Hesi Comprehensive Exam Version 2 (New 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| A Grade
QUESTION
The nurse is conducting a
... [Show More] drug education class for junior high school students. Which statement, provided by one of the student participants, best describes the primary characteristic of addiction?
a. "Addicts who use illegal drugs are trying to escape reality."
b. "Addiction causes people to steal and lie."
c. "Those who are unhappy with themselves are more likely to become addicts."
d. "Wanting the drug is all that matters to an addict."
Answer:
D
QUESTION
A client assigned to a female practical nurse (PN) needs total morning care and sterile wound packing with a wet-to-dry dressing. The PN tells the nurse that she has never performed a wound packing. Which intervention should the charge nurse implement?
a. Perform the wound care and have the PN provide the client's morning care.
b. Advise the PN to review the procedure in the procedure manual and then complete the wound care.
c. Note the PN's learning need to perform a wound packing and contact nursing education to schedule a time for instruction.
d. Demonstrate the wound care procedure to the PN while the PN assists.
Answer:
D
QUESTION
Which finding should the nurse identify as an early clinical manifestation of neonatal encephalopathy related to hyperbilirubinemia?
a. Mental retardation.
b. Rigid extension of all extremities.
c. Lethargy or irritability.
d. Increased or unstable temperature.
Answer:
C
QUESTION
Two unlicensed assistive personnel (UAP) are arguing on the unit about who deserves to take a break first. What is the most important basic guideline that the nurse should follow in resolving the conflict?
a. Deal with issues and not personalities.
b. Require the UAPs to reach a compromise.
c. Weigh the consequences of each possible solution.
d. Encourage the two to view the humor of the conflict.
Answer:
A
QUESTION
A child with bacterial conjunctivitis receives a prescription for erythromycin eye drops. Which information is most important for the nurse to include in the teaching plan?
a. Apply warm compresses to reduce swelling.
b. Wear sunglasses to protect eyes from sunlight.
c. Take acetaminophen (Tylenol) for any eye discomfort.
d. Avoid sharing towels and washcloths with siblings.
Answer:
D
QUESTION
The nurse is preparing to administer a high volume saline enema to a client. Which information is most important for the nurse to obtain prior to administering the enema?
a. History of inflammatory bowel disorders.
b. Reason for administering the enema.
c. Feelings about having an enema.
d. Allergies to medications.
Answer:
A
QUESTION
The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace which her healthcare provider has prescribed. Which instruction would be accurate?
a. Remove the brace one hour each day for bathing only.
b. Remove the brace twice daily for back range of motion exercises.
c. Wear the brace against the bare skin.
d. Wear the brace in order to cure the spinal curvature.
Answer:
A
QUESTION
The clinic nurse identifies an elevation in the results of the triple marker screening test for a client who is in the first trimester of pregnancy. Which action should the nurse prepare the client for?
a. Repeating the triple marker test.
b. Preparing for other diagnostic testing.
c. Counseling about possible fetal defects.
d. Securing permission for pregnancy termination.
Answer:
B
QUESTION
The nurse is caring for critically ill clients. Which client should be monitored for the development of neurogenic shock?
a. Heart failure.
b. Gastrointestinal hemorrhage.
c. Spinal cord injury.
d. Diabetes insipidus.
Answer:
C
QUESTION
Following major abdominal surgery, a male client's arterial blood gas analysis reveals Pa0 2 95 mmHg and PaC0 2 50 mmHg. He is receiving oxygen by nasal cannula at 4 liters/minute and is reluctant to move in bed or deep breathe. Based on this information, what action should the nurse implement at this time?
a. Increase the oxygen flow to 6 liters/minute.
b. Encourage the use of an incentive spirometer.
c. Notify the healthcare provider of the crisis blood gas values.
d. Encourage the client to breathe slower.
Answer:
B
QUESTION
Clinical portfolios are being introduced into the performance appraisal process for staff nurses employed at a hospital. What should the nurse-manager request that each staff nurse include in the portfolio?
a. Evaluations by past nursing faculty and employers to document ongoing competence.
b. Copies of any articles the nurse has read that relate to client care on the nursing unit.
c. Letters of support from family members and friends who are healthcare professionals.
d. A self-evaluation that identifies how the nurse has met professional objectives and goals.
Answer:
D
QUESTION
The nurse is teaching staff in a long-term facility home the principles of caring for clients with essential hypertension. Which comment should the nurse include in the inservice presentation about the care of clients with hypertension?
a. "Clients with an elevated blood pressure often exhibit a stiff neck and are diaphoretic."
b. "As long as clients receive daily antihypertensive medications, no further interventions are needed." [Show Less]