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HESI Comprehensive B, Comprehensive Exam A, 2025 exit v 2
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HESI Comprehensive B, Comprehensive Exam A, 2025 exit v 2
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Name: Score:322 Multiple choice questions
Term 1 of 322
A client with hemiparesis needs assistance transferring from the bed to the wheelchair. The nurse
assists the client to a sitting position on the side of the bed. Which action should the nurse
implement next?
Flex the hips and knees and align the knees with the client's knees for safety.
Allow the client to sit on the side of the bed for a few minutes before transferring.
Place the client's weight-bearing or strong leg forward and the weak foot back.
Grasp the transfer belt at the client's sides to provide movement of the client.
Term 2 of 322
152. A client has had heart failure. Which intervention is most important for the nurse to
implement prior to the initial administration of Digoxin to this client?
Assess the apical pulse, counting for a full 60 seconds
Take a radial pulse, counting for a full 60 seconds
Use the pulse reading from the electronic blood pressure device
Check for a pulse deficit
Term 3 of 322
9. Following change-of-shift report on an orthopedic unit, which client should the nurse
see first?
16 year-old who had an open reduction of a fractured wrist 10 hours ago
20 year-old in skeletal traction for 2 weeks since a motor cycle accident
72 year-old recovering from surgery after a hip replacement 2 hours ago
75 year-old who is in skin traction prior to planned hip pinning surgery.
,Term 4 of 322
67. The nurse is giving instructions to the parents of a child with cystic fibrosis. The
nurse would emphasize that pancreatic enzymes should be taken
Once each day
3 times daily after meals
With each meal or snack
Each time carbohydrates are eaten
Term 5 of 322
Which client is best to assign to a graduate PN who is being oriented to a renal unit?
A client who is 1 day postoperative after placement of an arteriovenous (AV) shunt
A client who is receiving continuous ambulatory peritoneal dialysis
A client with continuous bladder irrigation for hematuria
A client with renal calculi whose urine needs to be strained
Term 6 of 322
When caring for a postsurgical client who has undergone multiple blood transfusions, which
serum laboratory finding is of most concern to the nurse?
Sodium level, 137 mEq/L
Potassium level, 5.5 mEq/L
Blood urea nitrogen (BUN) level, 18 mg/dL
Calcium level, 10 mEq/L
,Term 7 of 322
A male client with Parkinson's disease has been taking the antiparkinsonian agent amantadine HCl
(Symmetrel) for 4 months. He tells the home health nurse, "The medicine doesn't seem to be
working anymore." Which information should the nurse provide to this client?
The dosage probably needs to be increased.
The medication needs to be changed immediately.
The medication needs to be taken more frequently.
The effects of this drug tend to decrease after 3 months.
Term 8 of 322
A client with non-Hodgkin's lymphoma has been prescribed cyclophosphamide (Cytoxan) IV for
therapy. Which assessment finding would need to be reported immediately to the oncologist?
Sores on the mouth or tongue
Chills, fever, and sore throat
Loss of appetite or weight with diarrhea
Changes in color of fingernails or toenails
Term 9 of 322
A client is admitted with a diagnosis of leukemia. This condition is manifested by which of the
following?
Fever, elevated white blood count, elevated platelets
Fatigue, weight loss and anorexia, elevated red blood cells
Hyperplasia of the gums, elevated white blood count, weakness
Hypocellular bone marrow aspirate, fever, decreased hemoglobin level
, Term 10 of 322
A client has been receiving levofloxacin (Levaquin), 500 mg IV piggyback q24h for 7 days. The
UAP reports to the nurse that the client has had three loose foul-smelling stools this morning.
Which intervention is most important for the nurse to implement?
Perform a digital evaluation for fecal impaction.
Administer a PRN dose of psyllium (Metamucil).
Obtain a stool specimen for culture and sensitivity.
Instruct the UAP to obtain incontinent pads for the client.
Term 11 of 322
A client with acute renal failure (ARF) starts to void 4 L/day 2 weeks after treatment is initiated.
Which complication is important for the nurse to monitor the client for at this time?
Diabetes insipidus
Hypotension
Hyperkalemia
Uremia
Term 12 of 322
When the nurse-manager posts a schedule for volunteers to be on call, one staff member
immediately signs up for all available 7-to-3 day shifts. Other staff members complain to the
charge nurse that they were not permitted the opportunity to be on call for the day shift. What
action should the nurse-manager implement?
Speak privately with the nurse.
Hold a staff meeting to discuss this issue.
Review the nurse's current salary.
Nominate the nurse for employee of the month.
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