HESI Comprehensive Exam Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
A client is admitted with dehydration. Which assessment finding requires immediate action?
A. Mild thirst
B. Dry mucous membranes
✔✔C. Hypotension and tachycardia
D. Slight dizziness
A nurse is caring for a client with chronic kidney disease. Which lab requires urgent
intervention?
A. Hemoglobin 11 g/dL
B. Calcium 9 mg/dL
✔✔C. Potassium 6.4 mEq/L
D. Albumin 3.5 g/dL
A client with asthma reports wheezing and shortness of breath after exercise. What is the priority
nursing action?
1
,A. Encourage rest
✔✔B. Administer prescribed rescue inhaler
C. Give a bronchodilator orally
D. Call the healthcare provider
A client with congestive heart failure gains 4 lbs in 2 days. What should the nurse do first?
A. Restrict fluids
✔✔B. Notify the healthcare provider
C. Increase diuretic without reporting
D. Document the finding
A nurse is teaching a client with diabetes about hypoglycemia. Which statement indicates
understanding?
A. “I should skip snacks between meals.”
✔✔B. “I should carry fast-acting glucose with me.”
C. “I only need to check my blood sugar once a week.”
D. “I should exercise without checking glucose first.”
2
,A client is receiving TPN and reports shortness of breath and chest discomfort. What is the
priority action?
A. Check blood glucose
B. Increase TPN rate
✔✔C. Stop the infusion and notify the provider
D. Encourage deep breathing
A nurse is assessing a client with pneumonia. Which finding is most concerning?
A. Fever 101°F
B. Productive cough
✔✔C. Oxygen saturation 84% on room air
D. Mild fatigue
A client with COPD is experiencing shortness of breath. Which position promotes optimal
breathing?
A. Supine with legs elevated
B. Side-lying
✔✔C. High Fowler’s with arms supported
3
, D. Trendelenburg
A nurse is preparing to administer IV potassium. Which is correct?
A. Give as IV push over 2 minutes
✔✔B. Dilute and infuse slowly with an IV pump
C. Administer only if urine output <20 mL/hr
D. Mix with dextrose 5% only
A client is prescribed warfarin. Which food should be limited?
A. Apples
✔✔B. Spinach
C. Rice
D. Yogurt
A client post-thyroidectomy develops tingling in fingers and lips. What is the priority action?
A. Assess pain
✔✔B. Check serum calcium
C. Encourage fluids
4
and Answers | Latest Version |
2025/2026 | Correct & Verified
A client is admitted with dehydration. Which assessment finding requires immediate action?
A. Mild thirst
B. Dry mucous membranes
✔✔C. Hypotension and tachycardia
D. Slight dizziness
A nurse is caring for a client with chronic kidney disease. Which lab requires urgent
intervention?
A. Hemoglobin 11 g/dL
B. Calcium 9 mg/dL
✔✔C. Potassium 6.4 mEq/L
D. Albumin 3.5 g/dL
A client with asthma reports wheezing and shortness of breath after exercise. What is the priority
nursing action?
1
,A. Encourage rest
✔✔B. Administer prescribed rescue inhaler
C. Give a bronchodilator orally
D. Call the healthcare provider
A client with congestive heart failure gains 4 lbs in 2 days. What should the nurse do first?
A. Restrict fluids
✔✔B. Notify the healthcare provider
C. Increase diuretic without reporting
D. Document the finding
A nurse is teaching a client with diabetes about hypoglycemia. Which statement indicates
understanding?
A. “I should skip snacks between meals.”
✔✔B. “I should carry fast-acting glucose with me.”
C. “I only need to check my blood sugar once a week.”
D. “I should exercise without checking glucose first.”
2
,A client is receiving TPN and reports shortness of breath and chest discomfort. What is the
priority action?
A. Check blood glucose
B. Increase TPN rate
✔✔C. Stop the infusion and notify the provider
D. Encourage deep breathing
A nurse is assessing a client with pneumonia. Which finding is most concerning?
A. Fever 101°F
B. Productive cough
✔✔C. Oxygen saturation 84% on room air
D. Mild fatigue
A client with COPD is experiencing shortness of breath. Which position promotes optimal
breathing?
A. Supine with legs elevated
B. Side-lying
✔✔C. High Fowler’s with arms supported
3
, D. Trendelenburg
A nurse is preparing to administer IV potassium. Which is correct?
A. Give as IV push over 2 minutes
✔✔B. Dilute and infuse slowly with an IV pump
C. Administer only if urine output <20 mL/hr
D. Mix with dextrose 5% only
A client is prescribed warfarin. Which food should be limited?
A. Apples
✔✔B. Spinach
C. Rice
D. Yogurt
A client post-thyroidectomy develops tingling in fingers and lips. What is the priority action?
A. Assess pain
✔✔B. Check serum calcium
C. Encourage fluids
4
