HESI PN comprehensive EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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EXIT HESI Comprehensive Exam A 2026 A+ GRADE ASS
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URED COMPLETE SOLUTIONS AND VERIFIED ANSWERSzm zm zm zm zm z




(F849E)
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QUESTION 1 zm




The nurse is preparing a client for surgery scheduled in 2 hours. A UAP is helping the
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nurse. Which task is important for the nurse to perform, rather than the UAP? A.Rem
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ove the client's nail polish and dentures. B.Assist the client to the restroom to void. C.
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Obtain the client's height and weight. D.Offer the client emotional support.
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ANSWER

D By using therapeutic techniques to offer support (D), the nurse can determine any client concerns
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that need to be addressed. (A, B, and
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C) are all actions that can be performed by the UAP under the supervision of the nurse.
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QUESTION 2 zm




A client with small cell carcinoma of the lung has also developed syndrome of inappro
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priate antidiuretic hormone (SIADH). Which outcome finding is the priority for this cli
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ent? A.Reduced peripheral edema B.Urinary output of at least 70 mL/hr C.Decrease in
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urine osmolarity D.Serum sodium level of 137 mEq/L
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ANSWER

D Syndrome of inappropriate antidiuretic hormone (SIADH) results from an abnormal production or
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sustained secretion of antidiuretic hormone, causing fluid retention, hyponatremia, and central nervo
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us system (CNS) fluid shifts. The client's normalization of the serum sodium level (normal is 135 to
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145 mEq/L) ( zm zm



D) is the most important outcome because sudden and severe hyponatremia caused by fluid overloa
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d can result in heart failure. Fluid retention of SIADH contributes to daily weight gain, which can pr
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edispose to peripheral edema (A), but the higher priority outcome is the effect on serum electrolyte
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levels. Although (B and zm zm zm



C) are findings associated with resolving SIADH, they do not have the priority of (D).
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QUESTION 3 zm

, Which assessment finding indicates that nystatin (Mycostatin) swish and swallow, pres
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cribed for a client with oral candidiasis, has been effective? A.The client denies dysph
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agia. B.The client is afebrile with warm and dry skin. C.The oral mucosa is pink and i
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ntact. D.There is no reflux following food intake.
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ANSWER

C Mycostatin swish and swallow is prescribed for its local effect on the oral mucosa, reducing the w
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hite curdlike lesions in the mouth and larynx (C). The ability to swallow (
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A) does not indicate that the medication has been effective. (B and
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D) do not reflect effectiveness of the local medication.
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QUESTION 4 zm




An older client who resides in a long-term care facility is hearing-
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impaired. How should the nurse modify interventions for this client? A.Turn off the cli
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ent's television and speak very loudly. B.Communicate in writing whenever it is possi
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ble. C.Speak very slowly while exaggerating each word. D.Face the client and speak in
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a normal tone of voice.
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ANSWER

D A hearing-
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impaired client frequently relies on lip reading and body language to determine what is being said,
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so ( zm



D) should be implemented. (A and
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C) may distort the sounds and facial expressions, which alters the client's ability to interpret the ver
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bal message. Communicating in writing is another option that could be used if verbal or body langu
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age is ineffective (B).
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QUESTION 5 zm




The health care provider prescribes 1000 mL of Ringer's lactate solution with 30 unit
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s of oxytocin (Pitocin) to infuse over 4 hours for a client who has just delivered a 10-
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lb infant by cesarean section. The tubing has been changed to a 20 gtt/mL administrat
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ion set. The nurse should set the flow rate at how many gtt/min? A.42 B.83 C.125 D.2
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50
ANSWER

B Use the following calculation (B): 20 gtt/mL × (1000 mL/4 hr) × (1 hr/60 min) = 83 gtt/min
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QUESTION 6 zm




The RN is caring for a client who is in skeletal traction. Which activity should the RN
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assign to the PN? A.Assess skeletal pins for infection. B.Assist the client with toileting.
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C.Establish thrombus prevention care. D.Evaluate pain management plan.
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ANSWER