EXIT HESI Comprehensive B Evolve Practice
Questions
1. When caring for a client in labor, which finding is most important to report to
the primary health care provider?
A. Maternal heart rate, 90 beats/min.
B. Fetal heart rate, 100 beats/min
C. Maternal blood pressure, 140/86 mm Hg
D. Maternal temperature, 100.0° F
ANSWER: “B- Fetal heart rate, 100 beats/min.”
2. After assessing a 26-year-old client with type 1 diabetes mellitus, which data
may indicate that the client is experiencing chronic complications of diabetes?
A. Blood pressure, 159/98 mm Hg
B. Hemoglobin A1c (HbA1c), 6%
C. Creatinine level, 1.0 mg/dL
D. Chronic sciatica
ANSWER: “B - Hemoglobin A1c (HbA1c), 6%.”
3. The nurse expects a clinical finding of cyanosis in an infant with which
condition(s)? (Select all that apply.)
A. Ventricular septal defect (VSD)
B. Patent ductus arteriosis (PDA)
C. Coarctation of the aorta
D. Tetralogy of Fallot
E. Transposition of the great vessels
ANSWER: “D – Tetralogy of Fallot
E – Transposition of the great vessels.”
4. A client exhibits symptoms of alcohol intoxication. The blood alcohol level is
200 mg (0.2%). Which measurement tool is best for the nurse to use during the
initial assessment of this client?
A. CAGE questionnaire for alcoholism
B. Addiction Severity Index
Page 1 of 6
, C. Glasgow Coma Scale
D. DSM multiaxial evaluation
ANSWER: “C - Glasgow Coma Scale.”
5. When assessing safety for the older adult, which of the following is of highest
priority to the nurse?
A. The client has a cataract in the right eye.
B. The client is not married and lives alone.
C. The client lives in a two-story building.
D. The client reports a history of repeated falls.
ANSWER: “D - The client reports a history of repeated falls.”
6. The family of a male adult with schizophrenia does not want the client to be
involved in decisions regarding his treatment. The nurse should inform the
family that the client has a right to be involved in his treatment planning based
on which law?
A. Social Security Act of 1990
B. American with Disabilities Act of 1990
C. Medicaid Act of 1965
D. Mental Health Act of 1946
ANSWER: “B - American with Disabilities Act of 1990.”
7. The nurse prepares to administer amoxicillin clavulanate potassium
(Augmentin) to a child weighing 15 kg. The prescription is for 15 mg/kg every
12 hours by mouth. How many milliliters should the nurse administer when
supplied as below?
A. 0.5
B. 1.8
C. 5
D. 9
ANSWER: “D – 9.”
Work out: “15kg × 15mg/kg = 225mg; dosage volume depends on supply
concentration provided in the original source image/context.”
Page 2 of 6
Questions
1. When caring for a client in labor, which finding is most important to report to
the primary health care provider?
A. Maternal heart rate, 90 beats/min.
B. Fetal heart rate, 100 beats/min
C. Maternal blood pressure, 140/86 mm Hg
D. Maternal temperature, 100.0° F
ANSWER: “B- Fetal heart rate, 100 beats/min.”
2. After assessing a 26-year-old client with type 1 diabetes mellitus, which data
may indicate that the client is experiencing chronic complications of diabetes?
A. Blood pressure, 159/98 mm Hg
B. Hemoglobin A1c (HbA1c), 6%
C. Creatinine level, 1.0 mg/dL
D. Chronic sciatica
ANSWER: “B - Hemoglobin A1c (HbA1c), 6%.”
3. The nurse expects a clinical finding of cyanosis in an infant with which
condition(s)? (Select all that apply.)
A. Ventricular septal defect (VSD)
B. Patent ductus arteriosis (PDA)
C. Coarctation of the aorta
D. Tetralogy of Fallot
E. Transposition of the great vessels
ANSWER: “D – Tetralogy of Fallot
E – Transposition of the great vessels.”
4. A client exhibits symptoms of alcohol intoxication. The blood alcohol level is
200 mg (0.2%). Which measurement tool is best for the nurse to use during the
initial assessment of this client?
A. CAGE questionnaire for alcoholism
B. Addiction Severity Index
Page 1 of 6
, C. Glasgow Coma Scale
D. DSM multiaxial evaluation
ANSWER: “C - Glasgow Coma Scale.”
5. When assessing safety for the older adult, which of the following is of highest
priority to the nurse?
A. The client has a cataract in the right eye.
B. The client is not married and lives alone.
C. The client lives in a two-story building.
D. The client reports a history of repeated falls.
ANSWER: “D - The client reports a history of repeated falls.”
6. The family of a male adult with schizophrenia does not want the client to be
involved in decisions regarding his treatment. The nurse should inform the
family that the client has a right to be involved in his treatment planning based
on which law?
A. Social Security Act of 1990
B. American with Disabilities Act of 1990
C. Medicaid Act of 1965
D. Mental Health Act of 1946
ANSWER: “B - American with Disabilities Act of 1990.”
7. The nurse prepares to administer amoxicillin clavulanate potassium
(Augmentin) to a child weighing 15 kg. The prescription is for 15 mg/kg every
12 hours by mouth. How many milliliters should the nurse administer when
supplied as below?
A. 0.5
B. 1.8
C. 5
D. 9
ANSWER: “D – 9.”
Work out: “15kg × 15mg/kg = 225mg; dosage volume depends on supply
concentration provided in the original source image/context.”
Page 2 of 6
