HESISaunders Online Review for the

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HESI/Saunders Online Review for the NCLEX-RN Examination (1 Year) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is preparing to administer IV vancomycin. Which action should the nurse take to reduce the risk of infusion reaction?✔✔A. Infuse the medication slowly over at least 60 minutes

• Dilute the medication with dextrose 50%
• Administer intramuscularly instead of IV
• Flush the line rapidly after infusion

A client with COPD is receiving discharge teaching. Which statement indicates understanding?

• "I should limit my fluid intake to prevent swelling."

✔✔B. "I will practice pursed-lip breathing when short of breath."

• "I can increase oxygen flow above 4 L if needed."
• "I will lie flat to rest when tired."

A client is scheduled for surgery and states, "I don’t understand why I need this operation." What is the best nursing action? 1 / 4

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• Encourage the client to sign the consent

✔✔B. Notify the surgeon to explain the procedure

• Explain the details of the surgery to the client
• Tell the client it is routine and safe

A client receiving IV heparin has a PTT of 98 seconds. What should the nurse do first?✔✔A. Hold the infusion and notify the provider

• Continue the infusion as prescribed
• Flush the IV line with heparin
• Prepare to give aspirin

A nurse cares for a client with heart failure who reports shortness of breath when lying flat. What is the best nursing action?✔✔A. Place the client in high Fowler’s position

• Encourage deep breathing exercises in supine position
• Restrict fluids immediately
• Provide pain medication
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A client with hyperkalemia is prescribed sodium polystyrene sulfonate. Which outcome indicates effectiveness?✔✔A. Potassium level decreases

• Calcium level decreases
• Sodium level decreases
• Creatinine level increases

A nurse is teaching about infection prevention. Which statement by the client shows understanding?✔✔A. "I will wash my hands before and after preparing food."

• "I will reuse disposable gloves to save money."
• "I will stop antibiotics once I feel better."
• "I will share personal razors with my spouse."

A nurse is reinforcing teaching about nitroglycerin use. Which instruction is correct?✔✔A. "Sit or lie down before taking the tablet."

• "Swallow the tablet with water."
• "Store tablets in a plastic bag." 3 / 4

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• "Take two tablets every hour as needed."

A client has just returned from a thyroidectomy. Which finding requires immediate intervention?

• Hoarse voice

✔✔B. Respiratory stridor

• Mild neck pain
• Sore throat

A client with diabetes is being taught about foot care. Which statement requires correction?

• "I will wear shoes to protect my feet."
• "I will inspect my feet daily."

✔✔C. "I will soak my feet in hot water each night."

• "I will trim my nails straight across."

A nurse is assessing a client receiving blood transfusion. Which finding indicates transfusion reaction?✔✔A. Chills and back pain

• Mild fatigue
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