EXIT HESI Comprehensive Exam A Practice Questions
Latest Update 2026 | Exam Prep
1. Why is it important for nurses to face hearing-impaired clients while
speaking?
Facing the client allows for better lip reading and non-verbal
communication.
It helps to ensure the client can hear better.
It allows the nurse to speak more loudly.
It is a standard practice for all patients regardless of hearing ability.
2. Telehealth is a growing field in nursing. Which of the following is of special
concern in telehealth?
Nurses practicing outside their scope of practice.
The inability of technology to accommodate the nursing process.
The confidentiality of client information.
The qualification of nurses and other providers.
3. The emergency department nurse who is on duty is informed by the charge
nurse that an airplane crash has occurred and numerous casualties will be
arriving at the ED. What should the initial response by the nurse be?
"Has the disaster plan been activated?"
"Make sure all of the rooms are well stocked with supplies."
"Be sure that the nursing staff finds as many stretchers as they can."
Call as many nursing staff as you can to come in to work."
,4. What medication is commonly associated with causing potassium loss in
patients?
Hydrochlorothiazide
Furosemide
Metformin
Lisinopril
5. Why is it important for the charge nurse to instruct staff to continue with
current assignments during an impending disaster?
It allows staff to prepare for evacuation without confusion.
It prioritizes the counting of equipment over patient care.
It ensures that patient care remains stable until further instructions
are provided.
It minimizes the need for communication among staff members.
6. Why is it critical for the nurse to notify the health care provider when a client
shows confusion after a head injury?
It helps the nurse to calm the client down.
It is a routine procedure that must be followed in all cases.
Notifying the health care provider is essential to assess potential
complications related to the head injury.
It allows the nurse to gather more information about the client's
condition.
,7. A nurse is planning care for a patient undergoing treatment for
benzodiazepine dependence. Which of the following should be included in
the plan of care?
Rapid discontinuation of the benzodiazepine to prevent dependence
Administering a high dose of an opioid to manage withdrawal
Tapering off the benzodiazepine to prevent withdrawal symptoms
Encouraging alcohol use to ease withdrawal symptoms
8. A client has a cheesy white plaque in the mouth. The plaque looks like milk
curds and can be rubbed off. The best nursing intervention is to
Provide saline rinses prior to meals.
Remove the plaque from the mouth by rubbing with gauze.
Encourage the client to ingest a soft or bland diet.
Instruct the client to swish prescribed nystatin (Mycostatin) solution
for 1 minute.
9. A patient with an antidiuretic hormone (ADH)-secreting small cell cancer of
the lung is treated to control the symptoms of syndrome of inappropriate
ADH (SIADH). The nurse determines that treatment is effective on finding
which of the following data?
The patient's weight is stable.
The patient's urinary output is increased.
The urine specific gravity is increased.
The patient's edema is reduced.
10. Nystatin (Mycostatin), an antifungal drug is frequently administered as an
oral suspension for Candida infections in the mouth. Client instruction
, regarding the administration of nystatin is:
drink the oral suspension, do not follow with food or fluid
dilute the oral suspension with water and then swallow the solution
swish the liquid within the mouth, swallow or expel the suspension
drink the oral suspension and follow with food or fluid
11. Which client is most appropriate for a new nurse to care for in the labor and
delivery unit?
A multiparous client who is dilated 5 cm and 50% effaced
A client being induced for fetal demise at 20 weeks' gestation
A primigravida who is 8 cm dilated after 14 hours of labor
A client scheduled for a repeat cesarean birth at 38 weeks' gestation
12. What action in telehealth services poses the highest risk for malpractice
lawsuits?
Identifying oneself by name and title to clients in telehealth
communications
Answering a client-initiated health question via electronic mail
Participating in telephone consultations with clients
Sending medical records to health care providers via the Internet
13. If the charge nurse must prioritize patient transfers based on stability, which
additional factors should be considered when evaluating the client with a
stage 3 sacral pressure ulcer for transfer?
The patient's age and gender are the most important factors to
consider.
Latest Update 2026 | Exam Prep
1. Why is it important for nurses to face hearing-impaired clients while
speaking?
Facing the client allows for better lip reading and non-verbal
communication.
It helps to ensure the client can hear better.
It allows the nurse to speak more loudly.
It is a standard practice for all patients regardless of hearing ability.
2. Telehealth is a growing field in nursing. Which of the following is of special
concern in telehealth?
Nurses practicing outside their scope of practice.
The inability of technology to accommodate the nursing process.
The confidentiality of client information.
The qualification of nurses and other providers.
3. The emergency department nurse who is on duty is informed by the charge
nurse that an airplane crash has occurred and numerous casualties will be
arriving at the ED. What should the initial response by the nurse be?
"Has the disaster plan been activated?"
"Make sure all of the rooms are well stocked with supplies."
"Be sure that the nursing staff finds as many stretchers as they can."
Call as many nursing staff as you can to come in to work."
,4. What medication is commonly associated with causing potassium loss in
patients?
Hydrochlorothiazide
Furosemide
Metformin
Lisinopril
5. Why is it important for the charge nurse to instruct staff to continue with
current assignments during an impending disaster?
It allows staff to prepare for evacuation without confusion.
It prioritizes the counting of equipment over patient care.
It ensures that patient care remains stable until further instructions
are provided.
It minimizes the need for communication among staff members.
6. Why is it critical for the nurse to notify the health care provider when a client
shows confusion after a head injury?
It helps the nurse to calm the client down.
It is a routine procedure that must be followed in all cases.
Notifying the health care provider is essential to assess potential
complications related to the head injury.
It allows the nurse to gather more information about the client's
condition.
,7. A nurse is planning care for a patient undergoing treatment for
benzodiazepine dependence. Which of the following should be included in
the plan of care?
Rapid discontinuation of the benzodiazepine to prevent dependence
Administering a high dose of an opioid to manage withdrawal
Tapering off the benzodiazepine to prevent withdrawal symptoms
Encouraging alcohol use to ease withdrawal symptoms
8. A client has a cheesy white plaque in the mouth. The plaque looks like milk
curds and can be rubbed off. The best nursing intervention is to
Provide saline rinses prior to meals.
Remove the plaque from the mouth by rubbing with gauze.
Encourage the client to ingest a soft or bland diet.
Instruct the client to swish prescribed nystatin (Mycostatin) solution
for 1 minute.
9. A patient with an antidiuretic hormone (ADH)-secreting small cell cancer of
the lung is treated to control the symptoms of syndrome of inappropriate
ADH (SIADH). The nurse determines that treatment is effective on finding
which of the following data?
The patient's weight is stable.
The patient's urinary output is increased.
The urine specific gravity is increased.
The patient's edema is reduced.
10. Nystatin (Mycostatin), an antifungal drug is frequently administered as an
oral suspension for Candida infections in the mouth. Client instruction
, regarding the administration of nystatin is:
drink the oral suspension, do not follow with food or fluid
dilute the oral suspension with water and then swallow the solution
swish the liquid within the mouth, swallow or expel the suspension
drink the oral suspension and follow with food or fluid
11. Which client is most appropriate for a new nurse to care for in the labor and
delivery unit?
A multiparous client who is dilated 5 cm and 50% effaced
A client being induced for fetal demise at 20 weeks' gestation
A primigravida who is 8 cm dilated after 14 hours of labor
A client scheduled for a repeat cesarean birth at 38 weeks' gestation
12. What action in telehealth services poses the highest risk for malpractice
lawsuits?
Identifying oneself by name and title to clients in telehealth
communications
Answering a client-initiated health question via electronic mail
Participating in telephone consultations with clients
Sending medical records to health care providers via the Internet
13. If the charge nurse must prioritize patient transfers based on stability, which
additional factors should be considered when evaluating the client with a
stage 3 sacral pressure ulcer for transfer?
The patient's age and gender are the most important factors to
consider.
