HESI Comp Exam 1 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with type 1 diabetes is sweating, shaky, and confused. What should the nurse do first?
✔✔Give 15 grams of fast-acting carbohydrate
A client is receiving IV morphine and has a respiratory rate of 6/min. What is the priority
intervention?
✔✔Administer naloxone
A postoperative client has a new onset of chest pain and shortness of breath. What is the
immediate nursing action?
✔✔Assess vital signs and oxygen saturation
A client with hypokalemia is prescribed potassium chloride. What is the important teaching?
✔✔Never crush or chew extended-release tablets
1
,A client with heart failure reports sudden weight gain of 3 pounds in 24 hours. What should the
nurse do first?
✔✔Notify the healthcare provider
A client post-thyroidectomy reports tingling in fingers and around the mouth. What is the priority
action?
✔✔Check serum calcium levels
A client with COPD is short of breath. Which position promotes optimal breathing?
✔✔High Fowler’s with arms supported on pillows
A client receiving TPN suddenly develops shortness of breath and chest pain. What complication
should the nurse suspect?
✔✔Air embolism
A client with pneumonia has thick secretions. What is the most effective nursing intervention?
✔✔Encourage increased fluid intake
2
,A client on warfarin asks which food to avoid. What is the correct response?
✔✔Spinach
A client with burns covering 40% of body surface area is at greatest risk in the first 24 hours for
which complication?
✔✔Hypovolemic shock
A client with cirrhosis is confused and has tremors of the hands. What complication is most
likely?
✔✔Hepatic encephalopathy
A nurse is caring for a client with a chest tube. The drainage suddenly stops. What is the first
action?
✔✔Assess the system for kinks or obstruction and check client status
A client with asthma is using accessory muscles to breathe and cannot speak in full sentences.
What is the priority action?
✔✔Administer prescribed bronchodilator and provide oxygen
3
, A client with heart failure is receiving digoxin. The heart rate is 48 bpm. What should the nurse
do?
✔✔Withhold digoxin and notify the healthcare provider
A client is prescribed furosemide. Which electrolyte is most important to monitor?
✔✔Potassium
A client is receiving vancomycin IV and develops a red rash on the neck and chest. What should
the nurse do?
✔✔Stop the infusion and notify the healthcare provider
A client with type 2 diabetes has a blood glucose of 58 mg/dL. What is the priority nursing
action?
✔✔Give 15 grams of fast-acting carbohydrate
A client with a nasogastric tube is receiving enteral feeding. How can the nurse prevent
aspiration?
✔✔Elevate the head of the bed 30–45 degrees during feeding
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with type 1 diabetes is sweating, shaky, and confused. What should the nurse do first?
✔✔Give 15 grams of fast-acting carbohydrate
A client is receiving IV morphine and has a respiratory rate of 6/min. What is the priority
intervention?
✔✔Administer naloxone
A postoperative client has a new onset of chest pain and shortness of breath. What is the
immediate nursing action?
✔✔Assess vital signs and oxygen saturation
A client with hypokalemia is prescribed potassium chloride. What is the important teaching?
✔✔Never crush or chew extended-release tablets
1
,A client with heart failure reports sudden weight gain of 3 pounds in 24 hours. What should the
nurse do first?
✔✔Notify the healthcare provider
A client post-thyroidectomy reports tingling in fingers and around the mouth. What is the priority
action?
✔✔Check serum calcium levels
A client with COPD is short of breath. Which position promotes optimal breathing?
✔✔High Fowler’s with arms supported on pillows
A client receiving TPN suddenly develops shortness of breath and chest pain. What complication
should the nurse suspect?
✔✔Air embolism
A client with pneumonia has thick secretions. What is the most effective nursing intervention?
✔✔Encourage increased fluid intake
2
,A client on warfarin asks which food to avoid. What is the correct response?
✔✔Spinach
A client with burns covering 40% of body surface area is at greatest risk in the first 24 hours for
which complication?
✔✔Hypovolemic shock
A client with cirrhosis is confused and has tremors of the hands. What complication is most
likely?
✔✔Hepatic encephalopathy
A nurse is caring for a client with a chest tube. The drainage suddenly stops. What is the first
action?
✔✔Assess the system for kinks or obstruction and check client status
A client with asthma is using accessory muscles to breathe and cannot speak in full sentences.
What is the priority action?
✔✔Administer prescribed bronchodilator and provide oxygen
3
, A client with heart failure is receiving digoxin. The heart rate is 48 bpm. What should the nurse
do?
✔✔Withhold digoxin and notify the healthcare provider
A client is prescribed furosemide. Which electrolyte is most important to monitor?
✔✔Potassium
A client is receiving vancomycin IV and develops a red rash on the neck and chest. What should
the nurse do?
✔✔Stop the infusion and notify the healthcare provider
A client with type 2 diabetes has a blood glucose of 58 mg/dL. What is the priority nursing
action?
✔✔Give 15 grams of fast-acting carbohydrate
A client with a nasogastric tube is receiving enteral feeding. How can the nurse prevent
aspiration?
✔✔Elevate the head of the bed 30–45 degrees during feeding
4
