HESI RN COMPREHENSIVE EXIT EXAM, 100+
QUESTIONS & 100% VERIFIED ANSWERS
2026/2027 LATEST UPDATE| GRADED A+ |GUAR-
ANTEED PASS
1. A nurse is monitoring a pregnant woman in labor and notes this finding on the fetal-monitor tracing
(see figure). Which of the following actions should the nurse take as a result of this observation?
A. Repositioning the mother
B. Documenting the finding Correct
C. Notifying the nurse-midwife
D. Taking the mother's vital signs
2. Risperidone (Risperdal) is prescribed for a client hospitalized in the mental health unit for the
treatment of a psychotic disorder. Which finding in the client’s medical record would prompt the
nurse to contact the prescribing physician before administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive. Correct
D. The client is allergic to acetylsalicylic acid (aspirin).
,3. To the inpatient mental health unit. Which of the following findings does the nurse, knowing that
long-term use of an antipsychotic medication can cause tardive dyskinesia, monitor in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion Correct
4. A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (ECT). Which of
the following diagnoses, if noted on the client's record, would indicate a need to contact the
physician who is scheduled to perform the ECT?
A. Recent stroke Correct
B. Hypothyroidism
C. History of glaucoma
D. Peripheral vascular disease
5. A client scheduled for suprapubic prostatectomy has listened to the surgeon's explanation of the
surgery. The client later asks the nurse to explain again how the prostate is going to be removed.
The nurse tells the client that the prostate will be removed through:
A. A lower abdominal incision Correct
B. An upper abdominal incision
C. An incision made in the perineal area
D. The urethra, with the use of a cutting wire
6.A nurse is preparing a poster for a health fair booth promoting primary prevention of skin cancer.
Which of the following recommendations does the nurse include on the poster? Select all that
apply.
A. Seek medical advice if you find a skin lesion. Correct
B. Use sunscreen with a low sun protection factor (SPF).
C. Avoid sun exposure before 10 a.m. and after 4 p.m.
D. Wear a hat, opaque clothing, and sunglasses when out in the sun. Correct
E. Examine the body every 6 months for possibly cancerous or precancerous lesions.
7. A client in labor experiences spontaneous rupture of the membranes. The nurse immediately
counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse
notes that the fluid is yellow and has a strong odor. Which of the following actions should be the
nurse’s priority?
A. Contacting the physician Correct
B. Documenting the findings
,C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR
8. A nurse has assisted a physician in inserting a central venous access device into a client with a
diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the
catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray Correct
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency
E.
9 A rape victim being treated in the emergency department says to the nurse, "I’m really worried that
I’ve got HIV now." What is the appropriate response by the nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You’re more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of contracting HIV." Correct
10 A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve joint pain
resulting from rheumatoid arthritis. The client tells the nurse that the medication is causing nausea
and indigestion. The nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food Correct
D. Take the medication twice a day instead of four times
11. Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for a client
for the management of anxiety. The nurse prepares the medication as prescribed and administers
the medication over a period of:
A. 3 minutes Correct
B. 10 seconds
C. 15 seconds
D. 30 minutes
12.A nurse, conducting an assessment of a client being seen in the clinic for symptoms of a sinus
infection, asks the client about medications that he is taking. The client tells the nurse that he is
, taking nefazodone hydrochloride (Serzone). On the basis of this information, the nurse determines
that the client most likely has a history of:
A. Depression Correct
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease
13. Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse provides
information to the client about the adverse effects of the medication and tells the client to contact the
physician immediately if she experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness Correct
14..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?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on
the morning of the test." Correct
D. "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."
15.-A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
prescribed medication is higher than the normal dose. The nurse calls the physician's answering
service and is told that the physician is off for the night and will be available in the morning. The
nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician Correct
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes available
16 An emergency department (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the
sudden onset of premature ventricular contractions (PVCs) on the monitor, checks the client's
carotid pulse, and determines that the PVCs are not resulting in perfusion. The appropriate action by
the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client Correct
QUESTIONS & 100% VERIFIED ANSWERS
2026/2027 LATEST UPDATE| GRADED A+ |GUAR-
ANTEED PASS
1. A nurse is monitoring a pregnant woman in labor and notes this finding on the fetal-monitor tracing
(see figure). Which of the following actions should the nurse take as a result of this observation?
A. Repositioning the mother
B. Documenting the finding Correct
C. Notifying the nurse-midwife
D. Taking the mother's vital signs
2. Risperidone (Risperdal) is prescribed for a client hospitalized in the mental health unit for the
treatment of a psychotic disorder. Which finding in the client’s medical record would prompt the
nurse to contact the prescribing physician before administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive. Correct
D. The client is allergic to acetylsalicylic acid (aspirin).
,3. To the inpatient mental health unit. Which of the following findings does the nurse, knowing that
long-term use of an antipsychotic medication can cause tardive dyskinesia, monitor in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion Correct
4. A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (ECT). Which of
the following diagnoses, if noted on the client's record, would indicate a need to contact the
physician who is scheduled to perform the ECT?
A. Recent stroke Correct
B. Hypothyroidism
C. History of glaucoma
D. Peripheral vascular disease
5. A client scheduled for suprapubic prostatectomy has listened to the surgeon's explanation of the
surgery. The client later asks the nurse to explain again how the prostate is going to be removed.
The nurse tells the client that the prostate will be removed through:
A. A lower abdominal incision Correct
B. An upper abdominal incision
C. An incision made in the perineal area
D. The urethra, with the use of a cutting wire
6.A nurse is preparing a poster for a health fair booth promoting primary prevention of skin cancer.
Which of the following recommendations does the nurse include on the poster? Select all that
apply.
A. Seek medical advice if you find a skin lesion. Correct
B. Use sunscreen with a low sun protection factor (SPF).
C. Avoid sun exposure before 10 a.m. and after 4 p.m.
D. Wear a hat, opaque clothing, and sunglasses when out in the sun. Correct
E. Examine the body every 6 months for possibly cancerous or precancerous lesions.
7. A client in labor experiences spontaneous rupture of the membranes. The nurse immediately
counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse
notes that the fluid is yellow and has a strong odor. Which of the following actions should be the
nurse’s priority?
A. Contacting the physician Correct
B. Documenting the findings
,C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR
8. A nurse has assisted a physician in inserting a central venous access device into a client with a
diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the
catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray Correct
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency
E.
9 A rape victim being treated in the emergency department says to the nurse, "I’m really worried that
I’ve got HIV now." What is the appropriate response by the nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You’re more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of contracting HIV." Correct
10 A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve joint pain
resulting from rheumatoid arthritis. The client tells the nurse that the medication is causing nausea
and indigestion. The nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food Correct
D. Take the medication twice a day instead of four times
11. Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for a client
for the management of anxiety. The nurse prepares the medication as prescribed and administers
the medication over a period of:
A. 3 minutes Correct
B. 10 seconds
C. 15 seconds
D. 30 minutes
12.A nurse, conducting an assessment of a client being seen in the clinic for symptoms of a sinus
infection, asks the client about medications that he is taking. The client tells the nurse that he is
, taking nefazodone hydrochloride (Serzone). On the basis of this information, the nurse determines
that the client most likely has a history of:
A. Depression Correct
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease
13. Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse provides
information to the client about the adverse effects of the medication and tells the client to contact the
physician immediately if she experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness Correct
14..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?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on
the morning of the test." Correct
D. "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."
15.-A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
prescribed medication is higher than the normal dose. The nurse calls the physician's answering
service and is told that the physician is off for the night and will be available in the morning. The
nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician Correct
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes available
16 An emergency department (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the
sudden onset of premature ventricular contractions (PVCs) on the monitor, checks the client's
carotid pulse, and determines that the PVCs are not resulting in perfusion. The appropriate action by
the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client Correct
