HESI COMPREHENSIVE EXIT EXAM: 180
ACTUAL QUESTIONS, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS (LATEST
UPDATED)
A client is receiving parenteral nutrition (PN). The nurse monitors the
client for complications of the therapy and should assess the client for
which manifestations of hyperglycemia?
1. Fever, weak pulse, and thirst
2. Nausea, vomiting, and oliguria
3. Sweating, chills, and abdominal pain
4. Weakness, thirst, and increased urine output - Correct Answers is:-4.
Weakness, thirst, and increased urine output
The nurse is caring for a client immediately after removal of the
endotracheal tube. The nurse should report which sign immediately if
experienced by the client?
1.
Stridor
2.
Occasional pink-tinged sputum
3.
Respiratory rate of 24 breaths/minute
,4.
A few basilar lung crackles on the right - Correct Answers is:-1. Stridor
Rationale:
Following removal of the endotracheal tube the nurse monitors the client
for respiratory distress. The nurse reports stridor to the health care
provider (HCP) immediately. This is a high-pitched, coarse sound that is
heard with the stethoscope over the trachea. Stridor indicates airway
edema and places the client at risk for airway obstruction. Although the
findings identified in the remaining options require monitoring, they do
not require immediate notification of the health care provider.
The nurse caring for a client with a pneumothorax and who has had a
chest tube inserted notes continuous gentle bubbling in the suction
control chamber. What action is most appropriate?
1.
Do nothing, because this is an expected finding.
2.
Check for an air leak because the bubbling should be intermittent.
3.
Increase the suction pressure so that the bubbling becomes vigorous.
,4.
Immediately clamp the chest tube and notify the health care provider. -
Correct Answers is:-1. Do nothing, because this is an expected finding.
Rationale:
Continuous gentle bubbling should be noted in the suction control
chamber. Bubbling should be continuous in the suction control chamber
and not intermittent. Increasing the suction pressure only increases the
rate of evaporation of water in the drainage system; in addition,
increasing the suction can be harmful and is not done without a specific
prescription to do so. Chest tubes should only be clamped to check for an
air leak or when changing drainage devices (according to agency policy).
The nurse is providing instructions regarding treatment of hemorrhoids to
a client who is in the second trimester of pregnancy. Which statement by
the client indicates a need for further instruction?
1.
"I should avoid straining during bowel movements."
2.
"I can gently replace the hemorrhoids into the rectum."
3.
"I can apply ice packs to the hemorrhoids to reduce the swelling."
, 4.
"I should apply heat packs to the hemorrhoids to help the hemorrhoids
shrink." - Correct Answers is:-4. "I should apply heat packs to the
hemorrhoids to help the hemorrhoids shrink."
Rationale:
Measures that provide relief from hemorrhoids include avoiding
constipation and straining during bowel movements; applying ice packs to
reduce the hemorrhoidal swelling; gently replacing the hemorrhoids into
the rectum; using stool softeners, ointments, or sprays as prescribed; and
assuming certain positions to relieve pressure on the hemorrhoids. Heat
packs increase the blood flow to the area and worsen the discomfort from
hemorrhoids.
The nurse is providing instructions to a client in the first trimester of
pregnancy regarding measures to assist in reducing breast tenderness.
Which instruction should the nurse provide?
1.
Avoid wearing a bra.
2.
Wash the breasts with warm water and keep them dry.
3.
Wear tight-fitting blouses or dresses to provide support.
ACTUAL QUESTIONS, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS (LATEST
UPDATED)
A client is receiving parenteral nutrition (PN). The nurse monitors the
client for complications of the therapy and should assess the client for
which manifestations of hyperglycemia?
1. Fever, weak pulse, and thirst
2. Nausea, vomiting, and oliguria
3. Sweating, chills, and abdominal pain
4. Weakness, thirst, and increased urine output - Correct Answers is:-4.
Weakness, thirst, and increased urine output
The nurse is caring for a client immediately after removal of the
endotracheal tube. The nurse should report which sign immediately if
experienced by the client?
1.
Stridor
2.
Occasional pink-tinged sputum
3.
Respiratory rate of 24 breaths/minute
,4.
A few basilar lung crackles on the right - Correct Answers is:-1. Stridor
Rationale:
Following removal of the endotracheal tube the nurse monitors the client
for respiratory distress. The nurse reports stridor to the health care
provider (HCP) immediately. This is a high-pitched, coarse sound that is
heard with the stethoscope over the trachea. Stridor indicates airway
edema and places the client at risk for airway obstruction. Although the
findings identified in the remaining options require monitoring, they do
not require immediate notification of the health care provider.
The nurse caring for a client with a pneumothorax and who has had a
chest tube inserted notes continuous gentle bubbling in the suction
control chamber. What action is most appropriate?
1.
Do nothing, because this is an expected finding.
2.
Check for an air leak because the bubbling should be intermittent.
3.
Increase the suction pressure so that the bubbling becomes vigorous.
,4.
Immediately clamp the chest tube and notify the health care provider. -
Correct Answers is:-1. Do nothing, because this is an expected finding.
Rationale:
Continuous gentle bubbling should be noted in the suction control
chamber. Bubbling should be continuous in the suction control chamber
and not intermittent. Increasing the suction pressure only increases the
rate of evaporation of water in the drainage system; in addition,
increasing the suction can be harmful and is not done without a specific
prescription to do so. Chest tubes should only be clamped to check for an
air leak or when changing drainage devices (according to agency policy).
The nurse is providing instructions regarding treatment of hemorrhoids to
a client who is in the second trimester of pregnancy. Which statement by
the client indicates a need for further instruction?
1.
"I should avoid straining during bowel movements."
2.
"I can gently replace the hemorrhoids into the rectum."
3.
"I can apply ice packs to the hemorrhoids to reduce the swelling."
, 4.
"I should apply heat packs to the hemorrhoids to help the hemorrhoids
shrink." - Correct Answers is:-4. "I should apply heat packs to the
hemorrhoids to help the hemorrhoids shrink."
Rationale:
Measures that provide relief from hemorrhoids include avoiding
constipation and straining during bowel movements; applying ice packs to
reduce the hemorrhoidal swelling; gently replacing the hemorrhoids into
the rectum; using stool softeners, ointments, or sprays as prescribed; and
assuming certain positions to relieve pressure on the hemorrhoids. Heat
packs increase the blood flow to the area and worsen the discomfort from
hemorrhoids.
The nurse is providing instructions to a client in the first trimester of
pregnancy regarding measures to assist in reducing breast tenderness.
Which instruction should the nurse provide?
1.
Avoid wearing a bra.
2.
Wash the breasts with warm water and keep them dry.
3.
Wear tight-fitting blouses or dresses to provide support.
