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5.0
HESI Comprehensive Exit Exam 2025- 2026
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
1-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
Ans: 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.
,Quiz: 2-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."
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."
Ans: 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.
Quiz: 3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than the
Examstudy - Stuvia US
,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
Ans: B. Ask the answering service to contact the on-call physician
Quiz: 4.An emergency department (ED) nurse is monitoring a client with
suspected acute myocardial infarction (MI) who is awaiting transfer to
the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
Examstudy - Stuvia US
, D. Informing the client that PVCs are expected after an MI
Ans: B. Asking the ED physician to check the client
Quiz: 5.NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On
the morning of the procedure, the nurse checks the client's record and
notes that the client routinely takes an oral antihypertensive
medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT
Ans: A. Administer the antihypertensive with a small sip of water
Quiz: 6 A client who recently underwent coronary artery bypass graft
surgery comes to the physician's office for a follow-up visit. On
assessment, the client tells the nurse that he is feeling depressed. Which
response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
Examstudy - Stuvia US
In today's fast-paced educational landscape, students need reliable resources to excel in their studies.
5.0
HESI Comprehensive Exit Exam 2025- 2026
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
1-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
Ans: 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.
,Quiz: 2-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."
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."
Ans: 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.
Quiz: 3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than the
Examstudy - Stuvia US
,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
Ans: B. Ask the answering service to contact the on-call physician
Quiz: 4.An emergency department (ED) nurse is monitoring a client with
suspected acute myocardial infarction (MI) who is awaiting transfer to
the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
Examstudy - Stuvia US
, D. Informing the client that PVCs are expected after an MI
Ans: B. Asking the ED physician to check the client
Quiz: 5.NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On
the morning of the procedure, the nurse checks the client's record and
notes that the client routinely takes an oral antihypertensive
medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT
Ans: A. Administer the antihypertensive with a small sip of water
Quiz: 6 A client who recently underwent coronary artery bypass graft
surgery comes to the physician's office for a follow-up visit. On
assessment, the client tells the nurse that he is feeling depressed. Which
response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
Examstudy - Stuvia US
