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HESI Comprehensive Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with pneumonia has a fever of 102°F and shortness of breath. What is the nurse’s first action?
- Encourage coughing and deep breathing
- Obtain a sputum culture
- Call the provider
✔✔B. Administer oxygen as prescribed
A client receiving IV vancomycin reports redness and itching at the infusion site. What should the nurse do first?
- Stop the infusion immediately
- Apply a cold compress
- Administer diphenhydramine
✔✔C. Slow the infusion rate and monitor
A client with type 2 diabetes reports fatigue and frequent urination. Which lab result requires immediate action? 1 / 4
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- Sodium 138 mEq/L
- Potassium 4.0 mEq/L
- Hemoglobin 14 g/dL
✔✔B. Glucose 450 mg/dL
A nurse is teaching a client about dietary management of hypertension. Which statement indicates understanding?
- “I will add more salt to my meals.”
- “I should avoid fruits and vegetables.”
- “I don’t need to check my blood pressure at home.”
✔✔B. “I will limit my sodium intake and read food labels.”
A client prescribed digoxin reports nausea and blurred vision. What is the nurse’s priority action?
- Administer the next scheduled dose
- Increase fluid intake
- Encourage exercise
- / 4
✔✔B. Hold the medication and notify the provider
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A nurse is caring for a client with COPD who has increased shortness of breath and wheezing.Which action is priority?
- Encourage deep breathing exercises
- Obtain a chest X-ray
- Call the respiratory therapist
✔✔B. Administer prescribed bronchodilator
A client is scheduled for a colonoscopy. Which teaching is most important before the procedure?
- Avoid drinking fluids before the procedure
- Eat a high-fiber diet the day before
- Avoid all medications permanently
✔✔C. Complete bowel prep as instructed
A nurse is monitoring a client receiving TPN. Which finding requires immediate intervention?
- Slight increase in blood glucose
- Mild nausea
- Normal urine output 3 / 4
✔✔C. Redness or swelling at the IV site
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A postpartum client reports heavy bleeding and a firm uterus. What should the nurse do first?
- Call the provider
- Monitor vital signs
- Encourage ambulation
✔✔C. Massage the fundus
A client with heart failure reports sudden weight gain of 3 pounds in 24 hours. What is the nurse’s priority action?
- Restrict fluid intake
- Increase diuretic dose without instruction
- Encourage exercise
✔✔B. Notify the healthcare provider
A client with a tracheostomy develops sudden respiratory distress. What is the nurse’s first action?
- Call respiratory therapy
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✔✔B. Suction the tracheostomy