NU471 HESI Comprehensive Practice Exam 1 PREP
NU471 HESI COMPREHENSIVE PRACTICE EXAM 1 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 child with Tetrology of Fallot suffers a hypercyanotic episode. Which immediate
action by the nurse can lessen the symptoms of this "TET spell?"
o Remove child's constrictive clothing.
o Place child in knee-chest position.
o Have child stop all current activity.
o Administer a dose of digoxin stat.
o Place child in knee-chest position.
· The child should be placed on his or her back in the knee-to-chest position to
increase blood vessel resistance. The increased pressure reduces the rush of blood
through the septal hole and improves blood circulation. Removing tight clothing
has nominal effects in hypercyanosis. Stopping current activity is self-regulating. A
dose of digoxin is not indicated for immediate relief of "tet spells." It is used to
improve cardiac output.
The nurse is planning a wellness program aimed at primary prevention in the
community. Which action should the nurse implement?
o Immunizations that decrease occurrences of many contagious diseases.
o Blood pressure screenings to identify persons with high blood pressure.
o Breast self-examination (BSE) for young women instead of a mammogram.
o Home care monitoring for clients who are high-risk due to pregnancy.
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, NU471 HESI Comprehensive Practice Exam 1 PREP
o Immunizations that decrease occurrences of many contagious diseases.
· Primary prevention involves health promotion and disease prevention activities to
decrease the occurrence of illness and enhance general health and quality of life,
such as immunization. Health screenings are the mainstay of secondary prevention
and include interventions designed to increase the probability that disease is
diagnosed early when treatment is likely to result in cure. Tertiary prevention like
home monitoring of high-risk pregnancies includes interventions aimed at
disability limitation from disease, injury, or disability.
Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The
Demerol solution contains 50 mg/ml. How much solution should the nurse
administer?
o 0.5 ml.
o 1 ml.
o 1.5 ml.
o 2 ml.
o 1.5 ml.
· Have: 50 mg/mL
· Need: 75 mg
· Need/Have = 75 mg / (50 mg/mL) = 75 mg / 50 mg = 1.5 à mg cancel out à 1.5 /
1 mL= 1.5 mL
o Alternative Method:
o To correctly solve this problem, use the formula: Desired/On Hand, or the
algebraic formula: 75: x = 50 : 1. 50x = 75. x = 75/50 or reduced to 1.5 ml (C).
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, NU471 HESI Comprehensive Practice Exam 1 PREP
A client is admitted with a medical diagnosis of Addisonian crisis. When
completing the admission assessment, the nurse expects this client to exhibit
which clinical manifestations?
o Thin, fragile skin, ecchymoses, and complaints of weakness.
o Headache, diaphoresis, and palpitations.
o Hypotension, rapid weak pulse, and rapid respiratory rate.
o Abrupt onset of hyperpyrexia, extreme tachycardia, and delirium.
o Hypotension, rapid weak pulse, and rapid respiratory rate.
· The clinical manifestations of Addisonian crisis are often the manifestations of
shock; the client is at risk for circulatory collapse and shock. thin frail skin indicates
clinical manifestations of Cushing's syndrome, Headaches, sweating, and
palpitations indicate a pheochromocytoma (tumor of adrenal medulla), and
abrupt hyperpyrexia, tachycardia and dilirum are indicative of a thyroid storm
(thyrotoxic crisis).
The nurse obtains the pulse rate of 89 beats/minute for an infant before
administering digoxin (Lanoxin). Which action should the nurse take?
o Assess respiratory rate for one minute next.
o Give the medication dosage as scheduled.
o Wait 30 minutes and give half of the dosage of medication.
o Withhold the medication and contact the healthcare provider.
o Withhold the medication and contact the healthcare provider.
· Monitor apical pulse for 1 full min before administering. Withhold dose and
notify health care professional if pulse rate is <60 bpm in an adult, <70 bpm in a
child, or <90 bpm in an infant.
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, NU471 HESI Comprehensive Practice Exam 1 PREP
· Bradycardia is an early sign of digoxin toxicity, so if the infant's pulse rate is less
than 100 beats/minute, digoxin should be withheld and the healthcare provider
should be notified. Assessing the respiratory rate is not indicated before
administering Lanoxin. Administering the dose or only giving a partial dose places
the infant at further risk for digoxin toxicity.
The nurse is conducting a drug education class for junior high school students.
Which statement, provided by one of the student participants, best describes the
primary characteristic of addiction?
o "Addicts who use illegal drugs are trying to escape reality."
o "Addiction causes people to steal and lie."
o "Those who are unhappy with themselves are more likely to become addicts."
o "Wanting the drug is all that matters to an addict."
o "Wanting the drug is all that matters to an addict."
· The hallmark characteristic of addiction is impaired control: all that matters is
obtaining the drug of choice. Trying to escape reality may or may not be true, but
is not the primary characteristic of addiction. Stealing/lying to get the drug is a
manifestation of impaired control. Addiction is not caused by being unhappy with
one's self, but such unhappiness is usually a result of addiction.
During the physical assessment, which finding should the nurse recognize as a
normal finding?
o Regular pulsation at the epigastric area when the client is supine.
o Apical pulse noted over an area 4 to 5 centimeters with a duration of 2 seconds.
o Jugular venous pressure palpable with the client in an upright position.
o Point of maximal impulse at the third intercostal space in the right midclavicular
line.
4|Page
NU471 HESI COMPREHENSIVE PRACTICE EXAM 1 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 child with Tetrology of Fallot suffers a hypercyanotic episode. Which immediate
action by the nurse can lessen the symptoms of this "TET spell?"
o Remove child's constrictive clothing.
o Place child in knee-chest position.
o Have child stop all current activity.
o Administer a dose of digoxin stat.
o Place child in knee-chest position.
· The child should be placed on his or her back in the knee-to-chest position to
increase blood vessel resistance. The increased pressure reduces the rush of blood
through the septal hole and improves blood circulation. Removing tight clothing
has nominal effects in hypercyanosis. Stopping current activity is self-regulating. A
dose of digoxin is not indicated for immediate relief of "tet spells." It is used to
improve cardiac output.
The nurse is planning a wellness program aimed at primary prevention in the
community. Which action should the nurse implement?
o Immunizations that decrease occurrences of many contagious diseases.
o Blood pressure screenings to identify persons with high blood pressure.
o Breast self-examination (BSE) for young women instead of a mammogram.
o Home care monitoring for clients who are high-risk due to pregnancy.
1|Page
, NU471 HESI Comprehensive Practice Exam 1 PREP
o Immunizations that decrease occurrences of many contagious diseases.
· Primary prevention involves health promotion and disease prevention activities to
decrease the occurrence of illness and enhance general health and quality of life,
such as immunization. Health screenings are the mainstay of secondary prevention
and include interventions designed to increase the probability that disease is
diagnosed early when treatment is likely to result in cure. Tertiary prevention like
home monitoring of high-risk pregnancies includes interventions aimed at
disability limitation from disease, injury, or disability.
Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The
Demerol solution contains 50 mg/ml. How much solution should the nurse
administer?
o 0.5 ml.
o 1 ml.
o 1.5 ml.
o 2 ml.
o 1.5 ml.
· Have: 50 mg/mL
· Need: 75 mg
· Need/Have = 75 mg / (50 mg/mL) = 75 mg / 50 mg = 1.5 à mg cancel out à 1.5 /
1 mL= 1.5 mL
o Alternative Method:
o To correctly solve this problem, use the formula: Desired/On Hand, or the
algebraic formula: 75: x = 50 : 1. 50x = 75. x = 75/50 or reduced to 1.5 ml (C).
2|Page
, NU471 HESI Comprehensive Practice Exam 1 PREP
A client is admitted with a medical diagnosis of Addisonian crisis. When
completing the admission assessment, the nurse expects this client to exhibit
which clinical manifestations?
o Thin, fragile skin, ecchymoses, and complaints of weakness.
o Headache, diaphoresis, and palpitations.
o Hypotension, rapid weak pulse, and rapid respiratory rate.
o Abrupt onset of hyperpyrexia, extreme tachycardia, and delirium.
o Hypotension, rapid weak pulse, and rapid respiratory rate.
· The clinical manifestations of Addisonian crisis are often the manifestations of
shock; the client is at risk for circulatory collapse and shock. thin frail skin indicates
clinical manifestations of Cushing's syndrome, Headaches, sweating, and
palpitations indicate a pheochromocytoma (tumor of adrenal medulla), and
abrupt hyperpyrexia, tachycardia and dilirum are indicative of a thyroid storm
(thyrotoxic crisis).
The nurse obtains the pulse rate of 89 beats/minute for an infant before
administering digoxin (Lanoxin). Which action should the nurse take?
o Assess respiratory rate for one minute next.
o Give the medication dosage as scheduled.
o Wait 30 minutes and give half of the dosage of medication.
o Withhold the medication and contact the healthcare provider.
o Withhold the medication and contact the healthcare provider.
· Monitor apical pulse for 1 full min before administering. Withhold dose and
notify health care professional if pulse rate is <60 bpm in an adult, <70 bpm in a
child, or <90 bpm in an infant.
3|Page
, NU471 HESI Comprehensive Practice Exam 1 PREP
· Bradycardia is an early sign of digoxin toxicity, so if the infant's pulse rate is less
than 100 beats/minute, digoxin should be withheld and the healthcare provider
should be notified. Assessing the respiratory rate is not indicated before
administering Lanoxin. Administering the dose or only giving a partial dose places
the infant at further risk for digoxin toxicity.
The nurse is conducting a drug education class for junior high school students.
Which statement, provided by one of the student participants, best describes the
primary characteristic of addiction?
o "Addicts who use illegal drugs are trying to escape reality."
o "Addiction causes people to steal and lie."
o "Those who are unhappy with themselves are more likely to become addicts."
o "Wanting the drug is all that matters to an addict."
o "Wanting the drug is all that matters to an addict."
· The hallmark characteristic of addiction is impaired control: all that matters is
obtaining the drug of choice. Trying to escape reality may or may not be true, but
is not the primary characteristic of addiction. Stealing/lying to get the drug is a
manifestation of impaired control. Addiction is not caused by being unhappy with
one's self, but such unhappiness is usually a result of addiction.
During the physical assessment, which finding should the nurse recognize as a
normal finding?
o Regular pulsation at the epigastric area when the client is supine.
o Apical pulse noted over an area 4 to 5 centimeters with a duration of 2 seconds.
o Jugular venous pressure palpable with the client in an upright position.
o Point of maximal impulse at the third intercostal space in the right midclavicular
line.
4|Page
