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HESI Comprehensive Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with pneumonia has oxygen saturation of 84% on room air. What is the nurse’s priority action?
- Encourage coughing and deep breathing
- Obtain a sputum culture
- Notify the healthcare provider
✔✔B. Apply oxygen via nasal cannula
A client receiving IV potassium reports burning at the IV site. What should the nurse do first?✔✔A. Slow the infusion rate
- Discontinue the infusion immediately
- Apply cold compress
- Flush with heparin
A client on lithium therapy reports excessive thirst and frequent urination. Which lab result requires immediate action? 1 / 4
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- Sodium 138 mEq/L
- Potassium 4.0 mEq/L
- Calcium 9.0 mg/dL
✔✔B. Lithium 2.0 mEq/L
A nurse is teaching a client with heart failure about daily care. Which statement indicates correct understanding?
- “I should limit weighing myself to once a week.”
- “I should increase my salt intake for hydration.”
- “I don’t need to track my fluid intake.”
✔✔B. “I will call my provider if I gain more than 2 pounds in 24 hours.”
A client receiving chemotherapy reports tingling in the fingers and toes. Which complication should the nurse suspect?
- Mucositis
- Alopecia
- Neutropenia 2 / 4
✔✔C. Peripheral neuropathy
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A client with type 1 diabetes is sweating, shaky, and pale. What is the nurse’s first action?
- Call the healthcare provider
- Administer insulin
- Recheck glucose in 1 hour
✔✔C. Provide a fast-acting carbohydrate
A client with a chest tube has continuous bubbling in the water seal chamber. What should the nurse do?
- Document the finding as normal
- Increase suction
- Clamp the chest tube
✔✔B. Assess for an air leak
A nurse is caring for a client post-thyroidectomy. Which finding requires immediate intervention?
- Hoarse voice
✔✔B. Stridor 3 / 4
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- Sore throat
- Fatigue
A client prescribed warfarin asks about diet. Which food should the nurse advise limiting?
- Bananas
- Apples
- Potatoes
✔✔B. Kale
A nurse is teaching a client about digoxin. Which statement indicates a need for further teaching?
- “I should check my pulse before taking this medication.”
- “I should report any vision changes.”
- “I should not stop the medication suddenly.”
✔✔B. “If I feel nauseated, I should take another dose.”
A client with dehydration is receiving IV fluids. Which assessment best indicates therapy is effective?
- Decreased appetite
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