Hesi Comprehensive Exam 3
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client is on contact precautions for C. difficile. What is the essential PPE before entering the
room?
✔✔Gown and gloves
A client with a chest tube shows sudden absence of drainage. What is the first nursing action?
✔✔Assess the client and tubing for kinks or dislodgement and notify the provider
A client with type 2 diabetes has a blood glucose of 320 mg/dL with ketones in urine. What is the
priority action?
✔✔Administer prescribed insulin and fluids as ordered
A client is prescribed ciprofloxacin for a urinary tract infection. Which teaching is essential?
✔✔Avoid dairy products while taking this medication
A client with hypoglycemia is unconscious. What is the immediate intervention?
1
,✔✔Administer IV dextrose
A client with heart failure reports sudden weight gain of 4 pounds in one day. What is the nurse’s
priority action?
✔✔Notify the healthcare provider
A client postoperatively has a temperature of 102°F and tachycardia. Which nursing action is
most important?
✔✔Obtain blood cultures and notify the healthcare provider
A client is receiving vancomycin IV. Which sign indicates a severe adverse reaction?
✔✔Red neck and chest rash (Red man syndrome)
A client with an indwelling urinary catheter develops cloudy urine with foul odor. What is the
first nursing action?
✔✔Notify the healthcare provider and obtain a urine culture
A client with COPD is experiencing increased dyspnea and use of accessory muscles. What is the
priority intervention?
2
, ✔✔Administer prescribed bronchodilator and oxygen as ordered
A client is receiving IV potassium. What is the essential safety precaution?
✔✔Infuse slowly using an IV pump and never give as a push
A client postoperatively is drowsy and confused. Vital signs show blood pressure 86/50 mmHg.
What is the first nursing action?
✔✔Assess for signs of hypovolemic shock and notify the provider
What is the first nursing action for a client experiencing sudden shortness of breath?
✔✔Assess airway, breathing, and circulation
A client with type 1 diabetes is sweating, shaky, and reports dizziness. What should the nurse do
first?
✔✔Give 15 g of fast-acting carbohydrate such as juice or glucose tablets
A client is prescribed furosemide. Which electrolyte should the nurse monitor most closely?
✔✔Potassium
3
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client is on contact precautions for C. difficile. What is the essential PPE before entering the
room?
✔✔Gown and gloves
A client with a chest tube shows sudden absence of drainage. What is the first nursing action?
✔✔Assess the client and tubing for kinks or dislodgement and notify the provider
A client with type 2 diabetes has a blood glucose of 320 mg/dL with ketones in urine. What is the
priority action?
✔✔Administer prescribed insulin and fluids as ordered
A client is prescribed ciprofloxacin for a urinary tract infection. Which teaching is essential?
✔✔Avoid dairy products while taking this medication
A client with hypoglycemia is unconscious. What is the immediate intervention?
1
,✔✔Administer IV dextrose
A client with heart failure reports sudden weight gain of 4 pounds in one day. What is the nurse’s
priority action?
✔✔Notify the healthcare provider
A client postoperatively has a temperature of 102°F and tachycardia. Which nursing action is
most important?
✔✔Obtain blood cultures and notify the healthcare provider
A client is receiving vancomycin IV. Which sign indicates a severe adverse reaction?
✔✔Red neck and chest rash (Red man syndrome)
A client with an indwelling urinary catheter develops cloudy urine with foul odor. What is the
first nursing action?
✔✔Notify the healthcare provider and obtain a urine culture
A client with COPD is experiencing increased dyspnea and use of accessory muscles. What is the
priority intervention?
2
, ✔✔Administer prescribed bronchodilator and oxygen as ordered
A client is receiving IV potassium. What is the essential safety precaution?
✔✔Infuse slowly using an IV pump and never give as a push
A client postoperatively is drowsy and confused. Vital signs show blood pressure 86/50 mmHg.
What is the first nursing action?
✔✔Assess for signs of hypovolemic shock and notify the provider
What is the first nursing action for a client experiencing sudden shortness of breath?
✔✔Assess airway, breathing, and circulation
A client with type 1 diabetes is sweating, shaky, and reports dizziness. What should the nurse do
first?
✔✔Give 15 g of fast-acting carbohydrate such as juice or glucose tablets
A client is prescribed furosemide. Which electrolyte should the nurse monitor most closely?
✔✔Potassium
3
