HESI Comprehensive Exam (B)
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority action for a client who develops sudden shortness of breath after removal of
a central line?
✔✔Apply an occlusive dressing and place the client in Trendelenburg on the left side.
A nurse is caring for a client with cirrhosis who is confused and demonstrates hand flapping
tremors. What complication is suspected?
✔✔Hepatic encephalopathy.
What lab value is most important to monitor for a client receiving furosemide?
✔✔Serum potassium.
What is the priority intervention when a postpartum client has a boggy uterus and heavy vaginal
bleeding?
✔✔Massage the fundus.
1
, Which assessment finding indicates digoxin toxicity?
✔✔Bradycardia and vision changes.
A client with COPD is receiving oxygen therapy. What oxygen saturation goal should the nurse
maintain?
✔✔88–92%.
What is the first nursing action when a client with chest pain shows ST elevation on the ECG?
✔✔Administer oxygen.
A nurse observes continuous bubbling in the water seal chamber of a chest tube system. What
should the nurse suspect?
✔✔An air leak in the system.
What is the best intervention for a client with mouth ulcers related to chemotherapy?
✔✔Frequent saline rinses.
2
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority action for a client who develops sudden shortness of breath after removal of
a central line?
✔✔Apply an occlusive dressing and place the client in Trendelenburg on the left side.
A nurse is caring for a client with cirrhosis who is confused and demonstrates hand flapping
tremors. What complication is suspected?
✔✔Hepatic encephalopathy.
What lab value is most important to monitor for a client receiving furosemide?
✔✔Serum potassium.
What is the priority intervention when a postpartum client has a boggy uterus and heavy vaginal
bleeding?
✔✔Massage the fundus.
1
, Which assessment finding indicates digoxin toxicity?
✔✔Bradycardia and vision changes.
A client with COPD is receiving oxygen therapy. What oxygen saturation goal should the nurse
maintain?
✔✔88–92%.
What is the first nursing action when a client with chest pain shows ST elevation on the ECG?
✔✔Administer oxygen.
A nurse observes continuous bubbling in the water seal chamber of a chest tube system. What
should the nurse suspect?
✔✔An air leak in the system.
What is the best intervention for a client with mouth ulcers related to chemotherapy?
✔✔Frequent saline rinses.
2
