HESI Comprehensive Exit Exam Prep
HESI COMPREHENSIVE EXIT EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 132 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED
A+||BRAND NEW VERSION!!
1 A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks
the amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - Correct Answer-A. Contacting
the physician Correct
2 A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
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, HESI Comprehensive Exit Exam Prep
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - Correct Answer-A. Call the radiography department to obtain a
chest x-ray
3 A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of
contracting HIV." - Correct Answer-D. "Let's talk about the information that you
need to determine your risk of contracting HIV."
4 A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily,
to relieve joint pain resulting from rheumatoid arthritis. The client tells the nurse
that the medication is causing nausea and indigestion. The nurse should tell the
client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - Correct Answer-C. Take
the medication with food
2|Page
, HESI Comprehensive Exit Exam Prep
5-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - Correct
Answer-A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore the
nurse would check the client's blood pressure immediately before administering
each dose. Checking the client's peripheral pulses, the results of the most recent
potassium level, and the intake and output for the previous 24 hours are not
specifically associated with this mediation.
6-A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
3|Page
, HESI Comprehensive Exit Exam Prep
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - Correct Answer-C. "I need to drink
citrate of magnesia the night before the test and give myself a Fleet enema on the
morning of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered in a flavored milkshake.
Films are taken at intervals during the test, which takes about 30 minutes. No
special preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
7-A nurse on the evening shift checks a physician's prescriptions and notes that
the dose of a prescribed medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the physician is off for the
night and will be available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes
available - Correct Answer-B. Ask the answering service to contact the on-call
physician
8.An emergency department (ED) nurse is monitoring a client with suspected
acute myocardial infarction (MI) who is awaiting transfer to the coronary intensive
4|Page
HESI COMPREHENSIVE EXIT EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 132 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED
A+||BRAND NEW VERSION!!
1 A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks
the amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - Correct Answer-A. Contacting
the physician Correct
2 A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
1|Page
, HESI Comprehensive Exit Exam Prep
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - Correct Answer-A. Call the radiography department to obtain a
chest x-ray
3 A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of
contracting HIV." - Correct Answer-D. "Let's talk about the information that you
need to determine your risk of contracting HIV."
4 A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily,
to relieve joint pain resulting from rheumatoid arthritis. The client tells the nurse
that the medication is causing nausea and indigestion. The nurse should tell the
client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - Correct Answer-C. Take
the medication with food
2|Page
, HESI Comprehensive Exit Exam Prep
5-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - Correct
Answer-A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore the
nurse would check the client's blood pressure immediately before administering
each dose. Checking the client's peripheral pulses, the results of the most recent
potassium level, and the intake and output for the previous 24 hours are not
specifically associated with this mediation.
6-A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
3|Page
, HESI Comprehensive Exit Exam Prep
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - Correct Answer-C. "I need to drink
citrate of magnesia the night before the test and give myself a Fleet enema on the
morning of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered in a flavored milkshake.
Films are taken at intervals during the test, which takes about 30 minutes. No
special preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
7-A nurse on the evening shift checks a physician's prescriptions and notes that
the dose of a prescribed medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the physician is off for the
night and will be available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes
available - Correct Answer-B. Ask the answering service to contact the on-call
physician
8.An emergency department (ED) nurse is monitoring a client with suspected
acute myocardial infarction (MI) who is awaiting transfer to the coronary intensive
4|Page
