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Hesi Comprehensive Exam 3 Questions and
Answers 2023 (Verified Answers)
1.A 38-year-old female client is admitted to the mental health unit after a
recent manic episode of spending large amounts of money on new furniture,making excessive long-distance phone calls, and not sleeping for three
days. During the admission process, the client is wearing a green bathing
suit. What intervention should the nurse implement ANS Assess the client’sneeds for food, liquids, and rest.
2.During a group therapy session, a client with hypomania threatens to
strike another client. What intervention is best for the nurse to implement
ANS Firmly inform the client that acting out anger is not acceptable.
3.A client who is a laboratory technician and has a history of allergic
rhinitis, asthma, and multiple food allergies is scheduled for surgery. Which
action should the nurse implement ANS Document a possible Type I latex
allergy.
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4.In reviewing the medical record, the nurse notes that a client’s last eye
examination revealed an IOP of 28 mmHg. What information should the
nurse ask the client ANS Use of prescribed eye drops since last exam by
ophthalmologist.
5.Which action should the nurse implement to assess for JVD in a clientwith HF ANS Observe the vertical distention of the veins as the client isgradually elevated to an upright position.
6.The nurse identifies a client’s laboratory results and identifies an elevatedserum ammonia level. Which pathophysiological process contributes to thisfinding ANS Failure of the liver to convert ammonia absorbed from thebowel to urea.
7.A client with GERD is unconscious and unresponsive to stimuli. Thenurse places the client in a side-lying position. The nurse should monitor forthe risk of which complication ANS Aspiration pneumonia.
8.A client returns to the unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action should
the nurse implement ANS Irrigate the NGT with normal saline.
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- A male client who is admitted with a bleeding peptic ulcer develops
sudden, severe upper abdominal pain. The client becomes diaphoretic and
draws
his knees over his abdomen. Which finding should the nurse report to the
healthcare provider ANS A rigid, boardlike abdomen. - A client returns to the postoperative unit after a gastroduodenostomy
(Billroth I) for treatment of a perforated ulcer. The healthcare provider’s prescriptions include morphine with a patient-controlled analgesia (PCA), nasogastric tube (NGT) to low intermittent nasogastric suction, and IV fluids
and antibiotics. The client complains of increasing abdominal pain 12 hours
after returning to the surgical unit. The nurse determines the client has no
bowel sounds, and 200 ml of bright red nasogastric drainage is in the
suction
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Hesi Comprehensive Exam 3 Questions
and Answers 2023 (Verified Answers)
- Which change in sleep patterns is most likely to occur in an older aduANS –
Has a decline in stage 4 sleep
2.The nurse is developing the plan of care for an older client who isimmobile and at risk for pressure ulcers. Which contributing factor shouldthe nurse in- clude in the nursing diagnosis, “risk for altered skin integrity?”ANS tissue ischemia
Prolonged, intense pressure affects cellular metabolism by impeding
capillary blood flow to tissue over weight-bearing bony prominences,
resulting in tissue ischemia, skin breakdown, and tissue death
3.A male client tells the nurse that he is frequently constipated. Whichfinding should the nurse identify as a common dietary cause of thecomplication ANS In- adequate intake of dietary fiber and fluids
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4.The nurse is obtaining a client’s consent for a paracentesis. What
informa- tion should a nurse provide to ensure the client understands the
purpose of the procedure ANS A needle is inserted to remove excessive
fluid from the abdominal peritoneal cavity.
5.The nurse is teaching a client with Addison’s disease about this new diagnosis. what pathophysio explanation should the nurse share with the client
ANS c. Adrenal insufficiency is an autoimmune dysfunction that results
from white blood cells damaging the adrenal cortex
6.The nurse is caring for a client with diabetic ketoacidosis (DKA) who is
manifesting rapid and deep rests. Which resp pattern should the nurse
docu- ment ANS Kussmaul respirations
7.The nurse is teaching a client who is newly diagnosed with Type 1
diabetes mellitus about diet and insulin. The client should be instructed to
perform glucose self-monitoring when which symptoms occur after
exercising ANS Shak- iness
8.Which action should the nurse implement when providing nasogastric
(NG) feeding to an unresponsive client ANS Check residual volume every
four hours.
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9.The healthcare provider prescribes digital evacuation a focal impaction
for an older client who is admitted for a closed head injury after falling out
of bed. As a part of the procedure policy, the nurse applies a topical
anesthetic gel to the rectum. What rationale best supports the use of the
anesthetic gel ANS Decrease risk for bradycardia
10.What nursing intervention should the nurse include in the plan of carefor a client following a bone marrow aspiration ANS Use of a compressiondressing for firm pressure to the site
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Hesi Comprehensive Exam 3 Questions and
Answers 2023 (Verified Answers)
1.A 38-year-old female client is admitted to the mental health unit after a
recent manic episode of spending large amounts of money on new furniture,making excessive long-distance phone calls, and not sleeping for three
days. During the admission process, the client is wearing a green bathing
suit. What intervention should the nurse implement ANS Assess the client’sneeds for food, liquids, and rest.
2.During a group therapy session, a client with hypomania threatens to
strike another client. What intervention is best for the nurse to implement
ANS Firmly inform the client that acting out anger is not acceptable.
3.A client who is a laboratory technician and has a history of allergic
rhinitis, asthma, and multiple food allergies is scheduled for surgery. Which
action should the nurse implement ANS Document a possible Type I latex
allergy.
4.In reviewing the medical record, the nurse notes that a client’s last eye
examination revealed an IOP of 28 mmHg. What information should the
2 / 10
nurse ask the client ANS Use of prescribed eye drops since last exam by
ophthalmologist.
5.Which action should the nurse implement to assess for JVD in a clientwith HF ANS Observe the vertical distention of the veins as the client isgradually elevated to an upright position.
6.The nurse identifies a client’s laboratory results and identifies an elevatedserum ammonia level. Which pathophysiological process contributes to thisfinding ANS Failure of the liver to convert ammonia absorbed from thebowel to urea.
7.A client with GERD is unconscious and unresponsive to stimuli. Thenurse places the client in a side-lying position. The nurse should monitor forthe risk of which complication ANS Aspiration pneumonia.
8.A client returns to the unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action should
the nurse implement ANS Irrigate the NGT with normal saline.
- A male client who is admitted with a bleeding peptic ulcer develops
sudden, severe upper abdominal pain. The client becomes diaphoretic and
draws
his knees over his abdomen. Which finding should the nurse report to the
3 / 10
healthcare provider ANS A rigid, boardlike abdomen.
- A client returns to the postoperative unit after a gastroduodenostomy
(Billroth I) for treatment of a perforated ulcer. The healthcare provider’s prescriptions include morphine with a patient-controlled analgesia (PCA), nasogastric tube (NGT) to low intermittent nasogastric suction, and IV fluids
and antibiotics. The client complains of increasing abdominal pain 12 hours
after returning to the surgical unit. The nurse determines the client has no
bowel sounds, and 200 ml of bright red nasogastric drainage is in the
suction
1 /
Hesi Comprehensive Exam 3 Study Questions
and Answers 2023 (Verified Answers)
1.to avoid a false positive result for fecal occult blood in stool specimen,
the nurse should instruct client to avoid ingestion of which substances
prior to collecting a sample? ANS fish, beef, vit c, ibuprofen
2.The nurse manager is developing a plan to increase the local population’s
utilization of a new community-based public clinic. Which approach should
the nurse utilize to obtain the most impact on developing a collaborative
partnership with the community? ANS Conduct a focus group in
community to gather data on culturally significant needs
Nursing’s unique role in improving community health relies on an
approach based on knowledge of the community’s diversities and
specific needs, which is obtained through relationships with leaders and
members of the community.
3.The nurse instills an atropine ophthalmic solution into both eyes for aclient who is having a routine eye exam. Which side effects should the nursetell the client to anticipate? ANS Blurred vision
2 /
atropine ophthalmic solution is used during eye exams to dilate thepupil (mydriasis) and paralyze the ciliary muscle (cycloplegic refraction)which prevents accommoda- tion and causes blurred vision
4.A client is using an otic solution, hydrocortisone and polymyxin B
(Otobiotic otic), for external otitis media. Which therapeutic response shouldthe nurse tell the client to expect? ANS Decreases inflammation and pain
The otic preparation of polymyxin B and hycrocortisone is a combo
antibiotic and corticosteroid used to reduce imflammation and control
pain.
5.the nurse is providing tracheostomy care for a client who has encrusted
secretions inside the inner cannula. Which solution should the nurse use
to remove the debris? ANS hydrogen peroxide
an oxidizing antiseptic is used as a cleansing agent to loosen dried
secretions that collect on the inner cannula and around the
tracheostomy stoma.
6.The nurse is reviewing the lab results of an older client who is admitted toa medical unit, Which serum chemistry values should the nurse recognizeas most commonly affected by the aging process? ANS Calcium,potassium, sodium
3 /
7.An 11-year-old boy with oppositional defiant disorder becomes angry and
defiant over the rules of the day treatment mental health program. Which
response by the nurse is the most effective way to defuse the situation?
ANS Tell the child to go to the gym to play basketball
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HESI Comprehensive Exam 3, Comprehensive Exam 3A,
Comprehensive Exam 3B, Comprehensive Exam 3C,
Comprehensive Exam 3D
1.to avoid a false positive result for fecal occult blood in stool specimen,
the nurse should instruct client to avoid ingestion of which substances
prior to collecting a sample?: fish, beef, vit c, ibuprofen
2.The nurse manager is developing a plan to increase the local population’s
utilization of a new community-based public clinic. Which approach should
the nurse utilize to obtain the most impact on developing a collaborative
partnership with the community?: Conduct a focus group in community to
gather data on culturally significant needs
Nursing’s unique role in improving community health relies on an
approach based on knowledge of the community’s diversities and
specific needs, which is obtained through relationships with leaders and
members of the community.
3.The nurse instills an atropine ophthalmic solution into both eyes for aclient who is having a routine eye exam. Which side effects should the nursetell the client to anticipate?: Blurred vision
2 / 24
atropine ophthalmic solution is used during eye exams to dilate thepupil (mydriasis) and paralyze the ciliary muscle (cycloplegic refraction)which prevents accommoda- tion and causes blurred vision
4.A client is using an otic solution, hydrocortisone and polymyxin B
(Otobiotic otic), for external otitis media. Which therapeutic response shouldthe nurse tell the client to expect?: Decreases inflammation and pain
The otic preparation of polymyxin B and hycrocortisone is a combo
antibiotic and corticosteroid used to reduce imflammation and control
pain.
5.the nurse is providing tracheostomy care for a client who has encrusted
secretions inside the inner cannula. Which solution should the nurse use
to remove the debris?: hydrogen peroxide
an oxidizing antiseptic is used as a cleansing agent to loosen dried
secretions that collect on the inner cannula and around the
tracheostomy stoma.
6.The nurse is reviewing the lab results of an older client who is admitted toa medical unit, Which serum chemistry values should the nurse recognizeas most commonly affected by the aging process?: Calcium, potassium,sodium
3 / 24
7.An 11-year-old boy with oppositional defiant disorder becomes angry and
defiant over the rules of the day treatment mental health program. Which
response by the nurse is the most effective way to defuse the situation?:
Tell the child to go to the gym to play basketball
4 / 24
Redirecting the expression of feelings into nondestructive, ageappropriate behav- iors, such as a physical activity, helps a child learn
how to moderate the expression of feelings and exert self-control. The
least restrictive alternative should be imple- mented before resorting to more restrictive measures
8.A male client with degenerative arthritis of the knees and hips takes an
OTC NSAID for pain. During a routine clinic visit, the client tells the nurse,
“For the past month I’ve been having a lot of trouble sleeping. I can’t seem
to fall asleep, and when I finally do get sleep, I find that I wake up a number
of times during the night.” Which info should the nurse obtain first?: How
intense does the client rate his pain on a scale of 1-10?
A client with degenerative arthritis may have sleep disturbances
related to chronic pain, so the client’s pain intensity should be
determined.
9.An adolescent who lost fifty pounds during the past 3 mo is hospitalized.
during the admission assessment, the client complains of dry skin, poor
skin turgor, hair breakage, brittle nails, and a history of menstrual cycle
problems. Which finding is most important for the nurse to obtain additional
assessment info?: Amenorrhea
As a result of anorexia nervosa, a hypoestrogenic condition can result
from a decreased percentage of body fat and cuase amenorrhea,