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HESI NCLEX Live Review Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client who has a chest tube. Which action should the nurse take if the drainage system is accidentally disconnected?
- Clamp the tube immediately
- Notify the healthcare provider first
- Apply dry gauze over the site
✔✔B. Place the end of the tube in sterile water
A client with diabetes reports shakiness and sweating. Which intervention is best?
- Administer long-acting insulin
- Encourage the client to rest
- Notify the provider immediately
✔✔B. Provide 4 oz of orange juice
A nurse is preparing to administer packed red blood cells. Which action is priority?✔✔A. Verify client identification with another nurse 1 / 4
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- Warm the blood in hot water
- Infuse the blood over 6 hours
- Use a small-bore IV catheter
A nurse is providing discharge instructions for a client with a new pacemaker. Which statement indicates teaching was effective?
- "I will avoid using my microwave at home."
- "I will sleep on my left side every night."
- "I can lift heavy objects as soon as I feel better."
✔✔B. "I will check my pulse daily."
A client with COPD is receiving oxygen at 6 L/min via nasal cannula. Which action should the nurse take?
- Continue as ordered
- Switch to a non-rebreather mask
- Encourage deep breathing
✔✔B. Decrease to 2 L/min
A nurse assesses a client with heart failure. Which finding is most concerning? 2 / 4
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✔✔A. Pink frothy sputum
- Ankle edema
- Weight gain of 2 lbs in a week
- Dyspnea on exertion
A nurse prepares to administer digoxin to a client. Which assessment is most important?✔✔A. Apical pulse for 1 full minute
- Radial pulse for 15 seconds
- Respiratory rate
- Pupillary reaction
A client receiving IV potassium reports burning at the IV site. Which action should the nurse take?✔✔A. Slow the infusion rate
- Stop the infusion immediately
- Flush the IV with saline
- Elevate the extremity
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A nurse is caring for a client with a spinal cord injury. Which intervention prevents autonomic dysreflexia?✔✔A. Ensuring the bladder is emptied regularly
- Increasing fluid intake to 5 liters per day
- Restricting mobility
- Applying compression stockings
A client receiving chemotherapy develops oral ulcers. Which food should the nurse recommend?✔✔A. Vanilla pudding
- Tomato soup
- Pretzels
- Citrus fruits
A nurse teaches a client with a new colostomy. Which statement shows correct understanding?✔✔A. "I will empty the pouch when it is one-third full."
- "I should use soap and water on the stoma daily."
- "I can wear the same pouch for two weeks."
- "I will avoid all fluid intake at night."
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