HESI Comprehensive B Questions and

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HESI Comprehensive B Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with chronic kidney disease has lab results: potassium 6.3 mEq/L. Which action is the priority?

• Encourage fluids
• Restrict protein

✔✔C. Place on cardiac monitor

• Monitor urine output

A client with COPD has oxygen ordered at 4 L/min via nasal cannula. Which intervention is most important?

• Apply humidifier

✔✔B. Titrate oxygen to maintain 88–92% saturation

• Encourage frequent coughing
• Increase oxygen if patient is anxious

A nurse is preparing to administer packed red blood cells. Which action prevents transfusion reaction? 1 / 4

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• Monitor blood pressure after infusion
• Use a 24-gauge IV catheter

✔✔C. Verify blood product with another nurse

• Infuse over 6 hours

A client with pneumonia reports pleuritic chest pain. Which intervention provides the most relief?

• Ambulate every hour

✔✔B. Splint the chest during coughing

• Restrict fluids
• Place in Trendelenburg position

A client is prescribed lisinopril. Which adverse effect requires immediate action?

• Dry cough
• Dizziness

✔✔C. Swelling of lips and tongue

• Fatigue
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A client with cirrhosis has abdominal distension and shortness of breath. Which intervention should the nurse perform first?

• Administer diuretic

✔✔B. Measure abdominal girth and assess respiratory status

• Place on fluid restriction
• Prepare for liver biopsy

A postpartum client is experiencing heavy vaginal bleeding. Which action should the nurse perform first?

• Call the obstetrician

✔✔B. Massage the fundus

• Insert a urinary catheter
• Administer an oxytocic drug

A client is receiving heparin infusion. Which lab value should be monitored?

A. INR

✔✔B. aPTT

• Hematocrit 3 / 4

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• Hemoglobin A1C

A nurse is teaching a client about levothyroxine. Which statement indicates correct understanding?

• “I should take this medication with milk.”

✔✔B. “I should take it in the morning before breakfast.”

• “I can stop taking this medication once I feel better.”
• “I should expect weight gain with this medication.”

A nurse is assessing a client with schizophrenia. Which finding requires immediate intervention?

• Flat affect

✔✔B. Command hallucinations

• Social withdrawal
• Poor grooming

A client with a chest tube becomes suddenly short of breath and has tracheal deviation. What complication is suspected?

• Fluid overload
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