HESI COMPREHENSIVE EXAM LATEST 2026 STUDY QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS | RATED A+
1. Enalapril maleate is prescribed for a hospitalized client. Which assessment does the nurse
perform as a priority before administering the medication?
Checking the client's blood pressure
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's intake-and-output record for the last 24 hours - Answer>>> Checking the
client's blood pressure
Rationale: 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
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?
"The test will take about 30 minutes."
"I need to fast for 8 hours before the test."
"I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the
morning of the test."
"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>>> "I need to drink citrate of magnesia the night before
the test and give myself a Fleet enema on the morning of the test."
Rationale: No special preparation is necessary before a GI series, except that NPO (nothing by
mouth) status must be maintained for 8 hours before 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.
After an upper GI series, the 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 primary health care provider's prescriptions and notes
that the dose of a prescribed medication is higher than the normal dose. The nurse calls the
primary health care provider's answering service and is told that the primary health care provider
is off for the night and will be available in the morning. What should the nurse do next?
Call the nursing supervisor
Ask the answering service to contact the on-call primary health care provider
Withhold the medication until the primary health care provider can be reached in the morning
Administer the medication but consult the primary health care provider when he becomes
available - Answer>>> Ask the answering service to contact the on-call primary health care
provider
Rationale: The nurse has a duty to protect the client from harm. A nurse who believes that a
primary health care provider's prescription may be in error is responsible for clarifying the
prescription before carrying it out. Therefore the nurse would not administer the medication;
instead, the nurse would withhold the medication until the dose can be clarified. The nurse would
not wait until the next morning to obtain clarification. It is premature to call the nursing
supervisor.
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 perfusing. What is the nurse's most
appropriate action?
Document the findings
Ask the ED primary health care provider to check the client
Continue to monitor the client's cardiac status
Inform the client that PVCs are expected after an MI - Answer>>> Ask the ED primary health
care provider to check the client
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