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Evolve Comprehensive Exam (Hesi) 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A postoperative client reports sudden severe pain at the incision site. What should the nurse do first?✔✔Assess the incision and administer prescribed pain medication
A client with type 2 diabetes reports dizziness and sweating. What is the immediate nursing action?✔✔Check blood glucose and provide 15 g of fast-acting carbohydrate if hypoglycemic
A client is prescribed IV vancomycin and develops a red rash on the neck and chest during infusion. What is the priority action?✔✔Stop the infusion and notify the healthcare provider
A client with COPD is short of breath while lying flat. Which position promotes optimal breathing?✔✔Place the client in high Fowler’s position with arms supported on pillows
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A client is receiving a nasogastric tube feeding and reports nausea. What is the first action the nurse should take?✔✔Check tube placement and residual volume before continuing the feeding
A client is receiving morphine IV for severe pain and has a respiratory rate of 8/min. What is the nurse’s priority action?✔✔Administer naloxone as prescribed and monitor respiratory status
A client is prescribed warfarin. Which teaching is essential for preventing complications?✔✔Avoid foods high in vitamin K and report any signs of bleeding
A client with a tracheostomy suddenly has difficulty breathing. What is the immediate nursing action?✔✔Suction the tracheostomy and assess airway patency
A client with heart failure reports sudden weight gain of 3 pounds in 24 hours. What should the nurse do first?✔✔Notify the healthcare provider and assess for signs of fluid overload
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A client with a burn injury covering 40% of body surface area is at risk in the first 24 hours for which complication?✔✔Hypovolemic shock due to fluid loss
A client with cirrhosis is confused and has flapping tremors of the hands. Which complication should the nurse suspect?✔✔Hepatic encephalopathy
A client is prescribed furosemide. Which electrolyte should the nurse monitor most closely?✔✔Potassium
A client with pneumonia has thick secretions and a productive cough. Which nursing intervention is most effective?✔✔Encourage increased oral fluid intake and monitor respiratory status
A client post-thyroidectomy reports tingling in fingers and around the mouth. What is the priority nursing action?✔✔Assess serum calcium levels for hypocalcemia
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A client is prescribed prednisone for asthma. Which potential complication should the nurse monitor?✔✔Hyperglycemia and signs of infection
A client is receiving TPN via central line and develops sudden shortness of breath and chest pain.What is the priority nursing action?✔✔Stop the infusion, place the client in Trendelenburg position, and notify the healthcare provider for suspected air embolism
A client with hypokalemia is prescribed oral potassium chloride. Which instruction is important for safety?✔✔Never crush or chew extended-release tablets and take with food to prevent gastrointestinal irritation
A client with COPD is experiencing increased work of breathing and use of accessory muscles.What is the priority nursing assessment?✔✔Assess oxygen saturation and provide supplemental oxygen as prescribed
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