HESI Comprehensive Exam Questions

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

A client is admitted with dehydration. Which assessment finding requires immediate action?

• Mild thirst
• Dry mucous membranes

✔✔C. Hypotension and tachycardia

• Slight dizziness

A nurse is caring for a client with chronic kidney disease. Which lab requires urgent intervention?

• Hemoglobin 11 g/dL
• Calcium 9 mg/dL

✔✔C. Potassium 6.4 mEq/L

• Albumin 3.5 g/dL

A client with asthma reports wheezing and shortness of breath after exercise. What is the priority nursing action? 1 / 4

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• Encourage rest

✔✔B. Administer prescribed rescue inhaler

• Give a bronchodilator orally
• Call the healthcare provider

A client with congestive heart failure gains 4 lbs in 2 days. What should the nurse do first?

• Restrict fluids

✔✔B. Notify the healthcare provider

• Increase diuretic without reporting
• Document the finding

A nurse is teaching a client with diabetes about hypoglycemia. Which statement indicates understanding?

• “I should skip snacks between meals.”

✔✔B. “I should carry fast-acting glucose with me.”

• “I only need to check my blood sugar once a week.”
• “I should exercise without checking glucose first.”
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A client is receiving TPN and reports shortness of breath and chest discomfort. What is the priority action?

• Check blood glucose
• Increase TPN rate

✔✔C. Stop the infusion and notify the provider

• Encourage deep breathing

A nurse is assessing a client with pneumonia. Which finding is most concerning?

• Fever 101°F
• Productive cough

✔✔C. Oxygen saturation 84% on room air

• Mild fatigue

A client with COPD is experiencing shortness of breath. Which position promotes optimal breathing?

• Supine with legs elevated
• Side-lying

✔✔C. High Fowler’s with arms supported 3 / 4

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• Trendelenburg

A nurse is preparing to administer IV potassium. Which is correct?

• Give as IV push over 2 minutes

✔✔B. Dilute and infuse slowly with an IV pump

• Administer only if urine output <20 mL/hr
• Mix with dextrose 5% only

A client is prescribed warfarin. Which food should be limited?

• Apples

✔✔B. Spinach

• Rice
• Yogurt

A client post-thyroidectomy develops tingling in fingers and lips. What is the priority action?

• Assess pain

✔✔B. Check serum calcium

• Encourage fluids
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