HESI Comprehensive Exit Exam PREP
HESI COMPREHENSIVE EXIT EXAM PREP LATEST 2025/2026
ACTUAL EXAM TEST BANK COMPLETE 125 QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
The nurse is planning to conduct nutritional assessments and diet teaching to
clients at a family health clinic. Which individual has the greatest nutritional and
energy demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child.
A
A pregnant woman's metabolic demands are 20 to 24% more than the basic
metabolic rate. The other clients require only 15 to 20% more than the basic
metabolic rate.
What nursing delivery of care provides the nurse to plan and direct care of a group
of clients over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing.
B
(Primary nursing is a model of delivery of care where a nurse is accountable for
planning care for clients around the clock. Functional nursing is a care delivery
1|Page
, HESI Comprehensive Exit Exam PREP
model that provides client care by assignment of functions or tasks. Team nursing
is a care delivery model where assignments to a group of clients are provided by a
mixed-staff team. Case management is the delivery of care that uses a
collaborative process of assessment, planning, facilitation, and advocacy for
options and services to meet an individual's health needs and promote quality
cost-effective outcomes.)
Which approach should the nurse use when preparing a toddler for a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.
A
(Imitation is one of the most distinguishing characteristics of toddler play, so
demonstration of a procedure on a doll enables a non-threatening, dramatic
experience that can help prepare the toddler for the actual procedure. The primary
developmental task in toddlerhood is acquiring a sense of autonomy, so giving
choices whenever possible to a toddler is recommended, not avoiding asking the
toddler to make a choice. Since the toddler's attention span is short, teaching
sessions should be brief and can be repeated for reinforcement. Showing the
equipment before its use helps relieve anxiety, but the child should be allowed to
handle some of the equipment to prevent frustration and alleviate fear.)
The nurse is caring for a client who is the daughter of a local politician. When the
nurse approaches a man who is reading the names on the hall doors, he identifies
himself as a reporter for the local newspaper and requests information about the
client's status. Which standard of nursing practice should the nurse use to
respond?
a. Caring.
b. Veracity.
2|Page
, HESI Comprehensive Exit Exam PREP
c. Advocacy.
d. Confidentiality.
D
(Confidentiality is the nurse's primary responsibility and is supported by HIPAA,
which mandates that personal information is not disclosed and access to sensitive
client information is limited. Caring involves the nurse's concern about how the
client experiences the world. Veracity is the nurse's duty to tell the truth and not
deceive others. Advocacy is support of the client's best interests.)
A male client diagnosed with antisocial personality disorder is morbidly obese and
is placed on a low fat, low calorie diet. At dinner the nurse notes that he is trying
to get other clients on the unit to give him part of their meals. What intervention
should the nurse implement?
a. Remove the client from the table and have him sit alone.
b. Send the client back to his room and do not allow him to eat.
c. Report the behavior to the on-call psychologist immediately.
d. Confront the client about the consequences of the behavior.
D
(The nurse should provide a reality check by helping the client realize that there
are consequences to his behavior. Removing the client from the room or table does
not help the client realize that his behavior is manipulative and harmful to himself
as well as others. This behavior needs to be documented, but does not need to be
reported immediately.)
The nurse is assessing a client who complains of weight loss, racing heart rate, and
difficulty sleeping. The nurse determines the client has moist skin with fine hair,
prominent eyes, lid retraction, and a staring expression. These findings are
consistent with which disorder?
a. Grave's disease.
3|Page
, HESI Comprehensive Exit Exam PREP
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
A
(This client is exhibiting symptoms associated with hyperthyroidism or Grave's
disease, which is an autoimmune condition affecting the thyroid. Cushing
syndrome, multiple sclerosis, or Addison's disease are not associated with these
symptoms.)
Which information should the nurse give a client with chronic kidney disease
(CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber.
C
(A client with CKD should restrict sodium and potassium dietary intake, and salt
substitutes usually contain potassium, so they should avoid using them.
Hypocalcemia is a complication of CKD and calcium supplements are often needed.
Anemia related to CKD is treated with iron, folic acid, and erythropoietin, not B12
injections. Although increasing fiber is a common dietary recommendation, it not
an essential part of client teaching for CKD.)
A young adult female arrives at the emergency department with a black right eye
and is bleeding from the left side of her head. She reports that her boyfriend has
been abusing her physically. The nurse performs a history and physical
examination. How should the nurse document these findings?
a. Client alleges that her boyfriend beat her up. Client is bleeding from the left
side of the face.
b. Client reports her boyfriend hit her in the eye and on the head. Bruises and
4|Page
HESI COMPREHENSIVE EXIT EXAM PREP LATEST 2025/2026
ACTUAL EXAM TEST BANK COMPLETE 125 QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
The nurse is planning to conduct nutritional assessments and diet teaching to
clients at a family health clinic. Which individual has the greatest nutritional and
energy demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child.
A
A pregnant woman's metabolic demands are 20 to 24% more than the basic
metabolic rate. The other clients require only 15 to 20% more than the basic
metabolic rate.
What nursing delivery of care provides the nurse to plan and direct care of a group
of clients over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing.
B
(Primary nursing is a model of delivery of care where a nurse is accountable for
planning care for clients around the clock. Functional nursing is a care delivery
1|Page
, HESI Comprehensive Exit Exam PREP
model that provides client care by assignment of functions or tasks. Team nursing
is a care delivery model where assignments to a group of clients are provided by a
mixed-staff team. Case management is the delivery of care that uses a
collaborative process of assessment, planning, facilitation, and advocacy for
options and services to meet an individual's health needs and promote quality
cost-effective outcomes.)
Which approach should the nurse use when preparing a toddler for a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.
A
(Imitation is one of the most distinguishing characteristics of toddler play, so
demonstration of a procedure on a doll enables a non-threatening, dramatic
experience that can help prepare the toddler for the actual procedure. The primary
developmental task in toddlerhood is acquiring a sense of autonomy, so giving
choices whenever possible to a toddler is recommended, not avoiding asking the
toddler to make a choice. Since the toddler's attention span is short, teaching
sessions should be brief and can be repeated for reinforcement. Showing the
equipment before its use helps relieve anxiety, but the child should be allowed to
handle some of the equipment to prevent frustration and alleviate fear.)
The nurse is caring for a client who is the daughter of a local politician. When the
nurse approaches a man who is reading the names on the hall doors, he identifies
himself as a reporter for the local newspaper and requests information about the
client's status. Which standard of nursing practice should the nurse use to
respond?
a. Caring.
b. Veracity.
2|Page
, HESI Comprehensive Exit Exam PREP
c. Advocacy.
d. Confidentiality.
D
(Confidentiality is the nurse's primary responsibility and is supported by HIPAA,
which mandates that personal information is not disclosed and access to sensitive
client information is limited. Caring involves the nurse's concern about how the
client experiences the world. Veracity is the nurse's duty to tell the truth and not
deceive others. Advocacy is support of the client's best interests.)
A male client diagnosed with antisocial personality disorder is morbidly obese and
is placed on a low fat, low calorie diet. At dinner the nurse notes that he is trying
to get other clients on the unit to give him part of their meals. What intervention
should the nurse implement?
a. Remove the client from the table and have him sit alone.
b. Send the client back to his room and do not allow him to eat.
c. Report the behavior to the on-call psychologist immediately.
d. Confront the client about the consequences of the behavior.
D
(The nurse should provide a reality check by helping the client realize that there
are consequences to his behavior. Removing the client from the room or table does
not help the client realize that his behavior is manipulative and harmful to himself
as well as others. This behavior needs to be documented, but does not need to be
reported immediately.)
The nurse is assessing a client who complains of weight loss, racing heart rate, and
difficulty sleeping. The nurse determines the client has moist skin with fine hair,
prominent eyes, lid retraction, and a staring expression. These findings are
consistent with which disorder?
a. Grave's disease.
3|Page
, HESI Comprehensive Exit Exam PREP
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
A
(This client is exhibiting symptoms associated with hyperthyroidism or Grave's
disease, which is an autoimmune condition affecting the thyroid. Cushing
syndrome, multiple sclerosis, or Addison's disease are not associated with these
symptoms.)
Which information should the nurse give a client with chronic kidney disease
(CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber.
C
(A client with CKD should restrict sodium and potassium dietary intake, and salt
substitutes usually contain potassium, so they should avoid using them.
Hypocalcemia is a complication of CKD and calcium supplements are often needed.
Anemia related to CKD is treated with iron, folic acid, and erythropoietin, not B12
injections. Although increasing fiber is a common dietary recommendation, it not
an essential part of client teaching for CKD.)
A young adult female arrives at the emergency department with a black right eye
and is bleeding from the left side of her head. She reports that her boyfriend has
been abusing her physically. The nurse performs a history and physical
examination. How should the nurse document these findings?
a. Client alleges that her boyfriend beat her up. Client is bleeding from the left
side of the face.
b. Client reports her boyfriend hit her in the eye and on the head. Bruises and
4|Page
