HESI EXIT RN EXAM 756 QA COMPREHENSIVE
STUDY GUIDE 2026 FULL SOLUTION A+
◉ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son.
She and her father were the only survivors of the crash. She is
seeking care for depression.
(what would be some affective strategies that the nurse could use to
decrease the clients risk of suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy. Answer: B) Have
the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
◉ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son.
,She and her father were the only survivors of the crash. She is
seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to
feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the
bus. Answer: -The client states she feels less jumpy and more
relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash.
(INEFFECTIVE)
-The client talks to her father and her best friend when she starts to
feel sad. (EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the
bus. (INEFFECTIVE)
◉ The healthcare provider prescribes acarbose, an alpha-
glucosidase inhibitor, for a client with type two diabetes. Which
information provides the best indicator of the drugs effectiveness?
,A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. Answer: D) Hemoglobin
A1c readings less than 7%.
◉ After receiving report on an inpatient acute care unit which client
should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. Answer: D) The client with a bowel
obstruction due to a volvulus who is experiencing abdominal
rigidity.
◉ Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate an
elevated thyroid stimulating hormone and a low T3 and T4 levels.
After the client is admitted to the telemetary unit, which
intervention is most appropriate for the nurse to implement?
, A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. Answer: A)
administer prescribed dose of level thyroxine.
◉ While caring for a client post operative dressing, the nurse
observes purulent wound drainage. Previously, the wound was
inflamed and tender but without drainage. Which is the most
important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound. Answer: D)
Request a culture and sensitivity of the wound.
◉ The school nurse is screening students for scoliosis and notes that
one student has lordosis. Which finding should the nurse document
in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
STUDY GUIDE 2026 FULL SOLUTION A+
◉ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son.
She and her father were the only survivors of the crash. She is
seeking care for depression.
(what would be some affective strategies that the nurse could use to
decrease the clients risk of suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy. Answer: B) Have
the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
◉ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son.
,She and her father were the only survivors of the crash. She is
seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to
feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the
bus. Answer: -The client states she feels less jumpy and more
relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash.
(INEFFECTIVE)
-The client talks to her father and her best friend when she starts to
feel sad. (EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the
bus. (INEFFECTIVE)
◉ The healthcare provider prescribes acarbose, an alpha-
glucosidase inhibitor, for a client with type two diabetes. Which
information provides the best indicator of the drugs effectiveness?
,A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. Answer: D) Hemoglobin
A1c readings less than 7%.
◉ After receiving report on an inpatient acute care unit which client
should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric
tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. Answer: D) The client with a bowel
obstruction due to a volvulus who is experiencing abdominal
rigidity.
◉ Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate an
elevated thyroid stimulating hormone and a low T3 and T4 levels.
After the client is admitted to the telemetary unit, which
intervention is most appropriate for the nurse to implement?
, A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. Answer: A)
administer prescribed dose of level thyroxine.
◉ While caring for a client post operative dressing, the nurse
observes purulent wound drainage. Previously, the wound was
inflamed and tender but without drainage. Which is the most
important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound. Answer: D)
Request a culture and sensitivity of the wound.
◉ The school nurse is screening students for scoliosis and notes that
one student has lordosis. Which finding should the nurse document
in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
