitting clothing, underwear, or pantyhose made of nonabsorbent
more than once a month. materials. The client should
b. Increase daily intake of fiber wear clothing that is loose fitting and absorbent, such as cotton
and leafy green vegetables. underwear, and avoid using bubble-bath or bath salts which
c. Select nylon underwear that is further irritate sensitive genital tissue. Douching is not
loose-fitting, white, and recommended because it can irritate vaginal tissue, alter pH,
comfortable. and contribute to fungal growth. While increasing dietary fiber intake
d. Avoid tight-fitting clothing encourages healthy, nutritional guidelines, it is not the focus of the
and do not use bubble-bath or bath teaching. Cotton, not nylon undergarments,
salts. provide absorbancy and reduce moisture in the perineal area.)
A client who has active D
tuberculosis (TB) is admitted to the
medical unit. What action is most (Active tuberculosis requires implementation of airborne
important for the nurse to precautions, so the client should be assigned to a negative
implement? pressure air-flow room. Although isolation gowns and isolation carts
should be implemented for clients in isolation with contact precautions,
a. Place an isolation cart in the it is most important that air flow from the room is minimized when the
hallway. client has TB. The respirator mask should be implemented when the client
b. Fit the client with a respirator leaves the isolation environment.)
mask.
c. Don a clean gown for client
care.
d. Assign the client to a
negative air-flow room.
The nurse is planning to A
conduct nutritional assessments and
diet teaching to clients at a family A pregnant woman's metabolic demands are 20 to 24% more than the
health clinic. Which basic metabolic rate. The other clients require only 15 to 20% more than
individual has the greatest nutritional the basic metabolic rate.
and energy demands?
a. A pregnant woman.
b. A teenager beginning
puberty.
c. A 3-month-old infant.
d. A school-aged child.
, HESI COMPREHENSIVE EXIT
B
What nursing delivery of care provides (Primary nursing is a model of delivery of care where a nurse is
the nurse to plan and accountable for planning care for clients around the clock.
direct care of a group of clients over a Functional nursing is a care delivery model that provides client care by
24-hour period? assignment of functions or tasks. Team nursing is a care delivery model
a. Team nursing. where assignments to a group of clients are
b. Primary nursing. provided by a mixed-staff team. Case management is the
c. Case management. delivery of care that uses a collaborative process of assessment,
d. Functional nursing. planning, facilitation, and advocacy for options and services to meet an
individual's health needs and promote quality cost- effective
outcomes.)
A
Which approach should the
nurse use when preparing a (Imitation is one of the most distinguishing characteristics of
toddler for a procedure? toddler play, so demonstration of a procedure on a doll enables a non-
threatening, dramatic experience that can help prepare the toddler for
a. Demonstrate the procedure the actual procedure. The primary
using a doll. developmental task in toddlerhood is acquiring a sense of
b. Avoid asking the child to autonomy, so giving choices whenever possible to a toddler is
make choices. recommended, not avoiding asking the toddler to make a choice. Since
the toddler's attention span is short, teaching sessions should be brief
c. Plan a teaching session to last
and can be repeated for reinforcement. Showing the equipment before
about 20 minutes.
its use helps relieve anxiety, but the child should be allowed to handle
d. Show equipment but prevent some of the equipment to prevent frustration and alleviate fear.)
child from handling it.
The nurse is caring for a client D
who is the daughter of a local
politician. When the nurse (Confidentiality is the nurse's primary responsibility and is
approaches a man who is supported by HIPAA, which mandates that personal information is not
reading the names on the hall doors, disclosed and access to sensitive client information is
he identifies himself as a reporter for limited. Caring involves the nurse's concern about how the client
the local experiences the world. Veracity is the nurse's duty to tell the truth and
newspaper and requests not deceive others. Advocacy is support of the client's best interests.)
information about the client's status.
Which standard of
nursing practice should the nurse
use to respond?
a. Caring.
b. Veracity.
c. Advocacy.
d. Confidentiality.
, HESI COMPREHENSIVE EXIT
A male client diagnosed with D
antisocial personality disorder is
morbidly obese and is placed on a (The nurse should provide a reality check by helping the client realize
low fat, low calorie diet. At dinner that there are consequences to his behavior. Removing the client from
the nurse notes that he is trying to the room or table does not help the client
get other clients on the unit to give realize that his behavior is manipulative and harmful to himself as well as
him part of their meals. What others. This behavior needs to be documented, but does not need to be
intervention should the nurse reported immediately.)
implement?
a. Remove the client from the
table and have him sit alone.
b. Send the client back to his
room and do not allow him to
eat.
c. Report the behavior to the
on-call psychologist
immediately.
d. Confront the client about the
consequences of the behavior.
The nurse is assessing a client who A
complains of weight loss, racing
heart rate, and difficulty sleeping. (This client is exhibiting symptoms associated with
The nurse determines the client has hyperthyroidism or Grave's disease, which is an autoimmune condition
moist skin with fine hair, prominent affecting the thyroid. Cushing syndrome, multiple sclerosis, or
eyes, lid Addison's disease are not associated with these symptoms.)
retraction, and a staring
expression. These findings are
consistent with which disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
