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HESI iNet Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client reports sudden swelling of the face and lips after eating peanuts. What is the nurse’s first action?
- Give an oral antihistamine
- Monitor vital signs
- Place client in Trendelenburg position
✔✔B. Assess airway and prepare for epinephrine
A client is prescribed insulin glargine at bedtime. Which teaching should the nurse provide?
- “You should take it with meals only.”
- “It works quickly for high blood sugar.”
- “You can adjust the dose daily based on glucose readings.”
✔✔B. “Do not mix this insulin with other insulins.”
A nurse is caring for a client with a Foley catheter. Which action reduces risk of infection?
- Disconnect the catheter frequently for cleaning 1 / 4
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✔✔B. Keep the drainage bag below the bladder level
- Clamp the catheter when ambulating
- Flush the catheter once per shift
A client is receiving IV vancomycin. Which sign indicates a potentially serious reaction?
- Mild fatigue
- Slight headache
- Nausea
✔✔B. Red rash on neck and chest
A client with heart failure reports sudden weight gain and shortness of breath. Which action should the nurse take first?
- Restrict fluids
- Encourage deep breathing exercises
- Document the findings
✔✔B. Notify the healthcare provider
A client with type 2 diabetes reports dizziness and sweating. What is the priority nursing action? 2 / 4
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- Administer long-acting insulin
- Encourage a walk to stabilize glucose
- Check urine for ketones
✔✔B. Give a fast-acting carbohydrate such as juice
A client with a chest tube suddenly develops absent drainage and respiratory distress. What is the nurse’s first action?
- Reposition the client
- Clamp the chest tube
- Call the healthcare provider after documenting
✔✔C. Assess for kinks or dislodgment of the tube
A client is prescribed warfarin. Which food should the nurse teach the client to limit?
- Apples
- Rice
- Yogurt
- / 4
✔✔B. Spinach
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A nurse is caring for a client post-thyroidectomy who has tingling around the mouth and in the fingers. Which intervention is priority?
- Encourage deep breathing
- Apply ice to surgical site
- Give opioid for pain
✔✔B. Check serum calcium levels
A client with COPD is experiencing increased shortness of breath. Which position promotes optimal ventilation?
- Supine with legs elevated
- Side-lying with pillows
- Trendelenburg
✔✔C. High Fowler’s with arms supported
A client receiving TPN suddenly develops chest pain and shortness of breath. What is the likely complication?
- Hyperglycemia
- Fluid overload
- / 4
✔✔C. Air embolism