HESI COMPREHENSIVE EXIT EXAM 2024 ACT
COMPLETE 250 QUESTIONS WITH DETAILED
ANSWERS (100% CORRECT ANSWERS) /ALRE
GRADED A+
1-Enalapril cmaleate c(Vasotec) cis cprescribed cfor ca chospitalized cclient. cWhich cassessment cdoes
cpriority cbefore cadministering cthe cmedication?
A. cChecking cthe cclient's cblood cpressure
B. cChecking cthe cclient's cperipheral cpulses
C. cChecking cthe cmost crecent cpotassium clevel
D. cChecking cthe cclient's cintake-and-output crecord cfor cthe clast c24 chours c- cCORRECT cANS✔✔
cpressure
Checking cthe cclient's cblood cpressure c
Enalapril cmaleate cis can cangiotensin-converting cenzyme c(ACE) cinhibitor cused cto ctreat chyperten
cis cpostural chypotension. cTherefore cthe cnurse cwould ccheck cthe cclient's cblood cpressure cimmed
ceach cdose. cChecking cthe cclient's cperipheral cpulses, cthe cresults cof cthe cmost crecent cpotassium
coutput cfor cthe cprevious c24 chours care cnot cspecifically cassociated cwith cthis cmediation.
2-A cclient cis cscheduled cto cundergo can cupper cgastrointestinal c(GI) cseries, cand cthe cnurse cprovi
cabout cthe ctest. cWhich cstatement cby cthe cclient cindicates ca cneed cfor cfurther cinstruction?
A. c"The ctest cwill ctake cabout c30 cminutes."
B. c"I cneed cto cfast cfor c8 chours cbefore cthe ctest."
C. c"I cneed cto cdrink ccitrate cof cmagnesia cthe cnight cbefore cthe ctest cand cgive cmyself ca cFleet cen
ctest." c
D. c"I cneed cto ctake ca claxative cafter cthe ctest cis ccompleted, cbecause cthe cliquid cthat cI'll chave cto
,4.An cemergency cdepartment c(ED) cnurse cis cmonitoring ca cclient cwith csuspected cacute cmyocard
cawaiting ctransfer cto cthe ccoronary cintensive ccare cunit. cThe cnurse cnotes cthe csudden conset cof c
ccontractions c(PVCs) con cthe cmonitor, cchecks cthe cclient's ccarotid cpulse, cand cdetermines cthat ct
cperfusion. cThe cappropriate caction cby cthe cnurse cis:
A. cDocumenting cthe cfindings
B. cAsking cthe cED cphysician cto ccheck cthe cclient
C. cContinuing cto cmonitor cthe cclient's ccardiac cstatus
D. cInforming cthe cclient cthat cPVCs care cexpected cafter can cMI c- cCORRECT cANS✔✔B. cAsking c
cclient
5.NPO cstatus cis cimposed c8 chours cbefore cthe cprocedure con ca cclient cscheduled cto cundergo cel
cat c1 cp.m. cOn cthe cmorning cof cthe cprocedure, cthe cnurse cchecks cthe cclient's crecord cand cnotes
can coral cantihypertensive cmedication ceach cmorning. cThe cnurse cshould:
A. cAdminister cthe cantihypertensive cwith ca csmall csip cof cwater
B. cWithhold cthe cantihypertensive cand cadminister cit cat cbedtime
C. cAdminister cthe cmedication cby cway cof cthe cintravenous c(IV) croute
D. cHold cthe cantihypertensive cand cresume cits cadministration con cthe cday cafter cthe cECT c- cCOR
cthe cantihypertensive cwith ca csmall csip cof cwater
6 cA cclient cwho crecently cunderwent ccoronary cartery cbypass cgraft csurgery ccomes cto cthe cphysic
cvisit. cOn cassessment, cthe cclient ctells cthe cnurse cthat che cis cfeeling cdepressed. cWhich crespons
A. c"Tell cme cmore cabout cwhat cyou're cfeeling." c
B. c"That's ca cnormal cresponse cafter cthis ctype cof csurgery."
C. c"It cwill ctake ctime, cbut, cI cpromise cyou, cyou cwill cget cover cthis cdepression."
D. c"Every cclient cwho chas cthis csurgery cfeels cthe csame cway cfor cabout ca cmonth." c- cCORRECT
cabout cwhat cyou're cfeeling."
7 cA cclient cin clabor cexperiences cspontaneous crupture cof cthe cmembranes. cThe cnurse cimmediat
c(FHR) cfor c1 cfull cminute cand cthen cchecks cthe camniotic cfluid. cThe cnurse cnotes cthat cthe cfluid ci
codor. cWhich cof cthe cfollowing cactions cshould cbe cthe cnurse's cpriority?
A. cContacting cthe cphysician
B. cDocumenting cthe cfindings
C. cChecking cthe cfluid cfor cprotein
D. cContinuing cto cmonitor cthe cclient cand cthe cFHR c- cCORRECT cANS✔✔A. cContacting cthe cphy
8 cA cnurse chas cassisted ca cphysician cin cinserting ca ccentral cvenous caccess cdevice cinto ca cclien
cmalnutrition cwho cwill cbe creceiving cparenteral cnutrition c(PN). cAfter cinsertion cof cthe ccatheter, cth
A. cCall cthe cradiography cdepartment cto cobtain ca cchest cx-ray
B. cCheck cthe cclient's cblood cglucose clevel cto cserve cas ca cbaseline cmeasurement
C. cHang cthe cprescribed cbag cof cPN cand cstart cthe cinfusion cat cthe cprescribed crate
D. cInfuse cnormal csaline csolution cthrough cthe ccatheter cat ca crate cof c100 cmL/hr cto cmaintain cpat
cCall cthe cradiography cdepartment cto cobtain ca cchest cx-ray
9 cA crape cvictim cbeing ctreated cin cthe cemergency cdepartment csays cto cthe cnurse, c"I'm creally cw
cWhat cis cthe cappropriate cresponse cby cthe cnurse?
A. c"HIV cis crarely can cissue cin crape cvictims."
B. c"Every crape cvictim cis cconcerned cabout cHIV."
C. c"You're cmore clikely cto cget cpregnant cthan cto ccontract cHIV."
D. c"Let's ctalk cabout cthe cinformation cthat cyou cneed cto cdetermine cyour crisk cof ccontracting cHIV.
, 12 cLorazepam c(Ativan) c1 cmg cby cway cof cintravenous c(IV) cinjection c(IV cpush) cis cprescribed cfor
cof canxiety. cThe cnurse cprepares cthe cmedication cas cprescribed cand cadministers cthe cmedication
A. c3 cminutes
B. c10 cseconds
C. c15 cseconds
D. c30 cminutes c- cCORRECT cANS✔✔A. c3 cminutes cCorrect
13 cA cnurse, cconducting can cassessment cof ca cclient cbeing cseen cin cthe cclinic cfor csymptoms cof
cclient cabout cmedications cthat che cis ctaking. cThe cclient ctells cthe cnurse cthat che cis ctaking cnefaz
cOn cthe cbasis cof cthis cinformation, cthe cnurse cdetermines cthat cthe cclient cmost clikely chas ca chist
A. cDepression
B. cDiabetes cmellitus
C. cHyperthyroidism
D. cCoronary cartery cdisease c- cCORRECT cANS✔✔A. cDepression
14 cPhenelzine csulfate c(Nardil) cis cprescribed cfor ca cclient cwith cdepression. cThe cnurse cprovides
cthe cadverse ceffects cof cthe cmedication cand ctells cthe cclient cto ccontact cthe cphysician cimmediate
A. cDry cmouth
B. cRestlessness
C. cFeelings cof cdepression
D. cNeck cstiffness cor csoreness c- cCORRECT cANS✔✔D. cNeck cstiffness cor csoreness cCorrect
15 cRisperidone c(Risperdal) cis cprescribed cfor ca cclient chospitalized cin cthe cmental chealth cunit cfo
cdisorder. cWhich cfinding cin cthe cclient's cmedical crecord cwould cprompt cthe cnurse cto ccontact cthe
cadministering cthe cmedication?
A. cThe cclient chas ca chistory cof ccataracts.
B. cThe cclient chas ca chistory cof chypothyroidism.
C. cThe cclient ctakes ca cprescribed cantihypertensive. c
D. cThe cclient cis callergic cto cacetylsalicylic cacid c(aspirin). c- cCORRECT cANS✔✔C. cThe cclient cta
cantihypertensive.
16 cA cclient cwho chas cbeen cundergoing clong-term ctherapy cwith can cantipsychotic cmedication cis c
cmental chealth cunit. cWhich cof cthe cfollowing cfindings cdoes cthe cnurse, cknowing cthat clong-term cu
cmedication ccan ccause ctardive cdyskinesia, cmonitor cin cthe cclient?
A. cFever
B. cDiarrhea
C. cHypertension
D. cTongue cprotrusion c- cCORRECT cANS✔✔D. cTongue cprotrusion
17 cA cnurse cis creviewing cthe crecord cof ca cclient cscheduled cfor celectroconvulsive ctherapy c(ECT)
cdiagnoses, cif cnoted con cthe cclient's crecord, cwould cindicate ca cneed cto ccontact cthe cphysician cw
cthe cECT?
A. cRecent cstroke
B. cHypothyroidism
C. cHistory cof cglaucoma
D. cPeripheral cvascular cdisease c- cCORRECT cANS✔✔A. cRecent cstroke
18 cA cclient cscheduled cfor csuprapubic cprostatectomy chas clistened cto cthe csurgeon's cexplanation
clater casks cthe cnurse cto cexplain cagain chow cthe cprostate cis cgoing cto cbe cremoved. cThe cnurse c
COMPLETE 250 QUESTIONS WITH DETAILED
ANSWERS (100% CORRECT ANSWERS) /ALRE
GRADED A+
1-Enalapril cmaleate c(Vasotec) cis cprescribed cfor ca chospitalized cclient. cWhich cassessment cdoes
cpriority cbefore cadministering cthe cmedication?
A. cChecking cthe cclient's cblood cpressure
B. cChecking cthe cclient's cperipheral cpulses
C. cChecking cthe cmost crecent cpotassium clevel
D. cChecking cthe cclient's cintake-and-output crecord cfor cthe clast c24 chours c- cCORRECT cANS✔✔
cpressure
Checking cthe cclient's cblood cpressure c
Enalapril cmaleate cis can cangiotensin-converting cenzyme c(ACE) cinhibitor cused cto ctreat chyperten
cis cpostural chypotension. cTherefore cthe cnurse cwould ccheck cthe cclient's cblood cpressure cimmed
ceach cdose. cChecking cthe cclient's cperipheral cpulses, cthe cresults cof cthe cmost crecent cpotassium
coutput cfor cthe cprevious c24 chours care cnot cspecifically cassociated cwith cthis cmediation.
2-A cclient cis cscheduled cto cundergo can cupper cgastrointestinal c(GI) cseries, cand cthe cnurse cprovi
cabout cthe ctest. cWhich cstatement cby cthe cclient cindicates ca cneed cfor cfurther cinstruction?
A. c"The ctest cwill ctake cabout c30 cminutes."
B. c"I cneed cto cfast cfor c8 chours cbefore cthe ctest."
C. c"I cneed cto cdrink ccitrate cof cmagnesia cthe cnight cbefore cthe ctest cand cgive cmyself ca cFleet cen
ctest." c
D. c"I cneed cto ctake ca claxative cafter cthe ctest cis ccompleted, cbecause cthe cliquid cthat cI'll chave cto
,4.An cemergency cdepartment c(ED) cnurse cis cmonitoring ca cclient cwith csuspected cacute cmyocard
cawaiting ctransfer cto cthe ccoronary cintensive ccare cunit. cThe cnurse cnotes cthe csudden conset cof c
ccontractions c(PVCs) con cthe cmonitor, cchecks cthe cclient's ccarotid cpulse, cand cdetermines cthat ct
cperfusion. cThe cappropriate caction cby cthe cnurse cis:
A. cDocumenting cthe cfindings
B. cAsking cthe cED cphysician cto ccheck cthe cclient
C. cContinuing cto cmonitor cthe cclient's ccardiac cstatus
D. cInforming cthe cclient cthat cPVCs care cexpected cafter can cMI c- cCORRECT cANS✔✔B. cAsking c
cclient
5.NPO cstatus cis cimposed c8 chours cbefore cthe cprocedure con ca cclient cscheduled cto cundergo cel
cat c1 cp.m. cOn cthe cmorning cof cthe cprocedure, cthe cnurse cchecks cthe cclient's crecord cand cnotes
can coral cantihypertensive cmedication ceach cmorning. cThe cnurse cshould:
A. cAdminister cthe cantihypertensive cwith ca csmall csip cof cwater
B. cWithhold cthe cantihypertensive cand cadminister cit cat cbedtime
C. cAdminister cthe cmedication cby cway cof cthe cintravenous c(IV) croute
D. cHold cthe cantihypertensive cand cresume cits cadministration con cthe cday cafter cthe cECT c- cCOR
cthe cantihypertensive cwith ca csmall csip cof cwater
6 cA cclient cwho crecently cunderwent ccoronary cartery cbypass cgraft csurgery ccomes cto cthe cphysic
cvisit. cOn cassessment, cthe cclient ctells cthe cnurse cthat che cis cfeeling cdepressed. cWhich crespons
A. c"Tell cme cmore cabout cwhat cyou're cfeeling." c
B. c"That's ca cnormal cresponse cafter cthis ctype cof csurgery."
C. c"It cwill ctake ctime, cbut, cI cpromise cyou, cyou cwill cget cover cthis cdepression."
D. c"Every cclient cwho chas cthis csurgery cfeels cthe csame cway cfor cabout ca cmonth." c- cCORRECT
cabout cwhat cyou're cfeeling."
7 cA cclient cin clabor cexperiences cspontaneous crupture cof cthe cmembranes. cThe cnurse cimmediat
c(FHR) cfor c1 cfull cminute cand cthen cchecks cthe camniotic cfluid. cThe cnurse cnotes cthat cthe cfluid ci
codor. cWhich cof cthe cfollowing cactions cshould cbe cthe cnurse's cpriority?
A. cContacting cthe cphysician
B. cDocumenting cthe cfindings
C. cChecking cthe cfluid cfor cprotein
D. cContinuing cto cmonitor cthe cclient cand cthe cFHR c- cCORRECT cANS✔✔A. cContacting cthe cphy
8 cA cnurse chas cassisted ca cphysician cin cinserting ca ccentral cvenous caccess cdevice cinto ca cclien
cmalnutrition cwho cwill cbe creceiving cparenteral cnutrition c(PN). cAfter cinsertion cof cthe ccatheter, cth
A. cCall cthe cradiography cdepartment cto cobtain ca cchest cx-ray
B. cCheck cthe cclient's cblood cglucose clevel cto cserve cas ca cbaseline cmeasurement
C. cHang cthe cprescribed cbag cof cPN cand cstart cthe cinfusion cat cthe cprescribed crate
D. cInfuse cnormal csaline csolution cthrough cthe ccatheter cat ca crate cof c100 cmL/hr cto cmaintain cpat
cCall cthe cradiography cdepartment cto cobtain ca cchest cx-ray
9 cA crape cvictim cbeing ctreated cin cthe cemergency cdepartment csays cto cthe cnurse, c"I'm creally cw
cWhat cis cthe cappropriate cresponse cby cthe cnurse?
A. c"HIV cis crarely can cissue cin crape cvictims."
B. c"Every crape cvictim cis cconcerned cabout cHIV."
C. c"You're cmore clikely cto cget cpregnant cthan cto ccontract cHIV."
D. c"Let's ctalk cabout cthe cinformation cthat cyou cneed cto cdetermine cyour crisk cof ccontracting cHIV.
, 12 cLorazepam c(Ativan) c1 cmg cby cway cof cintravenous c(IV) cinjection c(IV cpush) cis cprescribed cfor
cof canxiety. cThe cnurse cprepares cthe cmedication cas cprescribed cand cadministers cthe cmedication
A. c3 cminutes
B. c10 cseconds
C. c15 cseconds
D. c30 cminutes c- cCORRECT cANS✔✔A. c3 cminutes cCorrect
13 cA cnurse, cconducting can cassessment cof ca cclient cbeing cseen cin cthe cclinic cfor csymptoms cof
cclient cabout cmedications cthat che cis ctaking. cThe cclient ctells cthe cnurse cthat che cis ctaking cnefaz
cOn cthe cbasis cof cthis cinformation, cthe cnurse cdetermines cthat cthe cclient cmost clikely chas ca chist
A. cDepression
B. cDiabetes cmellitus
C. cHyperthyroidism
D. cCoronary cartery cdisease c- cCORRECT cANS✔✔A. cDepression
14 cPhenelzine csulfate c(Nardil) cis cprescribed cfor ca cclient cwith cdepression. cThe cnurse cprovides
cthe cadverse ceffects cof cthe cmedication cand ctells cthe cclient cto ccontact cthe cphysician cimmediate
A. cDry cmouth
B. cRestlessness
C. cFeelings cof cdepression
D. cNeck cstiffness cor csoreness c- cCORRECT cANS✔✔D. cNeck cstiffness cor csoreness cCorrect
15 cRisperidone c(Risperdal) cis cprescribed cfor ca cclient chospitalized cin cthe cmental chealth cunit cfo
cdisorder. cWhich cfinding cin cthe cclient's cmedical crecord cwould cprompt cthe cnurse cto ccontact cthe
cadministering cthe cmedication?
A. cThe cclient chas ca chistory cof ccataracts.
B. cThe cclient chas ca chistory cof chypothyroidism.
C. cThe cclient ctakes ca cprescribed cantihypertensive. c
D. cThe cclient cis callergic cto cacetylsalicylic cacid c(aspirin). c- cCORRECT cANS✔✔C. cThe cclient cta
cantihypertensive.
16 cA cclient cwho chas cbeen cundergoing clong-term ctherapy cwith can cantipsychotic cmedication cis c
cmental chealth cunit. cWhich cof cthe cfollowing cfindings cdoes cthe cnurse, cknowing cthat clong-term cu
cmedication ccan ccause ctardive cdyskinesia, cmonitor cin cthe cclient?
A. cFever
B. cDiarrhea
C. cHypertension
D. cTongue cprotrusion c- cCORRECT cANS✔✔D. cTongue cprotrusion
17 cA cnurse cis creviewing cthe crecord cof ca cclient cscheduled cfor celectroconvulsive ctherapy c(ECT)
cdiagnoses, cif cnoted con cthe cclient's crecord, cwould cindicate ca cneed cto ccontact cthe cphysician cw
cthe cECT?
A. cRecent cstroke
B. cHypothyroidism
C. cHistory cof cglaucoma
D. cPeripheral cvascular cdisease c- cCORRECT cANS✔✔A. cRecent cstroke
18 cA cclient cscheduled cfor csuprapubic cprostatectomy chas clistened cto cthe csurgeon's cexplanation
clater casks cthe cnurse cto cexplain cagain chow cthe cprostate cis cgoing cto cbe cremoved. cThe cnurse c
