HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
The nurse is caring for a client who just returned to the surgical unit after
having a suprapubic prostatectomy. What type of medication does the nurse
expect to be ordered?
Phenothiazines
Antispasmodics
Antidyskinetics
Benzodiazepines - CORRECT ANSWERS Antispasmodics
Rationale: Antispasmodics are prescribed for bladder spasms related to a
suprapubic prostatectomy. This surgery involves removal of the prostate gland
by an abdominal incision with a bladder incision. Phenothiazines are a class of
antipsychotic medications. Antidyskinetics have an anticholinergic action and
are used to treat Parkinson's disease and some of the acute movement
disorders that may be caused by antipsychotic agents. Benzodiazepines are
central nervous system (CNS) depressants and can cause sedation and
psychomotor slowing. They can also intensify depression caused by other
drugs. Benzodiazepines have some potential for abuse and should be used with
caution in clients known to abuse alcohol or other psychoactive medications.
A nurse is preparing a poster for a health fair booth promoting primary
prevention of skin cancer. Which recommendations does the nurse include on
the poster? Select all that apply.
Seek medical advice if you find a skin lesion.
Use sunscreen with a low sun protection factor (SPF).
Avoid sun exposure before 10 a.m. and after 4 p.m.
Wear a hat, opaque clothing, and sunglasses when out in the sun.
,HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
Examine the body every 6 months for possibly cancerous or precancerous
lesions. - CORRECT ANSWERS Seek medical advice if you find a skin lesion.
Wear a hat, opaque clothing, and sunglasses when out in the sun.
Wear a hat, opaque clothing, and sunglasses when out in the sun.
A nurse reviewing the medical record of a client with a diagnosis of infiltrating
ductal carcinoma of the breast notes documentation of the presence of peau
d'orange skin. On the basis of this notation, which finding would the nurse
expect to note on assessment of the client's breast? - CORRECT ANSWERS
Rationale: Peau d'orange (French for "orange peel") is the term used to
describe skin dimpling, resembling the skin of an orange, at the location of a
breast mass. This change, along with increased vascularity, nipple retraction, or
ulceration, may indicate advanced disease. Erythema, or reddening, of the
breast indicates inflammation such as that resulting from cellulitis or a breast
abscess. Paget's disease is a rare type of breast cancer that is manifested as a
red, scaly nipple; discharge; crusting lasting more than a few weeks. In nipple
retraction, the nipple is pointed or pulled in an abnormal direction. It is
suggestive of malignancy.
The mother of an adolescent diagnosed with type 1 diabetes mellitus tells the
nurse that her child is a member of the school soccer team and expresses
concern about her child's participation in sports. What does the nurse tell the
mother after providing information to the mother about diet, exercise, insulin,
and blood glucose control?
To always administer less insulin on the days of soccer games
That it is best not to encourage the child to participate in sports activities
That the child should eat a carbohydrate snack about a half-hour before each
soccer game
,HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
To administer additional insulin before a soccer game if the blood glucose level
is 240 mg/dL (13.3 mmol/L) or higher and ketones are present. - CORRECT
ANSWERS That the child should eat a carbohydrate snack about a half-hour
before each soccer game
Rationale: The child with diabetes mellitus who is active in sports requires
additional food intake in the form of a carbohydrate snack about a half-hour
before the anticipated activity. Additional food will need to be consumed, often
as frequently as every 45 minutes to 1 hour, during prolonged periods of
activity. If the blood glucose level is increased (240 mg/dL [13.3 mmol/L] or
more) and ketones are present before planned exercise, the activity should be
postponed until the blood glucose has been controlled. Moderate to high
ketone values should be reported to the primary health care provider. There is
no reason for the child to avoid participating in sports.
Enalapril maleate is prescribed for a hospitalized client. Which assessment does
the nurse perform as a priority before administering the medication?
Checking the client's blood pressure
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's intake-and-output record for the last 24 hours - CORRECT
ANSWERS Checking the client's blood pressure
Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is postural
hypotension. Therefore the nurse would check the client's blood pressure
immediately before administering each dose. Checking the client's peripheral
pulses, the results of the most recent potassium level, and the intake and
, HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
output for the previous 24 hours are not specifically associated with this
mediation.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by
the client indicates a need for further instruction?
"The test will take about 30 minutes."
"I need to fast for 8 hours before the test."
"I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
"I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - CORRECT ANSWERS "I need to
drink citrate of magnesia the night before the test and give myself a Fleet
enema on the morning of the test."
Rationale: No special preparation is necessary before a GI series, except that
NPO (nothing by mouth) status must be maintained for 8 hours before the test.
An upper GI series involves visualization of the esophagus, duodenum, and
upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in a
flavored milkshake. Films are taken at intervals during the test, which takes
about 30 minutes. After an upper GI series, the client is prescribed a laxative to
hasten elimination of the barium. Barium that remains in the colon may
become hard and difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a primary health care provider's
prescriptions and notes that the dose of a prescribed medication is higher than
the normal dose. The nurse calls the primary health care provider's answering
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
The nurse is caring for a client who just returned to the surgical unit after
having a suprapubic prostatectomy. What type of medication does the nurse
expect to be ordered?
Phenothiazines
Antispasmodics
Antidyskinetics
Benzodiazepines - CORRECT ANSWERS Antispasmodics
Rationale: Antispasmodics are prescribed for bladder spasms related to a
suprapubic prostatectomy. This surgery involves removal of the prostate gland
by an abdominal incision with a bladder incision. Phenothiazines are a class of
antipsychotic medications. Antidyskinetics have an anticholinergic action and
are used to treat Parkinson's disease and some of the acute movement
disorders that may be caused by antipsychotic agents. Benzodiazepines are
central nervous system (CNS) depressants and can cause sedation and
psychomotor slowing. They can also intensify depression caused by other
drugs. Benzodiazepines have some potential for abuse and should be used with
caution in clients known to abuse alcohol or other psychoactive medications.
A nurse is preparing a poster for a health fair booth promoting primary
prevention of skin cancer. Which recommendations does the nurse include on
the poster? Select all that apply.
Seek medical advice if you find a skin lesion.
Use sunscreen with a low sun protection factor (SPF).
Avoid sun exposure before 10 a.m. and after 4 p.m.
Wear a hat, opaque clothing, and sunglasses when out in the sun.
,HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
Examine the body every 6 months for possibly cancerous or precancerous
lesions. - CORRECT ANSWERS Seek medical advice if you find a skin lesion.
Wear a hat, opaque clothing, and sunglasses when out in the sun.
Wear a hat, opaque clothing, and sunglasses when out in the sun.
A nurse reviewing the medical record of a client with a diagnosis of infiltrating
ductal carcinoma of the breast notes documentation of the presence of peau
d'orange skin. On the basis of this notation, which finding would the nurse
expect to note on assessment of the client's breast? - CORRECT ANSWERS
Rationale: Peau d'orange (French for "orange peel") is the term used to
describe skin dimpling, resembling the skin of an orange, at the location of a
breast mass. This change, along with increased vascularity, nipple retraction, or
ulceration, may indicate advanced disease. Erythema, or reddening, of the
breast indicates inflammation such as that resulting from cellulitis or a breast
abscess. Paget's disease is a rare type of breast cancer that is manifested as a
red, scaly nipple; discharge; crusting lasting more than a few weeks. In nipple
retraction, the nipple is pointed or pulled in an abnormal direction. It is
suggestive of malignancy.
The mother of an adolescent diagnosed with type 1 diabetes mellitus tells the
nurse that her child is a member of the school soccer team and expresses
concern about her child's participation in sports. What does the nurse tell the
mother after providing information to the mother about diet, exercise, insulin,
and blood glucose control?
To always administer less insulin on the days of soccer games
That it is best not to encourage the child to participate in sports activities
That the child should eat a carbohydrate snack about a half-hour before each
soccer game
,HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
To administer additional insulin before a soccer game if the blood glucose level
is 240 mg/dL (13.3 mmol/L) or higher and ketones are present. - CORRECT
ANSWERS That the child should eat a carbohydrate snack about a half-hour
before each soccer game
Rationale: The child with diabetes mellitus who is active in sports requires
additional food intake in the form of a carbohydrate snack about a half-hour
before the anticipated activity. Additional food will need to be consumed, often
as frequently as every 45 minutes to 1 hour, during prolonged periods of
activity. If the blood glucose level is increased (240 mg/dL [13.3 mmol/L] or
more) and ketones are present before planned exercise, the activity should be
postponed until the blood glucose has been controlled. Moderate to high
ketone values should be reported to the primary health care provider. There is
no reason for the child to avoid participating in sports.
Enalapril maleate is prescribed for a hospitalized client. Which assessment does
the nurse perform as a priority before administering the medication?
Checking the client's blood pressure
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's intake-and-output record for the last 24 hours - CORRECT
ANSWERS Checking the client's blood pressure
Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is postural
hypotension. Therefore the nurse would check the client's blood pressure
immediately before administering each dose. Checking the client's peripheral
pulses, the results of the most recent potassium level, and the intake and
, HESI COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS COVERS 2024/2025 COMPLETE BEST
SOLUTION ALL ANSWERS CORRECT GRADED A+
output for the previous 24 hours are not specifically associated with this
mediation.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by
the client indicates a need for further instruction?
"The test will take about 30 minutes."
"I need to fast for 8 hours before the test."
"I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
"I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - CORRECT ANSWERS "I need to
drink citrate of magnesia the night before the test and give myself a Fleet
enema on the morning of the test."
Rationale: No special preparation is necessary before a GI series, except that
NPO (nothing by mouth) status must be maintained for 8 hours before the test.
An upper GI series involves visualization of the esophagus, duodenum, and
upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in a
flavored milkshake. Films are taken at intervals during the test, which takes
about 30 minutes. After an upper GI series, the client is prescribed a laxative to
hasten elimination of the barium. Barium that remains in the colon may
become hard and difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a primary health care provider's
prescriptions and notes that the dose of a prescribed medication is higher than
the normal dose. The nurse calls the primary health care provider's answering
