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1. The nurse is monitoring neurological vital signs
for a D male client who lost consciousness after
falling and hitting his head. Which assessment
finding is the ear- liest and most sensitive
indication of altered cerebral function?
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of consciousness.
2. A nurse is planning to teach self-care measures
to
D a female client about prevention of yeast
infections. Which instructions should the nurse
provide?
a. Use a douche preparation no more than
once a month.
b. Increase daily intake of fiber and leafy
green veg- etables.
c. Select nylon underwear that is loose-fitting,
white, and comfortable.
d. Avoid tight-fitting clothing and do not
use bub- ble-bath or bath salts.
3. A client who has active tuberculosis (TB) is
admitted
D to the medical unit. What action is most
important for the nurse to implement?
a. Place an isolation cart in the hallway.
,HESI Comprehensive Exam Question and answers 100%
correct 2025
b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
d. Assign the client to a negative air-flow room.
4. A
,HESI Comprehensive Exam Question and answers 100%
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The nurse is planning to conduct nutritional
assess- ments and diet teaching to clients at
a family health clinic. Which individual has
the greatest nutritional and energy
demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child.
5. What nursing delivery of care provides the nurse to
B
plan and direct care of a group of clients
over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing.
6. Which approach should the nurse use when preparing
A
a toddler for a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.
7. The nurse is caring for a client who is the
daughter of D a local politician. When the nurse
approaches a man who is reading the names on
the hall doors, he identi- fies himself as a
reporter for the local newspaper and requests
, HESI Comprehensive Exam Question and answers 100%
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information about the client's status. Which
standard of nursing practice should the nurse
use to respond?
a. Caring.