HESI Comprehensive B,
Comprehensive Exam A, Exit V 2
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with COPD has an oxygen prescription of 4 L/min via nasal cannula. Which action is
most important?
A. Encourage deep breathing exercises
B. Increase oxygen flow if saturation drops to 85%
✔✔C. Maintain oxygen saturation between 88–92%
D. Place client in supine position for comfort
A client with diabetes is admitted with blood glucose of 42 mg/dL. What should the nurse do
first?
A. Call the provider immediately
B. Start IV insulin
✔✔C. Give 15 g of fast-acting carbohydrate
D. Administer long-acting carbohydrate
1
,A nurse is caring for a client post-thyroidectomy. The client suddenly develops stridor and
difficulty breathing. What is the priority action?
A. Call the surgeon
✔✔B. Prepare for emergency airway management
C. Reassure the client
D. Administer a sedative
A nurse is preparing to transfuse packed red blood cells. Which intervention prevents hemolytic
reaction?
A. Flush tubing with dextrose solution
✔✔B. Verify blood product and client ID with another nurse
C. Warm blood before infusion
D. Infuse through IV catheter used for antibiotics
A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s
priority?
A. Provide quiet time in the client’s room
✔✔B. Ensure safety and place client on one-to-one observation
C. Offer the client headphones and music
2
,D. Document the hallucination in the chart
A client with pneumonia has a temperature of 102°F, pulse 120/min, and productive cough. What
should the nurse encourage?
A. Rest and limit oral fluids
✔✔B. Increase oral fluid intake
C. Place in low Fowler’s position
D. Restrict ambulation
A client is receiving IV furosemide. Which finding requires immediate intervention?
A. Blood pressure 118/74 mmHg
B. Urine output 450 mL in 8 hours
✔✔C. Potassium 2.9 mEq/L
D. Mild dizziness when standing
A nurse is teaching a client prescribed warfarin. Which statement indicates correct
understanding?
A. “I will eat spinach daily for heart health.”
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, ✔✔B. “I will have my INR checked regularly.”
C. “I can stop this medication once I feel better.”
D. “I don’t need to worry about bleeding.”
A client receiving morphine IV has a respiratory rate of 7/min and is difficult to arouse. What is
the priority nursing action?
A. Reassess in 15 minutes
B. Notify the provider
✔✔C. Administer naloxone
D. Place in high Fowler’s position
A nurse is teaching a client prescribed sertraline. Which teaching is most important?
A. “You may see effects within 24 hours.”
B. “You can stop taking it once you feel good.”
✔✔C. “It may take several weeks before improvement is noticed.”
D. “This medication will cause weight loss immediately.”
4
Comprehensive Exam A, Exit V 2
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with COPD has an oxygen prescription of 4 L/min via nasal cannula. Which action is
most important?
A. Encourage deep breathing exercises
B. Increase oxygen flow if saturation drops to 85%
✔✔C. Maintain oxygen saturation between 88–92%
D. Place client in supine position for comfort
A client with diabetes is admitted with blood glucose of 42 mg/dL. What should the nurse do
first?
A. Call the provider immediately
B. Start IV insulin
✔✔C. Give 15 g of fast-acting carbohydrate
D. Administer long-acting carbohydrate
1
,A nurse is caring for a client post-thyroidectomy. The client suddenly develops stridor and
difficulty breathing. What is the priority action?
A. Call the surgeon
✔✔B. Prepare for emergency airway management
C. Reassure the client
D. Administer a sedative
A nurse is preparing to transfuse packed red blood cells. Which intervention prevents hemolytic
reaction?
A. Flush tubing with dextrose solution
✔✔B. Verify blood product and client ID with another nurse
C. Warm blood before infusion
D. Infuse through IV catheter used for antibiotics
A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s
priority?
A. Provide quiet time in the client’s room
✔✔B. Ensure safety and place client on one-to-one observation
C. Offer the client headphones and music
2
,D. Document the hallucination in the chart
A client with pneumonia has a temperature of 102°F, pulse 120/min, and productive cough. What
should the nurse encourage?
A. Rest and limit oral fluids
✔✔B. Increase oral fluid intake
C. Place in low Fowler’s position
D. Restrict ambulation
A client is receiving IV furosemide. Which finding requires immediate intervention?
A. Blood pressure 118/74 mmHg
B. Urine output 450 mL in 8 hours
✔✔C. Potassium 2.9 mEq/L
D. Mild dizziness when standing
A nurse is teaching a client prescribed warfarin. Which statement indicates correct
understanding?
A. “I will eat spinach daily for heart health.”
3
, ✔✔B. “I will have my INR checked regularly.”
C. “I can stop this medication once I feel better.”
D. “I don’t need to worry about bleeding.”
A client receiving morphine IV has a respiratory rate of 7/min and is difficult to arouse. What is
the priority nursing action?
A. Reassess in 15 minutes
B. Notify the provider
✔✔C. Administer naloxone
D. Place in high Fowler’s position
A nurse is teaching a client prescribed sertraline. Which teaching is most important?
A. “You may see effects within 24 hours.”
B. “You can stop taking it once you feel good.”
✔✔C. “It may take several weeks before improvement is noticed.”
D. “This medication will cause weight loss immediately.”
4
