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HESI Comprehensive B, Comprehensive Exam A, Exit V 2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with COPD has an oxygen prescription of 4 L/min via nasal cannula. Which action is most important?
- Encourage deep breathing exercises
- Increase oxygen flow if saturation drops to 85%
- Place client in supine position for comfort
✔✔C. Maintain oxygen saturation between 88–92%
A client with diabetes is admitted with blood glucose of 42 mg/dL. What should the nurse do first?
- Call the provider immediately
- Start IV insulin
- Administer long-acting carbohydrate
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✔✔C. Give 15 g of fast-acting carbohydrate
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A nurse is caring for a client post-thyroidectomy. The client suddenly develops stridor and difficulty breathing. What is the priority action?
- Call the surgeon
- Reassure the client
- Administer a sedative
✔✔B. Prepare for emergency airway management
A nurse is preparing to transfuse packed red blood cells. Which intervention prevents hemolytic reaction?
- Flush tubing with dextrose solution
- Warm blood before infusion
- Infuse through IV catheter used for antibiotics
✔✔B. Verify blood product and client ID with another nurse
A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s priority?
- Provide quiet time in the client’s room
- Offer the client headphones and music 2 / 4
✔✔B. Ensure safety and place client on one-to-one observation
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- Document the hallucination in the chart
A client with pneumonia has a temperature of 102°F, pulse 120/min, and productive cough. What should the nurse encourage?
- Rest and limit oral fluids
- Place in low Fowler’s position
- Restrict ambulation
✔✔B. Increase oral fluid intake
A client is receiving IV furosemide. Which finding requires immediate intervention?
- Blood pressure 118/74 mmHg
- Urine output 450 mL in 8 hours
- Mild dizziness when standing
✔✔C. Potassium 2.9 mEq/L
A nurse is teaching a client prescribed warfarin. Which statement indicates correct understanding?
- “I will eat spinach daily for heart health.” 3 / 4
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✔✔B. “I will have my INR checked regularly.”
- “I can stop this medication once I feel better.”
- “I don’t need to worry about bleeding.”
A client receiving morphine IV has a respiratory rate of 7/min and is difficult to arouse. What is the priority nursing action?
- Reassess in 15 minutes
- Notify the provider
- Place in high Fowler’s position
✔✔C. Administer naloxone
A nurse is teaching a client prescribed sertraline. Which teaching is most important?
- “You may see effects within 24 hours.”
- “You can stop taking it once you feel good.”
- “This medication will cause weight loss immediately.”
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✔✔C. “It may take several weeks before improvement is noticed.”