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HESI Comprehensive Exam 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with diabetes is shaky, sweaty, and confused. What is the nurse’s first action?
- Call the provider
- Start IV insulin
- Administer glucagon
✔✔B. Give 15 g of fast-acting carbohydrate
A client is receiving IV vancomycin. Which finding requires immediate intervention?
- Mild fatigue
- Mild nausea
- Increased thirst
✔✔B. Red rash on face and chest
A client with pneumonia is producing thick secretions. Which nursing action is best?
- Limit oral fluids
- Suction once per shift 1 / 4
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✔✔C. Encourage oral fluid intake
- Place in Trendelenburg
A nurse is teaching a client taking warfarin. Which food should be avoided?
- Apples
- Rice
- Chicken
✔✔C. Spinach
A client post-thyroidectomy reports tingling around lips and fingers. Which lab should the nurse check first?
- Potassium
- Sodium
- Hemoglobin
✔✔B. Calcium
A client receiving morphine IV is difficult to arouse and has a respiratory rate of 6/min. What is the nurse’s priority? 2 / 4
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✔✔A. Administer naloxone
- Provide emotional support
- Increase IV fluids
- Document the finding
A client with heart failure reports sudden weight gain of 3 lbs in 24 hours. What is the nurse’s first action?✔✔A. Notify the healthcare provider
- Encourage fluids
- Reassure client this is expected
- Apply warm compress
A client with burns covering 30% of the body surface is at highest risk in the first 24 hours for which complication?
- Sepsis
- Contractures
- Pulmonary embolism 3 / 4
✔✔C. Hypovolemic shock
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A client receiving chemotherapy develops white patches in the mouth. What does the nurse suspect?
- Dehydration
- Vitamin deficiency
- Dental infection
✔✔B. Oral candidiasis
A client is receiving TPN. Which finding requires immediate action?
- Weight gain of 1 lb in 3 days
- Mild increase in appetite
- Elevated blood glucose
✔✔B. Sudden shortness of breath and chest pain
A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s priority?✔✔A. Assess safety and implement suicide precautions
- Offer medication education
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