HESI 2021 EXIT RN LATEST EXAM 3
COMPREHENSIVE TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
EXPERT VERIFIED GRADED A+
◉ The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective?
A. Only 30% of clients did not attend self-management education
sessions.
B. More than 50% of at-risk clients were diagnosed early in their
disease process
C. Clients who developed disease complications promptly received
rehabilitation
D. Average client scores improved on specific risk factor knowledge
tests Answer: C. Clients who developed disease complications
promptly received rehabilitation
◉ Then nurse identifies several nursing problems for client who is
immobile and who has been experiencing fecal incontinence and
diarrhea for several days. The client's spouse is the primary
caregiver. In planning care, which problem has the highest priority?
A. Impaired bed mobility
B. Caregiver role strain
,C. Fluid volume deficit
D. Bowel incontinence Answer: D. Bowel incontinence
◉ The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The client is weak and begins coughing while
attempting to drink through a straw. Which intervention should the
nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids Answer: A.
Teach coughing and deep breathing exercises
◉ An adult client is admitted to the emergency department after
falling from the ladder. While waiting to have a computed
tomography (CT) scan, the client requests something for a severe
headache. When the nurse offers a prescribed dose of
acetaminophen, the client asks for something stronger. Which
intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately Answer: B. Explain
the reason for using only non-narcotics
,◉ The nurse is caring for a client who has chronic obstructive
pulmonary disease (COPD) and chest pain related to a recent fall.
What nursing intervention requires the greatest caution when
caring for a client with COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake Answer: C. Administering
narcotics for pain relief
◉ The nurse is providing care for a client with schizophrenia who
receives haloperidol decanoate 75mg IM every 4 weeks. The client
begins developing a puckering and smacking of the lips and facial
grimacing. Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately Answer: C. Complete
abnormal involuntary movement scale (AIMS)
◉ Prolonged exposure to high concentrations of supplemental
oxygen over several days can cause which pathophysiological effect?
A. Disrupted surfactant production
, B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma Answer: A. Disrupted surfactant production
◉ A client who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects
since taking the drug. Which side effect should the nurse report to
the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism Answer: D. Somnambulism
◉ The nurse instructs a client in use of a incentive spirometer. The
client performs a return demonstration as seen in the video. Which
action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer Answer: D.
Remind the client to cough after using the spirometer
COMPREHENSIVE TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
EXPERT VERIFIED GRADED A+
◉ The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective?
A. Only 30% of clients did not attend self-management education
sessions.
B. More than 50% of at-risk clients were diagnosed early in their
disease process
C. Clients who developed disease complications promptly received
rehabilitation
D. Average client scores improved on specific risk factor knowledge
tests Answer: C. Clients who developed disease complications
promptly received rehabilitation
◉ Then nurse identifies several nursing problems for client who is
immobile and who has been experiencing fecal incontinence and
diarrhea for several days. The client's spouse is the primary
caregiver. In planning care, which problem has the highest priority?
A. Impaired bed mobility
B. Caregiver role strain
,C. Fluid volume deficit
D. Bowel incontinence Answer: D. Bowel incontinence
◉ The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The client is weak and begins coughing while
attempting to drink through a straw. Which intervention should the
nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids Answer: A.
Teach coughing and deep breathing exercises
◉ An adult client is admitted to the emergency department after
falling from the ladder. While waiting to have a computed
tomography (CT) scan, the client requests something for a severe
headache. When the nurse offers a prescribed dose of
acetaminophen, the client asks for something stronger. Which
intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately Answer: B. Explain
the reason for using only non-narcotics
,◉ The nurse is caring for a client who has chronic obstructive
pulmonary disease (COPD) and chest pain related to a recent fall.
What nursing intervention requires the greatest caution when
caring for a client with COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake Answer: C. Administering
narcotics for pain relief
◉ The nurse is providing care for a client with schizophrenia who
receives haloperidol decanoate 75mg IM every 4 weeks. The client
begins developing a puckering and smacking of the lips and facial
grimacing. Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately Answer: C. Complete
abnormal involuntary movement scale (AIMS)
◉ Prolonged exposure to high concentrations of supplemental
oxygen over several days can cause which pathophysiological effect?
A. Disrupted surfactant production
, B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma Answer: A. Disrupted surfactant production
◉ A client who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects
since taking the drug. Which side effect should the nurse report to
the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism Answer: D. Somnambulism
◉ The nurse instructs a client in use of a incentive spirometer. The
client performs a return demonstration as seen in the video. Which
action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer Answer: D.
Remind the client to cough after using the spirometer
