RESPIRATORY HESI PREP UPDATED ACTUAL
PRACTICE QUESTIONS WITH DETAILED
EXPLANATIONS 2026
◉ The charge nurse is making assignments for one practical nurse
and three registered nurses who are caring for neurologically
compromised clients. Which client with which change in status is
best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80
to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
Answer: B) Viral meningitis whose temperature change from 101 S
to 102F.
◉ The nurse is caring for a client with pneumonia who now
develops initial signs of septic shock and multi organ failure. The
healthcare provider prescribes a sepsis protocol. Which intervention
is most important for the nurse to include in the plan of care?
,A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
Answer: A) Maintain strict intake and output.
◉ And adolescent client is admitted to the hospital because of
writing a suicide note to a teacher at school. On the second day of
hospitalization, the nurse asked the client to meet with the
treatment team. After the team meeting, the client leaves in tears
and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
Answer: D) Go to the clients room and ask what happened.
◉ The healthcare provider prescribes dalteparin 200 units per
kilogram subcutaneous once a day for a client who weighs 154
pounds. The medication is available and 25,000 units per milliliter
vial. How many milliliters should the nurse administer? (Enter
numerical value only. If rounding is required, round to the nearest
10th.)
,Answer: 0.6
◉ NGN: The client is a 49-year-old male who reports flu like
symptoms including fever and chest congestion for four days. He
came to the emergency department last night when he was having
more difficulty breathing he has a history of 1/2 pack a day cigarette
smoking for 20 years. He has no significant medical or surgical
history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature
control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.
Answer: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
◉ NGN: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a peripheral IV infusion, start oxygen 3 L per
, minute via nasal cannula, begin 0.9% sodium chloride IV infusion at
150 mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the
nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
Answer: D) Nasal cannula.
E) Flow meter.
◉ NGN: states, I am feeling extremely anxious right now. The client
has decreased breath sounds in the left lower low. His mucus
membranes are dry. He has a productive cough with thick, yellow
secretions. His capillary refill is four seconds. Vital signs,
temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths
per minute, blood pressure 145/89, oxygen saturation 90% on room
air.
PRACTICE QUESTIONS WITH DETAILED
EXPLANATIONS 2026
◉ The charge nurse is making assignments for one practical nurse
and three registered nurses who are caring for neurologically
compromised clients. Which client with which change in status is
best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80
to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
Answer: B) Viral meningitis whose temperature change from 101 S
to 102F.
◉ The nurse is caring for a client with pneumonia who now
develops initial signs of septic shock and multi organ failure. The
healthcare provider prescribes a sepsis protocol. Which intervention
is most important for the nurse to include in the plan of care?
,A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
Answer: A) Maintain strict intake and output.
◉ And adolescent client is admitted to the hospital because of
writing a suicide note to a teacher at school. On the second day of
hospitalization, the nurse asked the client to meet with the
treatment team. After the team meeting, the client leaves in tears
and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
Answer: D) Go to the clients room and ask what happened.
◉ The healthcare provider prescribes dalteparin 200 units per
kilogram subcutaneous once a day for a client who weighs 154
pounds. The medication is available and 25,000 units per milliliter
vial. How many milliliters should the nurse administer? (Enter
numerical value only. If rounding is required, round to the nearest
10th.)
,Answer: 0.6
◉ NGN: The client is a 49-year-old male who reports flu like
symptoms including fever and chest congestion for four days. He
came to the emergency department last night when he was having
more difficulty breathing he has a history of 1/2 pack a day cigarette
smoking for 20 years. He has no significant medical or surgical
history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature
control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.
Answer: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
◉ NGN: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a peripheral IV infusion, start oxygen 3 L per
, minute via nasal cannula, begin 0.9% sodium chloride IV infusion at
150 mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the
nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
Answer: D) Nasal cannula.
E) Flow meter.
◉ NGN: states, I am feeling extremely anxious right now. The client
has decreased breath sounds in the left lower low. His mucus
membranes are dry. He has a productive cough with thick, yellow
secretions. His capillary refill is four seconds. Vital signs,
temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths
per minute, blood pressure 145/89, oxygen saturation 90% on room
air.
