NU471 HESI Comprehensive Practice Exam 2 PREP
NU471 HESI COMPREHENSIVE PRACTICE EXAM 2 PREP LATEST
2025/2026 ACTUAL EXAM TEST BANK COMPLETE 125 QUESTIONS
AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
A young adult female is brought to the emergency room by family members who
report that she ingested a large quantity of acetaminophen (Tylenol). The nurse
should prepare for which treatment to be implemented?
o IV administration of Narcan.
o Syrup of ipecac per nasogastric tube.
o Acetylcysteine (Mucomyst) 140 mg/kg.
o Gastric lavage with normal saline.
o Acetylcysteine (Mucomyst) 140 mg/kg.
· Mucomyst is the antidote for acute acetaminophen (Tylenol) poisoning and is the
treatment of choice for an overdose.
While conducting a routine health assessment of a woman who recently
immigrated to the U.S. from China, the nurse notes that the client makes little
direct eye contact, is deferential to healthcare personnel, and avoids sharing her
personal thoughts and feelings. What action should the nurse take?
o Continue the interview process and record the findings.
o Refer the client to a psychiatric outpatient clinic.
o Determine if there is a family history of emotional disorders.
o Encourage the woman to attend citizenship classes.
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, NU471 HESI Comprehensive Practice Exam 2 PREP
o Continue the interview process and record the findings.
· The nurse should accept these behaviors as culturally determined and continue
with the interview. These behaviors are common in the Chinese culture where
people are members of strong, cohesive groups that focus on the group rather
than the individual.
Which outcome statement or goal should the nurse include in the plan of care of
an adolescent diagnosed with anorexia nervosa?
o Improve the client's body perception.
o Consume at least 50% of all meals.
o Exercise no more than one hour daily.
o 5% decrease in serum potassium levels.
o Consume at least 50% of all meals.
· An outcome statement should be measurable and provide observable behaviors
that indicate the client's problem is resolving. Self-starvation is the major problem
associated with anorexia nervosa, so stating the person should consuming 50% of
diet should be included in this client's plan of care. "Improve bosy perception" is
vague and not measurable. Adolescents with anorexia nervosa often obsessively
exercise to lose additional weight, so defining exercise time limits may be
excessive. Clients with anorexia have an increased risk for hypokalemia, so
decreasing serum potassium levels is an inappropriate goal for this client.
Yesterday a female client who is delusional told the nurse that her healthcare
provider needs to be released from her case because they are going to get
married on her birthday. Which statement made by the client today indicates that
the client is less delusional?
o "I really wish that my birthday wasn't so soon."
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, NU471 HESI Comprehensive Practice Exam 2 PREP
o "I don't talk about things like that anymore."
o "The doctor won't talk with me about this."
o "I think I should talk about this in group."
o "I don't talk about things like that anymore."
· When the client states that she doesn't want to talk about things like that
anymore, she is likely less delusional, because when a client begins to question the
delusional belief or stops talking about it, the client is becoming less delusional.
When making a home visit to a family with a teething 4-month-old, what
information is most important for the nurse to provide the parents?
o Though child development is characterized by individual differences, first teeth
usually erupt during the seventh month.
o Providing cooled teething toys can help decrease the discomfort associated with
tooth eruption.
o No action is required for the common symptoms associated with teething,
which include drooling, irritability, and poor sleeping.
o A slight fever is often associated with teething, but a fever lasting more than
three days requires medical attention.
o A slight fever is often associated with teething, but a fever lasting more than
three days requires medical attention.
· A slight fever that persists longer than three days is likely to be associated with a
pathological process, not teething, and the parents should seek the attention of
their healthcare provider if it occurs.
A client with acute pancreatitis is admitted to the medical unit. During the nurse's
admission interview, which assessment has the highest priority?
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, NU471 HESI Comprehensive Practice Exam 2 PREP
o History of alcohol intake.
o Time of last meal.
o Frequency of vomiting.
o Intensity of pain.
o Intensity of pain.
· The hallmark sign of pancreatitis is severe abdominal pain due to autodigestion
of the pancreas by the enzymes amylase and lipase.
Which action should the nurse take first when performing tracheostomy care?
o Cleanse around the stoma.
o Suction the tracheostomy.
o Oxygenate with 100% oxygen.
o Secure the new neck strap.
o Oxygenate with 100% oxygen.
· Hyperinflation with 100% oxygen helps minimize hypoxia and atelectasis during
the suctioning procedure, so the nurse should take this action first, before any of
the other options.
During a home visit, the nurse notes that a female client with degenerative joint
disease is taking 3 grams of aspirin PO daily. The client complains of tinnitus, and
seems confused. Which intervention should the nurse implement?
o Prepare a written schedule to remind the client when to take each dose of
aspirin.
o Observe the client place each dose in the correct boxes of her pill container.
o Contact the client's healthcare provider to report the assessment findings.
4|Page
NU471 HESI COMPREHENSIVE PRACTICE EXAM 2 PREP LATEST
2025/2026 ACTUAL EXAM TEST BANK COMPLETE 125 QUESTIONS
AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
A young adult female is brought to the emergency room by family members who
report that she ingested a large quantity of acetaminophen (Tylenol). The nurse
should prepare for which treatment to be implemented?
o IV administration of Narcan.
o Syrup of ipecac per nasogastric tube.
o Acetylcysteine (Mucomyst) 140 mg/kg.
o Gastric lavage with normal saline.
o Acetylcysteine (Mucomyst) 140 mg/kg.
· Mucomyst is the antidote for acute acetaminophen (Tylenol) poisoning and is the
treatment of choice for an overdose.
While conducting a routine health assessment of a woman who recently
immigrated to the U.S. from China, the nurse notes that the client makes little
direct eye contact, is deferential to healthcare personnel, and avoids sharing her
personal thoughts and feelings. What action should the nurse take?
o Continue the interview process and record the findings.
o Refer the client to a psychiatric outpatient clinic.
o Determine if there is a family history of emotional disorders.
o Encourage the woman to attend citizenship classes.
1|Page
, NU471 HESI Comprehensive Practice Exam 2 PREP
o Continue the interview process and record the findings.
· The nurse should accept these behaviors as culturally determined and continue
with the interview. These behaviors are common in the Chinese culture where
people are members of strong, cohesive groups that focus on the group rather
than the individual.
Which outcome statement or goal should the nurse include in the plan of care of
an adolescent diagnosed with anorexia nervosa?
o Improve the client's body perception.
o Consume at least 50% of all meals.
o Exercise no more than one hour daily.
o 5% decrease in serum potassium levels.
o Consume at least 50% of all meals.
· An outcome statement should be measurable and provide observable behaviors
that indicate the client's problem is resolving. Self-starvation is the major problem
associated with anorexia nervosa, so stating the person should consuming 50% of
diet should be included in this client's plan of care. "Improve bosy perception" is
vague and not measurable. Adolescents with anorexia nervosa often obsessively
exercise to lose additional weight, so defining exercise time limits may be
excessive. Clients with anorexia have an increased risk for hypokalemia, so
decreasing serum potassium levels is an inappropriate goal for this client.
Yesterday a female client who is delusional told the nurse that her healthcare
provider needs to be released from her case because they are going to get
married on her birthday. Which statement made by the client today indicates that
the client is less delusional?
o "I really wish that my birthday wasn't so soon."
2|Page
, NU471 HESI Comprehensive Practice Exam 2 PREP
o "I don't talk about things like that anymore."
o "The doctor won't talk with me about this."
o "I think I should talk about this in group."
o "I don't talk about things like that anymore."
· When the client states that she doesn't want to talk about things like that
anymore, she is likely less delusional, because when a client begins to question the
delusional belief or stops talking about it, the client is becoming less delusional.
When making a home visit to a family with a teething 4-month-old, what
information is most important for the nurse to provide the parents?
o Though child development is characterized by individual differences, first teeth
usually erupt during the seventh month.
o Providing cooled teething toys can help decrease the discomfort associated with
tooth eruption.
o No action is required for the common symptoms associated with teething,
which include drooling, irritability, and poor sleeping.
o A slight fever is often associated with teething, but a fever lasting more than
three days requires medical attention.
o A slight fever is often associated with teething, but a fever lasting more than
three days requires medical attention.
· A slight fever that persists longer than three days is likely to be associated with a
pathological process, not teething, and the parents should seek the attention of
their healthcare provider if it occurs.
A client with acute pancreatitis is admitted to the medical unit. During the nurse's
admission interview, which assessment has the highest priority?
3|Page
, NU471 HESI Comprehensive Practice Exam 2 PREP
o History of alcohol intake.
o Time of last meal.
o Frequency of vomiting.
o Intensity of pain.
o Intensity of pain.
· The hallmark sign of pancreatitis is severe abdominal pain due to autodigestion
of the pancreas by the enzymes amylase and lipase.
Which action should the nurse take first when performing tracheostomy care?
o Cleanse around the stoma.
o Suction the tracheostomy.
o Oxygenate with 100% oxygen.
o Secure the new neck strap.
o Oxygenate with 100% oxygen.
· Hyperinflation with 100% oxygen helps minimize hypoxia and atelectasis during
the suctioning procedure, so the nurse should take this action first, before any of
the other options.
During a home visit, the nurse notes that a female client with degenerative joint
disease is taking 3 grams of aspirin PO daily. The client complains of tinnitus, and
seems confused. Which intervention should the nurse implement?
o Prepare a written schedule to remind the client when to take each dose of
aspirin.
o Observe the client place each dose in the correct boxes of her pill container.
o Contact the client's healthcare provider to report the assessment findings.
4|Page
