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HESI 800 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient is admitted with sudden shortness of breath and chest tightness. What is the nurse’s first action?
- Sit with the patient
- Give pain medication
- Document symptoms
✔✔B. Assess airway, oxygen saturation, and vital signs
A client with type 1 diabetes reports blood glucose of 38 mg/dL and is lethargic. What should the nurse do first?✔✔A. Administer a rapid-acting carbohydrate
- Wait for the next scheduled meal
- Notify the provider after an hour
- Encourage exercise
A patient with a new prescription for antihypertensive has BP 90/58 mmHg. What is the priority nursing action? 1 / 4
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- Administer the medication
- Give half the dose
- Monitor at next shift
✔✔C. Hold the medication and notify the provider
A postoperative patient is confused and attempting to remove their IV line. What should the nurse do first?
- Document behavior
- Call security
- Remove IV immediately
✔✔C. Ensure patient safety and secure IV line
A patient develops sudden swelling of the lips and face after eating peanuts. What is the priority action?✔✔A. Assess airway and prepare emergency intervention
- Give oral antihistamine
- Document and observe
- Notify family 2 / 4
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A child is admitted with high fever and seizure activity. What should the nurse do first?
- Start IV fluids immediately
- Call provider after seizure
- Document only
✔✔B. Ensure safety, maintain airway, and monitor seizure activity
A patient reports dizziness and fainting. What is the priority nursing action?
- Sit the patient upright
- Wait 30 minutes
- Document only
✔✔B. Place the patient supine, assess vital signs, and monitor
A patient refuses a newly prescribed antibiotic. What is the best nursing response?
- Force the patient to take it
- Ignore refusal
- Wait until the patient changes their mind 3 / 4
✔✔B. Explain benefits, risks, and purpose of the medication
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A postoperative patient has hypotension and tachycardia. What is the priority nursing action?✔✔A. Assess for bleeding and maintain IV access for fluid replacement
- Call provider immediately
- Sit patient upright
- Document only
A patient reports burning on urination after catheter placement. What should the nurse do first?
- Remove catheter immediately
- Give pain medication only
- Document
✔✔B. Assess for urinary tract infection and notify provider if indicated
A patient reports sudden severe headache and vision changes. What is the first nursing action?
- Give analgesics
- Document only
- Sit patient in waiting area
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✔✔C. Notify provider immediately and monitor neurological status