EXIT HESI COMPREHENSIVE B EVOLVE PRACTICE QUESTIONS LATEST 2026/2027 ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
B

Rationale:

Positioningmthemheadmofmthembedmflatmwhenmenteralmfeedingsmareminmprogressmputsmthemclientmatm
riskmformaspirationm(B).mThemothersmaremallmacceptablemtasksmperformedmbymthemUAPm(A,mC,mandmD
).m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmamcerebrovascularmaccidentm(CVA)mwh


omismreceivingmenteralmtubemfeedings.mWhichmtaskmperformedmbymthemUAPmrequiresmimmediatemin
terventionmbymthemnurse?

A.Suctionsmoralmsecretionsmfrommmouth

B.Positionsmheadmofmbedmflatmwhenmchangingmsheets

C.Takesmtemperaturemusingmthemaxillarymmethod

D.Keepsmheadmofmbedmelevatedmatm30mdegrees



B

Rationale:

Multiplembloodmtransfusionsmaremamriskmfactormformhyperkalemia.mAmserummpotassiummlevelmhighe
rmthanm5.0mmEq/Lmindicatesmhyperkalemiam(B).mThemothersmaremnormalmfindingsm(A,mC,mandmD).m-
mCORRECTmANSWERmWhenmcaringmformampostsurgicalmclientmwhomhasmundergonemmultiplemblood


mtransfusions,mwhichmserummlaboratorymfindingmismofmmostmconcernmtomthemnurse?



A.Sodiummlevel,m137mmEq/L

B.Potassiummlevel,m5.5mmEq/L

C.Bloodmureamnitrogenm(BUN)mlevel,m18mmg/dL

D.Calciummlevel,m10mmEq/L

,A

Rationale:

ThemhepatitismBmvaccinationmshouldmbemgivenmtomallmnewbornsmbeforemhospitalmdischargem(A).mHP
Vmismnotmrecommendedmuntilmadolescencem(B).mVaricellamimmunizationmbeginsmatm12mmonthsm(C)
.mMeningococcalmvaccinemismadministeredmbeginningmatm2myearsm(D).m-
mCORRECTmANSWERmWhichmvaccinationmshouldmthemnursemadministermtomamnewborn?



A.HepatitismB

B.Humanmpapillomamvirusm(HPV)

C.Varicella

D.Meningococcalmvaccine



B

Rationale:

Obtainingmamfingerstickmbloodmglucosemlevelmismamsimplemtreatmentmandmismanmappropriatemskillmf
ormUAPmtomperformm(B).m(A,mC,mandmD)maremskillsmthatmcannotmbemdelegatedmtomUAP.m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmonmthemmedicalmunit.mWhichmtaskmcanmbemd


elegatedmtomunlicensedmassistivempersonnelm(UAP)?

A.Assessmthemneedmtomchangemamcentralmlinemdressing.

B.Obtainmamfingerstickmbloodmglucosemlevel.

C.Answermamfamilymmember'smquestionsmaboutmthemclient'smplanmofmcare.

D.Teachmthemclientmsidemeffectsmtomreportmrelatedmtomthemcurrentmmedicationmregimen.



B,C,E

Rationale:

Neurologicmassessment,mincludingmthemNIHSS,mismindicatedmformthemclientmreceivingmt-
PA.mThismincludesmclosemmonitoringmformbleedingmduringmandmaftermtheminfusion;mifmbleedingmormo
thermsignsmofmneurologicmimpairmentmoccur,mtheminfusionmshouldmbemstoppedm(B,mC,mandmE).mAspi
rinmismcontraindicatedmwithmt-

,PAmbecausemitmincreasesmthemriskmformbleedingm(A).mThemadministrationmofmt-
PAmwithinm6mhoursmofmsymptomsmismconcurrentmwithmamdiagnosismofmammyocardialminfarctionmand
mwithinm4.5mhoursmofmsymptomsmismconcurrentmformamstrokem(D).m-


mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmanmischemicmstrokemwhomhasmamprescr


iptionmformtissuemplasminogenmactivatorm(t-
PA)mIV.mWhichmaction(s)mshouldmthemnursemexpectmtomimplement?m(Selectmallmthatmapply.)

A.Administermaspirinmwithmtissuemplasminogenmactivatorm(t-PA).

B.CompletemthemNationalmInstitutemofmHealthmStrokemScalem(NIHSS).

C.Assessmthemclientmformsignsmofmbleedingmduringmandmaftermtheminfusion.

D.Startmt-PAmwithinm6mhoursmaftermthemonsetmofmstrokemsymptoms.

E.Initiatemmultidisciplinarymconsultmformpotentialmrehabilitation.



B

Rationale:

Amfetalmheartmratem(FHR)mofm100mbeats/minmmaymindicatemfetalmdistressm(B)mbecausemthemaverage
mFHRmatmtermmism140mbeats/minmandmthemnormalmrangemism110mtombeats/minm160.mThemothersm(A,


mC,mandmD)maremnormalmfindingsmformamwomanminmlabor.m-


mCORRECTmANSWERmWhenmcaringmformamclientminmlabor,mwhichmfindingmismmostmimportantmtomrep


ortmtomthemprimarymhealthmcaremprovider?

A.Maternalmheartmrate,m90mbeats/min.

B.Fetalmheartmrate,m100mbeats/min

C.Maternalmbloodmpressure,m140/86mmmmHg

D.Maternalmtemperature,m100.0°mF



C

Rationale:

PositioningmthempatientminmamhighmFowler'smpositionmwithmdanglingmfeetmwillmdecreasemfurthermve
nousmreturnmtomthemleftmventriclem(C).mThemothermactionsmshouldmbemperformedmaftermthemchange
minmpositionm(A,mB,mandmD).m-

, mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmheartmfailuremwhomdevelopsmrespirato
rymdistressmandmcoughsmupmpinkmfrothymsputum.mWhichmactionmshouldmthemnursemtakemfirst?

A.Drawmarterialmbloodmgases.

B.Notifymthemprimarymhealthmcaremprovider.

C.PositionminmamhighmFowler'smpositionmwithmthemlegsmdown.

D.ObtainmamchestmX-ray.



A

Rationale:

Rigidity,mshufflingmgait,mpill-
rollingmhandmmovements,mtremors,mdyskinesia,mandmmasklikemfacemaremextrapyramidalmsidemeffec
tsmassociatedmwithmThorazine.mItmismmostmimportantmformthemnursemtomadministermanmanticholiner
gicmsuchmasmCogentinmtomreversemthesemeffectsm(A).mThemothersm(B,mC,mD)mmaymbemappropriatemint
erventionsmbutmaremnotmasmurgentmasm(A).m-
mCORRECTmANSWERmAmclientmwhomismprescribedmchlorpromazinemHClm(Thorazine)mformschizophre


niamdevelopsmrigidity,mamshufflingmgait,mandmtremors.mWhichmactionmbymthemnursemismmostmimport
ant?A.Administermamdosemofmbenztropinemmesylatem(Cogentin)mPRN.

B.Determinemifmthemclientmhasmincreasedmphotosensitivity.

C.Providemcomfortmmeasuresmformsoremmuscles.

D.Assessmthemclientmformvisualmandmauditorymhallucinations.



B

Rationale:

Asmamdevelopmentalmmilestone,minfantsmshouldmsitmunsupportedmbym8mmonthsm(B).mThemmileston
emofmrollingmovermismachievedmatm5mtom6mmonthsmformmostminfantsm(A).mStrangermanxietymismcomm
onmfromm7mtom9mmonthsm(C).mSpeakingmamfewmwordsmismexpectedmatmaboutm12mmonthsm(D).m-
mCORRECTmANSWERmAmnursemisminterviewingmammothermduringmamwell-


childmvisit.mWhichmfindingmwouldmalertmthemnursemtomcontinuemfurthermassessmentmofmtheminfant?

A.Two-month-oldmwhomismunablemtomrollmfrommbackmtomabdomen

B.Ten-month-oldmwhomcannotmsitmwithoutmsupport