HESI COMPREHENSIVE EXIT EXAM
2024 ACTUAL EXAM COMPLETE
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1-Enalapril bmaleate b(Vasotec) bis bprescribed bfor ba bhospitalized bclient. bWhich
bassessment bdoes bthe bnurse bperform bas ba bpriority bbefore badministering bthe
bmedication?
A. bChecking bthe bclient's bblood bpressure
B. bChecking bthe bclient's bperipheral bpulses
C. bChecking bthe bmost brecent bpotassium blevel
D. bChecking bthe bclient's bintake-and-output brecord bfor bthe blast b24 bhours b- bcorrect
banswer✔✔A. bChecking bthe bclient's bblood bpressure
Checking bthe bclient's bblood bpressure b
Enalapril bmaleate bis ban bangiotensin-converting benzyme b(ACE) binhibitor bused bto
btreat bhypertension. bOne bcommon bside beffect bis bpostural bhypotension. bTherefore
bthe bnurse bwould bcheck bthe bclient's bblood bpressure bimmediately bbefore
badministering beach bdose. bChecking bthe bclient's bperipheral bpulses, bthe bresults bof
bthe bmost brecent bpotassium blevel, band bthe bintake band boutput bfor bthe bprevious b24
bhours bare bnot bspecifically bassociated bwith bthis bmediation.
2-A bclient bis bscheduled bto bundergo ban bupper bgastrointestinal b(GI) bseries, band bthe
bnurse bprovides binstructions bto bthe bclient babout bthe btest. bWhich bstatement bby bthe
bclient bindicates ba bneed bfor bfurther binstruction?
A. b"The btest bwill btake babout b30 bminutes."
B. b"I bneed bto bfast bfor b8 bhours bbefore bthe btest."
,C. b"I bneed bto bdrink bcitrate bof bmagnesia bthe bnight bbefore bthe btest band bgive bmyself
ba bFleet benema bon bthe bmorning bof bthe btest." b
D. b"I bneed bto btake ba blaxative bafter bthe btest bis bcompleted, bbecause bthe bliquid bthat
bI'll bhave bto bdrink bfor bthe btest bcan bbe bconstipating." b- bcorrect banswer✔✔C. b"I
bneed bto bdrink bcitrate bof bmagnesia bthe bnight bbefore bthe btest band bgive bmyself ba
bFleet benema bon bthe bmorning bof bthe btest."
An bupper bGI bseries binvolves bvisualization bof bthe besophagus, bduodenum, band
bupper bjejunum bby bmeans bof bthe buse bof ba bcontrast bmedium. bIt binvolves
bswallowing ba bcontrast bmedium b(usually bbarium), bwhich bis badministered bin ba
bflavored bmilkshake. bFilms bare btaken bat bintervals bduring bthe btest, bwhich btakes
babout b30 bminutes. bNo bspecial bpreparation bis bnecessary bbefore ba bGI bseries,
bexcept bthat bNPO bstatus bmust bbe bmaintained bfor b8 bhours bbefore bthe btest. bAfter
ban bupper bGI bseries, bthe bclient bis bprescribed ba blaxative bto bhasten belimination bof
bthe bbarium. bBarium bthat bremains bin bthe bcolon bmay bbecome bhard band bdifficult bto
bexpel, bleading bto bfecal bimpaction.
3-A bnurse bon bthe bevening bshift bchecks ba bphysician's bprescriptions band bnotes bthat
bthe bdose bof ba bprescribed bmedication bis bhigher bthan bthe bnormal bdose. bThe bnurse
bcalls bthe bphysician's banswering bservice band bis btold bthat bthe bphysician bis boff bfor
bthe bnight band bwill bbe bavailable bin bthe bmorning. bThe bnurse bshould:
A. bCall bthe bnursing bsupervisor
B. bAsk bthe banswering bservice bto bcontact bthe bon-call bphysician
C. bWithhold bthe bmedication buntil bthe bphysician bcan bbe breached bin bthe bmorning
D. bAdminister bthe bmedication bbut bconsult bthe bphysician bwhen bhe bbecomes
bavailable b- bcorrect banswer✔✔B. bAsk bthe banswering bservice bto bcontact bthe bon-call
bphysician
4.An bemergency bdepartment b(ED) bnurse bis bmonitoring ba bclient bwith bsuspected
bacute bmyocardial binfarction b(MI) bwho bis bawaiting btransfer bto bthe bcoronary
bintensive bcare bunit. bThe bnurse bnotes bthe bsudden bonset bof bpremature bventricular
bcontractions b(PVCs) bon bthe bmonitor, bchecks bthe bclient's bcarotid bpulse, band
bdetermines bthat bthe bPVCs bare bnot bresulting bin bperfusion. bThe bappropriate baction
bby bthe bnurse bis:
A. bDocumenting bthe bfindings
B. bAsking bthe bED bphysician bto bcheck bthe bclient
C. bContinuing bto bmonitor bthe bclient's bcardiac bstatus
D. bInforming bthe bclient bthat bPVCs bare bexpected bafter ban bMI b- bcorrect
banswer✔✔B. bAsking bthe bED bphysician bto bcheck bthe bclient
5.NPO bstatus bis bimposed b8 bhours bbefore bthe bprocedure bon ba bclient bscheduled bto
bundergo belectroconvulsive btherapy b(ECT) bat b1 bp.m. bOn bthe bmorning bof bthe
bprocedure, bthe bnurse bchecks bthe bclient's brecord band bnotes bthat bthe bclient
,broutinely btakes ban boral bantihypertensive bmedication beach bmorning. bThe bnurse
bshould:
A. bAdminister bthe bantihypertensive bwith ba bsmall bsip bof bwater
B. bWithhold bthe bantihypertensive band badminister bit bat bbedtime
C. bAdminister bthe bmedication bby bway bof bthe bintravenous b(IV) broute
D. bHold bthe bantihypertensive band bresume bits badministration bon bthe bday bafter bthe
bECT b- bcorrect banswer✔✔A. bAdminister bthe bantihypertensive bwith ba bsmall bsip bof
bwater
6 bA bclient bwho brecently bunderwent bcoronary bartery bbypass bgraft bsurgery bcomes
bto bthe bphysician's boffice bfor ba bfollow-up bvisit. bOn bassessment, bthe bclient btells bthe
bnurse bthat bhe bis bfeeling bdepressed. bWhich bresponse bby bthe bnurse bis
btherapeutic?
A. b"Tell bme bmore babout bwhat byou're bfeeling." b
B. b"That's ba bnormal bresponse bafter bthis btype bof bsurgery."
C. b"It bwill btake btime, bbut, bI bpromise byou, byou bwill bget bover bthis bdepression."
D. b"Every bclient bwho bhas bthis bsurgery bfeels bthe bsame bway bfor babout ba bmonth." b-
bcorrect banswer✔✔A. b"Tell bme bmore babout bwhat byou're bfeeling."
7 bA bclient bin blabor bexperiences bspontaneous brupture bof bthe bmembranes. bThe
bnurse bimmediately bcounts bthe bfetal bheart brate b(FHR) bfor b1 bfull bminute band bthen
bchecks bthe bamniotic bfluid. bThe bnurse bnotes bthat bthe bfluid bis byellow band bhas ba
bstrong bodor. bWhich bof bthe bfollowing bactions bshould bbe bthe bnurse's bpriority?
A. bContacting bthe bphysician
B. bDocumenting bthe bfindings
C. bChecking bthe bfluid bfor bprotein
D. bContinuing bto bmonitor bthe bclient band bthe bFHR b- bcorrect banswer✔✔A.
bContacting bthe bphysician bCorrect
8 bA bnurse bhas bassisted ba bphysician bin binserting ba bcentral bvenous baccess bdevice
binto ba bclient bwith ba bdiagnosis bof bsevere bmalnutrition bwho bwill bbe breceiving
bparenteral bnutrition b(PN). bAfter binsertion bof bthe bcatheter, bthe bnurse bimmediately
bplans bto:
A. bCall bthe bradiography bdepartment bto bobtain ba bchest bx-ray
B. bCheck bthe bclient's bblood bglucose blevel bto bserve bas ba bbaseline bmeasurement
C. bHang bthe bprescribed bbag bof bPN band bstart bthe binfusion bat bthe bprescribed brate
D. bInfuse bnormal bsaline bsolution bthrough bthe bcatheter bat ba brate bof b100 bmL/hr bto
bmaintain bpatency b- bcorrect banswer✔✔A. bCall bthe bradiography bdepartment bto
bobtain ba bchest bx-ray
, 9 bA brape bvictim bbeing btreated bin bthe bemergency bdepartment bsays bto bthe bnurse,
b"I'm breally bworried bthat bI've bgot bHIV bnow." bWhat bis bthe bappropriate bresponse bby
bthe bnurse?
A. b"HIV bis brarely ban bissue bin brape bvictims."
B. b"Every brape bvictim bis bconcerned babout bHIV."
C. b"You're bmore blikely bto bget bpregnant bthan bto bcontract bHIV."
D. b"Let's btalk babout bthe binformation bthat byou bneed bto bdetermine byour brisk bof
bcontracting bHIV." b- bcorrect banswer✔✔D. b"Let's btalk babout bthe binformation bthat
byou bneed bto bdetermine byour brisk bof bcontracting bHIV."
10 bA bclient bis btaking bprescribed bibuprofen b(Motrin), b300 bmg borally bfour btimes
bdaily, bto brelieve bjoint bpain bresulting bfrom brheumatoid barthritis. bThe bclient btells bthe
bnurse bthat bthe bmedication bis bcausing bnausea band bindigestion. bThe bnurse bshould
btell bthe bclient bto:
A. bContact bthe bphysician
B. bStop btaking bthe bmedication
C. bTake bthe bmedication bwith bfood
D. bTake bthe bmedication btwice ba bday binstead bof bfour btimes b- bcorrect banswer✔✔C.
bTake bthe bmedication bwith bfood
11 bA bclient's boral bintake bof bliquids bincludes b120 bmL bon bthe bnight bshift, b800 bmL
bon bthe bday bshift, band b650 bmL bon bthe bevening bshift. bThe bclient bis breceiving ban
bintravenous b(IV) bantibiotic bevery b12 bhours, bdiluted bin b50 bmL bof bnormal bsaline
bsolution. bThe bnurse bempties b700 bmL bof burine bfrom bthe bclient's bFoley bcatheter bat
bthe bend bof bthe bday bshift. bThereafter, b500 bmL bof burine bis bemptied bat bthe bend bof
bthe bevening bshift band b325 bmL bat bthe bend bof bthe bnight bshift. bNasogastric btube
bdrainage btotals b155 bmL bfor bthe b24-hour bperiod, band bthe btotal bdrainage bfrom bthe
bJackson-Pratt bdevice bis b175 bmL. bWhat bis bthe bclient's btotal bintake bduring bthe b24-
hour bperiod? bType byour banswer bin bthe bspace bprovided.
Answer: b________mL b- bcorrect banswer✔✔Correct bResponses: b"1670"
12 bLorazepam b(Ativan) b1 bmg bby bway bof bintravenous b(IV) binjection b(IV bpush) bis
bprescribed bfor ba bclient bfor bthe bmanagement bof banxiety. bThe bnurse bprepares bthe
bmedication bas bprescribed band badministers bthe bmedication bover ba bperiod bof:
A. b3 bminutes
B. b10 bseconds
C. b15 bseconds
D. b30 bminutes b- bcorrect banswer✔✔A. b3 bminutes bCorrect
13 bA bnurse, bconducting ban bassessment bof ba bclient bbeing bseen bin bthe bclinic bfor
bsymptoms bof ba bsinus binfection, basks bthe bclient babout bmedications bthat bhe bis
btaking. bThe bclient btells bthe bnurse bthat bhe bis btaking bnefazodone bhydrochloride
2024 ACTUAL EXAM COMPLETE
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1-Enalapril bmaleate b(Vasotec) bis bprescribed bfor ba bhospitalized bclient. bWhich
bassessment bdoes bthe bnurse bperform bas ba bpriority bbefore badministering bthe
bmedication?
A. bChecking bthe bclient's bblood bpressure
B. bChecking bthe bclient's bperipheral bpulses
C. bChecking bthe bmost brecent bpotassium blevel
D. bChecking bthe bclient's bintake-and-output brecord bfor bthe blast b24 bhours b- bcorrect
banswer✔✔A. bChecking bthe bclient's bblood bpressure
Checking bthe bclient's bblood bpressure b
Enalapril bmaleate bis ban bangiotensin-converting benzyme b(ACE) binhibitor bused bto
btreat bhypertension. bOne bcommon bside beffect bis bpostural bhypotension. bTherefore
bthe bnurse bwould bcheck bthe bclient's bblood bpressure bimmediately bbefore
badministering beach bdose. bChecking bthe bclient's bperipheral bpulses, bthe bresults bof
bthe bmost brecent bpotassium blevel, band bthe bintake band boutput bfor bthe bprevious b24
bhours bare bnot bspecifically bassociated bwith bthis bmediation.
2-A bclient bis bscheduled bto bundergo ban bupper bgastrointestinal b(GI) bseries, band bthe
bnurse bprovides binstructions bto bthe bclient babout bthe btest. bWhich bstatement bby bthe
bclient bindicates ba bneed bfor bfurther binstruction?
A. b"The btest bwill btake babout b30 bminutes."
B. b"I bneed bto bfast bfor b8 bhours bbefore bthe btest."
,C. b"I bneed bto bdrink bcitrate bof bmagnesia bthe bnight bbefore bthe btest band bgive bmyself
ba bFleet benema bon bthe bmorning bof bthe btest." b
D. b"I bneed bto btake ba blaxative bafter bthe btest bis bcompleted, bbecause bthe bliquid bthat
bI'll bhave bto bdrink bfor bthe btest bcan bbe bconstipating." b- bcorrect banswer✔✔C. b"I
bneed bto bdrink bcitrate bof bmagnesia bthe bnight bbefore bthe btest band bgive bmyself ba
bFleet benema bon bthe bmorning bof bthe btest."
An bupper bGI bseries binvolves bvisualization bof bthe besophagus, bduodenum, band
bupper bjejunum bby bmeans bof bthe buse bof ba bcontrast bmedium. bIt binvolves
bswallowing ba bcontrast bmedium b(usually bbarium), bwhich bis badministered bin ba
bflavored bmilkshake. bFilms bare btaken bat bintervals bduring bthe btest, bwhich btakes
babout b30 bminutes. bNo bspecial bpreparation bis bnecessary bbefore ba bGI bseries,
bexcept bthat bNPO bstatus bmust bbe bmaintained bfor b8 bhours bbefore bthe btest. bAfter
ban bupper bGI bseries, bthe bclient bis bprescribed ba blaxative bto bhasten belimination bof
bthe bbarium. bBarium bthat bremains bin bthe bcolon bmay bbecome bhard band bdifficult bto
bexpel, bleading bto bfecal bimpaction.
3-A bnurse bon bthe bevening bshift bchecks ba bphysician's bprescriptions band bnotes bthat
bthe bdose bof ba bprescribed bmedication bis bhigher bthan bthe bnormal bdose. bThe bnurse
bcalls bthe bphysician's banswering bservice band bis btold bthat bthe bphysician bis boff bfor
bthe bnight band bwill bbe bavailable bin bthe bmorning. bThe bnurse bshould:
A. bCall bthe bnursing bsupervisor
B. bAsk bthe banswering bservice bto bcontact bthe bon-call bphysician
C. bWithhold bthe bmedication buntil bthe bphysician bcan bbe breached bin bthe bmorning
D. bAdminister bthe bmedication bbut bconsult bthe bphysician bwhen bhe bbecomes
bavailable b- bcorrect banswer✔✔B. bAsk bthe banswering bservice bto bcontact bthe bon-call
bphysician
4.An bemergency bdepartment b(ED) bnurse bis bmonitoring ba bclient bwith bsuspected
bacute bmyocardial binfarction b(MI) bwho bis bawaiting btransfer bto bthe bcoronary
bintensive bcare bunit. bThe bnurse bnotes bthe bsudden bonset bof bpremature bventricular
bcontractions b(PVCs) bon bthe bmonitor, bchecks bthe bclient's bcarotid bpulse, band
bdetermines bthat bthe bPVCs bare bnot bresulting bin bperfusion. bThe bappropriate baction
bby bthe bnurse bis:
A. bDocumenting bthe bfindings
B. bAsking bthe bED bphysician bto bcheck bthe bclient
C. bContinuing bto bmonitor bthe bclient's bcardiac bstatus
D. bInforming bthe bclient bthat bPVCs bare bexpected bafter ban bMI b- bcorrect
banswer✔✔B. bAsking bthe bED bphysician bto bcheck bthe bclient
5.NPO bstatus bis bimposed b8 bhours bbefore bthe bprocedure bon ba bclient bscheduled bto
bundergo belectroconvulsive btherapy b(ECT) bat b1 bp.m. bOn bthe bmorning bof bthe
bprocedure, bthe bnurse bchecks bthe bclient's brecord band bnotes bthat bthe bclient
,broutinely btakes ban boral bantihypertensive bmedication beach bmorning. bThe bnurse
bshould:
A. bAdminister bthe bantihypertensive bwith ba bsmall bsip bof bwater
B. bWithhold bthe bantihypertensive band badminister bit bat bbedtime
C. bAdminister bthe bmedication bby bway bof bthe bintravenous b(IV) broute
D. bHold bthe bantihypertensive band bresume bits badministration bon bthe bday bafter bthe
bECT b- bcorrect banswer✔✔A. bAdminister bthe bantihypertensive bwith ba bsmall bsip bof
bwater
6 bA bclient bwho brecently bunderwent bcoronary bartery bbypass bgraft bsurgery bcomes
bto bthe bphysician's boffice bfor ba bfollow-up bvisit. bOn bassessment, bthe bclient btells bthe
bnurse bthat bhe bis bfeeling bdepressed. bWhich bresponse bby bthe bnurse bis
btherapeutic?
A. b"Tell bme bmore babout bwhat byou're bfeeling." b
B. b"That's ba bnormal bresponse bafter bthis btype bof bsurgery."
C. b"It bwill btake btime, bbut, bI bpromise byou, byou bwill bget bover bthis bdepression."
D. b"Every bclient bwho bhas bthis bsurgery bfeels bthe bsame bway bfor babout ba bmonth." b-
bcorrect banswer✔✔A. b"Tell bme bmore babout bwhat byou're bfeeling."
7 bA bclient bin blabor bexperiences bspontaneous brupture bof bthe bmembranes. bThe
bnurse bimmediately bcounts bthe bfetal bheart brate b(FHR) bfor b1 bfull bminute band bthen
bchecks bthe bamniotic bfluid. bThe bnurse bnotes bthat bthe bfluid bis byellow band bhas ba
bstrong bodor. bWhich bof bthe bfollowing bactions bshould bbe bthe bnurse's bpriority?
A. bContacting bthe bphysician
B. bDocumenting bthe bfindings
C. bChecking bthe bfluid bfor bprotein
D. bContinuing bto bmonitor bthe bclient band bthe bFHR b- bcorrect banswer✔✔A.
bContacting bthe bphysician bCorrect
8 bA bnurse bhas bassisted ba bphysician bin binserting ba bcentral bvenous baccess bdevice
binto ba bclient bwith ba bdiagnosis bof bsevere bmalnutrition bwho bwill bbe breceiving
bparenteral bnutrition b(PN). bAfter binsertion bof bthe bcatheter, bthe bnurse bimmediately
bplans bto:
A. bCall bthe bradiography bdepartment bto bobtain ba bchest bx-ray
B. bCheck bthe bclient's bblood bglucose blevel bto bserve bas ba bbaseline bmeasurement
C. bHang bthe bprescribed bbag bof bPN band bstart bthe binfusion bat bthe bprescribed brate
D. bInfuse bnormal bsaline bsolution bthrough bthe bcatheter bat ba brate bof b100 bmL/hr bto
bmaintain bpatency b- bcorrect banswer✔✔A. bCall bthe bradiography bdepartment bto
bobtain ba bchest bx-ray
, 9 bA brape bvictim bbeing btreated bin bthe bemergency bdepartment bsays bto bthe bnurse,
b"I'm breally bworried bthat bI've bgot bHIV bnow." bWhat bis bthe bappropriate bresponse bby
bthe bnurse?
A. b"HIV bis brarely ban bissue bin brape bvictims."
B. b"Every brape bvictim bis bconcerned babout bHIV."
C. b"You're bmore blikely bto bget bpregnant bthan bto bcontract bHIV."
D. b"Let's btalk babout bthe binformation bthat byou bneed bto bdetermine byour brisk bof
bcontracting bHIV." b- bcorrect banswer✔✔D. b"Let's btalk babout bthe binformation bthat
byou bneed bto bdetermine byour brisk bof bcontracting bHIV."
10 bA bclient bis btaking bprescribed bibuprofen b(Motrin), b300 bmg borally bfour btimes
bdaily, bto brelieve bjoint bpain bresulting bfrom brheumatoid barthritis. bThe bclient btells bthe
bnurse bthat bthe bmedication bis bcausing bnausea band bindigestion. bThe bnurse bshould
btell bthe bclient bto:
A. bContact bthe bphysician
B. bStop btaking bthe bmedication
C. bTake bthe bmedication bwith bfood
D. bTake bthe bmedication btwice ba bday binstead bof bfour btimes b- bcorrect banswer✔✔C.
bTake bthe bmedication bwith bfood
11 bA bclient's boral bintake bof bliquids bincludes b120 bmL bon bthe bnight bshift, b800 bmL
bon bthe bday bshift, band b650 bmL bon bthe bevening bshift. bThe bclient bis breceiving ban
bintravenous b(IV) bantibiotic bevery b12 bhours, bdiluted bin b50 bmL bof bnormal bsaline
bsolution. bThe bnurse bempties b700 bmL bof burine bfrom bthe bclient's bFoley bcatheter bat
bthe bend bof bthe bday bshift. bThereafter, b500 bmL bof burine bis bemptied bat bthe bend bof
bthe bevening bshift band b325 bmL bat bthe bend bof bthe bnight bshift. bNasogastric btube
bdrainage btotals b155 bmL bfor bthe b24-hour bperiod, band bthe btotal bdrainage bfrom bthe
bJackson-Pratt bdevice bis b175 bmL. bWhat bis bthe bclient's btotal bintake bduring bthe b24-
hour bperiod? bType byour banswer bin bthe bspace bprovided.
Answer: b________mL b- bcorrect banswer✔✔Correct bResponses: b"1670"
12 bLorazepam b(Ativan) b1 bmg bby bway bof bintravenous b(IV) binjection b(IV bpush) bis
bprescribed bfor ba bclient bfor bthe bmanagement bof banxiety. bThe bnurse bprepares bthe
bmedication bas bprescribed band badministers bthe bmedication bover ba bperiod bof:
A. b3 bminutes
B. b10 bseconds
C. b15 bseconds
D. b30 bminutes b- bcorrect banswer✔✔A. b3 bminutes bCorrect
13 bA bnurse, bconducting ban bassessment bof ba bclient bbeing bseen bin bthe bclinic bfor
bsymptoms bof ba bsinus binfection, basks bthe bclient babout bmedications bthat bhe bis
btaking. bThe bclient btells bthe bnurse bthat bhe bis btaking bnefazodone bhydrochloride
