HESI Comprehensive Exit Exam Prep
HESI COMPREHENSIVE EXIT EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
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.
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.
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, HESI Comprehensive Exit Exam Prep
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.
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.
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, HESI Comprehensive Exit Exam Prep
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
lacerations present on face.
c. Client presents with a right black eye and a cut on the left side of her head that
is bleeding. Reports abusive boyfriend responsible for injuries. Needs referral to a
safe place to stay.
d. Young adult female presents with periorbital ecchymosis on right side, 3 cm
laceration on left parietal area, approximately 1 cm deep with tissue bridging.
States her boyfriend is abusive.
D
(Proper documentation of abuse as reported by the victim is crucial, and the nurse
should document specific and objective data that gives an accurate depiction of
the events without documentation of judgmental inferences. All the other choices
lack specificity and important details related to the event.)
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, HESI Comprehensive Exit Exam Prep
A retired office worker is admitted to the psychiatric inpatient unit with a
diagnosis of major depression. The initial nursing care plan includes the goal,
"Assist client to express feelings of anger." Which nursing intervention is most
important to include in the client's plan of care?
a. Teach that anger will subside after two weeks on antidepressants.
b. Ask client to describe triggers of anger.
c. Gather more data about social support.
d. Collaborate with the treatment team about revising the goal.
B
(Depression is associated with feelings of anger, and clients are often not aware of
these feelings. Awareness is the first step in dealing with anger (or any other
feeling), so the nurse's efforts should be directed toward increasing the client's
awareness of feelings. Anger may persist after beginning antidepressant therapy,
and it may not be necessary to revise the goal. Gathering data on social support
systems can assist the client to cope, but it's most important to ask the client to
describe triggers of anger.)
The nurse determines that a client's body weight is 105% above the standardized
height-weight scale. Which related factor should the nurse include in the nursing
problem, "Imbalanced nutrition: more than body requirements?"
a. Morbidly obese.
b. Markedly obese.
c. Inadequate lifestyle changes in diet and exercise.
d. Increased morbidity and mortality risks.
C
(Obesity is a body weight that is 20% above desirable weight for a person's age,
sex, height, body build, and calculated body mass index (BMI). Focusing on diet
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HESI COMPREHENSIVE EXIT EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
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.
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.
1|Page
, HESI Comprehensive Exit Exam Prep
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.
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.
2|Page
, HESI Comprehensive Exit Exam Prep
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
lacerations present on face.
c. Client presents with a right black eye and a cut on the left side of her head that
is bleeding. Reports abusive boyfriend responsible for injuries. Needs referral to a
safe place to stay.
d. Young adult female presents with periorbital ecchymosis on right side, 3 cm
laceration on left parietal area, approximately 1 cm deep with tissue bridging.
States her boyfriend is abusive.
D
(Proper documentation of abuse as reported by the victim is crucial, and the nurse
should document specific and objective data that gives an accurate depiction of
the events without documentation of judgmental inferences. All the other choices
lack specificity and important details related to the event.)
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, HESI Comprehensive Exit Exam Prep
A retired office worker is admitted to the psychiatric inpatient unit with a
diagnosis of major depression. The initial nursing care plan includes the goal,
"Assist client to express feelings of anger." Which nursing intervention is most
important to include in the client's plan of care?
a. Teach that anger will subside after two weeks on antidepressants.
b. Ask client to describe triggers of anger.
c. Gather more data about social support.
d. Collaborate with the treatment team about revising the goal.
B
(Depression is associated with feelings of anger, and clients are often not aware of
these feelings. Awareness is the first step in dealing with anger (or any other
feeling), so the nurse's efforts should be directed toward increasing the client's
awareness of feelings. Anger may persist after beginning antidepressant therapy,
and it may not be necessary to revise the goal. Gathering data on social support
systems can assist the client to cope, but it's most important to ask the client to
describe triggers of anger.)
The nurse determines that a client's body weight is 105% above the standardized
height-weight scale. Which related factor should the nurse include in the nursing
problem, "Imbalanced nutrition: more than body requirements?"
a. Morbidly obese.
b. Markedly obese.
c. Inadequate lifestyle changes in diet and exercise.
d. Increased morbidity and mortality risks.
C
(Obesity is a body weight that is 20% above desirable weight for a person's age,
sex, height, body build, and calculated body mass index (BMI). Focusing on diet
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