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Exam (elaborations)

HESI COMPREHENSIVE EXIT EXAM WITH NGN EXAM VERIFIED QUESTIONS AND ANSWERS GRADED A+

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HESI COMPREHENSIVE EXIT EXAM WITH NGN EXAM VERIFIED QUESTIONS AND ANSWERS GRADED A+

Institution
HESI COMPREHENSIVE
Course
HESI COMPREHENSIVE











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Written for

Institution
HESI COMPREHENSIVE
Course
HESI COMPREHENSIVE

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Uploaded on
December 1, 2024
Number of pages
310
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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HESIaRNaEXITaEXAMaNEXTaGENERATIONa2024aSCREENSHOTS-
QUESTIONSa&aANSWERSa(NGNaHESIaRNaEXIT)

Aa3-year-
oldaboyawasasuccessfullyatoiletatrainedaprioratoahisaadmissionatoatheahospitalaforainjuriesasus
tainedafromaaafall.aHisaparentsaareaveryaconcernedathatatheachildahasaregressedainahisatoileti
ngabehaviors.aWhichainformationashouldatheanurseaprovideatoatheaparents?
A.aAaretrainingaprogramawillaneedatoabeainitiatedawhenatheachildareturnsahome.a
B.aDiaperingawillabeaprovidedasinceahospitalizationaisastressfulatoapreschoolers
C.aAapottyachairashouldabeabroughtafromahomeasoaheacanamaintainahisatoiletingaskills
D.aChildrenausuallyaresumeatheiratoiletingabehaviorsawhenatheyaleaveatheahospitala-
aansD.aChildrenausuallyaresumeatheiratoiletingabehaviorsawhenatheyaleaveatheahospital




Aa7-
yearaoldaisaadmittedatoatheahospitalawithapersistentavomiting,aandaaanasogastricatubeaattach
edatoalowaintermittentasuctionaisaapplied.aWhichafindingaisamostaimportantaforatheanurseatoar
eportatoatheahealthcareaprovider?
A.aShiftaintakeaofa640mLaIVafluidsaplusa30mLaPOaiceachipsa
B.aSerumapHaofa7.45
C.aGastricaoutputaofa100amLainathealasta8ahours
D.aSerumapotassiumaofa3.0amg/dLa-aansD.aSerumapotassiumaofa3.0amg/dL

Aachildanewlyadiagnosedawithasickleacellaanemiaa(SCA)aisabeingadischargedafromatheahospi
tal.aWhichainformationaisamostaimportantaforatheanurseatoaprovideatheaparentsaprioratoadisch
arge?
A.aInstructionsaaboutahowamuchafluidatheachildashouldadrinkadaily.
B.aSignsaofaaddictionatoaopioidapainamedications
C.aInformationaaboutanon-pharmaceuticalapainareliefameasures
D.aReferralaforasocialaservicesaforatheachildaandafamilya-
aansA.aInstructionsaaboutahowamuchafluidatheachildashouldadrinkadaily




Aaclientaasksatheanurseaforainformationaaboutahowatoareduceariskafactorsaforabenignaprostati
cahyperplasiaa(BPH).aWhichainformationashouldatheanurseaprovide?
A.aConsumeaaahighaproteinadiet
B.aIncreaseaphysicalaactivity
C.aTakeavitaminasupplements
D.aObtainaaaprostate-specificaantigenabloodalevelatesta-aansB.aIncreaseaphysicalaactivity

Aaclientaata12aweeksagestationaisaadmittedatoatheaantepartumaunitawithaaadiagnosisaofahyper
emesisagravidarum.aWhichaactionaisamostaimportantaforatheanurseatoaimplement?
A.aObtainatheaclient'sa24-houradietaryarecall
B.aDocumentamucosalamembraneastatus
C.aScheduleaaaconsultawithaaanutritionist
D.aInitiateaprescribedaintravenousafluidsa-aansD.aInitiateaprescribedaintravenousafluids

Aaclientadiagnosedawithacalciumakidneyastonesahasaaahistoryaofagout.aAanewaprescriptionafo
raaluminumahydroxideaisascheduledatoabeginaata0730.aWhichaclientamedicationashouldathean
urseabringatoatheahealthcareaprovider'saattention?
A.aEsinaprila

,HESIaRNaEXITaEXAMaNEXTaGENERATIONa2024aSCREENSHOTS-
QUESTIONSa&aANSWERSa(NGNaHESIaRNaEXIT)

B.aAllopurinol
C.aFurosemide
D.aAspirin,alowadosea-aansB.aAllopurinol

Aaclientafellainatheabathroomawhenaleftaunattendedabyatheaunlicensedaassistiveapersonnela(
UAP).aWhichainformationashouldatheanurseaincludeainatheaclient'sahealtharecord?
A.aTheaUAPaleftatheaclientatoaassistaanotheraclient
B.aThealastatimeaclientawasaassistedatoatheabathroom
C.aTheaunitawasaunderstaffedawhenatheaclientafell
D.aTheaclientafellasustainingaaafractureatoathealeftahipa-
aansD.aTheaclientafellasustainingaaafractureatoathealeftahip




Aaclientainatheaemergencyacenterademonstratesarapidaspeech,aflightaofaideas,aandareportsas
leepingaonlyathreeahoursaduringatheapasta48ahours.aBasedaonatheseafindings,aitaisamostaimp
ortantaforatheanurseatoareviewathealaboratoryavalueaforawhichamedication?
A.aLorazepam
B.aFluoxetine
C.aDivalproex
D.aOlanzapinea-aansC.aDivalproex

Aaclientainatheathirdatrimesteraofapregnancyareportsathatasheafellsasomea"lumpyaplaces"ainahe
rabreastsaandathataheranipplesasometimesaleakaaayellowishafluid.aSheahasaanaappointmenta
withaherahealthcareaproviderainatwoaweeks.aWhataactionashouldatheanurseatake?
A.aTellatheaclientatoabeginanippleastimulationatoaprepareaforabreastafeeding.a
B.aRescheduleatheaclient'saprenatalaappointmentaforatheafollowingaday
C.aExplainathatathisanormalasecretionacanabeaassessedaatatheanextavisit
D.aRecommendathatatheaclientastartawearingaaasupportiveabrassierea-
aansC.aExplainathatathisanormalasecretionacanabeaassessedaatatheanextavisit




Aaclientaisaadmittedawithaaadiagnosisaofaurolithiasis.aWhichafindingaisamostaimportantaforathe
anurseatoareportatoatheahealthcareaprovider?

A.aVolumeaofaeachavoidingaisamoreathana300mL
B.aSerumapotassiumathataisaelevated
C.aReliefaofaflankapainathataradiatedaintoatheagroin
D.aHematuriaathataisabeginningatoaturnapinka-
aansD.aHematuriaathataisabeginningatoaturnapink




AaclientaisadiagnosedawithaMeniere'sadisease.aWhichaproblemashouldatheanurseaidentifyaasa
mostaimportantainatheaplanaofacare?a
A.aRiskaforaineffectiveaself-healthamanagementarelatedatoadeficientaknowledge
B.aIneffectiveacopingarelatedatoapersonalavulnerabilitya
C.aRiskaforainjuryarelatedatoavertigoa
D.aAnxietyarelatedatoadisruptionaofalifestylea-aansC.aRiskaforainjuryarelatedatoavertigo.

,HESIaRNaEXITaEXAMaNEXTaGENERATIONa2024aSCREENSHOTS-
QUESTIONSa&aANSWERSa(NGNaHESIaRNaEXIT)

Aaclientaisareceivingaenoxaparina30mgasubcutaneouslyatwiceaaaday.aInaassessingaforaadver
seaeffectsaofatheamedication,awhichaserumalaboratoryavalueaisamostaimportantaforatheanurse
atoamonitor?a

A.aGlucosea
B.aCalcium
C.aPlateletacount
D.aWhiteabloodacellacounta-aansC.aPlateletacount

Aaclientaisarecoveringainatheacriticalacareaunitafollowingaaacardiacacatheterization.aIVanitrogly
cerinaandaheparinaareainfusing.aTheaclientaisasedatedabutarespondsatoaverbalainstructions.aA
fterachangingapositions,atheaclientacomplainsaofapainaatathearightagroinainsertionasite.aWhata
actionashouldatheanurseaimplement?a
A.aCheckafemoralasiteaforahematomaaformation
B.aStimulateatheaclientatoatakeadeepabreaths
C.aEvaluateatheaintegrityaofatheaIVainsertionasite
D.aAssessadistalaloweraextremityacapillaryarefilla-
aansB.aStimulateatheaclientatoatakeadeepabreaths




Aaclientaisascheduledaforaaaspiralacomputedatomographya(CT)ascanawithacontrastatoaevaluat
eaforapulmonaryaembolism.aWhichainformationainatheaclient'sahistoryarequiresafollow-
upabyatheanurse?
A.aCTascanathatawasaperformeda6amonthsaearlier
B.aMetalahipaprosthesisawasaplaceda20ayearsaago
C.aReportaofaclient'sasobrietyaforathealasta5ayears
D.aTakesametforminaforatypea2adiabetesamellitusa-
aansD.aTakesametforminaforatypea2adiabetesamellitus




Aaclientapresentsatoatheaemergencyadepartmentawithamuscleaaches,aheadache,afever,aanda
describesaaarecentalossaofatasteaandasmell.aTheanurseaobtainsaaanasalaswabaforaCOVID-
19atesting.aWhichaactionaisamostaimportantaforatheanurseatoatake?a
A.aPlaceatheanasalaswabaspecimenaforaCOVID-19adirectlyaintoaaabiohazardabag
B.aMoveatheaclientatoaaaprivatearoom,akeepatheadooraclosed,aandainitiateadropletaprecaution
s.a
C.aTeachatheaclientatoawearaaamask,ahandawash,aandasocialadistanceatoapreventaspreadinga
theavirusa
D.aExplainatoatheaclientatoainformaothersathatatheyamayahaveabeenapotentiallyaexposedainath
ealasta14adays.a-aansA.aPlaceatheanasalaswabaspecimenaforaCOVID-
19adirectlyaintoaaabiohazardabag

Aaclientapresentsatoathealaboraandadeliveryaunitawithaaareportaofaleakingafluidathataisagreenish
-brownavaginaladischarge.aWhichaactionashouldatheanurseatakeafirst?
A.aStartaanaintravenousainfusiona
B.aAdministeraoxygenaviaafacemask
C.aPerformaaavaginalaexam
D.aBeginacontinuousafetalamonitoringa-aansD.aBeginacontinuousafetalamonitoring

, HESIaRNaEXITaEXAMaNEXTaGENERATIONa2024aSCREENSHOTS-
QUESTIONSa&aANSWERSa(NGNaHESIaRNaEXIT)

Aaclientapressesatheacallabellaandarequestsapainamedicationaforaaasevereaheadache.aToaass
essatheaqualityaofatheaclient'sapain,awhichaapproachashouldatheanurseause?
A.aAskatheaclientatoadescribeatheapain
B.aObserveabodyalanguageaandamovementa
C.aIdentifyaeffectiveapainareliefameasures
D.aProvideaaanumericapainascalea-aansA.aAskatheaclientatoadescribeatheapain

Aaclientatakingaclopidogrelareportsatheaonsetaofadiarrhea.aWhichanursingaactionashouldathea
nurseaimplementafirst?
A.aObserveatheaappearanceaofatheastool
B.aAssessatheaelasticityaofatheaclient'saskin
C.aReviewatheaclient'salaboratoryavalues
D.aAuscultateatheaclient'sabowelasoundsa-aansA.aObserveatheaappearanceaofatheastool

Aaclientatellsatheanurseaaboutaworkingaoutawithaaapersonalatraineraandaswimmingathreeatime
saaaweekainaanaeffortatoaloseaweightaandasleepabetter.aTheaclientastatesathataitastillaisatakingah
oursatoafallaasleepaatanight.aWhichaactionashouldatheanurseaimplement?
A.aAdviseatheaclientathatalifestyleachangesaoftenatakeaseveralaweeksatoabeaeffective
B.aEncourageatheaclientatoaexerciseaeverydayatoaeliminateabedtimeawakefulness
C.aAskatheaclientaforaaadescriptionaofatheaexerciseascheduleathataisabeingafollowed
D.aDetermineatheaamountaofaweightatheaclientahasalostasinceaincreasingaactivitya-
aansC.aAskatheaclientaforaaadescriptionaofatheaexerciseascheduleathataisabeingafollowed




Aaclientawhoaexperiencedaaacerebrovascularaaccidenta(CVA)aisaaphasicaandahasaleftasideda
paralysis.aWhichanurseashouldabearesponsibleaforacoordinatingatheaprogressionaofathisaclie
nt'sacare?a
A.aNurseacaseamanager
B.aAdultanurseapractitioner
C.aNeurologyaunitasupervisora
D.aRiskamanagementanursea-aansB.aAdultanurseapractitioner

Aaclientawhoagaveabirtha48ahoursaagoahasadecidedatoabottleafeedatheainfant.aDuringatheaass
essment,atheanurseaobservesathatabothabreastsaareaswollen,awarm,aandatenderaonapalpatio
n.aWhichainstructionashouldatheanurseaprovide?
A.aApplyaiceatoatheabreastsaforacomfort
B.aWearaaaloose-fittingabraaduringatheadayatoapreventanippleairritation
C.aRunawarmawateraoverabreasts
D.aExpressasmallaamountsaofamilkafromatheabreastsatoarelieveapressurea-
aansA.aApplyaiceatoatheabreastsaforacomfort




Aaclientawhoaisaadmittedaforaprimaryahypothyroidismahasaearlyasignsaofamyxedemaacoma.aI
naassessingatheaclient,ainawhichasequenceashouldatheanurseacompleteatheseaactions?a(des
cendingaorder)a-aans1.aObserveabreathingapatterns
2.aAssessabloodapressure
3.aMeasureabodyatemperature
4.aPalpateaforapedalaedema

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