HESI EXAM vc
Exam Solution vc
HESI Comprehensive Exit Exam 2026 A+ GRADE ASSUR
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ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (6
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6CC4)
QUESTION 1 vc
1-
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment do
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es the nurse perform as a priority before administering the medication?
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A. Checking the client's blood pressure
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B. Checking the client's peripheral pulses
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C. Checking the most recent potassium level
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D. Checking the client's intake-and-output record for the last 24 hours
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ANSWER
A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an angi
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otensin-
converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hypo
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tension. Therefore the nurse would check the client's blood pressure immediately before administering
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each dose. Checking the client's peripheral pulses, the results of the most recent potassium level, and th
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e intake and output for the previous 24 hours are not specifically associated with this mediation.
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QUESTION 2 vc
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed
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for a client for the management of anxiety. The nurse prepares the medication as prescri
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bed and administers the medication over a period of:
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A. 3 minutes
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B. 10 seconds
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C. 15 seconds
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D. 30 minutes
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ANSWER
A. 3 minutes Correct
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,QUESTION 3 vc
14 Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse provi
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des information to the client about the adverse effects of the medication and tells the clie
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nt to contact the physician immediately if she experiences:
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A. Dry mouth
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B. Restlessness
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C. Feelings of depression
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D. Neck stiffness or soreness
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ANSWER
D. Neck stiffness or soreness Correct
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QUESTION 4 vc
16 A client who has been undergoing long-
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term therapy with an antipsychotic medication is admitted to the inpatient mental healt
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h unit. Which of the following findings does the nurse, knowing that long-
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term use of an antipsychotic medication can cause tardive dyskinesia, monitor in the clie
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nt?
A. Fever vc
B. Diarrhea
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C. Hypertension
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D. Tongue protrusion
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ANSWER
D. Tongue protrusion
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QUESTION 5 vc
17 A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (E
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CT). Which of the following diagnoses, if noted on the client's record, would indicate a ne
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ed to contact the physician who is scheduled to perform the ECT?
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A. Recent stroke
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B. Hypothyroidism
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C. History of glaucoma
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D. Peripheral vascular disease
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ANSWER
A. Recent stroke
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QUESTION 6 vc
20 A nurse reviewing the medical record of a client with a diagnosis of infiltrating ductal
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carcinoma of the breast notes documentation of the presence of peau d'orange skin. On t
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, he basis of this notation, which finding would the nurse expect to note on assessment of t
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he client's breast? SEE PICS A. B.
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C. D.
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ANSWER
B. Correct
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QUESTION 7 vc
24 Empyema develops in a client with an infected pleural effusion, and the nurse prepar
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es the client for thoracentesis. What characteristics of the fluid removed during thoracen
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tesis should the nurse, assisting the physician with the procedure, expect to note?
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A. Clear and yellow
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B. Thick and opaque
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C. White and odorless
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D. Clear, with a foul odor
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ANSWER
B. Thick and opaque
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QUESTION 8 vc
26 A nurse is caring for a client with sarcoidosis. The client is upset because he has miss
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ed work and worried about how he will care financially for his wife and three small child
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ren. On the basis of the client's concern, which problem does the nurse identify?
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A. Anxiety
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B. Powerlessness
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C. Disruption of thought processes
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D. Inability to maintain health
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ANSWER
A. Anxiety
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QUESTION 9 vc
27 A nurse, performing an assessment of a client who has been admitted to the hospital
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with suspected silicosis, is gathering both subjective and objective data. Which question
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by the nurse would elicit data specific to the cause of this disorder?
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A. "Do you chew tobacco?"
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B. "Do you smoke cigarettes?"
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C. "Have you ever worked in a mine?"
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D. "Are you frequently exposed to paint products?"
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ANSWER
Exam Solution vc
HESI Comprehensive Exit Exam 2026 A+ GRADE ASSUR
vc vc vc vc vc vc vc
ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (6
vc vc vc vc vc vc
6CC4)
QUESTION 1 vc
1-
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment do
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es the nurse perform as a priority before administering the medication?
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A. Checking the client's blood pressure
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B. Checking the client's peripheral pulses
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C. Checking the most recent potassium level
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D. Checking the client's intake-and-output record for the last 24 hours
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ANSWER
A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an angi
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otensin-
converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hypo
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tension. Therefore the nurse would check the client's blood pressure immediately before administering
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each dose. Checking the client's peripheral pulses, the results of the most recent potassium level, and th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e intake and output for the previous 24 hours are not specifically associated with this mediation.
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QUESTION 2 vc
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed
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for a client for the management of anxiety. The nurse prepares the medication as prescri
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bed and administers the medication over a period of:
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A. 3 minutes
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B. 10 seconds
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C. 15 seconds
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D. 30 minutes
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ANSWER
A. 3 minutes Correct
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,QUESTION 3 vc
14 Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse provi
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des information to the client about the adverse effects of the medication and tells the clie
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nt to contact the physician immediately if she experiences:
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A. Dry mouth
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B. Restlessness
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C. Feelings of depression
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D. Neck stiffness or soreness
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ANSWER
D. Neck stiffness or soreness Correct
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QUESTION 4 vc
16 A client who has been undergoing long-
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term therapy with an antipsychotic medication is admitted to the inpatient mental healt
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h unit. Which of the following findings does the nurse, knowing that long-
vc vc vc vc vc vc vc vc vc vc vc vc
term use of an antipsychotic medication can cause tardive dyskinesia, monitor in the clie
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nt?
A. Fever vc
B. Diarrhea
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C. Hypertension
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D. Tongue protrusion
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ANSWER
D. Tongue protrusion
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QUESTION 5 vc
17 A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (E
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CT). Which of the following diagnoses, if noted on the client's record, would indicate a ne
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ed to contact the physician who is scheduled to perform the ECT?
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A. Recent stroke
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B. Hypothyroidism
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C. History of glaucoma
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D. Peripheral vascular disease
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ANSWER
A. Recent stroke
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QUESTION 6 vc
20 A nurse reviewing the medical record of a client with a diagnosis of infiltrating ductal
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carcinoma of the breast notes documentation of the presence of peau d'orange skin. On t
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, he basis of this notation, which finding would the nurse expect to note on assessment of t
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he client's breast? SEE PICS A. B.
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C. D.
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ANSWER
B. Correct
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QUESTION 7 vc
24 Empyema develops in a client with an infected pleural effusion, and the nurse prepar
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es the client for thoracentesis. What characteristics of the fluid removed during thoracen
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tesis should the nurse, assisting the physician with the procedure, expect to note?
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A. Clear and yellow
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B. Thick and opaque
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C. White and odorless
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D. Clear, with a foul odor
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ANSWER
B. Thick and opaque
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QUESTION 8 vc
26 A nurse is caring for a client with sarcoidosis. The client is upset because he has miss
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ed work and worried about how he will care financially for his wife and three small child
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ren. On the basis of the client's concern, which problem does the nurse identify?
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A. Anxiety
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B. Powerlessness
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C. Disruption of thought processes
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D. Inability to maintain health
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ANSWER
A. Anxiety
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QUESTION 9 vc
27 A nurse, performing an assessment of a client who has been admitted to the hospital
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with suspected silicosis, is gathering both subjective and objective data. Which question
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by the nurse would elicit data specific to the cause of this disorder?
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A. "Do you chew tobacco?"
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B. "Do you smoke cigarettes?"
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C. "Have you ever worked in a mine?"
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D. "Are you frequently exposed to paint products?"
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ANSWER
