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HESI Comprehensive Exam A 265Questions and Answers 100% Pass 2025
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HESI Comprehensive Exam A 265Questions and Answers 100% Pass 2025
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HESI Comprehensive Exam A 265Questionsand Answers 100% Pass 2025
1. Enalapril maleate 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 - CORRECT
ANSWERS A. Checking the client's blood pressure
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 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." - CORRECT ANSWERS 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."
3. A nurse on the evening shift checks a health care provider's prescriptions and
notes that the dose of a prescribed medication is higher than the normal dose. The
nurse calls the health care provider's answering service and is told that the health
care provider 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 health care provider
C. Withhold the medication until the health care provider can be reached in the
morning
D. Administer the medication but consult the health care provider when he becomes
available - CORRECT ANSWERS B. Ask the answering service to contact the
on-call health care provider
,HESI Comprehensive Exam A 265Questions
and Answers 100% Pass 2025
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 health care provider to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - CORRECT ANSWERS
B. Asking the ED health care provider to check the client
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
- CORRECT ANSWERS A. Administer the antihypertensive with a small sip of
water
6. A client who recently underwent coronary artery bypass graft surgery comes to
the health care provider'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."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month." -
CORRECT ANSWERS A. "Tell me more about what you're feeling."
7. A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks the
,HESI Comprehensive Exam A 265Questions
and Answers 100% Pass 2025
amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor. Which
action should be the nurse's priority?
A. Contacting the health care provider
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - CORRECT ANSWERS A.
Contacting the health care provider
8. A nurse has assisted a health care provider in inserting a central venous access
device into a client with a diagnosis of severe malnutrition who will be receiving
parenteral nutrition (PN). After insertion of the catheter, the nurse immediately
plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - CORRECT ANSWERS A. Call the radiography department
to obtain a chest x-ray
9. A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of
contracting HIV." - CORRECT ANSWERS D. "Let's talk about the information
that you need to determine your risk of contracting HIV."
10. A client is taking prescribed ibuprofen , 300 mg orally four times daily, to relieve
joint pain resulting from rheumatoid arthritis. The client tells the nurse that the
medication is causing nausea and indigestion. The nurse should tell the client to:
A. Contact the health care provider
, HESI Comprehensive Exam A 265Questions
and Answers 100% Pass 2025
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - CORRECT ANSWERS
C. Take the medication with food
11. A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the
day shift, and 650 mL on the evening shift. The client is receiving an intravenous
(IV) antibiotic every 12 hours, diluted in 50 mL of normal saline solution. The nurse
empties 700 mL of urine from the client's Foley catheter at the end of the day shift.
Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at
the end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour
period, and the total drainage from the Jackson-Pratt device is 175 mL. What is the
client's total intake during the 24-hour period? Type your answer in the space
provided. ________mL - CORRECT ANSWERS 1670 mL
Rationale: The client's 24-hour total oral intake is 1570 mL, and the IV intake totals
100 mL (50 mL of normal saline solution every 12 hours). Therefore the 24-hour
intake total is 1670 mL.
12. Lorazepam 1 mg by way of intravenous (IV) injection (IV push) is prescribed for
a client for the management of anxiety. The nurse prepares the medication as
prescribed and administers the medication over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes - CORRECT ANSWERS A. 3 minutes
13. A nurse, conducting an assessment of a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he is taking.
The client tells the nurse that he is taking nefazodone hydrochloride . On the basis
of this information, the nurse determines that the client most likely has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - CORRECT ANSWERS A. Depression
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