HESI LIVE REVIEW exam GRADED A+ QUESTIONS AND CORRECT ANSWERS 100%
VERIFIED 2025-2026
The nurse is assigned to receive a client in the emergency department with
suspected anthrax exposure pre-decontamination.Which transmission
precautions would be most appropriate for the client? (Select all that apply.)
A. Airborne
B. Contact
C. Aplastic
D. Droplet
E. Standard
A. Airborne
B. Contact
D. Droplet
E. Standard
The emergency department nurse is assessing a client with a vesicular rash as
a result of suspected smallpox exposure. Which of the following transmission
precautions would be most appropriate for this client? Which type of
transmission precautions? (Select all that apply.)
A. Airborne
B. Contact
C. Aplastic
D. Droplet
E. Standard
A. Airborne
B. Contact
D. Droplet
,E. Standard
The nurse is caring for a client in shock of unknown etiology and observes the
above rhythm on the monitor. What is the nurse's first priority intervention?
((RHYTHM IS SHOWING V-FIB))
A. Check for a carotid pulse.
B. Defibrillate the patient with 360 joules of energy.
C. Administer an intravenous saline bolus.
D. Give two breaths via Ambu® bag.
A. Check for a carotid pulse.
A nurse admits a client with suspected early DIC. Which symptoms may
indicate early organ ischemia? (Select all that apply.)
A. Slight gingival bleeding
B. Alterations in mental status
C. Petechial hemorrhage to chest
D. Slight decrease in urine output
E. Bluish discoloration of fingertips
B. Alterations in mental status
D. Slight decrease in urine output
E. Bluish discoloration of fingertips
The nurse is precepting a nurse orientee caring for a client with a chest tube
who is 12 hours postoperative from a left partial pneumonectomy. Which
assessments will the nurse advise should be reported to the HCP
immediately? (Select all that apply.)
A. Pain level of 6 out of 10 on the left side
B. Tracheal deviation toward the right side
C. Drainage from the chest tube of 50 mL in the last hour
D. Oxygen saturation of 90% on 2L/min
E. Vigorous bubbling in the suction chamber
B. Tracheal deviation toward the right side
D. Oxygen saturation of 90% on 2L/min
E. Vigorous bubbling in the suction chamber
A hospitalized client reports to the nurse he has not had a bowel movement in
2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the healthcare provider and request a prescrip-tion for a stool
, softener.
C. Assess the client's medical record to determine his nor-mal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses
per day.
C. Assess the client's medical record to determine his nor-mal bowel pattern.
A client who has chronic obstructive pulmonary dis-ease (COPD) is resting in
a semi-Fowler's position with oxygen at 2 L/min per nasal cannula. The client
develops dyspnea. What action should the RN take first?
A. Call the healthcare provider.
B. Obtain a bedside pulse oximeter.
C. Raise the head of the bed higher.
D. Assess the client's vital signs.
C. Raise the head of the bed higher.
A client who has hyperparathyroidism is scheduled to receive a prescribed
dose of oral phosphate. The RN notes that the client's serum calcium level is
12.5 mg/ dL. What action should the nurse take?
A. Hold the phosphate and notify the healthcare provider.
B. Review the client's serum parathyroid hormone level.
C. Give an as-needed (PRN) dose of intravenous (IV) cal-cium per protocol.
D. Administer the dose of oral phosphate.
D. Administer the dose of oral phosphate.
In completing a client's preoperative routine, the RN finds that the consent has
not been signed. The client begins to ask more questions about the surgical
procedure. What action should the nurse take next?
A. Witness the client's signature on the consent.
B. Answer the client's questions about the surgery.
C. Inform the healthcare provider that the client has questions about the
surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthetic is administered.
C. Inform the healthcare provider that the client has questions about the surgery.
The unlicensed assistive personnel (UAP) reports to a staff nurse that a client
who had surgery 4 hours ago has had a decrease in blood pressure (BP), from
150/ 80 to 110/70, in the past hour. The nurse advises the UAP to check the
client's dressing for excess drainage and report the findings to the nurse.
Which factor is most important to consider when assessing the legal
ramifications of this situation?
A. The parameters of the state's or province's nurse practice act.
B. The need to complete an adverse occurrence report.
C. Hospital protocols regarding the frequency of vital sign assessment every
VERIFIED 2025-2026
The nurse is assigned to receive a client in the emergency department with
suspected anthrax exposure pre-decontamination.Which transmission
precautions would be most appropriate for the client? (Select all that apply.)
A. Airborne
B. Contact
C. Aplastic
D. Droplet
E. Standard
A. Airborne
B. Contact
D. Droplet
E. Standard
The emergency department nurse is assessing a client with a vesicular rash as
a result of suspected smallpox exposure. Which of the following transmission
precautions would be most appropriate for this client? Which type of
transmission precautions? (Select all that apply.)
A. Airborne
B. Contact
C. Aplastic
D. Droplet
E. Standard
A. Airborne
B. Contact
D. Droplet
,E. Standard
The nurse is caring for a client in shock of unknown etiology and observes the
above rhythm on the monitor. What is the nurse's first priority intervention?
((RHYTHM IS SHOWING V-FIB))
A. Check for a carotid pulse.
B. Defibrillate the patient with 360 joules of energy.
C. Administer an intravenous saline bolus.
D. Give two breaths via Ambu® bag.
A. Check for a carotid pulse.
A nurse admits a client with suspected early DIC. Which symptoms may
indicate early organ ischemia? (Select all that apply.)
A. Slight gingival bleeding
B. Alterations in mental status
C. Petechial hemorrhage to chest
D. Slight decrease in urine output
E. Bluish discoloration of fingertips
B. Alterations in mental status
D. Slight decrease in urine output
E. Bluish discoloration of fingertips
The nurse is precepting a nurse orientee caring for a client with a chest tube
who is 12 hours postoperative from a left partial pneumonectomy. Which
assessments will the nurse advise should be reported to the HCP
immediately? (Select all that apply.)
A. Pain level of 6 out of 10 on the left side
B. Tracheal deviation toward the right side
C. Drainage from the chest tube of 50 mL in the last hour
D. Oxygen saturation of 90% on 2L/min
E. Vigorous bubbling in the suction chamber
B. Tracheal deviation toward the right side
D. Oxygen saturation of 90% on 2L/min
E. Vigorous bubbling in the suction chamber
A hospitalized client reports to the nurse he has not had a bowel movement in
2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the healthcare provider and request a prescrip-tion for a stool
, softener.
C. Assess the client's medical record to determine his nor-mal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses
per day.
C. Assess the client's medical record to determine his nor-mal bowel pattern.
A client who has chronic obstructive pulmonary dis-ease (COPD) is resting in
a semi-Fowler's position with oxygen at 2 L/min per nasal cannula. The client
develops dyspnea. What action should the RN take first?
A. Call the healthcare provider.
B. Obtain a bedside pulse oximeter.
C. Raise the head of the bed higher.
D. Assess the client's vital signs.
C. Raise the head of the bed higher.
A client who has hyperparathyroidism is scheduled to receive a prescribed
dose of oral phosphate. The RN notes that the client's serum calcium level is
12.5 mg/ dL. What action should the nurse take?
A. Hold the phosphate and notify the healthcare provider.
B. Review the client's serum parathyroid hormone level.
C. Give an as-needed (PRN) dose of intravenous (IV) cal-cium per protocol.
D. Administer the dose of oral phosphate.
D. Administer the dose of oral phosphate.
In completing a client's preoperative routine, the RN finds that the consent has
not been signed. The client begins to ask more questions about the surgical
procedure. What action should the nurse take next?
A. Witness the client's signature on the consent.
B. Answer the client's questions about the surgery.
C. Inform the healthcare provider that the client has questions about the
surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthetic is administered.
C. Inform the healthcare provider that the client has questions about the surgery.
The unlicensed assistive personnel (UAP) reports to a staff nurse that a client
who had surgery 4 hours ago has had a decrease in blood pressure (BP), from
150/ 80 to 110/70, in the past hour. The nurse advises the UAP to check the
client's dressing for excess drainage and report the findings to the nurse.
Which factor is most important to consider when assessing the legal
ramifications of this situation?
A. The parameters of the state's or province's nurse practice act.
B. The need to complete an adverse occurrence report.
C. Hospital protocols regarding the frequency of vital sign assessment every
