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EXIT HESI COMPREHENSIVE B EVOLVE QUESTIONS WITH CORRECT ANSWERS 2025

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EXIT HESI COMPREHENSIVE B EVOLVE QUESTIONS WITH CORRECT ANSWERS 2025

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EXIT HESI COMPREHENSIVE B
EVOLVE QUESTIONS WITH CORRECT
ANSWERS 2025/2026
TheAnurseAisAcaringAforAaAclientAwithAaAcerebrovascularAaccidentA(CVA)AwhoAisAreceivingAenteralAtubeAf
eedings.AWhichAtaskAperformedAbyAtheAUAPArequiresAimmediateAinterventionAbyAtheAnurse?

A.SuctionsAoralAsecretionsAfromAmouth

B.PositionsAheadAofAbedAflatAwhenAchangingAsheets

C.TakesAtemperatureAusingAtheAaxillaryAmethod

D.KeepsAheadAofAbedAelevatedAatA30AdegreesA-AcorrectAanswersB

Rationale:

PositioningAtheAheadAofAtheAbedAflatAwhenAenteralAfeedingsAareAinAprogressAputsAtheAclientAatAriskAforA
aspirationA(B).ATheAothersAareAallAacceptableAtasksAperformedAbyAtheAUAPA(A,AC,AandAD).

WhenAcaringAforAaApostsurgicalAclientAwhoAhasAundergoneAmultipleAbloodAtransfusions,AwhichAserumAl
aboratoryAfindingAisAofAmostAconcernAtoAtheAnurse?

A.SodiumAlevel,A137AmEq/L

B.PotassiumAlevel,A5.5AmEq/L

C.BloodAureaAnitrogenA(BUN)Alevel,A18Amg/dL

D.CalciumAlevel,A10AmEq/LA-AcorrectAanswersB

Rationale:

MultipleAbloodAtransfusionsAareAaAriskAfactorAforAhyperkalemia.AAAserumApotassiumAlevelAhigherAthanA
5.0AmEq/LAindicatesAhyperkalemiaA(B).ATheAothersAareAnormalAfindingsA(A,AC,AandAD).

WhichAvaccinationAshouldAtheAnurseAadministerAtoAaAnewborn?

A.HepatitisAB

B.HumanApapillomaAvirusA(HPV)

C.Varicella

D.MeningococcalAvaccineA-AcorrectAanswersA

Rationale:

TheAhepatitisABAvaccinationAshouldAbeAgivenAtoAallAnewbornsAbeforeAhospitalAdischargeA(A).AHPVAisAno
tArecommendedAuntilAadolescenceA(B).AVaricellaAimmunizationAbeginsAatA12AmonthsA(C).AMeningococ
calAvaccineAisAadministeredAbeginningAatA2AyearsA(D).

TheAnurseAisAcaringAforAaAclientAonAtheAmedicalAunit.AWhichAtaskAcanAbeAdelegatedAtoAunlicensedAassis
tiveApersonnelA(UAP)?

A.AssessAtheAneedAtoAchangeAaAcentralAlineAdressing.

,B.ObtainAaAfingerstickAbloodAglucoseAlevel.

C.AnswerAaAfamilyAmember'sAquestionsAaboutAtheAclient'sAplanAofAcare.

D.TeachAtheAclientAsideAeffectsAtoAreportArelatedAtoAtheAcurrentAmedicationAregimen.A-
AcorrectAanswersB



Rationale:

ObtainingAaAfingerstickAbloodAglucoseAlevelAisAaAsimpleAtreatmentAandAisAanAappropriateAskillAforAUAPAt
oAperformA(B).A(A,AC,AandAD)AareAskillsAthatAcannotAbeAdelegatedAtoAUAP.

TheAnurseAisAcaringAforAaAclientAwithAanAischemicAstrokeAwhoAhasAaAprescriptionAforAtissueAplasminoge
nAactivatorA(t-PA)AIV.AWhichAaction(s)AshouldAtheAnurseAexpectAtoAimplement?A(SelectAallAthatAapply.)

A.AdministerAaspirinAwithAtissueAplasminogenAactivatorA(t-PA).

B.CompleteAtheANationalAInstituteAofAHealthAStrokeAScaleA(NIHSS).

C.AssessAtheAclientAforAsignsAofAbleedingAduringAandAafterAtheAinfusion.

D.StartAt-PAAwithinA6AhoursAafterAtheAonsetAofAstrokeAsymptoms.

E.InitiateAmultidisciplinaryAconsultAforApotentialArehabilitation.A-AcorrectAanswersB,C,E

Rationale:

NeurologicAassessment,AincludingAtheANIHSS,AisAindicatedAforAtheAclientAreceivingAt-
PA.AThisAincludesAcloseAmonitoringAforAbleedingAduringAandAafterAtheAinfusion;AifAbleedingAorAotherAsig
nsAofAneurologicAimpairmentAoccur,AtheAinfusionAshouldAbeAstoppedA(B,AC,AandAE).AAspirinAisAcontraind
icatedAwithAt-PAAbecauseAitAincreasesAtheAriskAforAbleedingA(A).ATheAadministrationAofAt-
PAAwithinA6AhoursAofAsymptomsAisAconcurrentAwithAaAdiagnosisAofAaAmyocardialAinfarctionAandAwithinA
4.5AhoursAofAsymptomsAisAconcurrentAforAaAstrokeA(D).

WhenAcaringAforAaAclientAinAlabor,AwhichAfindingAisAmostAimportantAtoAreportAtoAtheAprimaryAhealthAca
reAprovider?

A.MaternalAheartArate,A90Abeats/min.

B.FetalAheartArate,A100Abeats/min

C.MaternalAbloodApressure,A140/86AmmAHg

D.MaternalAtemperature,A100.0°AFA-AcorrectAanswersB

Rationale:

AAfetalAheartArateA(FHR)AofA100Abeats/minAmayAindicateAfetalAdistressA(B)AbecauseAtheAaverageAFHRAatA
termAisA140Abeats/minAandAtheAnormalArangeAisA110AtoAbeats/minA160.ATheAothersA(A,AC,AandAD)AareAn
ormalAfindingsAforAaAwomanAinAlabor.

TheAnurseAisAcaringAforAaAclientAwithAheartAfailureAwhoAdevelopsArespiratoryAdistressAandAcoughsAupApi
nkAfrothyAsputum.AWhichAactionAshouldAtheAnurseAtakeAfirst?

A.DrawAarterialAbloodAgases.

B.NotifyAtheAprimaryAhealthAcareAprovider.

,C.PositionAinAaAhighAFowler'sApositionAwithAtheAlegsAdown.

D.ObtainAaAchestAX-ray.A-AcorrectAanswersC

Rationale:

PositioningAtheApatientAinAaAhighAFowler'sApositionAwithAdanglingAfeetAwillAdecreaseAfurtherAvenousAre
turnAtoAtheAleftAventricleA(C).ATheAotherAactionsAshouldAbeAperformedAafterAtheAchangeAinApositionA(A,
AB,AandAD).



AAclientAwhoAisAprescribedAchlorpromazineAHClA(Thorazine)AforAschizophreniaAdevelopsArigidity,AaAshuf
flingAgait,AandAtremors.AWhichAactionAbyAtheAnurseAisAmostAimportant?A.AdministerAaAdoseAofAbenztr
opineAmesylateA(Cogentin)APRN.

B.DetermineAifAtheAclientAhasAincreasedAphotosensitivity.

C.ProvideAcomfortAmeasuresAforAsoreAmuscles.

D.AssessAtheAclientAforAvisualAandAauditoryAhallucinations.A-AcorrectAanswersA

Rationale:

Rigidity,AshufflingAgait,Apill-
rollingAhandAmovements,Atremors,Adyskinesia,AandAmasklikeAfaceAareAextrapyramidalAsideAeffectsAasso
ciatedAwithAThorazine.AItAisAmostAimportantAforAtheAnurseAtoAadministerAanAanticholinergicAsuchAasACo
gentinAtoAreverseAtheseAeffectsA(A).ATheAothersA(B,AC,AD)AmayAbeAappropriateAinterventionsAbutAareAno
tAasAurgentAasA(A).

AAnurseAisAinterviewingAaAmotherAduringAaAwell-
childAvisit.AWhichAfindingAwouldAalertAtheAnurseAtoAcontinueAfurtherAassessmentAofAtheAinfant?

A.Two-month-oldAwhoAisAunableAtoArollAfromAbackAtoAabdomen

B.Ten-month-oldAwhoAcannotAsitAwithoutAsupport

C.Nine-month-oldAwhoAcriesAwhenAhisAmotherAleavesAtheAroom

D.Eight-month-oldAwhoAhasAnotAyetAbegunAtoAspeakAwordsA-AcorrectAanswersB

Rationale:

AsAaAdevelopmentalAmilestone,AinfantsAshouldAsitAunsupportedAbyA8AmonthsA(B).ATheAmilestoneAofArol
lingAoverAisAachievedAatA5AtoA6AmonthsAforAmostAinfantsA(A).AStrangerAanxietyAisAcommonAfromA7AtoA9A
monthsA(C).ASpeakingAaAfewAwordsAisAexpectedAatAaboutA12AmonthsA(D).

WhichAinterventionAshouldAbeAincludedAinAtheAplanAofAcareAforAaAclientAadmittedAtoAtheAhospitalAwithA
ulcerativeAcolitis?

A.AdministerAstoolAsofteners.

B.PlaceAtheAclientAonAfluidArestriction.

C.ProvideAaAlow-residueAdiet.

D.AddAaAmilkAproductAtoAeachAmeal.A-AcorrectAanswersC

Rationale:

, AAlow-
residueAdietA(C)AwillAhelpAdecreaseAsymptomsAofAdiarrhea,AwhichAareAclinicalAmanifestationsAofAulcera
tiveAcolitis.A(A,AB,AandAD)AareAcontraindicatedAandAcouldAworsenAtheAcondition.

TheAnurseAisAcaringAforAaAclientAwithAdeepAveinAthrombosisAwhoAisAonAaAcontinuousAIVAheparinAinfusio
n.ATheAactivatedApartialAprothrombinAtimeA(aPTT)AisA120Aseconds.AWhichAactionAshouldAtheAnurseAtak
e?

A.IncreaseAtheArateAofAtheAheparinAinfusionAusingAaAnomogram.

B.DecreaseAtheAheparinAinfusionArateAandAgiveAvitaminAKAIM.

C.ContinueAtheAheparinAinfusionAatAtheAcurrentAprescribedArate.

D.StopAtheAheparinAdripAandAprepareAtoAadministerAprotamineAsulfate.A-AcorrectAanswersD

Rationale:

AnAaPTTAmoreAthanA100AsecondsAisAaAcriticallyAhighAvalue;Atherefore,AtheAheparinAshouldAbeAstopped.A
TheAantidoteAforAheparinAisAprotamineAsulfateA(D).AIncreasingAtheArateAwouldAincreaseAtheAriskAforAhe
morrhageA(A).ATheAinfusionAshouldAbeAstopped,AandAvitaminAKAisAtheAantidoteAforAwarfarinA(Coumadin
)A(B).AKeepingAtheAinfusionAatAtheAcurrentArateAwouldAincreaseAtheAriskAforAhemorrhageA(C).

WhileAassessingAaAclientAwithArecurringAchestApain,AtheAunitAsecretaryAnotifiesAtheAnurseAthatAtheAclie
nt'sAhealthAcareAproviderAisAonAtheAtelephone.AWhatAactionAshouldAtheAnurseAinstructAtheAunitAsecreta
ryAtoAimplement?

A.TransferAtheAcallAintoAtheAroomAofAtheAclient.

B.InstructAtheAsecretaryAtoAexplainAreasonAforAtheAcall.

C.AskAanotherAnurseAtoAtakeAtheAphoneAcall.

D.AskAtheAhealthAcareAproviderAtoAseeAtheAclientAonAtheAunit.A-AcorrectAanswersC

Rationale:

AnotherAnurseAshouldAbeAaskedAtoAtakeAtheAphoneAcallA(C),AwhichAallowsAtheAnurseAtoAstayAatAtheAbed
sideAtoAcompleteAtheAassessmentAofAtheAclient'sAchestApain.A(AAandAB)AshouldAnotAbeAdoneAduringAanA
acuteAchangeAinAtheAclient'sAcondition.ARequestingAtheAhealthAcareAproviderA(D)AtoAcomeAtoAtheAunitAi
sAprematureAuntilAtheAnurseAcompletesAassessmentAofAtheAclient'sAstatus.

WhichAinstruction(s)AshouldAtheAnurseAincludeAinAtheAdischargeAteachingAplanAofAaAmaleAclientAwhoAha
sAhadAaAmyocardialAinfarctionAandAwhoAhasAaAnewAprescriptionAforAnitroglycerinA(NTG)?A(SelectAallAtha
tAapply.)

A.KeepAtheAmedicationAinAyourApocketAsoAthatAitAcanAbeAaccessedAquickly.

B.CallA911AifAchestApainAisAnotArelievedAafterAoneAnitroglycerin.

C.StoreAtheAmedicationAinAitsAoriginalAcontainerAandAprotectAitAfromAlight.

D.ActivateAtheAemergencyAmedicalAsystemAafterAthreeAdosesAofAmedication.

E.DoAnotAuseAwithinA1AhourAofAtakingAsildenafilAcitrateA(Viagra).A-AcorrectAanswersB,C

Rationale:

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Subido en
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