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PPL HESI Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse prepares to administer a medication but notices the patient’s armband does not match the MAR. What is the best action?
- Ask the patient their room number
- Administer the medication anyway
- Ask the family to confirm the patient’s name
✔✔B. Verify the patient’s identity using two identifiers
A patient with heart failure reports sudden weight gain overnight. What is the priority nursing action?
- Recheck the weight in the evening
- Encourage increased oral fluids
- Offer high-calorie snacks
✔✔B. Assess for fluid overload and notify the provider
During shift change, which information is most important for the nurse to report? 1 / 4
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- Patient’s favorite hobbies
- Patient’s food preferences
- Visiting hours of the family
✔✔C. Changes in vital signs and clinical status
Which action by the nurse demonstrates safe delegation?
- Assigning the UAP to assess lung sounds
- Asking the UAP to administer oral medications
- Having the UAP teach incentive spirometer use
✔✔C. Assigning the UAP to assist with patient ambulation
A patient on oxygen therapy becomes anxious and restless. What is the nurse’s priority?
- Encourage deep breathing
- Offer reassurance only
- Administer scheduled oral medication
✔✔B. Check oxygen saturation and airway status
A patient is scheduled for surgery and begins crying. What is the nurse’s best response? 2 / 4
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- Tell the patient to stay strong
- Ignore the crying and proceed
- Reassure that all surgeries are safe
✔✔C. Ask the patient to share their concerns
A patient with pneumonia is prescribed antibiotics. Which assessment finding shows the treatment is effective?
- Fever of 102°F
- Increased sputum production
- Wheezing with cough
✔✔B. Decreased shortness of breath and improved oxygenation
Which action is most important when administering blood products?
- Allow the blood to hang for 6 hours
- Start infusion without a filter
- Use the same tubing as IV medications
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✔✔C. Verify patient identity with another nurse before starting
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A patient receiving morphine reports itching. What is the priority action?
- Stop the medication immediately
- Encourage hydration
- Apply lotion to the skin
✔✔B. Assess for other allergic symptoms like hives or swelling
A nurse observes a UAP assisting a patient to ambulate without gait belt. What should the nurse do?
- Ignore if patient looks steady
- Take over and finish the ambulation
- Write an incident report
✔✔B. Stop the activity and remind about safety procedures
A patient refuses to take prescribed medication. What should the nurse do first?✔✔A. Ask the patient why they don’t want to take it
- Crush the medication and hide it in food
- Call the provider immediately
- Document as “patient noncompliant”
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