HESI Comprehensive Practice Exam 1

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HESI Comprehensive Practice Exam 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with heart failure reports sudden weight gain of 4 pounds in 24 hours. What is the nurse’s first action?

• Document the finding

✔✔B. Notify the healthcare provider

• Encourage increased fluid intake
• Reassure the client this is normal

A nurse is teaching a client prescribed nitroglycerin tablets. Which instruction is correct?

• Swallow the tablet with water

✔✔B. Place the tablet under the tongue until it dissolves

• Take with meals only
• Store in a plastic pill organizer

A client receiving IV morphine reports difficulty staying awake. Respiratory rate is 6/min. What is the nurse’s priority action? 1 / 4

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✔✔A. Administer naloxone

• Elevate the head of the bed
• Reduce IV fluids
• Document the findings

A postpartum client is experiencing heavy bleeding and a boggy uterus. Which intervention should the nurse perform first?

• Call the obstetrician

✔✔B. Massage the fundus

• Apply warm compresses
• Increase oral fluids

A client with schizophrenia is pacing and yelling loudly. What should the nurse do first?

• Ask the client to explain feelings

✔✔B. Reduce environmental stimuli and approach calmly

• Offer group therapy session
• Leave the client alone until calm
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A client is prescribed warfarin. Which food should the nurse teach to avoid excessive intake of?

• Apples
• Milk

✔✔C. Spinach

• Rice

A client with COPD is short of breath while lying in bed. Which position best promotes ventilation?

• Supine with legs elevated

✔✔B. High Fowler’s with arms supported on pillows

• Side-lying with knees bent
• Trendelenburg position

A nurse is caring for a client with cirrhosis. Which finding indicates hepatic encephalopathy?

• Jaundice

✔✔B. Asterixis (flapping tremor)

• Ascites
• Pruritus 3 / 4

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A client is prescribed furosemide. Which electrolyte should be monitored most closely?

• Sodium

✔✔B. Potassium

• Calcium
• Chloride

A client with diabetes reports shaking, sweating, and blurred vision. What should the nurse do first?

• Call the healthcare provider

✔✔B. Provide orange juice

• Administer insulin
• Encourage ambulation

A client with burns covering 30% of body surface area is at greatest risk in the first 24 hours for which complication?

• Sepsis

✔✔B. Hypovolemic shock

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