HESI RN COMPREHENSIVE REVIEW ACCURATE
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A client with heart failure is prescribed
furosemide 40 mg IV. The nurse administers the
medication. Which assessment finding indicates a
therapeutic response to the medication?
A. Decreased urine output
B. Weight gain of 2 kg in 24 hours
,C. Decreased crackles in the lung bases
D. Increased jugular venous distention
C. Decreased crackles in the lung bases
Rationale: Furosemide is a loop diuretic used to
reduce fluid volume overload in heart failure. A
therapeutic response includes decreased
pulmonary congestion, evidenced by fewer
crackles, improved breathing, and weight loss.
Decreased urine output, weight gain, and
increased JVD indicate worsening fluid retention.
2. A nurse is preparing to administer a blood
transfusion to a client. Which action is most
important to perform first?
A. Obtain vital signs
B. Verify client identity with two identifiers
C. Prime the tubing with normal saline
D. Check the client’s blood type in the chart
B. Verify client identity with two identifiers
Rationale: The most critical step before any blood
product administration is confirming the correct
,client using two identifiers (name and date of
birth) to prevent a fatal transfusion reaction. Vital
signs are obtained before and after, but
verification is the first priority. Priming tubing and
checking blood type are done after verification.
3. A client with type 1 diabetes mellitus is
experiencing hypoglycemia. Which sign is the client
most likely to exhibit?
A. Fruity breath odor
B. Deep, rapid respirations
C. Tremors and diaphoresis
D. Polyuria and polydipsia
C. Tremors and diaphoresis
Rationale: Hypoglycemia causes sympathetic
nervous system activation, leading to tremors,
sweating, tachycardia, and confusion. Fruity
breath, Kussmaul respirations, and
polyuria/polydipsia are signs of hyperglycemia or
diabetic ketoacidosis.
, 4. A nurse is assessing a client receiving mechanical
ventilation. Which finding indicates a potential
complication of ventilator-associated pneumonia
(VAP)?
A. Clear breath sounds
B. Purulent tracheal secretions
C. Decreased white blood cell count
D. Normal temperature
B. Purulent tracheal secretions
Rationale: VAP is characterized by new or
worsening pulmonary infiltrates, purulent sputum,
fever, and elevated WBCs. Purulent tracheal
secretions are a key indicator. Clear breath sounds
and normal temperature do not suggest infection.
5. A postpartum client reports intense perineal pain
and a feeling of pressure in the rectum. The nurse
notes a large, tense mass at the perineum. What is
the priority nursing intervention?
A. Apply an ice pack to the perineum
B. Administer prescribed pain medication
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
1. A client with heart failure is prescribed
furosemide 40 mg IV. The nurse administers the
medication. Which assessment finding indicates a
therapeutic response to the medication?
A. Decreased urine output
B. Weight gain of 2 kg in 24 hours
,C. Decreased crackles in the lung bases
D. Increased jugular venous distention
C. Decreased crackles in the lung bases
Rationale: Furosemide is a loop diuretic used to
reduce fluid volume overload in heart failure. A
therapeutic response includes decreased
pulmonary congestion, evidenced by fewer
crackles, improved breathing, and weight loss.
Decreased urine output, weight gain, and
increased JVD indicate worsening fluid retention.
2. A nurse is preparing to administer a blood
transfusion to a client. Which action is most
important to perform first?
A. Obtain vital signs
B. Verify client identity with two identifiers
C. Prime the tubing with normal saline
D. Check the client’s blood type in the chart
B. Verify client identity with two identifiers
Rationale: The most critical step before any blood
product administration is confirming the correct
,client using two identifiers (name and date of
birth) to prevent a fatal transfusion reaction. Vital
signs are obtained before and after, but
verification is the first priority. Priming tubing and
checking blood type are done after verification.
3. A client with type 1 diabetes mellitus is
experiencing hypoglycemia. Which sign is the client
most likely to exhibit?
A. Fruity breath odor
B. Deep, rapid respirations
C. Tremors and diaphoresis
D. Polyuria and polydipsia
C. Tremors and diaphoresis
Rationale: Hypoglycemia causes sympathetic
nervous system activation, leading to tremors,
sweating, tachycardia, and confusion. Fruity
breath, Kussmaul respirations, and
polyuria/polydipsia are signs of hyperglycemia or
diabetic ketoacidosis.
, 4. A nurse is assessing a client receiving mechanical
ventilation. Which finding indicates a potential
complication of ventilator-associated pneumonia
(VAP)?
A. Clear breath sounds
B. Purulent tracheal secretions
C. Decreased white blood cell count
D. Normal temperature
B. Purulent tracheal secretions
Rationale: VAP is characterized by new or
worsening pulmonary infiltrates, purulent sputum,
fever, and elevated WBCs. Purulent tracheal
secretions are a key indicator. Clear breath sounds
and normal temperature do not suggest infection.
5. A postpartum client reports intense perineal pain
and a feeling of pressure in the rectum. The nurse
notes a large, tense mass at the perineum. What is
the priority nursing intervention?
A. Apply an ice pack to the perineum
B. Administer prescribed pain medication
