HESI EXAM vc
Exam Solution vc
EXIT HESI V1 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (01E7C) vc vc vc vc
QUESTION 1 vc
A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks t
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he nurse why the healthcare provider has prescribed all these medications. Which infor
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mation should the nurse included when responding to this client? (Select all that apply.)
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ANSWER
• B Pupillary dilation is necessary to access the eye chamber for lens removal. • C The iris must be paral
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yzed during surgery to prevent it from reacting to light. E One of the medications is used to anesthetize
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the corneal surface.
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QUESTION 2 vc
An adult client presents to the clinic with large draining ulcers on both lower legs that ar
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e characteristic of Kaposi's sarcoma lesions. The client is accompanied by two family me
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mbers. Which action should the nurse take?
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ANSWER
• C Send family to the waiting area while the client's history is taken.
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QUESTION 3 vc
The nurse is developing a teaching plan for a client with acute gastritis caused by drinki
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ng contaminated water. The nurse should emphasize the need to report the onset of whi
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ch problem?
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ANSWER
A Bloody mesis
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QUESTION 4 vc
,The charge nurse in an extended care facility is organizing unit activities for the day. Wh
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ich action may be safely delegated to the practical nurse (PN)?
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ANSWER
Establish blood pressure parameters for client monitoring.
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QUESTION 5 vc
The school nurse is preparing a teaching pamphlet in response to requests from parents
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regarding an outbreak of pinworms at the local preschool. Which information about the
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most commonly prescribed medication, mebendazole, should be included?
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ANSWER
A Only children with perianal itching should take the medication.
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QUESTION 6 vc
A 3-year-
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old boy was successfully toilet trained prior to his admission to the hospital for inuries s
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ustained from a fall. His parents are very concerned that the child has regressed in his to
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ileting behaviors. Which information should the nurse provide to the parents?
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ANSWER
Children usually resume their toileting behaviors when they leave the hospital.
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QUESTION 7 vc
A 10-year-
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old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the last
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24 hours. Which intervention is most important for the nurse to implement?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Assess bilateral lung sounds.
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QUESTION 8 vc
The nurse is caring for a client who receives a prescription for valproic acid in which the
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maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe dosage
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for a client who weighs 176 pounds? (Enter numerical value only.)
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ANSWER
4800
, QUESTION 9 vc
A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment findin
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g should the nurse use in planning the client's care?
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ANSWER
Confusion.
QUESTION 10 vc
The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid fro
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m the left lung. Which assessment finding should the nurse report to the healthcare prov
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ider immediately? vc
ANSWER
Mediastinal shift to the right. vc vc vc vc
QUESTION 11 vc
A client arrives to the emergency department with chest pain after taking sildenafil. Bas
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ed on the client's history, which medication should the nurse withhold?
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ANSWER
Nitroglycerin.
QUESTION 12 vc
Six weeks after the birth of a child with Trisomy 21, the parents return to the prenatal cl
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inic for a follow- vc vc vc
up visit. They have spoken with a genetic counselor, but are still unsure about the risk of
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having another child with Trisomy 21. The couple brings literature from the counselor
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with them, and asks the nurse to explain it. Which action should the nurse take?
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ANSWER
Review the literature and answer any questions the nurse is able to answer.
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QUESTION 13 vc
A client who is one day postpartum tells the nurse that her baby cannot latch onto the br
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east. The nurse determines that the client's nipples are inverted.
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ANSWER
Recommend using a breast shield. vc vc vc vc
Exam Solution vc
EXIT HESI V1 2026 A+ GRADE ASSURED COMPLETE SOL
vc vc vc vc vc vc vc vc
UTIONS AND VERIFIED ANSWERS (01E7C) vc vc vc vc
QUESTION 1 vc
A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks t
vc vc vc vc vc vc vc vc vc vc vc vc vc
he nurse why the healthcare provider has prescribed all these medications. Which infor
vc vc vc vc vc vc vc vc vc vc vc vc
mation should the nurse included when responding to this client? (Select all that apply.)
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
• B Pupillary dilation is necessary to access the eye chamber for lens removal. • C The iris must be paral
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
yzed during surgery to prevent it from reacting to light. E One of the medications is used to anesthetize
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the corneal surface.
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QUESTION 2 vc
An adult client presents to the clinic with large draining ulcers on both lower legs that ar
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e characteristic of Kaposi's sarcoma lesions. The client is accompanied by two family me
vc vc vc vc vc vc vc vc vc vc vc vc vc
mbers. Which action should the nurse take?
vc vc vc vc vc vc
ANSWER
• C Send family to the waiting area while the client's history is taken.
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 3 vc
The nurse is developing a teaching plan for a client with acute gastritis caused by drinki
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ng contaminated water. The nurse should emphasize the need to report the onset of whi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ch problem?
vc
ANSWER
A Bloody mesis
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QUESTION 4 vc
,The charge nurse in an extended care facility is organizing unit activities for the day. Wh
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ich action may be safely delegated to the practical nurse (PN)?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Establish blood pressure parameters for client monitoring.
vc vc vc vc vc vc
QUESTION 5 vc
The school nurse is preparing a teaching pamphlet in response to requests from parents
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
regarding an outbreak of pinworms at the local preschool. Which information about the
vc vc vc vc vc vc vc vc vc vc vc vc vc
most commonly prescribed medication, mebendazole, should be included?
vc vc vc vc vc vc vc
ANSWER
A Only children with perianal itching should take the medication.
vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
A 3-year-
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old boy was successfully toilet trained prior to his admission to the hospital for inuries s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ustained from a fall. His parents are very concerned that the child has regressed in his to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ileting behaviors. Which information should the nurse provide to the parents?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Children usually resume their toileting behaviors when they leave the hospital.
vc vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
A 10-year-
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old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the last
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
24 hours. Which intervention is most important for the nurse to implement?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Assess bilateral lung sounds.
vc vc vc
QUESTION 8 vc
The nurse is caring for a client who receives a prescription for valproic acid in which the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe dosage
c vc vc vc vc vc vc vc vc vc vc vc vc vc vc
for a client who weighs 176 pounds? (Enter numerical value only.)
vc vc vc vc vc vc vc vc vc vc
ANSWER
4800
, QUESTION 9 vc
A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment findin
vc vc vc vc vc vc vc vc vc vc vc vc
g should the nurse use in planning the client's care?
vc vc vc vc vc vc vc vc vc
ANSWER
Confusion.
QUESTION 10 vc
The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid fro
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
m the left lung. Which assessment finding should the nurse report to the healthcare prov
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ider immediately? vc
ANSWER
Mediastinal shift to the right. vc vc vc vc
QUESTION 11 vc
A client arrives to the emergency department with chest pain after taking sildenafil. Bas
vc vc vc vc vc vc vc vc vc vc vc vc vc
ed on the client's history, which medication should the nurse withhold?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Nitroglycerin.
QUESTION 12 vc
Six weeks after the birth of a child with Trisomy 21, the parents return to the prenatal cl
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
inic for a follow- vc vc vc
up visit. They have spoken with a genetic counselor, but are still unsure about the risk of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
having another child with Trisomy 21. The couple brings literature from the counselor
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with them, and asks the nurse to explain it. Which action should the nurse take?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Review the literature and answer any questions the nurse is able to answer.
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
A client who is one day postpartum tells the nurse that her baby cannot latch onto the br
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
east. The nurse determines that the client's nipples are inverted.
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ANSWER
Recommend using a breast shield. vc vc vc vc