HESI RN MED SURG NEWEST
VERSION ACTUAL EXAM 2026
WITH COMPLETE QUESTIONS
AND CORRECT DETAILED AND
VERIFIED ANSWERS WITH
RATIONALES RATED A+
The nurse is assessing a client with acute pancreatitis. Which
finding requires the most immediate intervention by the nurse?
A.
,The client's amylase level is three times higher than the normal
level.
B.
The client has a carpal spasm when taking a blood pressure.
C.
On a 1 to 10 scale, the client tells the nurse that her epigastric
pain is at 7.
D.
The client states that she will continue to drink alcohol after
going home.
ANSWER---------B
The nurse is assessing a client with acute pancreatitis. Which
finding requires the most immediate intervention by the nurse?
Rationale: A positive Trousseau sign indicates hypocalcemia and
always requires further assessment and intervention, regardless
of the cause (40% to 75% of those with acute pancreatitis
experience hypocalcemia, which can have serious, systemic
effects). A key diagnostic finding of pancreatitis is serum
amylase and lipase levels that are two to five times higher than
the normal value. Severe boring pain is an expected symptom
for this diagnosis, but dealing with the hypocalcemia is a
priority over administering an analgesic. Long-term planning
,and teaching do not have the same immediate importance as a
positive Trousseau sign.
A 55-year-old male client has been admitted to the hospital
with a medical diagnosis of chronic obstructive pulmonary
disease (COPD). Which risk factor is the most significant in the
development of this client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years.
ANSWER--------C
Rationale: Smoking, considered to be a modifiable risk factor, is
the most significant risk factor for the development of COPD.
The exact mechanism of genetic and hereditary implications for
the development of COPD is still under investigation, although
, exposure to similar predisposing factors (e.g., smoking or
inhaling secondhand smoke) may increase the likelihood of
COPD incidence among family members. Options B and D do
not exceed the risks associated with cigarette smoking in the
development of COPD.
In assessing a client diagnosed with primary aldosteronism, the
nurse expects the laboratory test results to indicate a decreased
serum level of which substance?
A.
Sodium
B.
Phosphate
C.
Potassium
D.
Glucose
ANSWER--------C
VERSION ACTUAL EXAM 2026
WITH COMPLETE QUESTIONS
AND CORRECT DETAILED AND
VERIFIED ANSWERS WITH
RATIONALES RATED A+
The nurse is assessing a client with acute pancreatitis. Which
finding requires the most immediate intervention by the nurse?
A.
,The client's amylase level is three times higher than the normal
level.
B.
The client has a carpal spasm when taking a blood pressure.
C.
On a 1 to 10 scale, the client tells the nurse that her epigastric
pain is at 7.
D.
The client states that she will continue to drink alcohol after
going home.
ANSWER---------B
The nurse is assessing a client with acute pancreatitis. Which
finding requires the most immediate intervention by the nurse?
Rationale: A positive Trousseau sign indicates hypocalcemia and
always requires further assessment and intervention, regardless
of the cause (40% to 75% of those with acute pancreatitis
experience hypocalcemia, which can have serious, systemic
effects). A key diagnostic finding of pancreatitis is serum
amylase and lipase levels that are two to five times higher than
the normal value. Severe boring pain is an expected symptom
for this diagnosis, but dealing with the hypocalcemia is a
priority over administering an analgesic. Long-term planning
,and teaching do not have the same immediate importance as a
positive Trousseau sign.
A 55-year-old male client has been admitted to the hospital
with a medical diagnosis of chronic obstructive pulmonary
disease (COPD). Which risk factor is the most significant in the
development of this client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years.
ANSWER--------C
Rationale: Smoking, considered to be a modifiable risk factor, is
the most significant risk factor for the development of COPD.
The exact mechanism of genetic and hereditary implications for
the development of COPD is still under investigation, although
, exposure to similar predisposing factors (e.g., smoking or
inhaling secondhand smoke) may increase the likelihood of
COPD incidence among family members. Options B and D do
not exceed the risks associated with cigarette smoking in the
development of COPD.
In assessing a client diagnosed with primary aldosteronism, the
nurse expects the laboratory test results to indicate a decreased
serum level of which substance?
A.
Sodium
B.
Phosphate
C.
Potassium
D.
Glucose
ANSWER--------C
