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HESI Critical Thinking Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with diabetes is found sweating, shaky, and confused. What is the immediate nursing intervention?✔✔Give a rapid-acting carbohydrate such as juice.
A postoperative patient reports sudden shortness of breath and chest pain. What should the nurse do first?✔✔Elevate the head of the bed and apply oxygen.
The nurse notices an elderly patient becoming increasingly confused while on a new diuretic.What should the nurse check first?✔✔Serum electrolytes, especially sodium.
A patient taking warfarin has a nosebleed that won’t stop. What is the nurse’s priority action?✔✔Check the INR and notify the provider.
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A patient on morphine becomes drowsy with a respiratory rate of 8. What is the nurse’s immediate action?✔✔Administer naloxone.
A client receiving chemotherapy reports mouth sores and pain when eating. What should the nurse recommend?✔✔Soft, bland foods and good oral care.
A patient with COPD becomes restless and agitated. What should the nurse assess first?✔✔Oxygen saturation level.
A patient prescribed digoxin reports blurred vision with yellow halos. What should the nurse do?✔✔Hold the drug and notify the provider.
A client with a chest tube has no drainage and absent breath sounds on the left side. What is the nurse’s priority?✔✔Assess for tube obstruction or lung collapse.
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The nurse enters a room and sees a patient having a tonic-clonic seizure. What is the first action?✔✔Protect the airway and ensure safety.
A patient on insulin becomes unconscious before breakfast. What should the nurse do first?✔✔Give glucagon if no IV access is available.
A patient who had surgery yesterday has a rigid abdomen and absent bowel sounds. What complication is suspected?✔✔Paralytic ileus.
A nurse notices a blood transfusion reaction starting. What is the first action?✔✔Stop the transfusion immediately.
A patient with heart failure gains 3 pounds overnight. What does this most likely indicate?✔✔Fluid retention.
A patient reports severe calf pain after surgery. What complication should the nurse suspect?✔✔Deep vein thrombosis.
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