HESI comprehensive
HESI COMPREHENSIVE EXAM STUDY
GUIDE TOP GRADED 2025-2026
The nurse is working with assistive personnel (AP) to care for clients. While
observing the AP's delivery of care, the nurse notes which actions by the AP that
indicate the need for further teaching regarding standard precautions? Select all
that apply. -Correct Answers ✔-Removes gloves and immediately uses computer
to document care
Uses soap and water to wash hands for 5 seconds and then dries hands
Empties collection bag of an indwelling urinary catheter without wearing gloves
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin
neutral protamine Hagedorn (NPH) insulin daily. Which prescription change does
the nurse anticipate during therapy with the prednisone? -Correct Answers ✔-An
increased amount of daily Humulin NPH insulin
A client with depression who has attempted suicide says to the nurse, "I should
have died. I've always been a failure. Nothing ever goes right for me." The nurse
would make which therapeutic response to the client? -Correct Answers ✔-
"You've been feeling like a failure for a while?"
The nurse is teaching a client, newly diagnosed with diabetes mellitus, to mix 24
units NPH and 12 units regular insulin in the same syringe. Which instructions
would the nurse give to the client to take after wiping the vials with an alcohol
wipe? -Correct Answers ✔-Inject 24 units of air into the NPH insulin vial.
The nurse is providing an education class to healthy older adults. Which exercise
will best promote health maintenance? -Correct Answers ✔-Walking three to five
times a week for 30 minutes
The nurse is providing care to a client diagnosed with multiple sclerosis. The nurse
knows that which populations are affected by this disease? Select all that apply. -
Correct Answers ✔-Multiple sclerosis affects women twice as often as men.
Multiple sclerosis occurs in adults between the ages of 20 and 50 years.
Multiple sclerosis most often affects Caucasians of Northern European ancestry.
HESI comprehensive
, HESI comprehensive
The nurse is caring for a client following a thyroidectomy. The client tells the
nurse that she is concerned because of voice hoarseness. The client asks the nurse
whether the hoarseness will subside. Which statement regarding the hoarseness
would the nurse make? -Correct Answers ✔-The hoarseness is normal and will
gradually subside.
The parents of a teenager diagnosed with anorexia nervosa ask the nurse what part
they can play during the long recovery period. The nurse accurately relates which
actions the parents should take? -Correct Answers ✔-Planning a non-food-related
activity
The nurse is monitoring for stoma prolapse in a client with a colostomy. Which
stoma observation would indicate that a prolapse has occurred? -Correct Answers
✔-Protruding and swollen
The nurse would emphasize which statement when reinforcing instructions to a
client about the use of indinavir? -Correct Answers ✔-Moisture can affect the
potency of the medication.
Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which
interventions would the nurse include when administering this medication? Select
all that apply. -Correct Answers ✔-Monitor liver function studies.
Instruct the client to avoid alcohol.
Instruct the client to avoid exposure to the sun.
The nurse is reinforcing instructions to the spouse of a client who is taking tacrine
for the management of moderate dementia associated with Alzheimer's disease.
The nurse would tell the spouse which information? -Correct Answers ✔-"If a
change in the color of the stools occurs, notify the primary health care provider."
The nurse is assigned to care for a client admitted to the postpartum unit following
delivery of a full-term healthy infant. The nurse checks the mother's temperature
and notes that it is 100.4° F (38° C). Which nursing action is appropriate? -Correct
Answers ✔-Encourage oral fluids
A client who is on lithium carbonate will be discharged at the end of the week. In
reinforcing a discharge teaching plan, the nurse would include which instructions?
HESI comprehensive
HESI COMPREHENSIVE EXAM STUDY
GUIDE TOP GRADED 2025-2026
The nurse is working with assistive personnel (AP) to care for clients. While
observing the AP's delivery of care, the nurse notes which actions by the AP that
indicate the need for further teaching regarding standard precautions? Select all
that apply. -Correct Answers ✔-Removes gloves and immediately uses computer
to document care
Uses soap and water to wash hands for 5 seconds and then dries hands
Empties collection bag of an indwelling urinary catheter without wearing gloves
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin
neutral protamine Hagedorn (NPH) insulin daily. Which prescription change does
the nurse anticipate during therapy with the prednisone? -Correct Answers ✔-An
increased amount of daily Humulin NPH insulin
A client with depression who has attempted suicide says to the nurse, "I should
have died. I've always been a failure. Nothing ever goes right for me." The nurse
would make which therapeutic response to the client? -Correct Answers ✔-
"You've been feeling like a failure for a while?"
The nurse is teaching a client, newly diagnosed with diabetes mellitus, to mix 24
units NPH and 12 units regular insulin in the same syringe. Which instructions
would the nurse give to the client to take after wiping the vials with an alcohol
wipe? -Correct Answers ✔-Inject 24 units of air into the NPH insulin vial.
The nurse is providing an education class to healthy older adults. Which exercise
will best promote health maintenance? -Correct Answers ✔-Walking three to five
times a week for 30 minutes
The nurse is providing care to a client diagnosed with multiple sclerosis. The nurse
knows that which populations are affected by this disease? Select all that apply. -
Correct Answers ✔-Multiple sclerosis affects women twice as often as men.
Multiple sclerosis occurs in adults between the ages of 20 and 50 years.
Multiple sclerosis most often affects Caucasians of Northern European ancestry.
HESI comprehensive
, HESI comprehensive
The nurse is caring for a client following a thyroidectomy. The client tells the
nurse that she is concerned because of voice hoarseness. The client asks the nurse
whether the hoarseness will subside. Which statement regarding the hoarseness
would the nurse make? -Correct Answers ✔-The hoarseness is normal and will
gradually subside.
The parents of a teenager diagnosed with anorexia nervosa ask the nurse what part
they can play during the long recovery period. The nurse accurately relates which
actions the parents should take? -Correct Answers ✔-Planning a non-food-related
activity
The nurse is monitoring for stoma prolapse in a client with a colostomy. Which
stoma observation would indicate that a prolapse has occurred? -Correct Answers
✔-Protruding and swollen
The nurse would emphasize which statement when reinforcing instructions to a
client about the use of indinavir? -Correct Answers ✔-Moisture can affect the
potency of the medication.
Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which
interventions would the nurse include when administering this medication? Select
all that apply. -Correct Answers ✔-Monitor liver function studies.
Instruct the client to avoid alcohol.
Instruct the client to avoid exposure to the sun.
The nurse is reinforcing instructions to the spouse of a client who is taking tacrine
for the management of moderate dementia associated with Alzheimer's disease.
The nurse would tell the spouse which information? -Correct Answers ✔-"If a
change in the color of the stools occurs, notify the primary health care provider."
The nurse is assigned to care for a client admitted to the postpartum unit following
delivery of a full-term healthy infant. The nurse checks the mother's temperature
and notes that it is 100.4° F (38° C). Which nursing action is appropriate? -Correct
Answers ✔-Encourage oral fluids
A client who is on lithium carbonate will be discharged at the end of the week. In
reinforcing a discharge teaching plan, the nurse would include which instructions?
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