HESI COMPREHENSIVE EXIT EXAM 1
EXAM ALBERTA EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
(Using N gele's rule to calculate EDB, subtract 3 months and
add 7 days to the first day of the last normal menstrual
period. The client's LMP is February 14, so less 3 months + 7
days is November 21 of the next year. All other dates are
inaccurate.)
Prenatal diagnostic testing is recommended for a couple
expecting their first child who have a family history of
congenital disorders. The couple tells the nurse that they
are opposed to abortion for religious reasons. Which
concept should the nurse consider when responding to this
couple?
a. Counselling about advantages and disadvantages of
termination should be helpful.
b. There is limited value in diagnostic testing if termination
of pregnancy is not an option.
,c. Diagnostic testing may indicate a fetal problem that could
be treated prior to delivery.
d. Many states legally require prenatal testing as a means of
protecting the fetus.
C
(Although the couple is opposed to abortion, prenatal
testing may reveal a fetal disorder that is treatable in utero
or immediately after birth with favorable results. Counseling
about terminating the pregnancy is not an option due to the
couple's stated opposition. Prenatal testing has value
beyond termination because it provides knowledge and
time for the couple to prepare for various possibilities.
Prenatal testing is voluntary.)
The nurse is inspecting the external eye structures for a
client. Which finding is a normal racial variation?
a. A Hispanic client may have inward-turned eyelashes.
b. An Asian client may have a horizontal palpebrale fissure.
c. An African-American client may have slightly yellow
sclerae.
d. A Caucasian client may have a slightly protruding eyeball.
C
,(Recognizing normal variations that are common in different
racial groups helps the nurse differentiate an early sign of
pathology, such as yellow sclerae. A slightly yellow color of
the sclera is a normal racial variation found in the African-
American population. The other choices are findings not
related to one racial group.)
The nurse is assessing a client and identifies a bruit over the
thyroid. This finding is consistent with which interpretation?
a. Thyroid cyst.
b. Thyroid cancer.
c. Hypothyroidism.
d. Hyperthyroidism.
D
(Hyperthyroidism is an enlargement of the thyroid gland,
often referred to as a goiter, and a bruit may be auscultated
over the goiter due to an increase in glandular vascularity
which increases as the thyroid gland becomes hyperactive.
A bruit is not common with thyroid cancer, cyst, or
hypothroidism.)
A nurse-manager sees a colleague taking drugs from the
unit. What action should the nurse-manager take?
a. Talk to the colleague about what was seen.
b. Report the incident to the immediate supervisor.
, c. Carefully observe the nurse to verify the behavior.
d. Determine if other staff have observed similar behavior.
B
(Even if the drugs were not narcotics, it is the nurse-
manager's responsibility to report these findings to the
person in charge of the unit. Talking to the colleague puts
the colleague on guard and promotes denial and
defensiveness. Observing the nurse is ignoring the event,
which could enable the behavior to continue. Asking other
staff promotes "gossip" about the colleague and is not be
helpful to the colleague or to the unit.)
Which intervention should the nurse include in the plan of
care for a female client with severe postpartum depression
who is admitted to the inpatient psychiatric unit?
a. Full rooming-in for the infant and mother.
b. Restrict visitors who irritate the client.
c. Supervised and guided visits with infant.
d. Daily visits with her significant other.
C
(Structured visits provide an opportunity for the mother and
infant to bond and should be facilitated and encouraged
EXAM ALBERTA EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
(Using N gele's rule to calculate EDB, subtract 3 months and
add 7 days to the first day of the last normal menstrual
period. The client's LMP is February 14, so less 3 months + 7
days is November 21 of the next year. All other dates are
inaccurate.)
Prenatal diagnostic testing is recommended for a couple
expecting their first child who have a family history of
congenital disorders. The couple tells the nurse that they
are opposed to abortion for religious reasons. Which
concept should the nurse consider when responding to this
couple?
a. Counselling about advantages and disadvantages of
termination should be helpful.
b. There is limited value in diagnostic testing if termination
of pregnancy is not an option.
,c. Diagnostic testing may indicate a fetal problem that could
be treated prior to delivery.
d. Many states legally require prenatal testing as a means of
protecting the fetus.
C
(Although the couple is opposed to abortion, prenatal
testing may reveal a fetal disorder that is treatable in utero
or immediately after birth with favorable results. Counseling
about terminating the pregnancy is not an option due to the
couple's stated opposition. Prenatal testing has value
beyond termination because it provides knowledge and
time for the couple to prepare for various possibilities.
Prenatal testing is voluntary.)
The nurse is inspecting the external eye structures for a
client. Which finding is a normal racial variation?
a. A Hispanic client may have inward-turned eyelashes.
b. An Asian client may have a horizontal palpebrale fissure.
c. An African-American client may have slightly yellow
sclerae.
d. A Caucasian client may have a slightly protruding eyeball.
C
,(Recognizing normal variations that are common in different
racial groups helps the nurse differentiate an early sign of
pathology, such as yellow sclerae. A slightly yellow color of
the sclera is a normal racial variation found in the African-
American population. The other choices are findings not
related to one racial group.)
The nurse is assessing a client and identifies a bruit over the
thyroid. This finding is consistent with which interpretation?
a. Thyroid cyst.
b. Thyroid cancer.
c. Hypothyroidism.
d. Hyperthyroidism.
D
(Hyperthyroidism is an enlargement of the thyroid gland,
often referred to as a goiter, and a bruit may be auscultated
over the goiter due to an increase in glandular vascularity
which increases as the thyroid gland becomes hyperactive.
A bruit is not common with thyroid cancer, cyst, or
hypothroidism.)
A nurse-manager sees a colleague taking drugs from the
unit. What action should the nurse-manager take?
a. Talk to the colleague about what was seen.
b. Report the incident to the immediate supervisor.
, c. Carefully observe the nurse to verify the behavior.
d. Determine if other staff have observed similar behavior.
B
(Even if the drugs were not narcotics, it is the nurse-
manager's responsibility to report these findings to the
person in charge of the unit. Talking to the colleague puts
the colleague on guard and promotes denial and
defensiveness. Observing the nurse is ignoring the event,
which could enable the behavior to continue. Asking other
staff promotes "gossip" about the colleague and is not be
helpful to the colleague or to the unit.)
Which intervention should the nurse include in the plan of
care for a female client with severe postpartum depression
who is admitted to the inpatient psychiatric unit?
a. Full rooming-in for the infant and mother.
b. Restrict visitors who irritate the client.
c. Supervised and guided visits with infant.
d. Daily visits with her significant other.
C
(Structured visits provide an opportunity for the mother and
infant to bond and should be facilitated and encouraged
