HESI Comprehensive Review for the

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HESI Comprehensive Review for the NCLEX-RN Examination Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

What is the first action a nurse should take when a client with a tracheostomy develops sudden respiratory distress?✔✔Suction the tracheostomy and assess airway patency

A client with type 1 diabetes is confused, sweaty, and shaky. What should the nurse do first?✔✔Administer a fast-acting carbohydrate such as orange juice

A postoperative client has a respiratory rate of 8/min after receiving morphine. What is the priority nursing action?✔✔Administer naloxone and monitor respiratory status

A client with COPD is short of breath. Which position will best promote optimal breathing?✔✔Place the client in high Fowler’s position with arms supported on pillows

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A client receiving total parenteral nutrition develops sudden shortness of breath and chest pain.What complication should the nurse suspect?✔✔Air embolism

A client with heart failure reports a sudden weight gain of 3 lbs in 24 hours. What is the nurse’s first action?✔✔Notify the healthcare provider and monitor for fluid overload

A client with hypokalemia is prescribed potassium chloride. What instruction is most important for the nurse to give?✔✔Never crush or chew extended-release tablets and monitor potassium levels closely

A client post-thyroidectomy reports tingling around the mouth and in the fingers. What is the priority action?✔✔Assess serum calcium levels for signs of hypocalcemia

A client with cirrhosis is confused and has flapping tremors of the hands. Which intervention is most appropriate?✔✔Monitor for hepatic encephalopathy and implement safety precautions 2 / 4

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A client with pneumonia is producing thick secretions. What nursing action will most effectively help clear secretions?✔✔Encourage increased oral fluids and perform effective coughing techniques

A client prescribed warfarin asks which foods to avoid. Which response demonstrates correct teaching?✔✔Avoid foods high in vitamin K such as spinach, kale, and broccoli

A client with burns covering 40% of body surface area is at greatest risk during the first 24 hours for which complication?✔✔Hypovolemic shock

A client receiving furosemide develops muscle weakness and irregular heartbeats. What lab value should the nurse check immediately?✔✔Serum potassium level

A client with heart failure is prescribed digoxin. Which finding indicates digoxin toxicity?✔✔Bradycardia, nausea, and visual disturbances 3 / 4

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A nurse is preparing to administer blood. What action is most important to prevent a hemolytic reaction?✔✔Verify client identity with another licensed nurse before starting the transfusion

A client with a nasogastric tube is receiving enteral feeding. What is the most important intervention to prevent aspiration?✔✔Elevate the head of the bed 30–45 degrees during feeding and keep elevated for 30–60 minutes afterward

A client with acute asthma reports wheezing and is unable to speak full sentences. What is the priority nursing action?✔✔Assess airway, administer prescribed bronchodilator, and monitor oxygen saturation

A client prescribed prednisone asks about potential side effects. Which response by the nurse is correct?✔✔Monitor blood glucose levels as corticosteroids can cause hyperglycemia

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