COMPREHENSIVE EXAM 2 HESI ACTUAL QUESTIONS AND CORRECT ANSWERS

COMPREHENSIVE EXAM 2 HESI ACTUAL
QUESTIONS AND CORRECT ANSWERS

1.AWhichAtypeAofAmanagementAstyleAisAaAcaseAmanagementAmodelAforAnursingAcareAdelivery?



a.APatientAfocusedAandAprimaryAnursing.

b.AClinicallyAorientedAandAbusinessAoriented.

c.ACentralizedAandAdecentralizedAsystemsAmodels.

d.AClinicalApathwaysAandApatientAclassificationsA-ACORRECTAANSWER-A

2.ATheAnurseAisAassessingAaAclientAwithAmultipleAtraumaAfromAaAmotorcycleAcrashAwhoAisAbeingAve
ntilatedAdueAtoAmultipleAorganAdysfunctionAsyndromeA(MODS).AWhichAsystemAassessmentAshould
AtheAnurseAmonitorAasAanAindicatorAofAMODSAprogression?




a.ACardiacAfunction.

b.ARenalAfunction.

c.AHepaticAfunction.

d.ACoagulationAsystem.A-ACORRECTAANSWER-B

3.AAAstaffAmemberAtellsAtheAchargeAnurseAthatAaAfloatAnurseAassignedAtoAworkAonAtheAunitAhasAma
deAseveralAmedicationAerrorsAinAtheApast,AbutAisAcurrentlyAworkingAwithAtheAeducationAdepartmen
tAtoAimproveAthisAskill.AWhatAactionAisAbestAforAtheAchargeAnurseAtoAtake?



a.ADismissAtheAstaffAnurse'sAreportAaboutAtheAfloatAnurseAbecauseAitAmayAbeAjustAgossip.

b.ACallAtheAnursingAsupervisorAandArequestAaAdifferentAemployeeAbeAsentAtoAtheAunit.

c.AAssignAtheAfloatAnurseAtoAfunctionAasAanAunlicensedAassistiveApersonnelA(UAP)AforAtheAday.

d.AArrangeAforAsomeoneAtoAbeAavailableAtoAassessAandAassistAtheAfloatAnurse.A-
ACORRECTAANSWER-D

,4.AParentsAofAaAtoddlerAtellAtheAnurseAthatAtheirAchildAeatsAlittleAatAmealtime,AsitsAatAtheAtableAwith
AtheAfamilyAonlyAbriefly,AandAwantsAsnacksA"allAtheAtime."AWhatArecommendation AshouldAtheAnurs


eAprovide?



a.AGiveAtheAtoddlerAnutritiousAsnacks.

b.AOfferArewardsAforAeatingAatAmealtimes.

c.AAvoidAsnacksAsoAtheAchildAisAhungryAatAmealtimes.

d.AExplainAtoAtheAchildAinAaAfirmAmannerAwhatAisAexpected.A-ACORRECTAANSWER-A

5.AWhichAactionAshouldAtheAnurseAimplementAwhenAimplementingAaAphysicalAassessmentAofAanAol
derAclient?



a.AAvoidAunnecessaryAtouchingAwhileAinteractingAwithAtheAclient.

b.AApplyAadditionalApressureAtoApalpateAtheAhepaticAedge.

c.AArrangeAtheAexamAsequenceAtoAminimizesApositionAchanges.

d.ASpeakAloudlyAandAslowlyAwhenAtellingAtheAclientAhowAtoAassist.A-ACORRECTAANSWER-C

6.AWhenAculturingAaAwound,AtheAnurseAshouldAobtainAtheAsampleAfromAwhichApartAofAtheAwound?



a.ATheAouterAedgesAofAtheAwound.

b.AAllAnecroticAsectionsAofAtheAwound.

c.AAreasAcontainingApurulentAorApooledAexudates.

d.AAnyAparticularlyApainfulAareaAofAtheAwound.A-ACORRECTAANSWER-C

7.AAnAadultAmaleAwithAaAhistoryAofAheartAfailureAtellsAtheAnurseAthatAhisAlowerAextremitiesAandAfee
tAswellAwhenAheAsitsAatAhisAcomputerAallAday.AWhichAresponseAisAbestAforAtheAnurseAtoAprovide?



a.ALimitAtheAamountAofAtableAsaltAthatAyouAaddAtoAyourAmeals.

b.ATakeAaAdailyAvitaminAwithAmineralsAtoAcorrectAimbalances.

c.AGetAupAandAwalkAaroundAfrequentlyAduringAtheAday.

,d.AElevateAyourAfeetAeveryAnightAtoAreduceAswelling.A-ACORRECTAANSWER-C

8.AAAclientAisAtransferredAtoAtheApostoperativeAunitAafterA2AhoursAinAtheApostanesthesiaAcareAunitA(
PACU).AWhatAisAtheApriorityAnursingAaction?



a.ADetermineAtheAclient'sApain.

b.ATakeAtheAclient'sAvitalAsigns.

c.ACalculateAtheAIVAinfusionArate.

d.ACheckAtheApostopAprescriptions.A-ACORRECTAANSWER-B

9.ATheAnurseAisAteachingAaAclientAhowAtoAself-
administerAaAsubcutaneousAinjection.AToAhelpAensureAsterilityAofAtheAprocedure,AwhichAsubjectAisA
mostAimportantAforAtheAnurseAtoAincludeAinAtheAteachingAplan?



a.AHandAwashingApriorAtoApreparationAofAtheAinjection.

b.AMethodAusedAtoAaspirateAmedicationAfromAaAvial.

c.ASelectionAandArotationAofAinjectionAsites.

d.AProperAdisposalAofAinjectionAequipment.A-ACORRECTAANSWER-B

10.ATheAnurseAobservesAanAemptyAsecondaryAinfusionAofAdiltiazemA(Cardizem)AisAattachedAtoAtheA
client'sAIVApump,AbutArealizesAthatAthisAclientAhasAnoAprescriptionAforACardizem.AInAwhatAsequence
,AfromAfirstAtoAlast,AshouldAtheAfollowingAinterventionsAbeAimplemented?A(PlaceAtheAfirstAactionAo
nAtopAandAlastAactionAonAtheAbottom.)



a.AReviewAmedicationsAclientAisAtaking.

b.AMeasureAtheAclient'sAvitalAsigns.

c.ACompleteAanAincidentAreport.

d.ANotifyAtheAhealthcareAprovider.A-ACORRECTAANSWER-B,AA,AD,AC

11.AAAclientAwithAterminalApancreaticAcancerAisAreceivingAhospiceAcareAatAhomeAandAreportsAincre
asingAshortnessAofAbreathAandAassociatedAanxiety.AWhichAprescriptionAshouldAtheAnurseAimpleme
ntAfirst?

, a.APrednisoneA(Deltasone)A10AmgAPO.

b.AAlbuterolA(Proventil)A0.5%AsolutionAperAnebulizer.

c.AMorphineAsulfateA(Roxanol)A5AtoA10AmgASLAasAneeded.

d.AOxygenA2AtoA6AlitersAperAminuteAusingAaAnasalAcannula.A-ACORRECTAANSWER-C

12.AAAhealthcareAproviderA(HCP)AasksAtheAnurseAtoAgiveAaAmedicationAtoAaAclient,AandAtheAnurseAte
llsAtheAHCPAthatAtheAclientAisAallergicAtoAtheAmedication.ATheAHCPAsays,A"GiveAtheAmedicationAorAIA
willAreportAthisAtoAyourAsupervisor."AWhatAresponseAshouldAtheAnurseAprovide?



a.AWalkAawayAandAignoreAtheAthreateningAstatement.

b.AGiveAtheAprescribedAmedicationAandAdocumentAtheAsituation.

c.ATellAtheAHCPAthatAbothAofAyouAshouldAtalkAtoAtheAsupervisorAnow.

d.ARespondAthatAthisAclientAisAnotAassignedAtoAtheAnurse.A-ACORRECTAANSWER-C

13.AWhichAactionAshouldAtheAnurseAtakeAfirstAwhenAperformingAtracheostomyAcare?



a.ACleanseAaroundAtheAstoma.

b.ASuctionAtheAtracheostomy.

c.AOxygenateAwithA100%Aoxygen.

d.ASecureAtheAnewAneckAstrap.A-ACORRECTAANSWER-C

14.AWhichAtypeAofAdeliveryAofAnursingAcareAisAorganizedAaroundAtasks?



a.ATeamAnursing.

b.APrimaryAnursing.

c.ACaseAmanagement.

d.AFunctionalAnursing.A-ACORRECTAANSWER-D

15.ADuringAanAadmissionAassessmentAinterview,AaAclientAstates,A"IAdoAnotAuseAmanyAdrugs."AHowAs
houldAtheAnurseArespond?