COMPREHENSIVE HESI 2024 EXIT EXAM ACCURATE
QUESSTIONS WITH VERIFIED ANSWERS GUARANTEED
PASS GRADED A.
A nurse provides information to a client diagnosed with peripheral vascular disease
about ways to limit the disease's progression. Which measures does the nurse tell the
client to take? Select all that apply.
Crossing the legs at the ankles only
Engaging in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Inspecting the feet at least once a week for injuries, especially abrasions
Using a heating pad on the legs to help keep the blood vessels dilated - Ans - Engaging
in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Rationale: Long-term management of peripheral vascular disease consists of measures
that increase peripheral circulation. The client is instructed to exercise regularly and is
encouraged to walk for 20 minutes each day. The client also needs to wash the feet
daily with a mild soap, to dry the feet well, and to inspect the feet daily for injuries or
abrasions. Crossing the legs at any level should be avoided because it promotes
vasoconstriction. Keeping the extremities warm is important; however, heating pads and
hot water bottles should not be placed on the extremity. Sensitivity may be diminished in
the affected extremity, increasing the risk for burns. Also, direct application of heat
increases the oxygen and nutritional requirements of the tissue even further.
A client diagnosed with depression is anorexic. Which measure does the nurse take to
assist the client in meeting nutritional needs?
Providing food and fluid as the client requests
Offering high-calorie and high-protein foods and fluids frequently throughout the day
Completing the dietary menu for the client to ensure that adequate nutrition is provided
Weighing the client daily so that the client may determine whether the nutritional plan is
working - Ans - Offering high-calorie and high-protein foods and fluids frequently
throughout the day
Rationale: The client should be offered high-calorie and high-protein foods and fluids
frequently throughout the day. Small, frequent snacks are more easily tolerated than
large plates of food when the client is anorexic. The client should be offered choices of
foods and fluids he/she likes, because the client is more likely to consume foods he/she
has selected. The client should be weighed weekly, not daily. Weight gain may not be
noted daily, which may cause the client to view the interventions to improve nutritional
status as useless.
,Disulfiram is prescribed to a client with an alcohol abuse problem. The nurse provides
information about the medication. What does the nurse tell the client?
That driving is prohibited while the client is taking the medication
To take the medication immediately if the desire to drink alcohol occurs
That the effect of the medication ends as soon as the client stops taking the medication
That the medication cannot be started until at least 12 hours has elapsed since the
client's last ingestion of alcohol - Ans - That the medication cannot be started until at
least 12 hours has elapsed since the client's last ingestion of alcohol
Rationale: Disulfiram is an alcohol abuse deterrent prescribed to motivated clients who
have shown the ability to stay sober. Driving is not prohibited; however, the client is
instructed to use caution when driving and performing other tasks that require alertness.
The medication is taken daily (not just when the client has a desire to drink alcohol), and
the effects of the medication last 5 days to 2 weeks after the last dose is taken. The
medication cannot be started until at least 12 hours has elapsed since the client's last
ingestion of alcohol. Otherwise, an alcohol-disulfiram reaction will occur, with effects
consisting of facial flushing, sweating, a throbbing headache, neck pain, tachycardia,
respiratory distress, a potentially serious decrease in blood pressure, and nausea and
vomiting. This reaction may last 30 to 120 minutes.
A client diagnosed with depression is being encouraged to attend art therapy as part of
the treatment plan. The client refuses, stating, "I can't draw or paint." Which response
by the nurse is therapeutic?
"Why don't you really want to attend?"
"This is what your primary health care provider has prescribed for you as part of the
treatment plan."
"OK, let's have you attend music therapy. You can sing there. How does that sound?"
"Perhaps you could attend and talk to the other clients and see what they're drawing
and painting." - Ans - "Perhaps you could attend and talk to the other clients and see
what they're drawing and painting."
Rationale: The correct response encourages the client to socialize and deflects the
client's attention from the issue of drawing and painting. "Why don't you really want to
attend?" challenges the client. "This is what your primary health care provider has
prescribed for you as part of the treatment plan" ignores the client's rights. "OK, let's
have you attend music therapy. You can sing there. How does that sound?" does not
address the client's concern.
A hospitalized female client demonstrating mania enters the unit community room and
says to a client who is wearing a blue shirt, "Boys in blue are fun to do! Boys in blue are
fun to do!" What is the appropriate response by the nurse?
"Why are you saying that?"
,"Stop saying that. It's not true!"
"You wouldn't like someone saying that to you. Would you?"
"Don't say that. If you can't control yourself, we'll help you." - Ans - "Don't say that. If you
can't control yourself, we'll help you."
Rationale: The nurse should respond using a firm, calm approach, providing the client
with clear expectations. The appropriate response is the only one that involves a firm,
calm approach and offers the client help if she needs it. The other three statements
challenge the client.
A nurse working the evening shift is helping clients get ready for sleep. A female client
diagnosed with mania is hyperactive and pacing the hallway. What is the most
appropriate action the nurse can take?
Stay with the client and observe her behavior
Take the client to the bathroom and provide her with a warm bath
Tell the client that it is time for sleep and that she needs to go to her room
Tell the client that other clients are trying to sleep and that she is being disruptive - Ans
- Take the client to the bathroom and provide her with a warm bath
Rationale: At bedtime, the nurse should take the client to the bathroom and provide
warm baths, soothing music, and medication when indicated. For the client with mania,
the nurse needs to promote relaxation, rest, and sleep and to minimize manic behavior.
The nurse should encourage frequent rest periods during the day and keep the client in
areas of low stimulation. The client should not consume products containing caffeine.
Staying with the client and observing her behavior, telling the client that it is time to go
to sleep and to go to her room, and telling the client that other clients are trying to sleep
and that she is being disruptive do not address the client's needs and are not measures
that will help the client relax and sleep.
Colchicine has been prescribed for a client with a diagnosis of gout, and the nurse
provides information to the client about the medication. Which statement by the client
indicates to the nurse that the client understands the information
"I need to limit my intake of fluids while I'm taking this medication."
"I need to stop the medication and call my doctor if I have severe diarrhea."
"I can expect skin redness and a rash when I take this medication."
"I may get a burning feeling in my throat, but it's normal and will go away." - Ans - "I
need to stop the medication and call my doctor if I have severe diarrhea."
Rationale: The client understands the information if stating, "I need to stop the
medication and call my doctor if I have severe diarrhea." The client is instructed to
report a rash, sore throat, fever, unusual bruising or bleeding, weakness, tiredness, or
numbness. A burning sensation in the throat or skin, severe diarrhea, and abdominal
pain are signs of overdose. Colchicine is classified as an antigout agent. It interferes
with the capacity of the white blood cells to initiate and maintain an inflammatory
, response to monosodium urate crystals. The client should maintain a high fluid intake
(eight to ten 8-oz [235 mL] glasses of fluid per day) while taking the medication.
A client is admitted to the nursing unit with a diagnosis of avoidant personality disorder.
What are some characteristics of this disorder? Select all that apply.
Neediness
Perfectionism
Feelings of inadequacy
Feeling extremely shy
Sensitivity to rejection
Preoccupation with details
Hypersensitivity to negative evaluation - Ans - Feelings of inadequacy
Feeling extremely shy
Sensitivity to rejection
Hypersensitivity to negative evaluation
Rationale: Avoidant personality disorder is a psychiatric condition in which a person
feels extremely shy, inadequate, and sensitive to rejection. Other characteristics of
avoidant personality disorder include excessive anxiety in social situations and
hypersensitivity to negative evaluation. Neediness is a characteristic of dependent
personality disorder. Perfectionism and preoccupation with details are characteristics of
obsessive-compulsive disorder.
A female client admitted to the mental health unit tells the nurse that she cannot leave
the house without checking to be sure that she has shut off the coffee maker and
unplugged her curling iron. The client states that she even leaves the house, gets into
her car, and then has to go back into the house to check these appliances again and
that these behaviors are interfering with her work and social commitments. Which
anxiety disorder does the nurse associate this client's symptoms?
Agoraphobia
Avoidant personality disorder
Obsessive-compulsive disorder
Dependent personality disorder - Ans - Obsessive-compulsive disorder
Rationale: Obsessive-compulsive disorder is an anxiety disorder characterized by
intrusive thoughts that produce uneasiness, apprehension, fear, or worry; by repetitive
behaviors aimed at reducing anxiety; or by a combination of such thoughts (obsessions)
and behaviors (compulsions). The client is inflexible and rigid, and is highly critical of
self and others. The characteristics of dependent personality disorder include neediness
and self-sacrificing and submissive behaviors. The client with avoidant personality
disorder is extremely shy, feels inadequate, and is sensitive to rejection. Agoraphobia is
the fear of open spaces.
QUESSTIONS WITH VERIFIED ANSWERS GUARANTEED
PASS GRADED A.
A nurse provides information to a client diagnosed with peripheral vascular disease
about ways to limit the disease's progression. Which measures does the nurse tell the
client to take? Select all that apply.
Crossing the legs at the ankles only
Engaging in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Inspecting the feet at least once a week for injuries, especially abrasions
Using a heating pad on the legs to help keep the blood vessels dilated - Ans - Engaging
in exercise such as walking on a daily basis
Washing the feet daily with a mild soap and drying them well
Rationale: Long-term management of peripheral vascular disease consists of measures
that increase peripheral circulation. The client is instructed to exercise regularly and is
encouraged to walk for 20 minutes each day. The client also needs to wash the feet
daily with a mild soap, to dry the feet well, and to inspect the feet daily for injuries or
abrasions. Crossing the legs at any level should be avoided because it promotes
vasoconstriction. Keeping the extremities warm is important; however, heating pads and
hot water bottles should not be placed on the extremity. Sensitivity may be diminished in
the affected extremity, increasing the risk for burns. Also, direct application of heat
increases the oxygen and nutritional requirements of the tissue even further.
A client diagnosed with depression is anorexic. Which measure does the nurse take to
assist the client in meeting nutritional needs?
Providing food and fluid as the client requests
Offering high-calorie and high-protein foods and fluids frequently throughout the day
Completing the dietary menu for the client to ensure that adequate nutrition is provided
Weighing the client daily so that the client may determine whether the nutritional plan is
working - Ans - Offering high-calorie and high-protein foods and fluids frequently
throughout the day
Rationale: The client should be offered high-calorie and high-protein foods and fluids
frequently throughout the day. Small, frequent snacks are more easily tolerated than
large plates of food when the client is anorexic. The client should be offered choices of
foods and fluids he/she likes, because the client is more likely to consume foods he/she
has selected. The client should be weighed weekly, not daily. Weight gain may not be
noted daily, which may cause the client to view the interventions to improve nutritional
status as useless.
,Disulfiram is prescribed to a client with an alcohol abuse problem. The nurse provides
information about the medication. What does the nurse tell the client?
That driving is prohibited while the client is taking the medication
To take the medication immediately if the desire to drink alcohol occurs
That the effect of the medication ends as soon as the client stops taking the medication
That the medication cannot be started until at least 12 hours has elapsed since the
client's last ingestion of alcohol - Ans - That the medication cannot be started until at
least 12 hours has elapsed since the client's last ingestion of alcohol
Rationale: Disulfiram is an alcohol abuse deterrent prescribed to motivated clients who
have shown the ability to stay sober. Driving is not prohibited; however, the client is
instructed to use caution when driving and performing other tasks that require alertness.
The medication is taken daily (not just when the client has a desire to drink alcohol), and
the effects of the medication last 5 days to 2 weeks after the last dose is taken. The
medication cannot be started until at least 12 hours has elapsed since the client's last
ingestion of alcohol. Otherwise, an alcohol-disulfiram reaction will occur, with effects
consisting of facial flushing, sweating, a throbbing headache, neck pain, tachycardia,
respiratory distress, a potentially serious decrease in blood pressure, and nausea and
vomiting. This reaction may last 30 to 120 minutes.
A client diagnosed with depression is being encouraged to attend art therapy as part of
the treatment plan. The client refuses, stating, "I can't draw or paint." Which response
by the nurse is therapeutic?
"Why don't you really want to attend?"
"This is what your primary health care provider has prescribed for you as part of the
treatment plan."
"OK, let's have you attend music therapy. You can sing there. How does that sound?"
"Perhaps you could attend and talk to the other clients and see what they're drawing
and painting." - Ans - "Perhaps you could attend and talk to the other clients and see
what they're drawing and painting."
Rationale: The correct response encourages the client to socialize and deflects the
client's attention from the issue of drawing and painting. "Why don't you really want to
attend?" challenges the client. "This is what your primary health care provider has
prescribed for you as part of the treatment plan" ignores the client's rights. "OK, let's
have you attend music therapy. You can sing there. How does that sound?" does not
address the client's concern.
A hospitalized female client demonstrating mania enters the unit community room and
says to a client who is wearing a blue shirt, "Boys in blue are fun to do! Boys in blue are
fun to do!" What is the appropriate response by the nurse?
"Why are you saying that?"
,"Stop saying that. It's not true!"
"You wouldn't like someone saying that to you. Would you?"
"Don't say that. If you can't control yourself, we'll help you." - Ans - "Don't say that. If you
can't control yourself, we'll help you."
Rationale: The nurse should respond using a firm, calm approach, providing the client
with clear expectations. The appropriate response is the only one that involves a firm,
calm approach and offers the client help if she needs it. The other three statements
challenge the client.
A nurse working the evening shift is helping clients get ready for sleep. A female client
diagnosed with mania is hyperactive and pacing the hallway. What is the most
appropriate action the nurse can take?
Stay with the client and observe her behavior
Take the client to the bathroom and provide her with a warm bath
Tell the client that it is time for sleep and that she needs to go to her room
Tell the client that other clients are trying to sleep and that she is being disruptive - Ans
- Take the client to the bathroom and provide her with a warm bath
Rationale: At bedtime, the nurse should take the client to the bathroom and provide
warm baths, soothing music, and medication when indicated. For the client with mania,
the nurse needs to promote relaxation, rest, and sleep and to minimize manic behavior.
The nurse should encourage frequent rest periods during the day and keep the client in
areas of low stimulation. The client should not consume products containing caffeine.
Staying with the client and observing her behavior, telling the client that it is time to go
to sleep and to go to her room, and telling the client that other clients are trying to sleep
and that she is being disruptive do not address the client's needs and are not measures
that will help the client relax and sleep.
Colchicine has been prescribed for a client with a diagnosis of gout, and the nurse
provides information to the client about the medication. Which statement by the client
indicates to the nurse that the client understands the information
"I need to limit my intake of fluids while I'm taking this medication."
"I need to stop the medication and call my doctor if I have severe diarrhea."
"I can expect skin redness and a rash when I take this medication."
"I may get a burning feeling in my throat, but it's normal and will go away." - Ans - "I
need to stop the medication and call my doctor if I have severe diarrhea."
Rationale: The client understands the information if stating, "I need to stop the
medication and call my doctor if I have severe diarrhea." The client is instructed to
report a rash, sore throat, fever, unusual bruising or bleeding, weakness, tiredness, or
numbness. A burning sensation in the throat or skin, severe diarrhea, and abdominal
pain are signs of overdose. Colchicine is classified as an antigout agent. It interferes
with the capacity of the white blood cells to initiate and maintain an inflammatory
, response to monosodium urate crystals. The client should maintain a high fluid intake
(eight to ten 8-oz [235 mL] glasses of fluid per day) while taking the medication.
A client is admitted to the nursing unit with a diagnosis of avoidant personality disorder.
What are some characteristics of this disorder? Select all that apply.
Neediness
Perfectionism
Feelings of inadequacy
Feeling extremely shy
Sensitivity to rejection
Preoccupation with details
Hypersensitivity to negative evaluation - Ans - Feelings of inadequacy
Feeling extremely shy
Sensitivity to rejection
Hypersensitivity to negative evaluation
Rationale: Avoidant personality disorder is a psychiatric condition in which a person
feels extremely shy, inadequate, and sensitive to rejection. Other characteristics of
avoidant personality disorder include excessive anxiety in social situations and
hypersensitivity to negative evaluation. Neediness is a characteristic of dependent
personality disorder. Perfectionism and preoccupation with details are characteristics of
obsessive-compulsive disorder.
A female client admitted to the mental health unit tells the nurse that she cannot leave
the house without checking to be sure that she has shut off the coffee maker and
unplugged her curling iron. The client states that she even leaves the house, gets into
her car, and then has to go back into the house to check these appliances again and
that these behaviors are interfering with her work and social commitments. Which
anxiety disorder does the nurse associate this client's symptoms?
Agoraphobia
Avoidant personality disorder
Obsessive-compulsive disorder
Dependent personality disorder - Ans - Obsessive-compulsive disorder
Rationale: Obsessive-compulsive disorder is an anxiety disorder characterized by
intrusive thoughts that produce uneasiness, apprehension, fear, or worry; by repetitive
behaviors aimed at reducing anxiety; or by a combination of such thoughts (obsessions)
and behaviors (compulsions). The client is inflexible and rigid, and is highly critical of
self and others. The characteristics of dependent personality disorder include neediness
and self-sacrificing and submissive behaviors. The client with avoidant personality
disorder is extremely shy, feels inadequate, and is sensitive to rejection. Agoraphobia is
the fear of open spaces.
