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HESI Comprehensive Exit Exam Questions With 100% Verified Answers.

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HESI Comprehensive Exit Exam Questions With 100% Verified Answers. 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 ...

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  • September 30, 2024
  • 66
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HESI Comprehensive
  • HESI Comprehensive
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HESI Comprehensive Exit Exam Questions
With 100% Verified Answers.




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 - answer✔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

, ©BRAINBARTER 2024/2025


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.

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." - answer✔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

, ©BRAINBARTER 2024/2025


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.

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 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 - answer✔B.

Ask the answering service to contact the on-call physician

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

, ©BRAINBARTER 2024/2025


C. Continuing to monitor the client's cardiac status


D. Informing the client that PVCs are expected after an MI - answer✔B. Asking the ED

physician 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 -

answer✔A. Administer the antihypertensive with a small sip of water


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."

B. "That's a normal response after this type of surgery."

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