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HESI Exit Practice, Real Hesi PN, KHESI2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the priority action for a nurse when a client receiving IV potassium reports burning at the infusion site?✔✔Stop the infusion and assess the IV site.
A client with COPD is placed on 6 L/min of oxygen. What complication should the nurse monitor for?✔✔Decreased respiratory drive.
A nurse notices a post-op client’s surgical dressing is saturated with blood. What should be the first action?✔✔Apply pressure to the site and notify the surgeon.
When caring for a client with heart failure, what daily nursing intervention helps monitor fluid retention?✔✔Daily weight measurement.
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A client with a tracheostomy becomes anxious and is coughing violently. The tracheostomy tube is dislodged. What is the immediate nursing action?✔✔Insert a new tracheostomy tube using the obturator.
A nurse is caring for a client receiving enteral feedings via NG tube. The client develops diarrhea. What should the nurse do first?✔✔Slow the rate of the feeding.
A nurse is caring for a client who is NPO and receiving TPN. What is the priority nursing assessment?✔✔Blood glucose monitoring.
What should the nurse do before administering digoxin to a client?✔✔Check the apical pulse for one full minute.
A client with diabetes is diaphoretic and confused. What is the nurse’s first action?✔✔Give a fast-acting source of glucose.
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A nurse is teaching a client about warfarin therapy. What food should be limited?✔✔Leafy green vegetables.
What is the best way to prevent ventilator-associated pneumonia?✔✔Elevate the head of the bed 30–45 degrees.
A client develops shortness of breath after receiving a blood transfusion. What is the nurse’s priority action?✔✔Stop the transfusion immediately.
What is the priority nursing intervention when inserting an indwelling urinary catheter?✔✔Maintain sterile technique.
What lab value should the nurse monitor for a client on furosemide?✔✔Potassium level.
A nurse finds a client seizing in bed. What should be done first?✔✔Turn the client onto their side. 3 / 4
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A nurse is administering insulin to a diabetic client. What action prevents lipodystrophy?✔✔Rotate injection sites.
What is the primary purpose of incentive spirometry after surgery?✔✔Prevent atelectasis.
A client with ascites is scheduled for paracentesis. What should the nurse do before the procedure?✔✔Ask the client to void.
A client with tuberculosis is admitted. What type of isolation is required?✔✔Airborne precautions.
What is the priority intervention when a client with a chest tube reports sudden shortness of breath?✔✔Check for kinks or dislodgement of the tube.
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