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HESI NCLEX Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
Which action should the nurse take first when a client with COPD becomes increasingly short of breath?
- Offer fluids
- Encourage ambulation
- Elevate the legs
✔✔B. Administer prescribed oxygen
A client with heart failure reports sudden weight gain of 5 pounds in 2 days. What should the nurse do?
- Document as expected
- Encourage exercise
- Increase salt intake
✔✔D. Notify the healthcare provider
The nurse is teaching a client about taking furosemide. Which statement shows correct understanding? 1 / 4
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- “I will eat foods low in potassium.”
- “I should limit fluid intake to less than 500 mL daily.”
- “I should take this medication at bedtime.”
✔✔B. “I will check my weight every day.”
Which diet selection is best for a client with hypertension?
- Fried chicken with mashed potatoes
- Burger and fries
- Pizza with extra cheese
✔✔B. Grilled salmon with steamed vegetables
The nurse observes a client with depression lying in bed all morning. What is the best nursing action?
- Leave the client alone
- Offer a large meal immediately
- Increase pain medication
- / 4
✔✔B. Encourage the client to join a group activity
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A client experiencing alcohol withdrawal is at greatest risk for which complication?
- Low blood pressure
- Constipation
- Bradycardia
✔✔C. Seizures
When a client receiving chemotherapy reports mouth sores, the nurse should recommend which food?
- Chips and salsa
- Citrus fruit
- Crackers
✔✔B. Soft scrambled eggs
Which intervention is priority for a client receiving blood transfusion?✔✔A. Monitor for signs of a reaction
- Warm the IV fluids
- Encourage ambulation
- Offer a high-protein snack 3 / 4
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A client with schizophrenia states, “The voices tell me I am worthless.” What is the best response by the nurse?
- “You are wrong, you are valuable.”
- “Ignore the voices.”
- “You should tell the voices to stop.”
✔✔C. “I don’t hear the voices, but I understand they are real to you.”
The nurse is caring for a client who is confused and trying to climb out of bed. What is the safest intervention?
- Apply restraints immediately
- Turn off the room light
- Give extra blankets
✔✔B. Place the bed in lowest position and use a bed alarm
A client with diabetes becomes sweaty and shaky. Which snack should the nurse give?
- Cheese and crackers
- / 4
✔✔B. Orange juice