Examen
EXIT HESI.
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Exam of 42 pages for the course HESI COMPREHENSIVE at HESI COMPREHENSIVE (EXIT HESI.)
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EXIT HESI - COMPREHENSIVE EXAMA PRACTICE QUESTIONS WITH
CORRECT ANSWERS 2025/2026
AAnurseAwhoAhasArecentlyAcompletedAorientationAisAbeginningAworkAinAtheAlaborAandAdeliveryA
unitAforAtheAfirstAtime.AWhenAmakingAassignments,AwhichAclientAshouldAtheAchargeAnurseAassig
nAtoAthisAnewAnurse?
A.AAprimigravidaAwhoAisA8AcmAdilatedAafterA14AhoursAofAlabor
B.AAclientAscheduledAforAaArepeatAcesareanAbirthAatA38Aweeks'Agestation
A
C.AAclientAbeingAinducedAforAfetalAdemiseAatA20Aweeks'Agestation
A
D.AAmultiparousAclientAwhoAisAdilatedA5AcmAandA50%AeffacedA-AcorrectAanswersD
A
TheAnewAnurseAshouldAbeAassignedAtheAleastAcomplicatedAclientAtoAgainAexperienceAandAconfi
dence,AasAwellAasAprotectAclientAsafety.AOfAtheAclientsAavailableAforAassignment,A(D)AisAprogress
ingAwellAandAisAtheAleastAcomplicated.A(A,ABAandAC)AhaveAactualAorApotentialAcomplicationsAand
AshouldAbeAassignedAtoAaAmoreAexperiencedAnurse.
AAclientAwithAhumanAimmunodeficiencyAvirusA(HIV)AinfectionAhasAwhiteAlesionsAinAtheAoralAcav
ityAthatAresembleAmilkAcurds.ANystatinA(Mycostatin)ApreparationAisAprescribedAasAaAswishAandA
swallow.AWhichAinformationAisAmostAimportantAforAtheAnurseAtoAprovideAtheAclient?
A.OralAhygieneAshouldAbeAperformedAbeforeAtheAmedication.AB.AntifungalAmedicationsAareAav
ailableAinAtablet,Asuppository,AandAliquidAforms.
C.CandidaAalbicansAisAtheAorganismAthatAcausesAtheAwhiteAlesionsAinAtheAmouth.
A
D.TheAdietaryAintakeAofAdairyAandAspicyAfoodsAshouldAbeAlimited.A-AcorrectAanswersA
A
HIVAinfectionAcausesAdepressionAofAcell-
mediatedAimmunityAthatAallowsAanAovergrowthAofACandidaAalbicansA(oralAmoniliasis),AwhichAa
ppearsAasAwhite,AcheesyAplaqueAorAlesionsAthatAresembleAmilkAcurds.AToAensureAeffectiveAcont
actAofAtheAmedicationAwithAtheAoralAlesions,AoralAliquidsAshouldAbeAconsumedAandAoralAhygien
eAperformedAbeforeAswishingAtheAliquidAMycostatinA(A).A(BAandAC)AprovideAtheAclientAwithAaddi
tionalAinformationAaboutAtheApathogenesisAandAtreatmentAofAopportunisticAinfections,AbutA(A)
AallowsAtheAclientAtoAparticipateAinAself-
careAofAtheAoralAinfection.ADietaryArestrictionAofAspicyAfoodsAreducesAdiscomfortAassociatedAwi
thAstomatitis,AbutArestrictionAofAdairyAproductsAisAnotAindicatedA(D).
,AAclientAwhoAisAadmittedAwithAemphysemaAisAhavingAdifficultyAbreathing.AInAwhichApositionAsh
ouldAtheAnurseAplaceAtheAclient?
A.HighAFowler'sApositionAwithoutAaApillowAbehindAtheAhead
B.Semi-Fowler'sApositionAwithAaAsingleApillowAbehindAtheAhead
A
C.RightAside-lyingApositionAwithAtheAheadAofAtheAbedAelevatedA45Adegrees
A
AD.SittingAuprightAandAforwardAwithAbothAarmsAsupportedAonAanAoverAtheAbedAtableA-
AcorrectAanswersD
AdequateAlungAexpansionAisAdependentAonAdeepAbreathsAthatAallowAtheArespiratoryAmusclesAt
oAincreaseAtheAlongitudinalAandAanterior-
posteriorAsizeAofAtheAthoracicAcage.ASittingAuprightAandAleaningAforwardAwithAtheAarmsAsuppor
tedAonAanAoverAtheAbedAtableA(D)AallowsAtheAthoracicAcageAtoAexpandAinAallAfourAdirectionsAand
AreducesAdyspnea.AAAhighAFowler'sApositionAdoesAnotAallowAmaximumAexpansionAofAtheAposte
riorAlobesAofAtheAlungsA(A).AAAsemi-Fowler'sApositionArestrictsAexpansionAofAtheAanterior-
posteriorAdiameterAofAtheAthoracicAcageA(B).APositioningAaAclientAonAtheArightAsideAwithAtheAhe
adAofAtheAbedAelevatedA(C)AdoesAnotAfacilitateAlungAexpansion.
AAclientAwithAchronicArenalAinsufficiencyA(CRI)AisAtakingA25AmgAofAhydrochlorothiazideA(HCTZ)AP
OAandA40AmgAofAfurosemideA(Lasix)APOAdaily.AToday,AatAaAroutineAclinicAvisit,AtheAclient'sAserum
ApotassiumAlevelAisA4AmEq/L.AWhatAisAtheAmostAlikelyAcauseAofAthisAclient'sApotassiumAlevel?
A.TheAclientAisAnoncompliantAwithAhisAmedications.
B.TheAclientArecentlyAconsumedAlargeAquantitiesAofApearsAorAnuts.
A
C.TheAclient'sArenalAfunctionAhasAaffectedAhisApotassiumAlevel.
A
D.TheAclientAneedsAtoAbeAstartedAonAaApotassiumAsupplement.A-AcorrectAanswersC
A
TheAclientAhasAaAnormalizedApotassiumAlevelAdespiteAdiureticAuseA(C).ATheAkidneyAautomaticall
yAsecretesA90%AofApotassiumAconsumed,AbutAinAchronicArenalAinsufficiencyA(CRI),AlessApotassiu
mAisAexcretedAthanAnormal.ATherefore,AtheAtwoApotassium-
wastingAdrugs,AaAthiazideAdiureticAandAloopAdiuretic,AareAnotAlikelyAtoAaffectApotassiumAlevels.A
TheAnormalApotassiumAlevelAisA3.5AtoA5AmEq/L,AandAwithAaApotassiumAlevelAofA4AmEq/L,AthereAi
sAnoAreasonAtoAbelieveAthatAtheAclientAisAnoncompliantAwithAhisAtreatmentA(A).APearsAandAnutsA
doAnotAaffectAtheAserumApotassiumAlevelA(B).AThereAisAnoAneedAforAaApotassiumAsupplementA(
D)AbecauseAtheAclient'sApotassiumAlevelAisAwithinAtheAnormalArange.
,AAregisteredAnurseA(RN)AdeliversAtelehealthAservicesAtoAclientsAviaAelectronicAcommunication.A
WhichAnursingAactionAcreatesAtheAgreatestAriskAforAprofessionalAliabilityAandAhasAtheApotentialA
forAaAmalpracticeAlawsuit?
A.ParticipatingAinAtelephoneAconsultationsAwithAclients
B.IdentifyingAoneselfAbyAnameAandAtitleAtoAclientsAinAtelehealthAcommunications
A
C.SendingAmedicalArecordsAtoAhealthAcareAprovidersAviaAtheAInternet
A
D.AnsweringAaAclient-initiatedAhealthAquestionAviaAelectronicAmailA-AcorrectAanswersC
A
SendingAmedicalArecordsAoverAtheAInternet,AevenAwithAtheAlatestAsecurityAprotection,AcreatesAt
heAgreatestAriskAforAliabilityAbecauseAofAtheAhighApotentialAofAbreachingAclientAconfidentialityAa
ndAtheAamountAofAinformationAbeingAtransferredA(C).AClientAconfidentialityAisAprotectedAbyAfed
eralAwiretappingAlawsAmakingAtelephoneAconsultationA(A)AaAprivateAandAprotectedAformAofAco
mmunication.AByAstatingAone'sAnameAandAcredentialsAinAtelehealthAcommunicationA(B),AoneAis
AtakingAresponsibilityAforAtheAencounter.AE-
mailAinitiatedAbyAtheAclientA(D)AposesAlessAriskAthanAsendingArecordsAviaAtheAInternet.
WhichApathophysiologicAresponseAsupportsAtheAcontraindicationAforAopioids,AsuchAasAmorphi
ne,AinAclientsAwithAincreasedAintracranialApressureA(ICP)?
A.SedationAproducedAbyAopioidsAisAaAresultAofAaAprolongedAhalf-lifeAwhenAtheAICPAisAelevated.
B.HigherAdosesAofAopioidsAareArequiredAwhenAcerebralAbloodAflowAisAreducedAbyAanAelevatedAI
A
CP.
AC.DysphoriaAfromAopioidsAcontributesAtoAalteredAlevelsAofAconsciousnessAwithAanAelevatedAIC
P.
D.OpioidsAsuppressArespirations,AwhichAincreasesAPco2AandAcontributesAtoAanAelevatedAICP.A-
AcorrectAanswersD
TheAgreatestAriskAassociatedAwithAopioidsAsuchAasAmorphineA(D)AisArespiratoryAdepressionAthat
AcausesAanAincreaseAinAPco2,AwhichAincreasesAICPAandAmasksAtheAearlyAsignsAofAintracranialAble
edingAinAheadAinjury.A(A,AB,AandAC)AdoAnotAsupportAtheArisksAassociatedAwithAopioidAuseAinAaAcli
entAwithAincreasedAICP.
TheAchargeAnurseAofAaAmedicalAsurgicalAunitAisAalertedAtoAanAimpendingAdisasterArequiringAimp
lementationAofAtheAhospital'sAdisasterAplan.ASpecificAfactsAaboutAtheAnatureAofAthisAdisasterAar
eAnotAyetAknown.AWhichAinstructionAshouldAtheAchargeAnurseAgiveAtoAtheAotherAstaffAmembers
AatAthisAtime?
, A.PrepareAtoAevacuateAtheAunit,AstartingAwithAtheAbedriddenAclients.
B.UAPsAshouldAreportAtoAtheAemergencyAcenterAtoAhandleAtransports.
A
C.TheAlicensedAstaffAshouldAbeginAcountingAwheelchairsAandAIVApolesAonAtheAunit.
A
AD.ContinueAwithAcurrentAassignmentsAuntilAmoreAinstructionsAareAreceived.A-
AcorrectAanswersD
WhenAfacedAwithAanAimpendingAdisaster,AhospitalApersonnelAmayAbeAalertedAbutAshouldAconti
nueAwithAcurrentAclientAcareAassignmentsAuntilAfurtherAinstructionsAareAreceivedA(D).AEvacuati
onAisAtypicallyAaAresponseAofAlastAresortAthatAbeginsAwithAclientsAwhoAareAmostAableAtoAambula
teA(A).A(B)AisAprematureAandAisAlikelyAtoAincreaseAtheAchaosAifAincomingAcasualtiesAareAanticipat
ed.A(C)AisApoorAutilizationAofApersonnel.
TheAnurseAassessesAaAclientAwhileAtheAUAPAmeasuresAtheAclient'sAvitalAsigns.ATheAclient'sAvitalAs
ignsAchangeAsuddenly,AandAtheAnurseAdeterminesAthatAtheAclient'sAconditionAisAworsening.AThe
AnurseAisAunsureAofAtheAclient'sAresuscitativeAstatusAandAneedsAtoAcheckAtheAclient'sAmedicalAre
cordAforAanyAadvancedAdirectives.AWhichAactionAshouldAtheAnurseAimplement?
A.AskAtheAUAPAtoAcheckAforAtheAadvancedAdirectiveAwhileAtheAnurseAcompletesAtheAassessmen
t.
B.AssignAtheAUAPAtoAcompleteAtheAassessmentAwhileAtheAnurseAchecksAforAtheAadvancedAdirec
tive.
C.CheckAtheAmedicalArecordAforAtheAadvancedAdirectiveAandAthenAcompleteAtheAclientAassessm
ent.
AD.CallAforAtheAchargeAnurseAtoAcheckAtheAadvancedAdirectiveAwhileAcontinuingAtoAassessAtheAcl
ient.A-AcorrectAanswersD
BecauseAtheAclient'sAconditionAisAworsening,AtheAnurseAshouldAremainAwithAtheAclientAandAcon
tinueAtheAassessmentAwhileAcallingAforAhelpAfromAtheAchargeAnurseAtoAdetermineAtheAclient'sAr
esuscitativeAstatusA(D).A(AAandAB)AareAtasksAthatAmustAbeAcompletedAbyAaAnurseAandAcannotAbe
AdelegatedAtoAtheAUAP.A(C)AisAcontraindicated.
TheAnurseAisApreparingAaAclientAforAsurgeryAscheduledAinA2Ahours.AAAUAPAisAhelpingAtheAnurse.A
WhichAtaskAisAimportantAforAtheAnurseAtoAperform,AratherAthanAtheAUAP?
A.RemoveAtheAclient'sAnailApolishAandAdentures.
B.AssistAtheAclientAtoAtheArestroomAtoAvoid.
A
C.ObtainAtheAclient'sAheightAandAweight.
A
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