Hesi Final Exam Test 1 Questions and

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Hesi Final Exam Test 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is caring for a client with a new diagnosis of type 1 diabetes. Which action is the priority teaching point?

• Encourage regular exercise
• Teach how to monitor blood glucose levels
• Discuss long-term complications

✔✔D. Teach how to administer insulin

A client is admitted with dehydration. What is the most important first nursing assessment?

• Assessing lung sounds

✔✔B. Checking vital signs and level of consciousness

• Measuring intake and output
• Assessing dietary history

A nurse notes a patient’s heart rate is 120 bpm and blood pressure is 85/50 mmHg after surgery.What is the priority action? 1 / 4

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✔✔A. Notify the provider immediately

• Administer pain medication
• Reassess in 15 minutes
• Encourage the patient to ambulate

A client with COPD reports increasing shortness of breath. What is the first intervention?

• Encourage deep breathing exercises

✔✔B. Apply prescribed oxygen and assess oxygen saturation

• Elevate legs for better circulation
• Administer antibiotics

A patient is on a fall risk protocol. Which action is most important?

• Place the call light within reach
• Encourage ambulation without assistance

✔✔C. Implement fall precautions and assist with mobility

• Restrict fluids to prevent bathroom trips
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A nurse is administering a new antihypertensive. Which assessment is most important before giving the medication?

• Lung sounds
• Temperature

✔✔C. Blood pressure

• Blood glucose

A client refuses medication due to fear of side effects. What is the best nurse response?

• Force the patient to take the medication
• Ignore the refusal
• Ask another nurse to administer it

✔✔D. Explain the benefits, risks, and purpose of the medication

A patient has a new IV line. Which intervention is most important for safety?

• Documenting the IV start

✔✔B. Checking for signs of infiltration or infection

• Adjusting infusion rate without orders
• Disposing of IV supplies 3 / 4

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A client is scheduled for surgery. What is the nurse’s priority teaching point?

• Discuss the surgical instruments

✔✔B. Explain NPO status and preparation instructions

• Give detailed anatomy explanations
• Provide a list of staff names

A patient with hypoglycemia is confused and sweating. What should the nurse do first?

• Call the provider

✔✔B. Give a fast-acting carbohydrate

• Reassess in 15 minutes
• Encourage the patient to drink water

A nurse is preparing a patient for a blood transfusion. What is the priority action?

• Verify IV patency
• Check vital signs afterward

✔✔C. Verify the patient’s identity and blood product match

• Start the infusion slowly without verification
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