COMPREHENSIVE HESI EXIT V2 EXAM 2026
QUESTIONS WITH ANSWERS ALREADY
GRADED A+ BY EXPERTS
After receiving IV fluids in the emergency department, an elderly client is admitted
to
the acute care unit with a medical diagnosis of dehydration. The client is
receiving 0.9% normal saline at 125 ml/hour via saline lock and has a
bounding pulse, tachycardia, and pedal edema. When contacting the
healthcare provider, the nurse anticipates a prescription what intervention?
A) Remove the saline lock from the client’s arm.
B) Increase the rate of the normal saline infusion.
C) Decrease the rate of the normal saline infusion.
D) Change the IV solution to 0.45% saline solution.
0
, A client who is admitted to the care unit with syndrome of inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
intervention should thenurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
After 2 days treatment for dehydration, a child continues to vomit and
have diarrhea. Normal saline is infusing and the child’s urine output is
50ml/hour. During morning assessment, the nurse determines that the child
is lethargic and difficult to arouse. Which should the nurse implement?
A) Increase the IV fluid flow rate.
B) Review 24-hour intake and output.
C) Obtain arterial blood gases.
D) Perform a finger stick glucose test.
The nurse is preparing a client who had a below-the-knee (BKA)
amputation fordischarge to home. Which recommendations should the
nurse provide this client? (Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the stump after
bathing. D) Inspect skin for redness.
E) Use a residual limb shrinker.
, A client with bleeding esophageal varices receives vasopressin IV. What
should the nurse monitor for during the IV infusion of this medication?
A) Vasodilatation of the
extremities. B) Chest pain and
dysrhythmia.
C) Hypotension and tachycardia.
D) Decreasing GI cramping and nausea.
, An older client is admitted for repair of a broken hip. To reduce
the risk for infection postoperative period., which nursing care intervention
should the nurse include the client’s plan of care? (Select all that apply)
A) Administer low molecular weight heparin as prescribed.
B) Teach client to use incentive spirometer every 2 hours while
awake. C) Remove urinary catheter as soon as possible and
encourage voiding.
D) Maintain sequential compression devices while in bed.
E) Assess pain level and medicate PRN as prescribed.
A male client with an antisocial personality disorder is admitted to an
inpatient mental health unit for multiple substance dependency. When
providing a history, the client justifies to the nurse his use of illicit drugs.
Based on this pattern of behavior, this client’s history is most likely to include
which finding?
A) Multiple convictions for misdemeanors and Class B felonies.
B) Delusions of grandiosity and persecution.
C) Suicidal ideations and multiple attempts.
D) Photos and panic attacks when confronted by authority figures.
QUESTIONS WITH ANSWERS ALREADY
GRADED A+ BY EXPERTS
After receiving IV fluids in the emergency department, an elderly client is admitted
to
the acute care unit with a medical diagnosis of dehydration. The client is
receiving 0.9% normal saline at 125 ml/hour via saline lock and has a
bounding pulse, tachycardia, and pedal edema. When contacting the
healthcare provider, the nurse anticipates a prescription what intervention?
A) Remove the saline lock from the client’s arm.
B) Increase the rate of the normal saline infusion.
C) Decrease the rate of the normal saline infusion.
D) Change the IV solution to 0.45% saline solution.
0
, A client who is admitted to the care unit with syndrome of inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
intervention should thenurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
After 2 days treatment for dehydration, a child continues to vomit and
have diarrhea. Normal saline is infusing and the child’s urine output is
50ml/hour. During morning assessment, the nurse determines that the child
is lethargic and difficult to arouse. Which should the nurse implement?
A) Increase the IV fluid flow rate.
B) Review 24-hour intake and output.
C) Obtain arterial blood gases.
D) Perform a finger stick glucose test.
The nurse is preparing a client who had a below-the-knee (BKA)
amputation fordischarge to home. Which recommendations should the
nurse provide this client? (Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the stump after
bathing. D) Inspect skin for redness.
E) Use a residual limb shrinker.
, A client with bleeding esophageal varices receives vasopressin IV. What
should the nurse monitor for during the IV infusion of this medication?
A) Vasodilatation of the
extremities. B) Chest pain and
dysrhythmia.
C) Hypotension and tachycardia.
D) Decreasing GI cramping and nausea.
, An older client is admitted for repair of a broken hip. To reduce
the risk for infection postoperative period., which nursing care intervention
should the nurse include the client’s plan of care? (Select all that apply)
A) Administer low molecular weight heparin as prescribed.
B) Teach client to use incentive spirometer every 2 hours while
awake. C) Remove urinary catheter as soon as possible and
encourage voiding.
D) Maintain sequential compression devices while in bed.
E) Assess pain level and medicate PRN as prescribed.
A male client with an antisocial personality disorder is admitted to an
inpatient mental health unit for multiple substance dependency. When
providing a history, the client justifies to the nurse his use of illicit drugs.
Based on this pattern of behavior, this client’s history is most likely to include
which finding?
A) Multiple convictions for misdemeanors and Class B felonies.
B) Delusions of grandiosity and persecution.
C) Suicidal ideations and multiple attempts.
D) Photos and panic attacks when confronted by authority figures.
