PN HESI FUNDAMENTALS EXAMS 2
COMPREHENSIVE EXAM SCRIPT 2026 SOLVED
QUESTIONS FULL SOLUTION
◉ The nurse is teaching a client proper use of an inhaler. When
should the client administer the inhaler-delivered medication to
demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation Answer: B. During the inhalation.
(The client should be instructed to deliver the medication during the
last part of inhalation (B). After the medication is delivered, the
client should remove the mouthpiece, keeping his/her lips closed
and breath held for several seconds to allow for distribution of the
medication. The client should not deliver the dose as started in (A or
D), and should deliver no more than two inhalations at a time (C).)
◉ An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing
at a rate of 30 mcg/min, is prescribed for a client in premature labor.
How many ml/hr should the nurse set the infusion pump? Answer:
180
,◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxoltn is available in 5 mg tablets. How
much should the nurse plan to administer? Answer: 1 1/2 tablets
◉ The healthcare provider prescribes furosemide (Lasix) 15 mg IV
stat. On hand is Lasix 20 mg/2ml. How many millileters should the
nurse administer? Answer: 1.5 mL
◉ Heparin 20,000 units in 500 mL D5W at 50 mL/hour has been
infusing for 5.5 hours. How much heparin has the client received?
Answer: 11,000 units
◉ The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 mL/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10% dextrose and water at 54 mL/hour.
D. Obtain a stat blood glucose level and notify the HCP. Answer: C.
Infuse 10% dextrose and water at 54 mL/hour.
(TPN is discontinued gradually to allow the client to adjust
decreased levels of glucose. Administering 10% dextrose in water at
the prescribed rate (C) will keep the client from experiencing
,hypoglycemia until the next TPN solution is available. The client
could experience a hypoglycemic reaction if the current level of
glucose (A) is not maintained or if the TPN is discontinued abruptly
(B). There is no reason to obtain a stat blood-glucose level (D) and
the HCP cannot do anything about this situation.)
◉ Examination of a client complaining of itching on his right arm
reveals a rash made up of multiple flat areas of redness ranging from
pinpoint to 0.5 cm in diameter. How should the nurse record this
finding?
A. Multiple vesicular areas surrounded by redness, ranging in size
from 1 mm to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in
diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in
size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm
in diameter. Answer: B. Localized red rash comprised of flat areas,
pinpoint to 0.5 cm in diameter. (Macules are localized flat skin
discolorations less than 1 cm in diameter. However, when recording
such a finding the nurse should describe the appearance (B) rather
than simply naming the condition. (A) identifies vesicles-- fluid filled
blisters--an incorrect description given the symptoms listed. (C)
identifies papule-- solid elevated lesions, again not correctly
identifying the symptoms. (D) identifies petechiae-- pinpoint red to
purple skin discolorations that do not itch, again an incorrect
identification.)
, ◉ At the time of the first dressing change, the client refuses to look
at her mastectomy incision. The nurse tells the client that the
incision is healing well, but the client refuses to talk about it. What
would be an appropriate response to this client's silence?
A. "It is normal to feel angry and depressed, but the sooner you deal
with this surgery, the better you will feel."
B. "Looking at your incision can be frightening, but facing this fear is
a necessary part of your recovery."
C. "It is OK if you don't want to talk about your surgery. I will be
available when you are ready."
D. "I will ask a woman who has had a mastectomy to come by and
share her experiences with you." Answer: C. "It is OK if you don't
want to talk about your surgery. I will be available when you are
ready."
( (C) displays sensitivity and understanding without judging the
client. (A) is judgmental in that it is telling the client how she feels
and is also insensitive. (B) would give the client a chance to talk, but
is also demanding and demeaning. (D) displays a positive action, but,
because the nurse's personal support if not offered, this response
could be interpreted as dismissing the client and avoiding the
problem.)
◉ The nurse is evaluating a client learning about a low-sodium diet.
Selection of which meal would indicate to the nurse that this client
understands the dietary restrictions? Answer: Skim milk, turkey
salad, roll, and vanilla ice cream
COMPREHENSIVE EXAM SCRIPT 2026 SOLVED
QUESTIONS FULL SOLUTION
◉ The nurse is teaching a client proper use of an inhaler. When
should the client administer the inhaler-delivered medication to
demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation Answer: B. During the inhalation.
(The client should be instructed to deliver the medication during the
last part of inhalation (B). After the medication is delivered, the
client should remove the mouthpiece, keeping his/her lips closed
and breath held for several seconds to allow for distribution of the
medication. The client should not deliver the dose as started in (A or
D), and should deliver no more than two inhalations at a time (C).)
◉ An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing
at a rate of 30 mcg/min, is prescribed for a client in premature labor.
How many ml/hr should the nurse set the infusion pump? Answer:
180
,◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxoltn is available in 5 mg tablets. How
much should the nurse plan to administer? Answer: 1 1/2 tablets
◉ The healthcare provider prescribes furosemide (Lasix) 15 mg IV
stat. On hand is Lasix 20 mg/2ml. How many millileters should the
nurse administer? Answer: 1.5 mL
◉ Heparin 20,000 units in 500 mL D5W at 50 mL/hour has been
infusing for 5.5 hours. How much heparin has the client received?
Answer: 11,000 units
◉ The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 mL/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10% dextrose and water at 54 mL/hour.
D. Obtain a stat blood glucose level and notify the HCP. Answer: C.
Infuse 10% dextrose and water at 54 mL/hour.
(TPN is discontinued gradually to allow the client to adjust
decreased levels of glucose. Administering 10% dextrose in water at
the prescribed rate (C) will keep the client from experiencing
,hypoglycemia until the next TPN solution is available. The client
could experience a hypoglycemic reaction if the current level of
glucose (A) is not maintained or if the TPN is discontinued abruptly
(B). There is no reason to obtain a stat blood-glucose level (D) and
the HCP cannot do anything about this situation.)
◉ Examination of a client complaining of itching on his right arm
reveals a rash made up of multiple flat areas of redness ranging from
pinpoint to 0.5 cm in diameter. How should the nurse record this
finding?
A. Multiple vesicular areas surrounded by redness, ranging in size
from 1 mm to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in
diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in
size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm
in diameter. Answer: B. Localized red rash comprised of flat areas,
pinpoint to 0.5 cm in diameter. (Macules are localized flat skin
discolorations less than 1 cm in diameter. However, when recording
such a finding the nurse should describe the appearance (B) rather
than simply naming the condition. (A) identifies vesicles-- fluid filled
blisters--an incorrect description given the symptoms listed. (C)
identifies papule-- solid elevated lesions, again not correctly
identifying the symptoms. (D) identifies petechiae-- pinpoint red to
purple skin discolorations that do not itch, again an incorrect
identification.)
, ◉ At the time of the first dressing change, the client refuses to look
at her mastectomy incision. The nurse tells the client that the
incision is healing well, but the client refuses to talk about it. What
would be an appropriate response to this client's silence?
A. "It is normal to feel angry and depressed, but the sooner you deal
with this surgery, the better you will feel."
B. "Looking at your incision can be frightening, but facing this fear is
a necessary part of your recovery."
C. "It is OK if you don't want to talk about your surgery. I will be
available when you are ready."
D. "I will ask a woman who has had a mastectomy to come by and
share her experiences with you." Answer: C. "It is OK if you don't
want to talk about your surgery. I will be available when you are
ready."
( (C) displays sensitivity and understanding without judging the
client. (A) is judgmental in that it is telling the client how she feels
and is also insensitive. (B) would give the client a chance to talk, but
is also demanding and demeaning. (D) displays a positive action, but,
because the nurse's personal support if not offered, this response
could be interpreted as dismissing the client and avoiding the
problem.)
◉ The nurse is evaluating a client learning about a low-sodium diet.
Selection of which meal would indicate to the nurse that this client
understands the dietary restrictions? Answer: Skim milk, turkey
salad, roll, and vanilla ice cream
