HESI COMPREHENSIVE EXIT EXAM
2025 LATEST EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) | 2025-2026
A client with myasthenia gravis is taking neostigmine
bromide. What does the nurse note that indicates the
client is gaining a therapeutic effect from the medication?
Bradycardia
Increased heart rate
Decreased blood pressure
Improved swallowing function Correct Answer Improved
swallowing function
Rationale: Neostigmine bromide, a cholinergic
medication that prevents the destruction of
acetylcholine, is used to treat myanthenia gravis. The
nurse would monitor the client for a therapeutic
response, which includes increased muscle strength,
an easing of fatigue, and improved chewing and
swallowing function. Bradycardia, increased heart
rate, and decreased blood pressure are
signs/symptoms of an adverse reaction to the
medication.
A nurse is assessing a client who has been taking
amantadine hydrochloride for the treatment of Parkinson's
disease. Which finding from the history and physical
,examination would cause the nurse to determine that the
client may be experiencing an adverse effect of the
medication?
Insomnia
Rigidity and akinesia
Bilateral lung wheezes
Orthostatic hypotension Correct Answer Bilateral lung
wheezes
Rationale: Amantadine hydrochloride is an
antiparkinson agent that potentiates the action of
dopamine in the central nervous system (CNS). The
medication is used to treat rigidity and akinesia.
Insomnia and orthostatic hypotension are side effects
of the medication. Adverse effects include congestive
heart failure (evidenced by bilateral lung wheezes),
leukopenia, neutropenia, hyperexcitability,
convulsions, and ventricular dysrhythmias.
A nurse who will be staffing a booth at a health fair is
preparing pamphlets containing information regarding the
risk factors for osteoporosis. Which risk factors does the
nurse include in the pamphlet? Select all that apply.
Smoking
A high-calcium diet
High alcohol intake
White or Asian ethnicity
Participation in physical activities that promote flexibility
and muscle strength Correct Answer Smoking
,High alcohol intake
White or Asian ethnicity
Rationale: Osteoporosis is a chronic metabolic
disease in which bone loss results in decreased
density and sometimes fractures. Risk factors include
being 65 years or older in women, 75 years or older in
men, family history of the disorder, history of fracture
after age 50, white or Asian ethnicity, low body weight
and slender build, chronically low calcium intake, a
history of smoking, high alcohol intake, and lack of
physical exercise or prolonged immobility.
A nurse is providing instruction to a client with
osteoporosis regarding appropriate foods to include in the
diet. What one food item high in calcium does the nurse
tell the client to eat?
Corn
Cocoa
Peaches
Sardines Correct Answer Sardines
Rationale: Foods high in calcium include milk and
milk products, dark-green leafy vegetables, tofu and
other soy products, sardines, and hard water.
Osteoporosis is a chronic metabolic disease in which
bone loss results in decreased density and sometimes
fractures. Corn, cocoa, and peaches do not contain
appreciable amounts of calcium.
, A nurse is providing information about home care to a
client with acute gout. Which measures does the nurse tell
the client to take? Select all that apply.
Drinking 2 to 3 L of fluid each day
Applying heat packs to the affected joint
Resting and immobilizing the affected area
Consuming foods high in purines
Performing range-of-motion exercise to the affected joint
three times a day Correct Answer Drinking 2 to 3 L of fluid
each day
Resting and immobilizing the affected area
Rationale: Gout is a systemic disease in which urate
crystals are deposited in the joints and other tissues,
resulting in inflammation. In acute gout, rest and
immobilization are recommended until the acute
attack and inflammation have subsided. Local
application of cold may help relieve the pain. The
application of heat is avoided because it may worsen
the inflammatory process. Dietary instructions include
reducing or eliminating alcohol intake and avoiding
excessive intake of foods containing purines (e.g.,
sweetbreads, yeast, heart, herring, herring roe,
sardines). The client is encouraged to drink 2 to 3 L of
fluid per day to help eliminate uric acid and to prevent
the formation of renal calculi.
A nurse is gathering subjective and objective data from a
client with suspected rheumatoid arthritis (RA). Which
2025 LATEST EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) | 2025-2026
A client with myasthenia gravis is taking neostigmine
bromide. What does the nurse note that indicates the
client is gaining a therapeutic effect from the medication?
Bradycardia
Increased heart rate
Decreased blood pressure
Improved swallowing function Correct Answer Improved
swallowing function
Rationale: Neostigmine bromide, a cholinergic
medication that prevents the destruction of
acetylcholine, is used to treat myanthenia gravis. The
nurse would monitor the client for a therapeutic
response, which includes increased muscle strength,
an easing of fatigue, and improved chewing and
swallowing function. Bradycardia, increased heart
rate, and decreased blood pressure are
signs/symptoms of an adverse reaction to the
medication.
A nurse is assessing a client who has been taking
amantadine hydrochloride for the treatment of Parkinson's
disease. Which finding from the history and physical
,examination would cause the nurse to determine that the
client may be experiencing an adverse effect of the
medication?
Insomnia
Rigidity and akinesia
Bilateral lung wheezes
Orthostatic hypotension Correct Answer Bilateral lung
wheezes
Rationale: Amantadine hydrochloride is an
antiparkinson agent that potentiates the action of
dopamine in the central nervous system (CNS). The
medication is used to treat rigidity and akinesia.
Insomnia and orthostatic hypotension are side effects
of the medication. Adverse effects include congestive
heart failure (evidenced by bilateral lung wheezes),
leukopenia, neutropenia, hyperexcitability,
convulsions, and ventricular dysrhythmias.
A nurse who will be staffing a booth at a health fair is
preparing pamphlets containing information regarding the
risk factors for osteoporosis. Which risk factors does the
nurse include in the pamphlet? Select all that apply.
Smoking
A high-calcium diet
High alcohol intake
White or Asian ethnicity
Participation in physical activities that promote flexibility
and muscle strength Correct Answer Smoking
,High alcohol intake
White or Asian ethnicity
Rationale: Osteoporosis is a chronic metabolic
disease in which bone loss results in decreased
density and sometimes fractures. Risk factors include
being 65 years or older in women, 75 years or older in
men, family history of the disorder, history of fracture
after age 50, white or Asian ethnicity, low body weight
and slender build, chronically low calcium intake, a
history of smoking, high alcohol intake, and lack of
physical exercise or prolonged immobility.
A nurse is providing instruction to a client with
osteoporosis regarding appropriate foods to include in the
diet. What one food item high in calcium does the nurse
tell the client to eat?
Corn
Cocoa
Peaches
Sardines Correct Answer Sardines
Rationale: Foods high in calcium include milk and
milk products, dark-green leafy vegetables, tofu and
other soy products, sardines, and hard water.
Osteoporosis is a chronic metabolic disease in which
bone loss results in decreased density and sometimes
fractures. Corn, cocoa, and peaches do not contain
appreciable amounts of calcium.
, A nurse is providing information about home care to a
client with acute gout. Which measures does the nurse tell
the client to take? Select all that apply.
Drinking 2 to 3 L of fluid each day
Applying heat packs to the affected joint
Resting and immobilizing the affected area
Consuming foods high in purines
Performing range-of-motion exercise to the affected joint
three times a day Correct Answer Drinking 2 to 3 L of fluid
each day
Resting and immobilizing the affected area
Rationale: Gout is a systemic disease in which urate
crystals are deposited in the joints and other tissues,
resulting in inflammation. In acute gout, rest and
immobilization are recommended until the acute
attack and inflammation have subsided. Local
application of cold may help relieve the pain. The
application of heat is avoided because it may worsen
the inflammatory process. Dietary instructions include
reducing or eliminating alcohol intake and avoiding
excessive intake of foods containing purines (e.g.,
sweetbreads, yeast, heart, herring, herring roe,
sardines). The client is encouraged to drink 2 to 3 L of
fluid per day to help eliminate uric acid and to prevent
the formation of renal calculi.
A nurse is gathering subjective and objective data from a
client with suspected rheumatoid arthritis (RA). Which
