Solution Manual
HESI Comprehensive Examination Questions
with Solutions and Verified Answers
Q1: A patient presents with fever, productive cough, and shortness of
breath. Which is the nurse’s priority action?
A) Obtain sputum culture and start prescribed antibiotics
B) Administer antipyretics only
C) Encourage oral fluids only
D) Schedule routine labs
Answer: A
Q2: A patient with type 1 diabetes reports shakiness, sweating, and
dizziness. What should the nurse do first?
A) Check blood glucose level
B) Administer insulin
C) Wait for scheduled meal
D) Encourage rest only
Answer: A
Q3: Which assessment is priority for a patient with chest pain and
diaphoresis?
A) Obtain ECG and vital signs immediately
B) Provide pain medication only
C) Monitor diet
D) Schedule routine labs
Answer: A
,Q4: A patient presents with confusion and slurred speech. Which is the
first action?
A) Perform rapid neurologic assessment and notify provider
B) Administer sedatives
C) Schedule routine labs
D) Encourage fluids only
Answer: A
Q5: Which is an early sign of hypoxia in adults?
A) Restlessness, tachypnea, and cyanosis
B) Calm and pink appearance
C) Normal vital signs only
D) Bradycardia only
Answer: A
Q6: A patient presents with shortness of breath and wheezing. What is the
priority intervention?
A) Administer prescribed bronchodilator and monitor oxygen saturation
B) Provide oral fluids only
C) Encourage activity
D) Schedule outpatient pulmonary testing
Answer: A
Q7: Which is the first step when a patient presents with hypotension?
A) Assess vital signs, perfusion, and fluid status
B) Administer vasopressors immediately without assessment
C) Wait for routine labs
D) Provide oral fluids only
Answer: A
, Q8: A patient reports dizziness and syncope after standing. What is the
nurse’s priority?
A) Assess orthostatic vital signs
B) Encourage standing
C) Provide fluids only
D) Wait for provider evaluation
Answer: A
Q9: Which lab value indicates risk for kidney injury?
A) Elevated creatinine
B) Low hemoglobin only
C) High glucose only
D) Normal electrolytes
Answer: A
Q10: A patient presents with fever, chills, and hypotension. What is the
priority action?
A) Obtain cultures, start broad-spectrum antibiotics, and monitor vitals
B) Give antipyretics only
C) Schedule routine labs
D) Observe only
Answer: A
Q11: Which is the priority for a patient with acute myocardial infarction
(MI)?
A) Assess vital signs, ECG, oxygen saturation, and administer prescribed medications
B) Encourage ambulation
C) Schedule routine labs
D) Provide fluids only
Answer: A
HESI Comprehensive Examination Questions
with Solutions and Verified Answers
Q1: A patient presents with fever, productive cough, and shortness of
breath. Which is the nurse’s priority action?
A) Obtain sputum culture and start prescribed antibiotics
B) Administer antipyretics only
C) Encourage oral fluids only
D) Schedule routine labs
Answer: A
Q2: A patient with type 1 diabetes reports shakiness, sweating, and
dizziness. What should the nurse do first?
A) Check blood glucose level
B) Administer insulin
C) Wait for scheduled meal
D) Encourage rest only
Answer: A
Q3: Which assessment is priority for a patient with chest pain and
diaphoresis?
A) Obtain ECG and vital signs immediately
B) Provide pain medication only
C) Monitor diet
D) Schedule routine labs
Answer: A
,Q4: A patient presents with confusion and slurred speech. Which is the
first action?
A) Perform rapid neurologic assessment and notify provider
B) Administer sedatives
C) Schedule routine labs
D) Encourage fluids only
Answer: A
Q5: Which is an early sign of hypoxia in adults?
A) Restlessness, tachypnea, and cyanosis
B) Calm and pink appearance
C) Normal vital signs only
D) Bradycardia only
Answer: A
Q6: A patient presents with shortness of breath and wheezing. What is the
priority intervention?
A) Administer prescribed bronchodilator and monitor oxygen saturation
B) Provide oral fluids only
C) Encourage activity
D) Schedule outpatient pulmonary testing
Answer: A
Q7: Which is the first step when a patient presents with hypotension?
A) Assess vital signs, perfusion, and fluid status
B) Administer vasopressors immediately without assessment
C) Wait for routine labs
D) Provide oral fluids only
Answer: A
, Q8: A patient reports dizziness and syncope after standing. What is the
nurse’s priority?
A) Assess orthostatic vital signs
B) Encourage standing
C) Provide fluids only
D) Wait for provider evaluation
Answer: A
Q9: Which lab value indicates risk for kidney injury?
A) Elevated creatinine
B) Low hemoglobin only
C) High glucose only
D) Normal electrolytes
Answer: A
Q10: A patient presents with fever, chills, and hypotension. What is the
priority action?
A) Obtain cultures, start broad-spectrum antibiotics, and monitor vitals
B) Give antipyretics only
C) Schedule routine labs
D) Observe only
Answer: A
Q11: Which is the priority for a patient with acute myocardial infarction
(MI)?
A) Assess vital signs, ECG, oxygen saturation, and administer prescribed medications
B) Encourage ambulation
C) Schedule routine labs
D) Provide fluids only
Answer: A
