HESI COMPREHENSIVE EXAM A (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

HESI COMPREHENSIVE EXAM A
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mEnalaprilmmaleatemismprescribedmformamhospitalizedmclient.mWhichmassessmentmdoesmthemnursem
performmasmamprioritymbeforemadministeringmthemmedication?m

A.mCheckingmthemclient'smbloodmpressure

B.mCheckingmthemclient'smperipheralmpulses

C.mCheckingmthemmostmrecentmpotassiummlevel

D.mCheckingmthemclient'smintake-and-outputmrecordmformthemlastm24mhoursm-
mCORRECTmANSWERmA.mCheckingmthemclient'smbloodmpressure




2.mAmclientmismscheduledmtomundergomanmuppermgastrointestinalm(GI)mseries,mandmthemnursemprovi
desminstructionsmtomthemclientmaboutmthemtest.mWhichmstatementmbymthemclientmindicatesmamneedm
formfurtherminstruction?

A.m"Themtestmwillmtakemaboutm30mminutes."

B.m"Imneedmtomfastmform8mhoursmbeforemtest."

C.m"ImneedmtomdrinkmcitratemofmmagnesiamthemnightmbeforemthemtestmandmgivemmyselfmamFleetmene
mamonmthemmorningmofmthemtest."

D.m"Imneedmtomtakemamlaxativemaftermthemtestmismcompleted,mbecausemthemliquidmthatmI'llmhavemtomd
rinkmformthemtestmcanmbemconstipating."m-
mCORRECTmANSWERmC.m"Imneedmtomdrinkmcitratemofmmagnesiamthemnightmbeforemthemtestmandmgiv


emmyselfmamFleetmenemamonmthemmorningmofmthemtest."



3.mAmnursemonmthemeveningmshiftmchecksmamhealthmcaremprovider'smprescriptionsmandmnotesmthatmt
hemdosemofmamprescribedmmedicationmismhighermthanmthemnormalmdose.mThemnursemcallsmthemhealt
hmcaremprovider'smansweringmservicemandmismtoldmthatmthemhealthmcaremprovidermismoffmformthemnig
htmandmwillmbemavailableminmthemmorning.mThemnursemshould:

,A.mCallmthemnursingmsupervisor

B.mAskmthemansweringmservicemtomcontactmthemon-callmhealthmcaremproviderm

C.mWithholdmthemmedicationmuntilmthemhealthmcaremprovidermcanmbemreachedminmthemmorning

D.mAdministermthemmedicationmbutmconsultmthemhealthmcaremprovidermwhenmhembecomesmavailabl
em-mCORRECTmANSWERmB.mAskmthemansweringmservicemtomcontactmthemon-
callmhealthmcaremprovider



4.mAnmemergencymdepartmentm(ED)mnursemismmonitoringmamclientmwithmsuspectedmacutemmyocar
dialminfarctionm(MI)mwhomismawaitingmtransfermtomthemcoronarymintensivemcaremunit.mThemnursemno
tesmthemsuddenmonsetmofmprematuremventricularmcontractionsm(PVCs)monmthemmonitor,mchecksmth
emclient'smcarotidmpulse,mandmdeterminesmthatmthemPVCsmaremnotmresultingminmperfusion.mThemapp
ropriatemactionmbymthemnursemis:

A.mDocumentingmthemfindings

B.mAskingmthemEDmhealthmcaremprovidermtomcheckmthemclientm

C.mContinuingmtommonitormthemclient'smcardiacmstatus

D.mInformingmthemclientmthatmPVCsmaremexpectedmaftermanmMIm-
mCORRECTmANSWERmB.mAskingmthemEDmhealthmcaremprovidermtomcheckmthemclient




5.mNPOmstatusmismimposedm8mhoursmbeforemthemproceduremonmamclientmscheduledmtomundergomele
ctroconvulsivemtherapym(ECT)matm1mp.m.mOnmthemmorningmofmthemprocedure,mthemnursemchecksmt
hemclient'smrecordmandmnotesmthatmthemclientmroutinelymtakesmanmoralmantihypertensivemmedicati
onmeachmmorning.mThemnursemshould:

A.mAdministermthemantihypertensivemwithmamsmallmsipmofmwaterm

B.mWithholdmthemantihypertensivemandmadministermitmatmbedtime

C.mAdministermthemmedicationmbymwaymofmthemintravenousm(IV)mroute

D.mHoldmthemantihypertensivemandmresumemitsmadministrationmonmthemdaymaftermthemECTm-
mCORRECTmANSWERmA.mAdministermthemantihypertensivemwithmamsmallmsipmofmwater




6.mAmclientmwhomrecentlymunderwentmcoronarymarterymbypassmgraftmsurgerymcomesmtomthemhealth
mcaremprovider'smofficemformamfollow-

,upmvisit.mOnmassessment,mthemclientmtellsmthemnursemthatmhemismfeelingmdepressed.mWhichmrespon
sembymthemnursemismtherapeutic?

A.m"Tellmmemmoremaboutmwhatmyou'remfeeling."m

B.m"That'smamnormalmresponsemaftermthismtypemofmsurgery."

C.m"Itmwillmtakemtime,mbut,mImpromisemyou,myoumwillmgetmovermthismdepression."

D.m"Everymclientmwhomhasmthismsurgerymfeelsmthemsamemwaymformaboutmammonth."m-
mCORRECTmANSWERmA.m"Tellmmemmoremaboutmwhatmyou'remfeeling."




7.mAmclientminmlabormexperiencesmspontaneousmrupturemofmthemmembranes.mThemnursemimmediat
elymcountsmthemfetalmheartmratem(FHR)mform1mfullmminutemandmthenmchecksmthemamnioticmfluid.mTh
emnursemnotesmthatmthemfluidmismyellowmandmhasmamstrongmodor.mWhichmactionmshouldmbemthemnur
se'smpriority?

A.mContactingmthemhealthmcaremproviderm

B.mDocumentingmthemfindings

C.mCheckingmthemfluidmformprotein

D.mContinuingmtommonitormthemclientmandmthemFHRm-
mCORRECTmANSWERmA.mContactingmthemhealthmcaremprovider




8.mAmnursemhasmassistedmamhealthmcaremproviderminminsertingmamcentralmvenousmaccessmdevicemint
omamclientmwithmamdiagnosismofmseveremmalnutritionmwhomwillmbemreceivingmparenteralmnutritionm(
PN).mAfterminsertionmofmthemcatheter,mthemnursemimmediatelymplansmto:

A.mCallmthemradiographymdepartmentmtomobtainmamchestmx-raym

B.mCheckmthemclient'smbloodmglucosemlevelmtomservemasmambaselinemmeasurement

C.mHangmthemprescribedmbagmofmPNmandmstartmtheminfusionmatmthemprescribedmrate

D.mInfusemnormalmsalinemsolutionmthroughmthemcathetermatmamratemofm100mmL/hrmtommaintainmpat
encym-mCORRECTmANSWERmA.mCallmthemradiographymdepartmentmtomobtainmamchestmx-ray



9.mAmrapemvictimmbeingmtreatedminmthememergencymdepartmentmsaysmtomthemnurse,m"I'mmreallymw
orriedmthatmI'vemgotmHIVmnow."mWhatmismthemappropriatemresponsembymthemnurse?

, A.m"HIVmismrarelymanmissueminmrapemvictims."

B.m"EverymrapemvictimmismconcernedmaboutmHIV."

C.m"You'remmoremlikelymtomgetmpregnantmthanmtomcontractmHIV."

D.m"Let'smtalkmaboutmtheminformationmthatmyoumneedmtomdeterminemyourmriskmofmcontractingmHIV.
"m-
mCORRECTmANSWERmD.m"Let'smtalkmaboutmtheminformationmthatmyoumneedmtomdeterminemyourmris


kmofmcontractingmHIV."



10.mAmclientmismtakingmprescribedmibuprofenm,m300mmgmorallymfourmtimesmdaily,mtomrelievemjointmpa
inmresultingmfrommrheumatoidmarthritis.mThemclientmtellsmthemnursemthatmthemmedicationmismcausin
gmnauseamandmindigestion.mThemnursemshouldmtellmthemclientmto:

A.mContactmthemhealthmcaremprovider

B.mStopmtakingmthemmedication

C.mTakemthemmedicationmwithmfoodm

D.mTakemthemmedicationmtwicemamdayminsteadmofmfourmtimesm-
mCORRECTmANSWERmC.mTakemthemmedicationmwithmfood




11.mAmclient'smoralmintakemofmliquidsmincludesm120mmLmonmthemnightmshift,m800mmLmonmthemdaymshi
ft,mandm650mmLmonmthemeveningmshift.mThemclientmismreceivingmanmintravenousm(IV)mantibioticmever
ym12mhours,mdilutedminm50mmLmofmnormalmsalinemsolution.mThemnursememptiesm700mmLmofmurinemfr
ommthemclient'smFoleymcathetermatmthemendmofmthemdaymshift.mThereafter,m500mmLmofmurinemismemp
tiedmatmthemendmofmthemeveningmshiftmandm325mmLmatmthemendmofmthemnightmshift.mNasogastricmtu
bemdrainagemtotalsm155mmLmformthem24-hourmperiod,mandmthemtotalmdrainagemfrommthemJackson-
Prattmdevicemism175mmL.mWhatmismthemclient'smtotalmintakemduringmthem24-
hourmperiod?mTypemyourmanswerminmthemspacemprovided.m________mLm-
mCORRECTmANSWERm1670mmLm



Rationale:mThemclient'sm24-
hourmtotalmoralmintakemism1570mmL,mandmthemIVmintakemtotalsm100mmLm(50mmLmofmnormalmsalinems
olutionmeverym12mhours).mThereforemthem24-hourmintakemtotalmism1670mmL.