HESI EXAM uy
Exam Solution uy
HESI Comprehensive Exit Exam 2026 A+ GRADE ASSUR
uy uy uy uy uy uy uy
ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (C
uy uy uy uy uy uy
6683)
QUESTION 1 uy
1-
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment do
uy uy uy uy uy uy uy uy uy uy uy
es the nurse perform as a priority before administering the medication?
uy uy uy uy uy uy uy uy uy uy
A. Checking the client's blood pressure
uy uy uy uy uy
B. Checking the client's peripheral pulses
uy uy uy uy uy
C. Checking the most recent potassium level
uy uy uy uy uy uy
D. Checking the client's intake-and-output record for the last 24 hours
uy uy uy uy uy uy uy uy uy uy
ANSWER
A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an ang
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
iotensin-
converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hyp
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
otension. Therefore the nurse would check the client's blood pressure immediately before administerin
uy uy uy uy uy uy uy uy uy uy uy uy
g each dose. Checking the client's peripheral pulses, the results of the most recent potassium level, and
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u
ythe intake and output for the previous 24 hours are not specifically associated with this mediation.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 2 uy
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribe
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
d for a client for the management of anxiety. The nurse prepares the medication as pres
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
cribed and administers the medication over a period of:
uy uy uy uy uy uy uy uy
A. 3 minutes
uy uy
B. 10 seconds
uy uy
C. 15 seconds
uy uy
D. 30 minutes
uy uy
ANSWER
A. 3 minutes Correct
uy uy uy
,QUESTION 3 uy
14 Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse prov
uy uy uy uy uy uy uy uy uy uy uy uy uy
ides information to the client about the adverse effects of the medication and tells the cl
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ient to contact the physician immediately if she experiences:
uy uy uy uy uy uy uy uy
A. Dry mouth
uy uy
B. Restlessness
uy
C. Feelings of depression
uy uy uy
D. Neck stiffness or soreness
uy uy uy uy
ANSWER
D. Neck stiffness or soreness Correct
uy uy uy uy uy
QUESTION 4 uy
16 A client who has been undergoing long-
uy uy uy uy uy uy uy
term therapy with an antipsychotic medication is admitted to the inpatient mental healt
uy uy uy uy uy uy uy uy uy uy uy uy
h unit. Which of the following findings does the nurse, knowing that long-
uy uy uy uy uy uy uy uy uy uy uy uy
term use of an antipsychotic medication can cause tardive dyskinesia, monitor in the cli
uy uy uy uy uy uy uy uy uy uy uy uy uy
ent?
A. Fever
uy
B. Diarrhea
uy
C. Hypertension
uy
D. Tongue protrusion
uy uy
ANSWER
D. Tongue protrusion
uy uy
QUESTION 5 uy
17 A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ECT). Which of the following diagnoses, if noted on the client's record, would indicate a
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
need to contact the physician who is scheduled to perform the ECT?
uy uy uy uy uy uy uy uy uy uy uy
A. Recent stroke
uy uy
B. Hypothyroidism
uy
C. History of glaucoma
uy uy uy
D. Peripheral vascular disease
uy uy uy
ANSWER
A. Recent stroke
uy uy
QUESTION 6 uy
20 A nurse reviewing the medical record of a client with a diagnosis of infiltrating ducta
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
l carcinoma of the breast notes documentation of the presence of peau d'orange skin. O
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
, n the basis of this notation, which finding would the nurse expect to note on assessment
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
of the client's breast? SEE PICS A. B.
uy uy uy uy uy uy uy uy
C. D. uy
ANSWER
B. Correct
uy
QUESTION 7 uy
24 Empyema develops in a client with an infected pleural effusion, and the nurse prepa
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
res the client for thoracentesis. What characteristics of the fluid removed during thorac
uy uy uy uy uy uy uy uy uy uy uy uy
entesis should the nurse, assisting the physician with the procedure, expect to note?
uy uy uy uy uy uy uy uy uy uy uy uy
A. Clear and yellow
uy uy uy
B. Thick and opaque
uy uy uy
C. White and odorless
uy uy uy
D. Clear, with a foul odor
uy uy uy uy uy
ANSWER
B. Thick and opaque
uy uy uy
QUESTION 8 uy
26 A nurse is caring for a client with sarcoidosis. The client is upset because he has mis
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
sed work and worried about how he will care financially for his wife and three small ch
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ildren. On the basis of the client's concern, which problem does the nurse identify?
uy uy uy uy uy uy uy uy uy uy uy uy uy
A. Anxiety
uy
B. Powerlessness
uy
C. Disruption of thought processes
uy uy uy uy
D. Inability to maintain health
uy uy uy uy
ANSWER
A. Anxiety
uy
QUESTION 9 uy
27 A nurse, performing an assessment of a client who has been admitted to the hospital
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u
with suspected silicosis, is gathering both subjective and objective data. Which question
y uy uy uy uy uy uy uy uy uy uy uy
by the nurse would elicit data specific to the cause of this disorder?
uy uy uy uy uy uy uy uy uy uy uy uy uy
A. "Do you chew tobacco?"
uy uy uy uy
B. "Do you smoke cigarettes?"
uy uy uy uy
C. "Have you ever worked in a mine?"
uy uy uy uy uy uy uy
D. "Are you frequently exposed to paint products?"
uy uy uy uy uy uy uy
ANSWER
Exam Solution uy
HESI Comprehensive Exit Exam 2026 A+ GRADE ASSUR
uy uy uy uy uy uy uy
ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (C
uy uy uy uy uy uy
6683)
QUESTION 1 uy
1-
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment do
uy uy uy uy uy uy uy uy uy uy uy
es the nurse perform as a priority before administering the medication?
uy uy uy uy uy uy uy uy uy uy
A. Checking the client's blood pressure
uy uy uy uy uy
B. Checking the client's peripheral pulses
uy uy uy uy uy
C. Checking the most recent potassium level
uy uy uy uy uy uy
D. Checking the client's intake-and-output record for the last 24 hours
uy uy uy uy uy uy uy uy uy uy
ANSWER
A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an ang
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
iotensin-
converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hyp
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
otension. Therefore the nurse would check the client's blood pressure immediately before administerin
uy uy uy uy uy uy uy uy uy uy uy uy
g each dose. Checking the client's peripheral pulses, the results of the most recent potassium level, and
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u
ythe intake and output for the previous 24 hours are not specifically associated with this mediation.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 2 uy
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribe
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
d for a client for the management of anxiety. The nurse prepares the medication as pres
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
cribed and administers the medication over a period of:
uy uy uy uy uy uy uy uy
A. 3 minutes
uy uy
B. 10 seconds
uy uy
C. 15 seconds
uy uy
D. 30 minutes
uy uy
ANSWER
A. 3 minutes Correct
uy uy uy
,QUESTION 3 uy
14 Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse prov
uy uy uy uy uy uy uy uy uy uy uy uy uy
ides information to the client about the adverse effects of the medication and tells the cl
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ient to contact the physician immediately if she experiences:
uy uy uy uy uy uy uy uy
A. Dry mouth
uy uy
B. Restlessness
uy
C. Feelings of depression
uy uy uy
D. Neck stiffness or soreness
uy uy uy uy
ANSWER
D. Neck stiffness or soreness Correct
uy uy uy uy uy
QUESTION 4 uy
16 A client who has been undergoing long-
uy uy uy uy uy uy uy
term therapy with an antipsychotic medication is admitted to the inpatient mental healt
uy uy uy uy uy uy uy uy uy uy uy uy
h unit. Which of the following findings does the nurse, knowing that long-
uy uy uy uy uy uy uy uy uy uy uy uy
term use of an antipsychotic medication can cause tardive dyskinesia, monitor in the cli
uy uy uy uy uy uy uy uy uy uy uy uy uy
ent?
A. Fever
uy
B. Diarrhea
uy
C. Hypertension
uy
D. Tongue protrusion
uy uy
ANSWER
D. Tongue protrusion
uy uy
QUESTION 5 uy
17 A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ECT). Which of the following diagnoses, if noted on the client's record, would indicate a
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
need to contact the physician who is scheduled to perform the ECT?
uy uy uy uy uy uy uy uy uy uy uy
A. Recent stroke
uy uy
B. Hypothyroidism
uy
C. History of glaucoma
uy uy uy
D. Peripheral vascular disease
uy uy uy
ANSWER
A. Recent stroke
uy uy
QUESTION 6 uy
20 A nurse reviewing the medical record of a client with a diagnosis of infiltrating ducta
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
l carcinoma of the breast notes documentation of the presence of peau d'orange skin. O
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
, n the basis of this notation, which finding would the nurse expect to note on assessment
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
of the client's breast? SEE PICS A. B.
uy uy uy uy uy uy uy uy
C. D. uy
ANSWER
B. Correct
uy
QUESTION 7 uy
24 Empyema develops in a client with an infected pleural effusion, and the nurse prepa
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
res the client for thoracentesis. What characteristics of the fluid removed during thorac
uy uy uy uy uy uy uy uy uy uy uy uy
entesis should the nurse, assisting the physician with the procedure, expect to note?
uy uy uy uy uy uy uy uy uy uy uy uy
A. Clear and yellow
uy uy uy
B. Thick and opaque
uy uy uy
C. White and odorless
uy uy uy
D. Clear, with a foul odor
uy uy uy uy uy
ANSWER
B. Thick and opaque
uy uy uy
QUESTION 8 uy
26 A nurse is caring for a client with sarcoidosis. The client is upset because he has mis
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
sed work and worried about how he will care financially for his wife and three small ch
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ildren. On the basis of the client's concern, which problem does the nurse identify?
uy uy uy uy uy uy uy uy uy uy uy uy uy
A. Anxiety
uy
B. Powerlessness
uy
C. Disruption of thought processes
uy uy uy uy
D. Inability to maintain health
uy uy uy uy
ANSWER
A. Anxiety
uy
QUESTION 9 uy
27 A nurse, performing an assessment of a client who has been admitted to the hospital
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u
with suspected silicosis, is gathering both subjective and objective data. Which question
y uy uy uy uy uy uy uy uy uy uy uy
by the nurse would elicit data specific to the cause of this disorder?
uy uy uy uy uy uy uy uy uy uy uy uy uy
A. "Do you chew tobacco?"
uy uy uy uy
B. "Do you smoke cigarettes?"
uy uy uy uy
C. "Have you ever worked in a mine?"
uy uy uy uy uy uy uy
D. "Are you frequently exposed to paint products?"
uy uy uy uy uy uy uy
ANSWER