s
HESI Comprehensive Exit Exam 1 (2026
Edition): Practice Questions with Detailed
Answer Rationalesonline at https://quizlet.com/_azk226
1. The nurse is monitoring neurological vital signs for a male client who
lost
consciousness after falling and hitting his head. Which assessment
finding is
the earliest 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.: D
(Neurological vital signs include serial assessments of TPR, blood
pressure, and components of the Glasgow coma scale
(GCS), which includes verbal, musculoskeletal, and pupillary responses.
A change in the client's level of consciousness,
as indicated by responses to commands during the GCS, is the first and
the most sensitive sign of change in cerebral
function. The other assessment data choices are late signs of altered
cerebral function.)
2. A nurse is planning to teach self-care measures to 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 vegetables.
c. Select nylon underwear that is loose-fitting, white, and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath
salts.: D
(A common genital tract infection in females is candidiasis, which is an
overgrowth of the normal vaginal flora of Candida
albicans that thrives in an environment that is warm and moist and is
perpetuated by tight-fitting clothing, underwear,
or pantyhose made of nonabsorbent materials. The client should wear
clothing that is loose fitting and absorbent, such
as cotton underwear, and avoid using bubble-bath or bath salts which
further irritate sensitive genital tissue. Douching
is not recommended because it can irritate vaginal tissue, alter pH, and
contribute to fungal growth. While increasing
dietary fiber intake encourages healthy, nutritional guidelines, it is not
the focus of the teaching. Cotton, not nylon
undergarments, provide absorbancy and reduce moisture in the
perineal area.)
3. A client who has active tuberculosis (TB) is admitted to the medical
unit. What
action is most important for the nurse to implement?
a. Place an isolation cart in the hallway.
,b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
s
Study online at https://quizlet.com/_azk226
d. Assign the client to a negative air-flow room.: D
(Active tuberculosis requires implementation of airborne precautions,
so the client should be assigned to a negative
pressure air-flow room. Although isolation gowns and isolation carts
should be implemented for clients in isolation with
contact precautions, it is most important that air flow from the room is
minimized when the client has TB. The respirator
mask should be implemented when the client leaves the isolation
environment.)
4. The nurse is planning to conduct nutritional assessments 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.: A
, A pregnant woman's metabolic demands are 20 to 24% more than the
basic metabolic rate. The other clients require
only 15 to 20% more than the basic metabolic rate.
5. What nursing delivery of care provides the nurse to 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.: B
(Primary nursing is a model of delivery of care where a nurse is
accountable for planning care for clients around the
clock. Functional nursing is a care delivery model that provides client
care by assignment of functions or tasks. Team
nursing is a care delivery model where assignments to a group of clients
are provided by a mixed-staff team. Case
management is the delivery of care that uses a collaborative process of
assessment, planning, facilitation, and advocacy
for options and services to meet an individual's health needs and
promote quality cost-effective outcomes.)
6. Which approach should the nurse use when preparing a toddler for a
proce dure?
a. Demonstrate the procedure using a doll.
HESI Comprehensive Exit Exam 1 (2026
Edition): Practice Questions with Detailed
Answer Rationalesonline at https://quizlet.com/_azk226
1. The nurse is monitoring neurological vital signs for a male client who
lost
consciousness after falling and hitting his head. Which assessment
finding is
the earliest 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.: D
(Neurological vital signs include serial assessments of TPR, blood
pressure, and components of the Glasgow coma scale
(GCS), which includes verbal, musculoskeletal, and pupillary responses.
A change in the client's level of consciousness,
as indicated by responses to commands during the GCS, is the first and
the most sensitive sign of change in cerebral
function. The other assessment data choices are late signs of altered
cerebral function.)
2. A nurse is planning to teach self-care measures to 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 vegetables.
c. Select nylon underwear that is loose-fitting, white, and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath
salts.: D
(A common genital tract infection in females is candidiasis, which is an
overgrowth of the normal vaginal flora of Candida
albicans that thrives in an environment that is warm and moist and is
perpetuated by tight-fitting clothing, underwear,
or pantyhose made of nonabsorbent materials. The client should wear
clothing that is loose fitting and absorbent, such
as cotton underwear, and avoid using bubble-bath or bath salts which
further irritate sensitive genital tissue. Douching
is not recommended because it can irritate vaginal tissue, alter pH, and
contribute to fungal growth. While increasing
dietary fiber intake encourages healthy, nutritional guidelines, it is not
the focus of the teaching. Cotton, not nylon
undergarments, provide absorbancy and reduce moisture in the
perineal area.)
3. A client who has active tuberculosis (TB) is admitted to the medical
unit. What
action is most important for the nurse to implement?
a. Place an isolation cart in the hallway.
,b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
s
Study online at https://quizlet.com/_azk226
d. Assign the client to a negative air-flow room.: D
(Active tuberculosis requires implementation of airborne precautions,
so the client should be assigned to a negative
pressure air-flow room. Although isolation gowns and isolation carts
should be implemented for clients in isolation with
contact precautions, it is most important that air flow from the room is
minimized when the client has TB. The respirator
mask should be implemented when the client leaves the isolation
environment.)
4. The nurse is planning to conduct nutritional assessments 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.: A
, A pregnant woman's metabolic demands are 20 to 24% more than the
basic metabolic rate. The other clients require
only 15 to 20% more than the basic metabolic rate.
5. What nursing delivery of care provides the nurse to 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.: B
(Primary nursing is a model of delivery of care where a nurse is
accountable for planning care for clients around the
clock. Functional nursing is a care delivery model that provides client
care by assignment of functions or tasks. Team
nursing is a care delivery model where assignments to a group of clients
are provided by a mixed-staff team. Case
management is the delivery of care that uses a collaborative process of
assessment, planning, facilitation, and advocacy
for options and services to meet an individual's health needs and
promote quality cost-effective outcomes.)
6. Which approach should the nurse use when preparing a toddler for a
proce dure?
a. Demonstrate the procedure using a doll.
