HESI COMPREHENSIVE EXAM (B) ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

HESI COMPREHENSIVE EXAM (B)
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
1. Themnursemismcaringmformamclientmwithmanmischemicmstrokemwhomhasmamprescriptionmformtiss
uemplasminogenmactivatorm(t-
PA)mIV.mWhichmactionsmshouldmthemnursemexpectmtomimplement?m-
mCORRECTmANSWERmNeurologicmassessment,mincludingmthemNIHSS,mismindicatedmformthemc


lientmreceivingmt-
PA.mThismincludesmclosemmonitoringmformbleedingmduringmandmaftermtheminfusion;mifmbleedi
ngmormothermsignsmofmneurologicmimpairmentmoccur,mtheminfusionmshouldmbemstopped



2. ThemnursemanticipatesmadministeringmRho(D)mimmunemglobulinm(RhoGAM)mtomwhichmindi
viduals?m(Selectmallmthatmapply.)m-mCORRECTmANSWERmAnmRh-
negativemwomanmwhomhasmhadmammiscarriagematm24mweeks,mAnmRh-
negativemmothermaftermdeliverymofmanmRh-
positiveminfantmwithmamnegativemdirectmCoombsmtest,m&mAnmRh-
negativemmothermwithmamnegativemantibodymtitermatm28mweeksm(RhoGAMmshouldmnevermb
emgivenmtomanminfantmormfather!)



3. Amclientmwithmnon-
HodgkinmlymphomamhasmbeenmprescribedmcyclophosphamidemIVmformtherapy.mWhichmass
essmentmfindingmwouldmneedmtombemreportedmimmediatelymtomthemoncologist?m-
mCORRECTmANSWERmChills,mfever,mandmsoremthroat--


Cyclophosphamidemismanmimmunosuppressivemdrugmusedmtomtreatmlymphomamandmputsmt
hemclientmatmriskmforminfection.mSignsmandmsymptomsmofmanminfectionmshouldmbemreportedm
tomthemoncologistmimmediately

, 4. Whichmnursingminterventionmshouldmbemimplementedmpostoperativelyminmanminfantmwithm
spinambifidamaftermrepairmofmammeningocele?m-
mCORRECTmANSWERmplaceminfantminmpronemposition--


alleviatesmpressuremonmthemsurgicalmsite,mwhichmisminmthemsacrum.mFluidsmshouldmbemincre
asedmpostoperativelymtompreventmdehydration.mAmhigh-
fibermdietmshouldmbemimplementedmtompreventmconstipation.



5. Amprimiparampresentsmtomthemperinatalmunitmdescribingmrupturemofmthemmembranesm(RO
M),mwhichmoccurredm12mhoursmpriormtomcomingmtomthemhospital.mAnmoxytocinminfusionmism
begun,mandm8mhoursmlatermthemclient'smcontractionsmaremirregularmandmmild.mWhatmvitalmsi
gnmshouldmthemnursemmonitormwithmgreatermfrequencymthanmthemtypicalmunitmprotocol?m-
mCORRECTmANSWERmMaternalmtemperature--


mthismshouldmbemmonitoredmfrequentlymasmamprimarymindicatormofminfection.mThismclient'sm


rupturemofmmembranesm(ROM)moccurredmatmleastm20mhoursmagom(12mhoursmbeforemcomin
gmtomthemhospital,minmadditionmtom8mhoursmsincemhospitalmadmission).mDeliverymismnotmim
minent,mandmtheremismanmincreasedmriskmofmthemdevelopmentmofminfectionm24mhoursmafter
mROM.




6. Whenmassessingmamnormalmnewborn,mwhichmfindingsmshouldmthemnursemexpect?m(Selectma
llmthatmapply.)m-
mCORRECTmANSWERmUmbilicalmcordmcontainsmonemveinmandmtwomarteriesm&mSlightlymede


matousmlabiaminmthemfemalemnewborn



7. Amclientminmthempsychiatricmsettingmwithmanmanxietymdisordermreportsmchestmpain.mWhichma
ctionmshouldmthemnursemtakemfirst?m-mCORRECTmANSWERmaccessmclient'smvitalmsigns



8. Themnursemismcaringmformamclientmwhomismexperiencingmseverempain.mThemexpectedmoutcom
emthemnursemwritesmformthemclientmreads,m"Themclientmwillmstatemmympainmism<2mwithinm45m
minutesmaftermpainmmedicationmhasmbeenmadministered."mFormulatingmthemexpectedmout
comemismanmexamplemofmwhichmstepminmthemnursingmprocess?m-
mCORRECTmANSWERmPlanning--


allowsmthemnursemtomsetmgoalsmformcaremandmelicitmthemexpectedmoutcomembymidentifyingm
appropriatemnursingmactions.