EXIT HESI COMPREHENSIVE B EVOLVE PRACTICE
QUESTIONS NEWEST VERSION 2026
1. When caring for a client with a tracheostomy, which intervention should the
nurse delegate to the unlicensed assistive personnel (UAP)?
A. Teach the family about signs and symptoms of hypoxia.
B. Take the vital signs and obtain an O2 saturation level.
C. Evaluate the need for tracheal suctioning.
D. Revise the plan of care to include tracheostomy care.
ANSWER: “B - Take the vital signs and obtain an O2 saturation level.”
2. Which clinical manifestation in the client with hyperthyroidism is most
important to report to the health care provider?
A. Nervousness
B. Increased appetite
C. Apical heart rate of 130 beats/min
D. Insomnia
ANSWER: “C - Apical heart rate of 130 beats/min”
3. Which action by the nurse is consistent with culturally competent care?
A. Treating each client the same regardless of race or religion
B. Ensuring that all Native American clients have access to a shaman
C. Understanding one's own world view in addition to the client's
D. Including the family in the plan of care for older clients
ANSWER: “C - Understanding one's own world view in addition to the client's”
4. Which monitored pattern of fetal heart rate alerts the nurse to seek immediate
intervention by the health care provider?
A. Accelerations in response to fetal movement
B. Early decelerations in the second stage of labor
C. Fetal heart rate of 130 beats/min between contractions
D. Late decelerations with absent variability and tachycardia
ANSWER: “D - Late decelerations with absent variability and tachycardia”
, 5. The nurse anticipates administering Rho(D) immune globulin (RhoGAM) to
which individual(s)? (Select all that apply.)
A. An Rh-negative woman who has had a miscarriage at 24 weeks
B. The father of a baby of an Rh-positive fetus
C. An Rh-negative mother after delivery of an Rh-positive infant with a
negative direct Coombs' test
D. An Rh-positive infant within 72 hours after birth
E. An Rh-negative mother with a negative antibody titer at 28 weeks
ANSWER: “A, C, E”
6. A client in an acute psychiatric setting asks the nurse if their conversations
will remain confidential. How should the nurse respond?
A. "The Health Insurance Portability and Accountability Act (HIPAA)
prevents me from repeating what you say."
B. "You can be assured that I will keep all of our conversations confidential
because it is important that you can trust me."
C. "For your safety and well-being, it may be necessary to share some of our
conversations with the health care team."
D. "I am legally required to document all of our conversations in the
electronic medical record."
ANSWER: (C - "For your safety and well-being, it may be necessary to share
some of our conversations with the health care team.")
7. Which instruction(s) should the nurse include in the discharge teaching plan
of a male client who has had a myocardial infarction and who has a new
prescription for nitroglycerin (NTG)? (Select all that apply.)
A. Keep the medication in your pocket so that it can be accessed quickly.
B. Call 911 if chest pain is not relieved after one nitroglycerin.
C. Store the medication in its original container and protect it from light.
D. Activate the emergency medical system after three doses of medication.
E. Do not use within 1 hour of taking sildenafil citrate (Viagra).
ANSWER: “B - Call 911 if chest pain is not relieved after one nitroglycerin
C - Store the medication in its original container and protect it from
light.”
QUESTIONS NEWEST VERSION 2026
1. When caring for a client with a tracheostomy, which intervention should the
nurse delegate to the unlicensed assistive personnel (UAP)?
A. Teach the family about signs and symptoms of hypoxia.
B. Take the vital signs and obtain an O2 saturation level.
C. Evaluate the need for tracheal suctioning.
D. Revise the plan of care to include tracheostomy care.
ANSWER: “B - Take the vital signs and obtain an O2 saturation level.”
2. Which clinical manifestation in the client with hyperthyroidism is most
important to report to the health care provider?
A. Nervousness
B. Increased appetite
C. Apical heart rate of 130 beats/min
D. Insomnia
ANSWER: “C - Apical heart rate of 130 beats/min”
3. Which action by the nurse is consistent with culturally competent care?
A. Treating each client the same regardless of race or religion
B. Ensuring that all Native American clients have access to a shaman
C. Understanding one's own world view in addition to the client's
D. Including the family in the plan of care for older clients
ANSWER: “C - Understanding one's own world view in addition to the client's”
4. Which monitored pattern of fetal heart rate alerts the nurse to seek immediate
intervention by the health care provider?
A. Accelerations in response to fetal movement
B. Early decelerations in the second stage of labor
C. Fetal heart rate of 130 beats/min between contractions
D. Late decelerations with absent variability and tachycardia
ANSWER: “D - Late decelerations with absent variability and tachycardia”
, 5. The nurse anticipates administering Rho(D) immune globulin (RhoGAM) to
which individual(s)? (Select all that apply.)
A. An Rh-negative woman who has had a miscarriage at 24 weeks
B. The father of a baby of an Rh-positive fetus
C. An Rh-negative mother after delivery of an Rh-positive infant with a
negative direct Coombs' test
D. An Rh-positive infant within 72 hours after birth
E. An Rh-negative mother with a negative antibody titer at 28 weeks
ANSWER: “A, C, E”
6. A client in an acute psychiatric setting asks the nurse if their conversations
will remain confidential. How should the nurse respond?
A. "The Health Insurance Portability and Accountability Act (HIPAA)
prevents me from repeating what you say."
B. "You can be assured that I will keep all of our conversations confidential
because it is important that you can trust me."
C. "For your safety and well-being, it may be necessary to share some of our
conversations with the health care team."
D. "I am legally required to document all of our conversations in the
electronic medical record."
ANSWER: (C - "For your safety and well-being, it may be necessary to share
some of our conversations with the health care team.")
7. Which instruction(s) should the nurse include in the discharge teaching plan
of a male client who has had a myocardial infarction and who has a new
prescription for nitroglycerin (NTG)? (Select all that apply.)
A. Keep the medication in your pocket so that it can be accessed quickly.
B. Call 911 if chest pain is not relieved after one nitroglycerin.
C. Store the medication in its original container and protect it from light.
D. Activate the emergency medical system after three doses of medication.
E. Do not use within 1 hour of taking sildenafil citrate (Viagra).
ANSWER: “B - Call 911 if chest pain is not relieved after one nitroglycerin
C - Store the medication in its original container and protect it from
light.”
