HESI Comprehensive B, Comprehensive Exam A, 2026
exit v 2 EXAM QUESTIONS AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027 NEW VERSION
The nurse is assessing suicide risk for a client recently admitted to the acute
psychiatric unit. Which finding is the most significant risk factor?
A.High level of anxiety present
B.History of previous suicide attempt
C.Family history of depression
D.Self-care deficit is noted - answer>>>B
Rationale:
A previous history of a suicide attempt is the most significant risk factor for future
suicide attempts because the client has previously implemented a plan (B). The
others (A, C, and D) may also be risk factors but are not as significant as a history of
previous attempts.
A client who is first day postoperative after a mastectomy becomes increasingly
restless and agitated. Vital signs are temperature, 100° F; pulse, 98 beats/min;
respirations, 24/breaths/min; and blood pressure, 120/80 mm Hg. Which
intervention should the nurse implement first?
A.Administer a PRN dose of a prescribed analgesic.
B.Assess the incision for any drainage or redness
C.Instruct the UAP to take vital signs hourly.
D.Assist the client to a more comfortable position. - answer>>>B
Rationale:
The nurse's priority is to observe for possible hemorrhage (B). The client is at high
risk for hypovolemic shock and is exhibiting early symptoms of shock. Remember, in
early shock the blood pressure may be stable or increase slightly as a compensatory
mechanism. If there is no obvious indication of bleeding, the client should then be
assessed for the need of an analgesic (A, C, and D) should be implemented.
, -
The nurse assesses a client who is taking indomethacin (Indocin) for arthritic pain.
Which of the following is most important to report to the primary health care
provider?
A.Takes medication with milk
B.Blood pressure, 104/64 mm Hg
C.Elevated liver enzyme levels
D.Hemoglobin level, 13 g/dL - answer>>>C
Rationale:
Indomethacin is an antiinflammatory drug and can cause liver damage. Elevated liver
enzyme levels indicate a complication with the drug (C). This medication should be
taken with food or milk to reduce gastrointestinal (GI) side effects (A). (B and D) are
normal findings.
Which statement by the U.S. Food and Drug Administration (FDA) is an example of a
black box or black label warning for the drug clopidogrel (Plavix)?
A.This drug could cause heart attack or stroke when taken by patients with certain
genetic conditions.
B.Clopidogrel helps prevent platelets from sticking together and forming clots in the
blood.
C.This drug can be taken in combination with aspirin to reduce the risk of acute
coronary syndrome.
D.Clopidogrel can reduce the risk of a future heart attack when taken by patients
with peripheral artery disease. - answer>>>A
Rationale:
A black box warning is a notice required by the FDA on a prescription drug that
warns of potentially dangerous side effects (A). (B, C, and D) are all desired effects of
the drug.
,A primipara presents to the perinatal unit describing rupture of the membranes
(ROM), which occurred 12 hours prior to coming to the hospital. An oxytocin
(Pitocin) infusion is begun, and 8 hours later the client's contractions are irregular
and mild. What vital sign should the nurse monitor with greater frequency than the
typical unit protocol?
A.Maternal temperature
B.Fetal blood pressure
C.Maternal respiratory rate
D.Fetal heart rate - answer>>>A
Rationale:
Maternal temperature (A) should be monitored frequently as a primary indicator of
infection. This client's rupture of membranes (ROM) occurred at least 20 hours ago
(12 hours before coming to the hospital, in addition to 8 hours since hospital
admission). Delivery is not imminent, and there is an increased risk of the
development of infection 24 hours after ROM. (B) cannot be established with
standard bedside monitoring. (C) is not specifically related to ROM. (D) is always
monitored during labor; this situation would not prompt the nurse to increase FHR
monitoring.
A client with human immunodeficiency virus (HIV) develops a painful blistering skin
rash on the right lateral abdominal area. Which drug should the nurse expect to
administer to treat this condition?
A.Levofloxacin (Levaquin)
B.Acyclovir sodium (Zovirax)
C.Fluconazole (Diflucan)
D.Esomeprazole (Nexium) - answer>>>B
Rationale:
The clinical manifestations listed are consistent with herpes zoster (shingles).
Acyclovir sodium is an antiviral used to treat herpes zoster or shingles (B).
Levofloxacin is an antibiotic and may be used to treat pneumonia or other infections
in the HIV client (A). Fluconazole is an antifungal and is used to treat candidiasis in
, -
the HIV client (C). Esomeprazole is a protein pump inhibitor used for
gastroesophageal reflux disease (D).
When caring for a hospitalized child with type 1 diabetes mellitus, which
intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?
A.Teach the signs and symptoms of hypoglycemia.
B.Assess for polydipsia, polyphasia, and polyuria.
C.Check the blood glucose level every 4 hours.
D.Evaluate the need for a snack between meals. - answer>>>C
Rationale:
Checking the blood glucose level is a low-risk task that can be safely delegated to the
UAP in most circumstances (C). Teaching, assessment, and evaluation are all within
the scope of practice of the RN and should not be delegated to the UAP (A, B, and
D).
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which choice
of breakfast foods at a fast food restaurant indicates that the mother understands
the dietary guidelines necessary for her child?
A. French toast sticks and orange juice
B. Sausage egg muffin and grape juice
C. Canadian bacon slices and hot chocolate
D. Toasted oat cereal and low-fat milk - answer>>>D. Toasted oat cereal and low-fat
milk
A child receiving a corticosteroid for nephrotic syndrome should follow a low-
sodium, low-fat, and low-sugar diet. Based on these guidelines, the best breakfast
choice is (D). (A) is high in fat and sugar. (B and C) are high in fat and sodium.
The charge nurse overhears a staff member asking for a doughnut from a client's
meal tray. Which action should the charge nurse implement?
exit v 2 EXAM QUESTIONS AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027 NEW VERSION
The nurse is assessing suicide risk for a client recently admitted to the acute
psychiatric unit. Which finding is the most significant risk factor?
A.High level of anxiety present
B.History of previous suicide attempt
C.Family history of depression
D.Self-care deficit is noted - answer>>>B
Rationale:
A previous history of a suicide attempt is the most significant risk factor for future
suicide attempts because the client has previously implemented a plan (B). The
others (A, C, and D) may also be risk factors but are not as significant as a history of
previous attempts.
A client who is first day postoperative after a mastectomy becomes increasingly
restless and agitated. Vital signs are temperature, 100° F; pulse, 98 beats/min;
respirations, 24/breaths/min; and blood pressure, 120/80 mm Hg. Which
intervention should the nurse implement first?
A.Administer a PRN dose of a prescribed analgesic.
B.Assess the incision for any drainage or redness
C.Instruct the UAP to take vital signs hourly.
D.Assist the client to a more comfortable position. - answer>>>B
Rationale:
The nurse's priority is to observe for possible hemorrhage (B). The client is at high
risk for hypovolemic shock and is exhibiting early symptoms of shock. Remember, in
early shock the blood pressure may be stable or increase slightly as a compensatory
mechanism. If there is no obvious indication of bleeding, the client should then be
assessed for the need of an analgesic (A, C, and D) should be implemented.
, -
The nurse assesses a client who is taking indomethacin (Indocin) for arthritic pain.
Which of the following is most important to report to the primary health care
provider?
A.Takes medication with milk
B.Blood pressure, 104/64 mm Hg
C.Elevated liver enzyme levels
D.Hemoglobin level, 13 g/dL - answer>>>C
Rationale:
Indomethacin is an antiinflammatory drug and can cause liver damage. Elevated liver
enzyme levels indicate a complication with the drug (C). This medication should be
taken with food or milk to reduce gastrointestinal (GI) side effects (A). (B and D) are
normal findings.
Which statement by the U.S. Food and Drug Administration (FDA) is an example of a
black box or black label warning for the drug clopidogrel (Plavix)?
A.This drug could cause heart attack or stroke when taken by patients with certain
genetic conditions.
B.Clopidogrel helps prevent platelets from sticking together and forming clots in the
blood.
C.This drug can be taken in combination with aspirin to reduce the risk of acute
coronary syndrome.
D.Clopidogrel can reduce the risk of a future heart attack when taken by patients
with peripheral artery disease. - answer>>>A
Rationale:
A black box warning is a notice required by the FDA on a prescription drug that
warns of potentially dangerous side effects (A). (B, C, and D) are all desired effects of
the drug.
,A primipara presents to the perinatal unit describing rupture of the membranes
(ROM), which occurred 12 hours prior to coming to the hospital. An oxytocin
(Pitocin) infusion is begun, and 8 hours later the client's contractions are irregular
and mild. What vital sign should the nurse monitor with greater frequency than the
typical unit protocol?
A.Maternal temperature
B.Fetal blood pressure
C.Maternal respiratory rate
D.Fetal heart rate - answer>>>A
Rationale:
Maternal temperature (A) should be monitored frequently as a primary indicator of
infection. This client's rupture of membranes (ROM) occurred at least 20 hours ago
(12 hours before coming to the hospital, in addition to 8 hours since hospital
admission). Delivery is not imminent, and there is an increased risk of the
development of infection 24 hours after ROM. (B) cannot be established with
standard bedside monitoring. (C) is not specifically related to ROM. (D) is always
monitored during labor; this situation would not prompt the nurse to increase FHR
monitoring.
A client with human immunodeficiency virus (HIV) develops a painful blistering skin
rash on the right lateral abdominal area. Which drug should the nurse expect to
administer to treat this condition?
A.Levofloxacin (Levaquin)
B.Acyclovir sodium (Zovirax)
C.Fluconazole (Diflucan)
D.Esomeprazole (Nexium) - answer>>>B
Rationale:
The clinical manifestations listed are consistent with herpes zoster (shingles).
Acyclovir sodium is an antiviral used to treat herpes zoster or shingles (B).
Levofloxacin is an antibiotic and may be used to treat pneumonia or other infections
in the HIV client (A). Fluconazole is an antifungal and is used to treat candidiasis in
, -
the HIV client (C). Esomeprazole is a protein pump inhibitor used for
gastroesophageal reflux disease (D).
When caring for a hospitalized child with type 1 diabetes mellitus, which
intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?
A.Teach the signs and symptoms of hypoglycemia.
B.Assess for polydipsia, polyphasia, and polyuria.
C.Check the blood glucose level every 4 hours.
D.Evaluate the need for a snack between meals. - answer>>>C
Rationale:
Checking the blood glucose level is a low-risk task that can be safely delegated to the
UAP in most circumstances (C). Teaching, assessment, and evaluation are all within
the scope of practice of the RN and should not be delegated to the UAP (A, B, and
D).
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which choice
of breakfast foods at a fast food restaurant indicates that the mother understands
the dietary guidelines necessary for her child?
A. French toast sticks and orange juice
B. Sausage egg muffin and grape juice
C. Canadian bacon slices and hot chocolate
D. Toasted oat cereal and low-fat milk - answer>>>D. Toasted oat cereal and low-fat
milk
A child receiving a corticosteroid for nephrotic syndrome should follow a low-
sodium, low-fat, and low-sugar diet. Based on these guidelines, the best breakfast
choice is (D). (A) is high in fat and sugar. (B and C) are high in fat and sodium.
The charge nurse overhears a staff member asking for a doughnut from a client's
meal tray. Which action should the charge nurse implement?
