EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Themnursemismcaringmformamclientmwithmamcerebrovascularmaccidentm(CVA)mwhomismreceivingmentera
lmtubemfeedings.mWhichmtaskmperformedmbymthemUAPmrequiresmimmediateminterventionmbymthemn
urse?m-mCORRECTmANSWERmB.Positionsmheadmofmbedmflatmwhenmchangingmsheets
Rationale:
Positioningmthemheadmofmthembedmflatmwhenmenteralmfeedingsmareminmprogressmputsmthemclientmatm
riskmformaspirationm(B).mThemothersmaremallmacceptablemtasksmperformedmbymthemUAPm(A,mC,mandmD
).
Whenmcaringmformampostsurgicalmclientmwhomhasmundergonemmultiplembloodmtransfusions,mwhichm
serummlaboratorymfindingmismofmmostmconcernmtomthemnurse?m-
mCORRECTmANSWERmB.Potassiummlevel,m5.5mmEq/L
Rationale:
Multiplembloodmtransfusionsmaremamriskmfactormformhyperkalemia.mAmserummpotassiummlevelmhighe
rmthanm5.0mmEq/Lmindicatesmhyperkalemiam(B).mThemothersmaremnormalmfindingsm(A,mC,mandmD).
Whichmvaccinationmshouldmthemnursemadministermtomamnewborn?m-
mCORRECTmANSWERmA.mHepatitismB
Rationale:
ThemhepatitismBmvaccinationmshouldmbemgivenmtomallmnewbornsmbeforemhospitalmdischargem(A).mHP
Vmismnotmrecommendedmuntilmadolescencem(B).mVaricellamimmunizationmbeginsmatm12mmonthsm(C)
.mMeningococcalmvaccinemismadministeredmbeginningmatm2myearsm(D).
,Themnursemismcaringmformamclientmonmthemmedicalmunit.mWhichmtaskmcanmbemdelegatedmtomunlicens
edmassistivempersonnelm(UAP)?m-mCORRECTmANSWERmB.Obtainmamfingerstickmbloodmglucosemlevel.
Rationale:
Obtainingmamfingerstickmbloodmglucosemlevelmismamsimplemtreatmentmandmismanmappropriatemskillmf
ormUAPmtomperformm(B).m(A,mC,mandmD)maremskillsmthatmcannotmbemdelegatedmtomUAP.
Themnursemismcaringmformamclientmwithmanmischemicmstrokemwhomhasmamprescriptionmformtissuemplas
minogenmactivatorm(t-
PA)mIV.mWhichmaction(s)mshouldmthemnursemexpectmtomimplement?m(Selectmallmthatmapply.)m-
mCORRECTmANSWERmB.mCompletemthemNationalmInstitutemofmHealthmStrokemScalem(NIHSS).
C.mAssessmthemclientmformsignsmofmbleedingmduringmandmaftermtheminfusion.
E.mInitiatemmultidisciplinarymconsultmformpotentialmrehabilitation.
Rationale:
Neurologicmassessment,mincludingmthemNIHSS,mismindicatedmformthemclientmreceivingmt-
PA.mThismincludesmclosemmonitoringmformbleedingmduringmandmaftermtheminfusion;mifmbleedingmormo
thermsignsmofmneurologicmimpairmentmoccur,mtheminfusionmshouldmbemstoppedm(B,mC,mandmE).mAspi
rinmismcontraindicatedmwithmt-
PAmbecausemitmincreasesmthemriskmformbleedingm(A).mThemadministrationmofmt-
PAmwithinm6mhoursmofmsymptomsmismconcurrentmwithmamdiagnosismofmammyocardialminfarctionmand
mwithinm4.5mhoursmofmsymptomsmismconcurrentmformamstrokem(D).
Whenmcaringmformamclientminmlabor,mwhichmfindingmismmostmimportantmtomreportmtomthemprimarymh
ealthmcaremprovider?m-mCORRECTmANSWERmB.mFetalmheartmrate,m100mbeats/min
Rationale:
,Amfetalmheartmratem(FHR)mofm100mbeats/minmmaymindicatemfetalmdistressm(B)mbecausemthemaverage
mFHRmatmtermmism140mbeats/minmandmthemnormalmrangemism110mtombeats/minm160.mThemothersm(A,
mC,mandmD)maremnormalmfindingsmformamwomanminmlabor.
Themnursemismcaringmformamclientmwithmheartmfailuremwhomdevelopsmrespiratorymdistressmandmcoug
hsmupmpinkmfrothymsputum.mWhichmactionmshouldmthemnursemtakemfirst?m-
mCORRECTmANSWERmC.mPositionminmamhighmFowler'smpositionmwithmthemlegsmdown.
Rationale:
PositioningmthempatientminmamhighmFowler'smpositionmwithmdanglingmfeetmwillmdecreasemfurthermve
nousmreturnmtomthemleftmventriclem(C).mThemothermactionsmshouldmbemperformedmaftermthemchange
minmpositionm(A,mB,mandmD).
AmclientmwhomismprescribedmchlorpromazinemHClm(Thorazine)mformschizophreniamdevelopsmrigidity,
mamshufflingmgait,mandmtremors.mWhichmactionmbymthemnursemismmostmimportant?m-
mCORRECTmANSWERmA.mAdministermamdosemofmbenztropinemmesylatem(Cogentin)mPRN.
Rationale:
Rigidity,mshufflingmgait,mpill-
rollingmhandmmovements,mtremors,mdyskinesia,mandmmasklikemfacemaremextrapyramidalmsidemeffec
tsmassociatedmwithmThorazine.mItmismmostmimportantmformthemnursemtomadministermanmanticholiner
gicmsuchmasmCogentinmtomreversemthesemeffectsm(A).mThemothersm(B,mC,mD)mmaymbemappropriatemint
erventionsmbutmaremnotmasmurgentmasm(A).
Amnursemisminterviewingmammothermduringmamwell-
childmvisit.mWhichmfindingmwouldmalertmthemnursemtomcontinuemfurthermassessmentmofmtheminfant?
m-mCORRECTmANSWERmB.mTen-month-oldmwhomcannotmsitmwithoutmsupport
Rationale:
, Asmamdevelopmentalmmilestone,minfantsmshouldmsitmunsupportedmbym8mmonthsm(B).mThemmileston
emofmrollingmovermismachievedmatm5mtom6mmonthsmformmostminfantsm(A).mStrangermanxietymismcomm
onmfromm7mtom9mmonthsm(C).mSpeakingmamfewmwordsmismexpectedmatmaboutm12mmonthsm(D).
Whichminterventionmshouldmbemincludedminmthemplanmofmcaremformamclientmadmittedmtomthemhospit
almwithmulcerativemcolitis?m-mCORRECTmANSWERmCm.Providemamlow-residuemdiet.
Rationale:
Amlow-
residuemdietm(C)mwillmhelpmdecreasemsymptomsmofmdiarrhea,mwhichmaremclinicalmmanifestationsmof
mulcerativemcolitis.m(A,mB,mandmD)maremcontraindicatedmandmcouldmworsenmthemcondition.
ThemnursemismcaringmformamclientmwithmdeepmveinmthrombosismwhomismonmamcontinuousmIVmheparin
minfusion.mThemactivatedmpartialmprothrombinmtimem(aPTT)mism120mseconds.mWhichmactionmshould
mthemnursemtake?m-
mCORRECTmANSWERmD.mStopmthemheparinmdripmandmpreparemtomadministermprotaminemsulfate.
Rationale:
AnmaPTTmmoremthanm100msecondsmismamcriticallymhighmvalue;mtherefore,mthemheparinmshouldmbemst
opped.mThemantidotemformheparinmismprotaminemsulfatem(D).mIncreasingmthemratemwouldmincreasem
themriskmformhemorrhagem(A).mTheminfusionmshouldmbemstopped,mandmvitaminmKmismthemantidotemf
ormwarfarinm(Coumadin)m(B).mKeepingmtheminfusionmatmthemcurrentmratemwouldmincreasemthemriskm
formhemorrhagem(C).
Whilemassessingmamclientmwithmrecurringmchestmpain,mthemunitmsecretarymnotifiesmthemnursemthatmt
hemclient'smhealthmcaremprovidermismonmthemtelephone.mWhatmactionmshouldmthemnurseminstructmt
hemunitmsecretarymtomimplement?m-
mCORRECTmANSWERmC.mAskmanothermnursemtomtakemthemphonemcall.
Rationale:
PRACTICE QUESTIONS LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Themnursemismcaringmformamclientmwithmamcerebrovascularmaccidentm(CVA)mwhomismreceivingmentera
lmtubemfeedings.mWhichmtaskmperformedmbymthemUAPmrequiresmimmediateminterventionmbymthemn
urse?m-mCORRECTmANSWERmB.Positionsmheadmofmbedmflatmwhenmchangingmsheets
Rationale:
Positioningmthemheadmofmthembedmflatmwhenmenteralmfeedingsmareminmprogressmputsmthemclientmatm
riskmformaspirationm(B).mThemothersmaremallmacceptablemtasksmperformedmbymthemUAPm(A,mC,mandmD
).
Whenmcaringmformampostsurgicalmclientmwhomhasmundergonemmultiplembloodmtransfusions,mwhichm
serummlaboratorymfindingmismofmmostmconcernmtomthemnurse?m-
mCORRECTmANSWERmB.Potassiummlevel,m5.5mmEq/L
Rationale:
Multiplembloodmtransfusionsmaremamriskmfactormformhyperkalemia.mAmserummpotassiummlevelmhighe
rmthanm5.0mmEq/Lmindicatesmhyperkalemiam(B).mThemothersmaremnormalmfindingsm(A,mC,mandmD).
Whichmvaccinationmshouldmthemnursemadministermtomamnewborn?m-
mCORRECTmANSWERmA.mHepatitismB
Rationale:
ThemhepatitismBmvaccinationmshouldmbemgivenmtomallmnewbornsmbeforemhospitalmdischargem(A).mHP
Vmismnotmrecommendedmuntilmadolescencem(B).mVaricellamimmunizationmbeginsmatm12mmonthsm(C)
.mMeningococcalmvaccinemismadministeredmbeginningmatm2myearsm(D).
,Themnursemismcaringmformamclientmonmthemmedicalmunit.mWhichmtaskmcanmbemdelegatedmtomunlicens
edmassistivempersonnelm(UAP)?m-mCORRECTmANSWERmB.Obtainmamfingerstickmbloodmglucosemlevel.
Rationale:
Obtainingmamfingerstickmbloodmglucosemlevelmismamsimplemtreatmentmandmismanmappropriatemskillmf
ormUAPmtomperformm(B).m(A,mC,mandmD)maremskillsmthatmcannotmbemdelegatedmtomUAP.
Themnursemismcaringmformamclientmwithmanmischemicmstrokemwhomhasmamprescriptionmformtissuemplas
minogenmactivatorm(t-
PA)mIV.mWhichmaction(s)mshouldmthemnursemexpectmtomimplement?m(Selectmallmthatmapply.)m-
mCORRECTmANSWERmB.mCompletemthemNationalmInstitutemofmHealthmStrokemScalem(NIHSS).
C.mAssessmthemclientmformsignsmofmbleedingmduringmandmaftermtheminfusion.
E.mInitiatemmultidisciplinarymconsultmformpotentialmrehabilitation.
Rationale:
Neurologicmassessment,mincludingmthemNIHSS,mismindicatedmformthemclientmreceivingmt-
PA.mThismincludesmclosemmonitoringmformbleedingmduringmandmaftermtheminfusion;mifmbleedingmormo
thermsignsmofmneurologicmimpairmentmoccur,mtheminfusionmshouldmbemstoppedm(B,mC,mandmE).mAspi
rinmismcontraindicatedmwithmt-
PAmbecausemitmincreasesmthemriskmformbleedingm(A).mThemadministrationmofmt-
PAmwithinm6mhoursmofmsymptomsmismconcurrentmwithmamdiagnosismofmammyocardialminfarctionmand
mwithinm4.5mhoursmofmsymptomsmismconcurrentmformamstrokem(D).
Whenmcaringmformamclientminmlabor,mwhichmfindingmismmostmimportantmtomreportmtomthemprimarymh
ealthmcaremprovider?m-mCORRECTmANSWERmB.mFetalmheartmrate,m100mbeats/min
Rationale:
,Amfetalmheartmratem(FHR)mofm100mbeats/minmmaymindicatemfetalmdistressm(B)mbecausemthemaverage
mFHRmatmtermmism140mbeats/minmandmthemnormalmrangemism110mtombeats/minm160.mThemothersm(A,
mC,mandmD)maremnormalmfindingsmformamwomanminmlabor.
Themnursemismcaringmformamclientmwithmheartmfailuremwhomdevelopsmrespiratorymdistressmandmcoug
hsmupmpinkmfrothymsputum.mWhichmactionmshouldmthemnursemtakemfirst?m-
mCORRECTmANSWERmC.mPositionminmamhighmFowler'smpositionmwithmthemlegsmdown.
Rationale:
PositioningmthempatientminmamhighmFowler'smpositionmwithmdanglingmfeetmwillmdecreasemfurthermve
nousmreturnmtomthemleftmventriclem(C).mThemothermactionsmshouldmbemperformedmaftermthemchange
minmpositionm(A,mB,mandmD).
AmclientmwhomismprescribedmchlorpromazinemHClm(Thorazine)mformschizophreniamdevelopsmrigidity,
mamshufflingmgait,mandmtremors.mWhichmactionmbymthemnursemismmostmimportant?m-
mCORRECTmANSWERmA.mAdministermamdosemofmbenztropinemmesylatem(Cogentin)mPRN.
Rationale:
Rigidity,mshufflingmgait,mpill-
rollingmhandmmovements,mtremors,mdyskinesia,mandmmasklikemfacemaremextrapyramidalmsidemeffec
tsmassociatedmwithmThorazine.mItmismmostmimportantmformthemnursemtomadministermanmanticholiner
gicmsuchmasmCogentinmtomreversemthesemeffectsm(A).mThemothersm(B,mC,mD)mmaymbemappropriatemint
erventionsmbutmaremnotmasmurgentmasm(A).
Amnursemisminterviewingmammothermduringmamwell-
childmvisit.mWhichmfindingmwouldmalertmthemnursemtomcontinuemfurthermassessmentmofmtheminfant?
m-mCORRECTmANSWERmB.mTen-month-oldmwhomcannotmsitmwithoutmsupport
Rationale:
, Asmamdevelopmentalmmilestone,minfantsmshouldmsitmunsupportedmbym8mmonthsm(B).mThemmileston
emofmrollingmovermismachievedmatm5mtom6mmonthsmformmostminfantsm(A).mStrangermanxietymismcomm
onmfromm7mtom9mmonthsm(C).mSpeakingmamfewmwordsmismexpectedmatmaboutm12mmonthsm(D).
Whichminterventionmshouldmbemincludedminmthemplanmofmcaremformamclientmadmittedmtomthemhospit
almwithmulcerativemcolitis?m-mCORRECTmANSWERmCm.Providemamlow-residuemdiet.
Rationale:
Amlow-
residuemdietm(C)mwillmhelpmdecreasemsymptomsmofmdiarrhea,mwhichmaremclinicalmmanifestationsmof
mulcerativemcolitis.m(A,mB,mandmD)maremcontraindicatedmandmcouldmworsenmthemcondition.
ThemnursemismcaringmformamclientmwithmdeepmveinmthrombosismwhomismonmamcontinuousmIVmheparin
minfusion.mThemactivatedmpartialmprothrombinmtimem(aPTT)mism120mseconds.mWhichmactionmshould
mthemnursemtake?m-
mCORRECTmANSWERmD.mStopmthemheparinmdripmandmpreparemtomadministermprotaminemsulfate.
Rationale:
AnmaPTTmmoremthanm100msecondsmismamcriticallymhighmvalue;mtherefore,mthemheparinmshouldmbemst
opped.mThemantidotemformheparinmismprotaminemsulfatem(D).mIncreasingmthemratemwouldmincreasem
themriskmformhemorrhagem(A).mTheminfusionmshouldmbemstopped,mandmvitaminmKmismthemantidotemf
ormwarfarinm(Coumadin)m(B).mKeepingmtheminfusionmatmthemcurrentmratemwouldmincreasemthemriskm
formhemorrhagem(C).
Whilemassessingmamclientmwithmrecurringmchestmpain,mthemunitmsecretarymnotifiesmthemnursemthatmt
hemclient'smhealthmcaremprovidermismonmthemtelephone.mWhatmactionmshouldmthemnurseminstructmt
hemunitmsecretarymtomimplement?m-
mCORRECTmANSWERmC.mAskmanothermnursemtomtakemthemphonemcall.
Rationale:
