HESI Comprehensive Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

HESI Comprehensive Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client with pneumonia has a fever of 102°F and shortness of breath. What is the nurse’s first action? A. Encourage coughing and deep breathing B. Administer oxygen as prescribed C. Obtain a sputum culture D. Call the provider A client receiving IV vancomycin reports redness and itching at the infusion site. What should the nurse do first? A. Stop the infusion immediately B. Apply a cold compress C. Slow the infusion rate and monitor D. Administer diphenhydramine A client with type 2 diabetes reports fatigue and frequent urination. Which lab result requires immediate action? 2 A. Sodium 138 mEq/L B. Glucose 450 mg/dL C. Potassium 4.0 mEq/L D. Hemoglobin 14 g/dL A nurse is teaching a client about dietary management of hypertension. Which statement indicates understanding? A. “I will add more salt to my meals.” B. “I will limit my sodium intake and read food labels.” C. “I should avoid fruits and vegetables.” D. “I don’t need to check my blood pressure at home.” A client prescribed digoxin reports nausea and blurred vision. What is the nurse’s priority action? A. Administer the next scheduled dose B. Hold the medication and notify the provider C. Increase fluid intake D. Encourage exercise 3 A nurse is caring for a client with COPD who has increased shortness of breath and wheezing. Which action is priority? A. Encourage deep breathing exercises B. Administer prescribed bronchodilator C. Obtain a chest X-ray D. Call the respiratory therapist A client is scheduled for a colonoscopy. Which teaching is most important before the procedure? A. Avoid drinking fluids before the procedure B. Eat a high-fiber diet the day before C. Complete bowel prep as instructed D. Avoid all medications permanently A nurse is monitoring a client receiving TPN. Which finding requires immediate intervention? A. Slight increase in blood glucose B. Mild nausea C. Redness or swelling at the IV site D. Normal urine output 4 A postpartum client reports heavy bleeding and a firm uterus. What should the nurse do first? A. Call the provider B. Monitor vital signs C. Massage the fundus D. Encourage ambulation A client with heart failure reports sudden weight gain of 3 pounds in 24 hours. What is the nurse’s priority action? A. Restrict fluid intake B. Notify the healthcare provider C. Increase diuretic dose without instruction D. Encourage exercise A client with a tracheostomy develops sudden respiratory distress. What is the nurse’s first action? A. Call respiratory therapy B. Suction the tracheostomy 5 C. Increase oxygen flow D. Notify the provider A client on warfarin asks about foods to avoid. Which food should the nurse advise limiting? A. Apples B. Kale C. Rice D. Chicken A nurse is teaching a client prescribed metformin. Which statement indicates a need for further teaching? A. “I should monitor my blood glucose regularly.”