HESI COMPREHENSIVE EXAM B PRACTICE EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025
A nurse working in the emergency department admits a client with
full-thickness burns to 50% of the body. Assessment findings indicate
high-pitched wheezing, heart rate of 120 beats/min, and
disorientation. Which action should the nurse take first?
Prepare to assist with maintaining the airway.
Rationale: High-pitched wheezing indicates laryngeal stridor, a sign of
laryngeal edema associated with lung injury. Airway management is the
first priority of care. Options A, C, and D are all appropriate interventions in
managing the client with a burn but are not as critical as establishing an
airway.
The nurse walks into the room and observes the client experiencing a
tonic-clonic seizure. Which intervention should the nurse implement
first?
Turn client on the side to aid ventilation.
Which intervention should the nurse include in the plan of care for a
client admitted to the hospital with ulcerative colitis?
,Provide a low-residue diet.
The nurse enters the examination room of a client who has been told
by her health care provider that she has advanced ovarian cancer.
Which response by the nurse is likely to be most supportive for the
client?
"Tell me about what you are feeling right now."
A nurse implements an education program to reduce hospital
readmissions for clients with heart failure. Which statement by the
client indicates that further teaching is needed? (Select all that apply.)
A.
"I will not take my digoxin if my heart rate is higher than 100 beats/min."
B.
"I should weigh myself once a week and report any increases."
C.
"It is important
The nurse is reviewing the chart of a 26-year-old client with type 1
diabetes mellitus. Which data may indicate that the client is
experiencing chronic complications of diabetes?
Blood pressure, 159/98 mm Hg
,When caring for a client with a tracheostomy, which action should the
nurse delegate to the unlicensed assistive personnel (UAP)?
Take the vital signs 5 minutes before the procedure.
The charge nurse is making assignments for the upcoming shift.
Which client is most appropriate to assign to the practical nurse
(PN)?
A client with nausea who needs a nasogastric tube inserted
A nurse performs an initial admission assessment of a 56-year-old
client. Which factor(s) would indicate that the client is at risk for
metabolic syndrome? (Select all that apply.)
abdominal obesity
sedentary lifestyle
hispanic or asian ethnicity
increased triglycerides
Which information is most concerning to the nurse when caring for an
older client with bilateral cataracts?
Complains of seeing a cobweb-type structure in the visual field
Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of
a retinal detachment, which constitutes a medical emergency. Clients with
cataracts are at increased risk for retinal detachment. Distorted color
, perception, opacity of the lens, and gradual vision loss are expected signs
and symptom of cataracts but do not need immediate attention.
When caring for a client hospitalized with Guillain-Barré syndrome,
which information is most important for the nurse to report to the
primary health care provider?
Decrease in cognitive status of the client
Rationale:A decline in cognitive status in a client is indicative of symptoms
of hypoxia and a possible need to assist the client with mechanical
ventilation. A primary health care provider will need to be contacted
immediately. Options A, C, and D are findings associated with Guillain-
Barré syndrome that should also be reported but are not as critical as the
client’s hypoxic status.
A client is admitted with a diagnosis of leukemia. Which assessment
findings will the nurse include in the client’s plan of care? (Select all
that apply.)
Weight loss
C.
Hyperplasia of the gums
D.
Elevated white blood count
WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025
A nurse working in the emergency department admits a client with
full-thickness burns to 50% of the body. Assessment findings indicate
high-pitched wheezing, heart rate of 120 beats/min, and
disorientation. Which action should the nurse take first?
Prepare to assist with maintaining the airway.
Rationale: High-pitched wheezing indicates laryngeal stridor, a sign of
laryngeal edema associated with lung injury. Airway management is the
first priority of care. Options A, C, and D are all appropriate interventions in
managing the client with a burn but are not as critical as establishing an
airway.
The nurse walks into the room and observes the client experiencing a
tonic-clonic seizure. Which intervention should the nurse implement
first?
Turn client on the side to aid ventilation.
Which intervention should the nurse include in the plan of care for a
client admitted to the hospital with ulcerative colitis?
,Provide a low-residue diet.
The nurse enters the examination room of a client who has been told
by her health care provider that she has advanced ovarian cancer.
Which response by the nurse is likely to be most supportive for the
client?
"Tell me about what you are feeling right now."
A nurse implements an education program to reduce hospital
readmissions for clients with heart failure. Which statement by the
client indicates that further teaching is needed? (Select all that apply.)
A.
"I will not take my digoxin if my heart rate is higher than 100 beats/min."
B.
"I should weigh myself once a week and report any increases."
C.
"It is important
The nurse is reviewing the chart of a 26-year-old client with type 1
diabetes mellitus. Which data may indicate that the client is
experiencing chronic complications of diabetes?
Blood pressure, 159/98 mm Hg
,When caring for a client with a tracheostomy, which action should the
nurse delegate to the unlicensed assistive personnel (UAP)?
Take the vital signs 5 minutes before the procedure.
The charge nurse is making assignments for the upcoming shift.
Which client is most appropriate to assign to the practical nurse
(PN)?
A client with nausea who needs a nasogastric tube inserted
A nurse performs an initial admission assessment of a 56-year-old
client. Which factor(s) would indicate that the client is at risk for
metabolic syndrome? (Select all that apply.)
abdominal obesity
sedentary lifestyle
hispanic or asian ethnicity
increased triglycerides
Which information is most concerning to the nurse when caring for an
older client with bilateral cataracts?
Complains of seeing a cobweb-type structure in the visual field
Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of
a retinal detachment, which constitutes a medical emergency. Clients with
cataracts are at increased risk for retinal detachment. Distorted color
, perception, opacity of the lens, and gradual vision loss are expected signs
and symptom of cataracts but do not need immediate attention.
When caring for a client hospitalized with Guillain-Barré syndrome,
which information is most important for the nurse to report to the
primary health care provider?
Decrease in cognitive status of the client
Rationale:A decline in cognitive status in a client is indicative of symptoms
of hypoxia and a possible need to assist the client with mechanical
ventilation. A primary health care provider will need to be contacted
immediately. Options A, C, and D are findings associated with Guillain-
Barré syndrome that should also be reported but are not as critical as the
client’s hypoxic status.
A client is admitted with a diagnosis of leukemia. Which assessment
findings will the nurse include in the client’s plan of care? (Select all
that apply.)
Weight loss
C.
Hyperplasia of the gums
D.
Elevated white blood count
