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HESI l RN l Med l Surg l Exam l | l Questions l
and l Verified l Answers| l 100% l Correct| l
2025 / l 2026 l Newly l Updated
QUESTION
Al malel clientl withl Herpesl zosterl (shingles)l onl hisl thoraxl tellsl thel nursel thatl hel isl havingl difficultyl sleeping.l Whatl isl thel probablel etiologyl ofl thisl problem? Answer: Pain
QUESTION
Whenl planningl carel forl al clientl newlyl diagnosedl withl openl anglel glaucoma,l thel nursel identifiesl al priorityl nursingl diagnosisl of,l "visuall sensory/perceptuall alterations."l Thisl diagnosisl isl basedl onl whichl etiology? Answer: Decreasedl peripherall vision
QUESTION
Al clientl whol isl newlyl diagnosedl withl emphysemal isl beingl preparedl forl discharge.l Whichl instructionl isl bestl forl thel nursel tol providel thel clientl tol assistl theml withl dyspneal self-management? Answer: Practicel inhalingl throughl thel nosel andl exhalingl slowlyl throughl pursedl lips
QUESTION
Al clientl withl cancerl isl receivingl chemotherapyl withl al knownl vesicant.l Thel client'sl IVl hasl beenl inl placel forl 72 l hours.l Thel nursel determinesl thatl al newl IVl sitel cannotl bel obtained,l andl leavesl thel presentl IVl inl place.l Whatl isl thel greatestl clinicall riskl relatedl tol thisl situation?
Answer: Impairedl skinl integrity
QUESTION
Al postoperativel clientl reportsl incisionall pain.l Thel clientl hasl twol prescriptionsl forl PRNl analgesial thatl accompaniedl thel clientl froml thel postanasthesial unit.l Beforel selectingl whichl medicationl tol administer,l whichl actionl shouldl thel nursel implement? Answer: Comparel thel client'sl painl scalel ratingl withl thel prescribedl dosing
QUESTION
Whilel assistingl al femalel clientl tol thel toilet,l thel clientl beginsl tol havel al seizurel andl thel nursel easesl herl tol thel floor.l Thel nursel callsl forl helpl andl monitorsl thel clientl untill thel seizingl stops.l Whichl interventionl shouldl thel nursel implementl first? Answer: Observel forl prolongedl periodsl ofl apnea
QUESTION
Al malel clientl withl diabetesl mellitusl (DM)l isl transferredl froml thel hospitall tol al rehabilitationl facilityl followingl treatmentl forl al strokel withl resultingl rightl hemiplegia.l Hel tellsl thel nursel thatl hisl feetl arel alwaysl uncomfortablyl cooll atl night,l preventingl himl froml fallingl asleep.l Whichl actionl shouldl thel nursel implement. Answer: Placel warml blanketsl nextl tol thel client'sl feet
QUESTION
Duringl al homel visit,l thel nursel assessesl thel skinl ofl al clientl withl eczemal whol reportsl thatl anl exacerbationl ofl symptomsl hasl occurredl duringl thel lastl week.l Whichl informationl isl mostl usefull inl determiningl thel possiblel causel ofl thel symptoms?
Answer: Glucose
QUESTION
Al clientl withl acquiredl immunodeficiencyl syndromel (AIDS)l hasl impairedl gasl exchangel froml al respiratoryl infection.l Whichl assessmentl findingl warrantsl immediatel interventionl byl thel nurse? Answer: Painl whenl swallowing
QUESTION
Anl olderl malel clientl tellsl thel nursel thatl hel isl losingl sleepl becausel hel hasl tol getl upl severall timesl atl nightl tol gol tol thel bathroom,l thatl hel hasl troublel startingl hisl urinaryl stream,l andl thatl hel doesl notl feell likel hisl bladderl isl everl completelyl empty.l Whichl interventionl shouldl thel nursel implement? Answer: Palpatel thel bladderl abovel thel symphysisl pubis
QUESTION
Fluidsl arel restrictedl tol 1,500l mll dailyl forl al malel clientl withl acutel kidneyl injuryl (AKI).l Hel isl frustratedl andl complainingl ofl constantl thirst,l andl thel nursel discoversl thatl thel familyl isl providingl thel clientl withl additionall fluids.l Whichl interventionl shouldl thel nursel implement? Answer: Providel thel clientl withl orall swabsl tol moistenl hisl mouth
QUESTION
Duringl al paracentesis,l twol litersl ofl fluidl arel removedl froml thel abdomenl ofl al clientl withl ascites.l Al drainagel bagl isl placed,l andl 50 l mll ofl clear,l straw-coloredl fluidl drainsl withinl thel firstl hour.l Whatl actionl shouldl thel nursel implement?
Answer: Continuel tol monitorl thel fluidl output
QUESTION
Whilel assessingl al clientl withl degenerativel jointl disease,l thel nursel observesl Heberden'sl nodes,l largel prominencesl onl thel client'sl fingersl thatl arel reddened.l Thel clientl reportsl thatl thel nodesl arel painful.l Whichl actionl shouldl thel nursel take? Answer: Discussl approachesl tol thel chronicl painl controll withl thel client
QUESTION
Al clientl whol tookl al campingl vacationl twol weeksl agol inl al countyl withl al tropicall climatel comesl tol thel clinicl describingl vaguel symptomsl andl diarrheal forl thel pastl week.l Whichl findingl isl mostl importantl forl thel nursel reportl tol thel healthcarel provider? Answer: Jaundicedl sclera
QUESTION
Tenl hoursl followingl thrombolysisl forl anl STl elevationl myocardiall infarctionl (STEMI),l al clientl isl receivingl al lidocainel infusionl forl isolatedl runsl ofl ventricularl tachycardial (VT).l Whichl findingl shouldl thel nursel documentl inl thel electronicl medicall recordl asl al therapeuticl responsel tol thel lidocainel infusion? Answer: Decreasedl frequencyl ofl episodesl ofl ventricularl tachycardial (VT)
QUESTION
Afterl al computerl tomographyl (CT)l scanl withl intravenousl contrastl medium,l al clientl returnsl tol thel rooml complainingl ofl shortnessl ofl breathl andl itching.l Whichl interventionl shouldl thel nursel implement?
Answer: Elevatel headl ofl bedl 60 l tol 90 l degrees
QUESTION
Al youngl femalel clientl withl sevenl childrenl isl havingl frequentl morningl headaches,l dizziness,l andl blurredl vision.l Herl bloodl pressurel (BP)l isl 168/104l mmHg.l Thel clientl reportsl thatl herl husbandl recentlyl lostl hisl jobl andl shel isl notl sleepingl well.l Afterl administeringl al STATl dosel ofl anl antihypertensivel IVl medication,l whichl interventionl isl mostl importantl forl thel nursel tol implement? Answer: Usel anl automatedl Bloodl Pressurel machinel tol monitorl forl hypotension
QUESTION
Thel wifel ofl al clientl withl Parkinson'sl diseasel expressesl concernl becausel herl husbandl hasl lostl sol muchl weight.l Whichl teachingl isl bestl forl thel nursel tol provide? Answer: Invitel friendsl overl regularlyl tol sharel inl meall times
QUESTION
Al clientl whol wasl dischargedl 8 l monthsl agol withl cirrhosisl andl ascitesl isl admittedl withl anorexial andl recentl hemoptysis.l Thel clientl isl drowsyl butl respondsl tol verball stimuli.l Thel nursel programsl al bloodl pressurel monitorl tol takel readingsl everyl 15 l minutes,.l Whichl assessmentl shouldl thel nursel implementl first? Answer: Palpatel thel abdomenl forl tendernessl andl rigidity
QUESTION
Al clientl withl urolithiasisl isl preparingl forl dischargel afterl lithotripsy.l Whichl interventionl shouldl thel nursel includel inl thel client'sl postoperativel dischargel instructions?
Answer: Monitorl urinaryl streaml forl decreasel inl output
QUESTION
Al fair-skinnedl femalel clientl whol isl anl avidl runnerl isl diagnosedl withl malignantl melanoma,l whichl isl locatedl onl thel laterall surfacel ofl thel lowerl leg.l Afterl widel marginl resection,l thel nursel providesl dischargel teaching.l Il tl isl mostl importantl forl thel nursel tol emphasizel thel needl tol observel forl changesl inl whichl characteristic? Answer: Appearancel ofl anyl moles
QUESTION
Al healthcarel workerl withl nol knownl exposurel tol tuberculosisl hasl receivedl al Mantouxl tuberculosisl skinl test.l Thel nurse'sl assessmentl ofl thel testl afterl 62 l hoursl indicatesl 5 l mml ofl erythemal withoutl induration.l Whatl isl thel bestl initiall nursingl action? Answer: Documentl negativel resultsl inl thel client'sl medicall record
QUESTION
Thel nursel isl teachingl thel importancel ofl anl exercisel regimel thatl includesl walkingl dailyl forl al groupl ofl clientsl withl asthma,l chronicl bronchitis,l andl emphysemal atl al pulmonaryl rehabilitationl clinic.l Whichl rationalel shouldl thel nursel includel whenl motivatingl thel clients? Answer: Dailyl exercisel andl walkingl enhancesl cardiovascularl fitness
QUESTION
Anl olderl adultl manl recentlyl diagnosedl withl chronicl obstructivel pulmonaryl diseasel (COPD)l isl admittedl withl shortnessl ofl breath.l Thel nursel observesl thel clientl sittingl uprightl andl leaningl overl thel bedsidel table,l usingl accessoryl musclesl tol assistl inl breathing.l Whatl actionl shouldl thel nursel take? Answer: Instructl thel clientl inl pursedl lipl breathingl techniques
QUESTION
Al clientl withl multiplel sclerosisl hasl urinaryl retentionl relatedl tol sensorimotorl deficits.l Whichl actionl shouldl thel nursel includel inl thel client'sl planl ofl care? Answer: Teachl thel clientl techniquesl forl performingl intermittentl catheterization
QUESTION
Whenl providingl carel forl al clientl followingl bronchoscopy,l whichl assessmentl findingl shouldl hel nursel immediatelyl reportl tol thel healthcarel provider? Answer: Nol gagl reflexl afterl thirtyl minutes
QUESTION
Thel nursel isl assessingl clientsl inl anl outpatientl diabeticl clinic.l Whichl entryl providesl thel bestl medicationl thatl thel clientl isl adheringl tol thel prescribedl diabeticl regimen? Answer: Hemoglobinl A1Cl ofl 6.2%
QUESTION
Al malel clientl inl skeletall tractionl tellsl thel nursel thatl hel isl frustratedl becausel hel needsl helpl repositioningl himselfl inl bed.l Whichl interventionl shouldl thel nursel implement?
Answer: Providel anl overheadl trapezel tol thel bedl forl thel clientl tol use
QUESTION
Anl olderl clientl isl admittedl afterl fallingl whilel walking.l Thel leftl legl isl externallyl rotatedl andl shorterl thanl thel rightl leg,l andl thel clientl isl havingl severel painl andl tinglingl inl thel leftl foot.l Thel nursel isl unablel tol palpatel thel leftl pedall pulses.l Whichl actionl isl mostl importantl forl thel nursel tol implement? Answer: Usel al dopplerl tol assessl bilaterall pedall pulses
QUESTION
Al clientl whol hadl al biliopancreaticl diversionl procedurel (BDP)l 3 l monthsl agol isl admittedl withl al severel dehydration.l Whichl assessmentl findingl warrantsl immediatel interventionl byl thel nurse. Answer: Gastroccultl positivel emesis
QUESTION
Al femalel clientl whol wasl involvedl inl al motorl vehiclel collisionl withl al fracturedl leftl femurl whichl isl immobilizedl usingl al fracturel tractionl splintl inl preparationl forl anl openl reductionl internall fixationl (ORIF).l Thel nursel determinesl thatl herl distall pulsesl arel diminishedl inl thel leftl foot.l Whichl interventionsl shouldl thel nursel implement?l Selectl alll thatl apply Answer: Monitorl leftl legl forl pain,l pallor,l paresthesia,l paralysis,l pressure.l Verifyl pedall pulsesl usingl al dopplerl pulsel device.l Evaluatel thel applicationl ofl thel splintl tol thel leftl leg
QUESTION
Al malel clientl withl perniciousl anemial takesl supplementall folatel andl self-administersl monthlyl Vitaminl B12l injections.l Hel reportsl feelingl increasinglyl fatigued.l Whichl laboratoryl valuel shouldl thel nursel review? Answer: Completel bloodl count
QUESTION
Al malel clientl isl recoveringl froml anl episodel ofl urinaryl tractl calculi.l Duringl dischargel teaching,l thel clientl asksl aboutl thel dietaryl restrictionl hel shouldl follow.l Inl discussingl fluidl intake,l thel nursel shouldl includel whichl typel ofl fluidl limitation Answer: Teal andl hotl chocolate
QUESTION
Al malel clientl complainsl ofl painl inl hisl rightl calf,l andl thel nursel determinesl thatl hisl calfl isl edematousl andl deepl red.l Whatl interventionl hasl thel highestl priority? Answer: Telll thel clientl tol remainl inl bed
QUESTION
Anl olderl womanl whol experiencedl al cerebrovascularl accidentl (CVA)l hasl difficultyl withl visuall perceptionl andl shel onlyl eatsl halfl ofl thel foodl onl herl meall tray.l Herl familyl expressesl concernl aboutl herl nutritionall status.l Howl shouldl thel nursel respondl tol thel family'sl concern? Answer: Demonstratel thel usel ofl visuall scanningl duringl mealsl tol thel clientl andl family
QUESTION
Al clientl withl stagel IVl bonel cancerl isl admittedl tol thel hospitall forl painl control.l Thel clientl verbalizesl continuous,l severel painl ofl 8 l onl al 1 l tol 10 l scale.l Whichl interventionl shouldl thel nursel implement? Answer: Administerl opioidl andl non-opioidl medicationl simultaneously
QUESTION
Al femalel clientl whol receivedl partial-thicknessl andl full-thicknessl burnsl overl 40%l ofl herl bodyl inl al housel firel isl admittedl tol thel inpatientl burnl unit.l Whatl fluidl shouldl thel nursel preparel to administerl duringl thel acutel phasel ofl thel client'sl burnl recovery? Answer: Ringer'sl Lactate
QUESTION
Al clientl usesl triamcinolonel (Kenalog),l al corticosteroidl ointment,l tol managel pruritusl causedl byl al chronicl skinl rash.l Thel clientl callsl thel clinicl nursel tol reportl increasedl erythemal withl purulentl exudatel atl thel site.l Whichl actionl shouldl thel nursel implement? Answer: Schedulel anl appointmentl forl thel clientl tol seel thel healthcarel provider.
QUESTION
Al nursel isl caringl forl al clientl withl Diabetesl Insipidusl (DI).l Whichl datal warrantsl thel mostl immediatel interventionl byl thel nurse? Answer: Seruml sodiuml ofl 185 l mEq/L
QUESTION
Inl assessingl al clientl withl ulcersl onl thel lowerl extremity,l whichl findingsl indicatel thatl thel ulcersl arel likelyl tol bel ofl venous,l ratherl thanl arterial,l origin? Answer: Irregularl ulcerl shapesl andl severel edema
QUESTION
Al 70 - year-oldl malel clientl withl typel 2 l diabetesl mellitusl (DM)l isl hospitalizedl withl anl infectedl ulcerl onl hisl greatl rightl toe.l Whichl instructionl shouldl thel nursel emphasizel duringl dischargel teaching? Answer: Checkl thel insidesl andl liningsl ofl alll enclosedl shoesl beforel puttingl thel shoesl on
QUESTION
Thel nursel isl providingl dischargel instructionsl tol al clientl whol isl receivingl prednisonel (Deltasone)l 5 l mgl POl dailyl forl al rashl duel tol contactl withl poisonl ivy.l Whichl symptoml shouldl thel nursel telll thel clientl tol reportl tol thel healthcarel provider? Answer: Rapidl weightl gain
QUESTION
Thel familyl suspectsl thatl AIDSl demential isl occurringl inl theirl sonl whol isl HIVl positive.l Whichl symptoml confirmsl theirl suspicions? Answer: Al changel hasl recentlyl occurredl inl hisl handwriting.
QUESTION
Al womanl whol worksl asl al datal entryl clerkl isl concernedl asl tol howl recentl diagnosisl ofl Raynaud'sl syndromel isl goingl tol affectl herl jobl performance.l Whichl instructionl shouldl thel nursel providel thisl client?
Answer: Usel al spacel heaterl tol keepl thel workspacel warm
QUESTION
Anl olderl malel clientl withl long-standingl lungl diseasel isl admittedl tol thel medicall unitl forl treatmentl ofl pulmonaryl infection.l Inl assessingl forl signsl ofl increasingl hypoxia,l whichl actionl shouldl thel nursel include?l (selectl alll thatl apply) Answer: Checkl forl changesl inl mentation.l Observel colorl ofl skinl andl mucous.l Assessl breathingl patterns
QUESTION
Anl adultl clientl isl admittedl withl flankl painl andl isl diagnosedl withl acutel pyelonephritis.l Whatl isl thel priorityl nursingl action? Answer: Administerl IVl antibioticsl asl prescribed
QUESTION
Al client'sl telemetryl monitorl indicatesl ventricularl fibrillationl (VF).l Afterl deliveringl onel counterl shock,l thel nursel resumesl chestl compression.l Afterl anotherl minutel ofl compressions,l thel client'sl rhythml convertsl tol supraventricularl tachycardial (SVT)l onl thel monitor.l Atl thisl point,l whatl isl thel priorityl interventionl forl thel nurse? . Answer: Givel IVl dosel ofl adenosinel rapidlyl overl 1 - 2 l seconds
Answer: Askl forl al demonstrationl ofl thesel exercises
QUESTION
Anl olderl adultl withl heartl failurel isl hospitalizedl duringl anl acutel exacerbation.l Tol reducel cardiacl workload,l whichl interventionl shouldl thel nursel includel inl thel client'sl planl ofl care? Answer: Providel al bedsidel commodel forl toileting
QUESTION
Whichl instructionl shouldl thel nursel includel inl thel dischargel teachingl forl al clientl whol hasl gastroesophageall reflux? Answer: Teachl thel clientl tol elevatel thel headl ofl thel bedl onl blocks
QUESTION
Al clientl withl pheochromocytomal reportsl thel onsetl ofl al severel headache.l Thel nursel observesl thatl thel clientl isl veryl diaphoretic.l Whichl assessmentl datal shouldl thel nursel obtainl next? Answer: Bloodl pressure
QUESTION
Thel healthcarel providerl prescribesl epoetinl alfal (Procrit)l 8,200l unitsl subcutaneouslyl forl al clientl withl chronicl kidneyl diseasel (CKD).l Thel 2 l mll multidosel viall isl labeled,l "Eachl 1 l mll ofl solutionl containsl 10,000l unitsl ofl epoetinl alfa."l Howl manyl mll shouldl thel nursel administer? Answer:
QUESTION
Al nursel assistsl al malel clientl withl Parkinson'sl diseasel (PD)l tol ambulatel inl thel hallway.l Thel clientl appearsl tol "freeze"l andl thenl carefullyl liftsl onel legl andl stepsl forward.l Hel tellsl thel nursel thatl hel isl pretendingl tol stepl overl al crackl onl thel floor.l Howl shouldl thel nursel respond? Answer: Confirml thatl thisl isl anl effectivel techniquel tol helpl withl ambulation
QUESTION
Whichl foodl isl mostl importantl forl thel nursel tol encouragel al malel clientl withl osteomalacial tol includel inl hisl dailyl diet? Answer: Fortifiedl milkl andl cereals
QUESTION
Al clientl withl ulcerativel colitisl isl admittedl tol thel medicall unitl duringl anl acutel exacerbation.l Thel nursel shouldl instructl thel unlicensedl assistivel personnell (UAP)l tol reportl whichl findingl relatedl tol thel client'sl bowell movements? Answer: Stooll withl fattyl streaks
QUESTION
Thel healthcarel providerl prescribesl anl IVl solutionl ofl regularl insulinl (Hummulin-R)l 100 l unitsl inl 250 l mll ofl 0.45%l salinel tol infusel atl 12 l units/hour.l Thel nursel shouldl programl thel infusionl pumpl tol deliverl howl manyl ml/hour? Answer: 30
