HESI Comprehensive Exit Exam Questions with
100% Correct Answers Latest Version 2025 tOp
Rated A+.
1. 1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours: A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore the
,nurse would check the client's blood pressure immediately before administering
each dose. Checking the client's peripheral pulses, the results of the most recent
potassium level, and the intake and output for the previous 24 hours are not
specifically associated with this mediation.
2. 2-A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which state-
ment by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that
I'll have to drink for the test can be constipating.": C. "I need to drink citrate of
magnesia the night before the test and give myself a Fleet enema on the morning
of the test."
,An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films
are taken at intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
, 3. 3-A nurse on the evening shift checks a physician's prescriptions and
notes that the dose of a prescribed medication is higher than the normal
dose. The nurse calls the physician's answering service and is told that the
physician is off for the night and will be available in the morning. The nurse
should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes
available: B. Ask the answering service to contact the on-call physician
4. 4.An emergency department (ED) nurse is monitoring a client with sus-
pected acute myocardial infarction (MI) who is awaiting transfer to the coro-
nary intensive care unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks the client's carotid
pulse, and determines that the PVCs are not resulting in perfusion. The
appropriate action by the nurse is:
100% Correct Answers Latest Version 2025 tOp
Rated A+.
1. 1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours: A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore the
,nurse would check the client's blood pressure immediately before administering
each dose. Checking the client's peripheral pulses, the results of the most recent
potassium level, and the intake and output for the previous 24 hours are not
specifically associated with this mediation.
2. 2-A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which state-
ment by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that
I'll have to drink for the test can be constipating.": C. "I need to drink citrate of
magnesia the night before the test and give myself a Fleet enema on the morning
of the test."
,An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films
are taken at intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
, 3. 3-A nurse on the evening shift checks a physician's prescriptions and
notes that the dose of a prescribed medication is higher than the normal
dose. The nurse calls the physician's answering service and is told that the
physician is off for the night and will be available in the morning. The nurse
should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes
available: B. Ask the answering service to contact the on-call physician
4. 4.An emergency department (ED) nurse is monitoring a client with sus-
pected acute myocardial infarction (MI) who is awaiting transfer to the coro-
nary intensive care unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks the client's carotid
pulse, and determines that the PVCs are not resulting in perfusion. The
appropriate action by the nurse is:
