HESI COMPREHENSIVE ACCURATE 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. Which laboratory value should the
nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
Correct Answer: B
Rationale: Furosemide is a loop diuretic that inhibits
,sodium and chloride reabsorption in the ascending
loop of Henle, leading to increased excretion of
potassium. Hypokalemia is a significant adverse
effect that can lead to cardiac arrhythmias. Serum
potassium must be monitored closely.
2. A client with type 1 diabetes mellitus reports
feeling shaky, diaphoretic, and confused. What is
the nurse's priority action?
A) Administer insulin as prescribed
B) Give 15 grams of fast-acting carbohydrate
C) Check blood glucose level
D) Encourage the client to rest
Correct Answer: C
Rationale: The client is exhibiting signs of
hypoglycemia. The priority action is to check the
blood glucose level to confirm the diagnosis before
initiating treatment. If the glucose is below 70
mg/dL, then fast-acting carbohydrate should be
given.
,3. The nurse is caring for a client with a new
tracheostomy. Which action is most important to
maintain airway patency?
A) Change the tracheostomy ties daily
B) Suction the tracheostomy as needed
C) Clean the inner cannula with hydrogen peroxide
D) Apply a sterile dressing around the stoma
Correct Answer: B
Rationale: Suctioning is the primary intervention to
maintain airway patency by removing secretions
that can obstruct the tracheostomy tube. The
frequency of suctioning is based on the client's
needs, not a fixed schedule.
4. A client is prescribed warfarin for atrial
fibrillation. Which dietary instruction is most
important for the nurse to provide?
A) Increase intake of green leafy vegetables
B) Maintain a consistent intake of vitamin K-rich
foods
, C) Avoid all foods containing vitamin K
D) Take the medication with a high-fat meal
Correct Answer: B
Rationale: Warfarin works by inhibiting vitamin K-
dependent clotting factors. A sudden change in the
intake of vitamin K-rich foods (like green leafy
vegetables) can alter the INR and affect therapeutic
levels. The client should maintain a consistent
intake, not avoid them entirely.
5. A client who is 2 days post-operative following
abdominal surgery has a nasogastric (NG) tube set
to low intermittent suction. Which assessment
finding indicates that the NG tube may be occluded?
A) The client reports nausea and abdominal
distention
B) The drainage in the collection chamber is 1,000
mL
C) The client's bowel sounds are hyperactive in all
quadrants
D) The pH of the gastric aspirate is 3.0
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. Which laboratory value should the
nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
Correct Answer: B
Rationale: Furosemide is a loop diuretic that inhibits
,sodium and chloride reabsorption in the ascending
loop of Henle, leading to increased excretion of
potassium. Hypokalemia is a significant adverse
effect that can lead to cardiac arrhythmias. Serum
potassium must be monitored closely.
2. A client with type 1 diabetes mellitus reports
feeling shaky, diaphoretic, and confused. What is
the nurse's priority action?
A) Administer insulin as prescribed
B) Give 15 grams of fast-acting carbohydrate
C) Check blood glucose level
D) Encourage the client to rest
Correct Answer: C
Rationale: The client is exhibiting signs of
hypoglycemia. The priority action is to check the
blood glucose level to confirm the diagnosis before
initiating treatment. If the glucose is below 70
mg/dL, then fast-acting carbohydrate should be
given.
,3. The nurse is caring for a client with a new
tracheostomy. Which action is most important to
maintain airway patency?
A) Change the tracheostomy ties daily
B) Suction the tracheostomy as needed
C) Clean the inner cannula with hydrogen peroxide
D) Apply a sterile dressing around the stoma
Correct Answer: B
Rationale: Suctioning is the primary intervention to
maintain airway patency by removing secretions
that can obstruct the tracheostomy tube. The
frequency of suctioning is based on the client's
needs, not a fixed schedule.
4. A client is prescribed warfarin for atrial
fibrillation. Which dietary instruction is most
important for the nurse to provide?
A) Increase intake of green leafy vegetables
B) Maintain a consistent intake of vitamin K-rich
foods
, C) Avoid all foods containing vitamin K
D) Take the medication with a high-fat meal
Correct Answer: B
Rationale: Warfarin works by inhibiting vitamin K-
dependent clotting factors. A sudden change in the
intake of vitamin K-rich foods (like green leafy
vegetables) can alter the INR and affect therapeutic
levels. The client should maintain a consistent
intake, not avoid them entirely.
5. A client who is 2 days post-operative following
abdominal surgery has a nasogastric (NG) tube set
to low intermittent suction. Which assessment
finding indicates that the NG tube may be occluded?
A) The client reports nausea and abdominal
distention
B) The drainage in the collection chamber is 1,000
mL
C) The client's bowel sounds are hyperactive in all
quadrants
D) The pH of the gastric aspirate is 3.0
