NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
NU471 HESI COMPREHENSIVE PRACTICE EXAM 3: HESI EXIT
PRACTICE EXAM 3 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 client returns from surgery after undergoing an abdominal-perineal resection
with a sigmoid colostomy. The colostomy is dressed with petroleum jelly gauze
and dry gauze dressings. The perineal incision is partially closed with two drains
attached to Jackson-Pratt suction bulbs. During the early postoperative period, the
nurse should give the highest priority to which nursing action?
o Provide a low-residue diet.
o Monitor drainage from the colostomy stoma.
o Maintain dry perineal dressings.
o Encourage looking at the colostomy site.
o Maintain dry perineal dressings.
· During the immediate postoperative period, the perineal dressing should be
assessed, reinforced, and changed frequently because profuse drainage during the
first hours after surgery macerates tissue and compromises incisional
approximation and healing. The priority action should include measures to
promote healing and prevent infection.
The nurse is obtaining a client's consent for a paracentesis. Which information
should the nurse provide to ensure the client understands the purpose of the
procedure?
1|Page
, NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
o A needle is inserted to remove excessive fluid from the abdominal peritoneal
cavity.
o A biopsy is taken from the stomach wall to determine the presence of
Helicobacter pylori.
o Dye is injected into the biliary tract using an esophagogastroduodenoscopy
(EGD).
o Fluid removal from the pleural space uses an x-ray guided insertion of a needle.
o A needle is inserted to remove excessive fluid from the abdominal peritoneal
cavity.
· The nurse should ensure the client's understanding and explain that a
paracentesis is a procedure that removes excessive fluid (ascites) from the
peritoneal cavity.
In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an intraocular pressure (IOP) of 28 mmHg. What
information should the nurse ask the client?
o Length of time the client has been wearing prescription lenses.
o Recent experience of seeing light flashes or floaters.
o Complaints of any blind spots in the client's field of vision.
o Use of prescribed eye drops since last exam by ophthalmologist.
o Use of prescribed eye drops since last exam by ophthalmologist.
· Normal intraocular pressures range between 10 and 21 mmHg, so the client's use
of any prescribed eye drops should be determined to evaluate the client's
intraocular pressure.
2|Page
, NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
The nurse is supervising an unlicensed assistive personnel (UAP) who is feeding an
older client with dysphagia. Which action by the UAP requires the nurse's
intervention?
o Thickens the broth and juice on the client's tray.
o Assists the client from the bed to a chair for the meal.
o Divides solid food items into one inch cube pieces.
o Keeps the client upright for 60 minutes after eating.
o Divides solid food items into one inch cube pieces.
· Solid food should be smaller to minimize the risk of food becoming lodged in the
oropharynx or aspirated. Thickened liquids, sitting the client upright for 45 to 60
minutes after eating helps reduce the risk of aspiration that threatens an older
adult who is dysphagic.
An adolescent client is admitted to the mental health unit for impulsivity and
acting-out behavior at school. What intervention should the nurse implement that
is most beneficial for this client?
o Administer an antianxiety agent PRN.
o Implement close observation precautions.
o Separate the adolescent from adult clients on the unit.
o Explain the consequences for breaking the unit rules.
o Explain the consequences for breaking the unit rules.
· Therapeutic interventions, such as limit-setting and consequences for breaches of
rules provide consistent expectations of behavior and are most beneficial in
establishing trust and reinforcing acceptable behaviors for interacting with others.
3|Page
, NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
The neonatologist requests a mother to provide breast milk for her 32-week
gestational premature newborn. The nurse provides instructions about pumping,
storing, and transporting the breast milk. Which additional information should the
nurse include to ensure the mother understands the request?
o To promote maternal production with neonatal demand, pump only the volume
the newborn takes.
o Providing breast milk ensures the premature newborn can easily digest and
absorb the nutrients.
o Pump every 2 to 3 hours, including during the night, to increase breast milk
volume.
o A glass of wine prior to pumping reduces anxiety and increases breast milk
production.
o Providing breast milk ensures the premature newborn can easily digest and
absorb the nutrients.
· Breast milk, rather than formula, provides antibodies and nutrition that is easily
digested and readily absorbed by an immature newborn. Breast milk can be frozen
and used if the mother is unable to provide breast milk every day.. The mother
does not have to pump through the night. Alcohol is excreted in breast milk and is
not safe for the newborn.
A client who is a laboratory technician and has a history of allergic rhinitis,
asthma, and multiple food allergies is scheduled for surgery. Which action should
the nurse implement?
o Document a possible Type I latex allergy.
o Determine if the client carries an epinephrine kit for Type IV allergic reaction.
o Advise the client to use oil-based hand creams when wearing latex gloves.
o Encourage the client to use vinyl gloves at work.
4|Page
NU471 HESI COMPREHENSIVE PRACTICE EXAM 3: HESI EXIT
PRACTICE EXAM 3 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 client returns from surgery after undergoing an abdominal-perineal resection
with a sigmoid colostomy. The colostomy is dressed with petroleum jelly gauze
and dry gauze dressings. The perineal incision is partially closed with two drains
attached to Jackson-Pratt suction bulbs. During the early postoperative period, the
nurse should give the highest priority to which nursing action?
o Provide a low-residue diet.
o Monitor drainage from the colostomy stoma.
o Maintain dry perineal dressings.
o Encourage looking at the colostomy site.
o Maintain dry perineal dressings.
· During the immediate postoperative period, the perineal dressing should be
assessed, reinforced, and changed frequently because profuse drainage during the
first hours after surgery macerates tissue and compromises incisional
approximation and healing. The priority action should include measures to
promote healing and prevent infection.
The nurse is obtaining a client's consent for a paracentesis. Which information
should the nurse provide to ensure the client understands the purpose of the
procedure?
1|Page
, NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
o A needle is inserted to remove excessive fluid from the abdominal peritoneal
cavity.
o A biopsy is taken from the stomach wall to determine the presence of
Helicobacter pylori.
o Dye is injected into the biliary tract using an esophagogastroduodenoscopy
(EGD).
o Fluid removal from the pleural space uses an x-ray guided insertion of a needle.
o A needle is inserted to remove excessive fluid from the abdominal peritoneal
cavity.
· The nurse should ensure the client's understanding and explain that a
paracentesis is a procedure that removes excessive fluid (ascites) from the
peritoneal cavity.
In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an intraocular pressure (IOP) of 28 mmHg. What
information should the nurse ask the client?
o Length of time the client has been wearing prescription lenses.
o Recent experience of seeing light flashes or floaters.
o Complaints of any blind spots in the client's field of vision.
o Use of prescribed eye drops since last exam by ophthalmologist.
o Use of prescribed eye drops since last exam by ophthalmologist.
· Normal intraocular pressures range between 10 and 21 mmHg, so the client's use
of any prescribed eye drops should be determined to evaluate the client's
intraocular pressure.
2|Page
, NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
The nurse is supervising an unlicensed assistive personnel (UAP) who is feeding an
older client with dysphagia. Which action by the UAP requires the nurse's
intervention?
o Thickens the broth and juice on the client's tray.
o Assists the client from the bed to a chair for the meal.
o Divides solid food items into one inch cube pieces.
o Keeps the client upright for 60 minutes after eating.
o Divides solid food items into one inch cube pieces.
· Solid food should be smaller to minimize the risk of food becoming lodged in the
oropharynx or aspirated. Thickened liquids, sitting the client upright for 45 to 60
minutes after eating helps reduce the risk of aspiration that threatens an older
adult who is dysphagic.
An adolescent client is admitted to the mental health unit for impulsivity and
acting-out behavior at school. What intervention should the nurse implement that
is most beneficial for this client?
o Administer an antianxiety agent PRN.
o Implement close observation precautions.
o Separate the adolescent from adult clients on the unit.
o Explain the consequences for breaking the unit rules.
o Explain the consequences for breaking the unit rules.
· Therapeutic interventions, such as limit-setting and consequences for breaches of
rules provide consistent expectations of behavior and are most beneficial in
establishing trust and reinforcing acceptable behaviors for interacting with others.
3|Page
, NU471 HESI Comprehensive Practice Exam 3: HESI Exit Practice Exam 3 PREP
The neonatologist requests a mother to provide breast milk for her 32-week
gestational premature newborn. The nurse provides instructions about pumping,
storing, and transporting the breast milk. Which additional information should the
nurse include to ensure the mother understands the request?
o To promote maternal production with neonatal demand, pump only the volume
the newborn takes.
o Providing breast milk ensures the premature newborn can easily digest and
absorb the nutrients.
o Pump every 2 to 3 hours, including during the night, to increase breast milk
volume.
o A glass of wine prior to pumping reduces anxiety and increases breast milk
production.
o Providing breast milk ensures the premature newborn can easily digest and
absorb the nutrients.
· Breast milk, rather than formula, provides antibodies and nutrition that is easily
digested and readily absorbed by an immature newborn. Breast milk can be frozen
and used if the mother is unable to provide breast milk every day.. The mother
does not have to pump through the night. Alcohol is excreted in breast milk and is
not safe for the newborn.
A client who is a laboratory technician and has a history of allergic rhinitis,
asthma, and multiple food allergies is scheduled for surgery. Which action should
the nurse implement?
o Document a possible Type I latex allergy.
o Determine if the client carries an epinephrine kit for Type IV allergic reaction.
o Advise the client to use oil-based hand creams when wearing latex gloves.
o Encourage the client to use vinyl gloves at work.
4|Page
