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HESI RN Exit Exam TEST FINAL EXAM 2026/2027 BANK 2
VERSIONS QUESTIONS WITH DETAILED VERIFIED
ANSWERS / EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS/ A+ GRADED
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 -
ANSWERS--A) Checking the client's blood pressure
Rationale--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.
A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
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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." -
ANSWERS--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."
Rationale
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.
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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 if off for the night and will be available the next
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 - ANSWERS--B) Ask the answering service to contact
the on-call physician
An emergency department (ED) nurse is monitoring a client with
suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary
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:
A. Documenting the findings
B. Asking the ED physician to check the client
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C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ANSWERS--
B. Asking the ED physician to check the client
NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse
checks the client's record and notes that the client routinely takes an
oral
antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT - ANSWERS--Administer the antihypertensive with a small
sip of water
A client who recently underwent coronary artery bypass graft surgery
comes to the
physician's office for a follow-up visit. On assessment, the client tells
the nurse that he is
feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
HESI RN Exit Exam TEST FINAL EXAM 2026/2027 BANK 2
VERSIONS QUESTIONS WITH DETAILED VERIFIED
ANSWERS / EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS/ A+ GRADED
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 -
ANSWERS--A) Checking the client's blood pressure
Rationale--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.
A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
,2|Page
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." -
ANSWERS--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."
Rationale
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|Page
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 if off for the night and will be available the next
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 - ANSWERS--B) Ask the answering service to contact
the on-call physician
An emergency department (ED) nurse is monitoring a client with
suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary
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:
A. Documenting the findings
B. Asking the ED physician to check the client
, 4|Page
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ANSWERS--
B. Asking the ED physician to check the client
NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse
checks the client's record and notes that the client routinely takes an
oral
antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT - ANSWERS--Administer the antihypertensive with a small
sip of water
A client who recently underwent coronary artery bypass graft surgery
comes to the
physician's office for a follow-up visit. On assessment, the client tells
the nurse that he is
feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
