Page 1 of 212
“NAXLEX MEDICAL SURGICAL HESI
RN PROCTORED EXAM “ NEWEST
UPDATED EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION)
don't miss any practice revision materials contact me +254111429458
HESI RN Medical surgical proctored exam NAXLEX
Five months following treatment for herpes zoster, an older adult client tells
the home health nurse of continuing to experience pain where the rash
occurred. Which action should the nurse implement?
A Teach the client about phantom pain symptoms.
B Perform a complete mental status exam.
C Determine if the client has had a shingles vaccination.
D Complete an assessment of the client's pain.
D Complete an assessment of the client's pain.
Persistent pain following the resolution of herpes zoster, known as postherpetic
neuralgia (PHN), is a common complication, especially in older adults. PHN can
cause significant discomfort and affect the client's quality of life. Therefore, it is
, Page 2 of 212
essential for the nurse to conduct a comprehensive assessment of the client's pain
to better understand its characteristics, severity, duration, aggravating or alleviating
factors, and impact on daily activities.
A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL
(110 mmol/L). hematocrit of 34% (0.34 volume fraction), and microcytic and
hypochromic red blood cells (RBCs). Based on these findings, which dinner
selection should the nurse suggest to the client?
Reference Range.
Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]
Hematocrit (Hct) [42% to 52% (0.42 to 0.52 volume fraction)] 9000
A Broiled white fish with a baked sweet potato.
B Cheese pasta and a lettuce and tomato salad.
C Grilled shrimp and seasoned rice with asparagus salad.
D Beef steak with steamed broccoli and orange slices.
D Beef steak with steamed broccoli and orange slices.
Beef steak is an excellent source of heme iron, which is more readily absorbed by
the body compared to non-heme iron found in plant-based foods. Steamed broccoli
is also a good source of nonheme iron and vitamin C, which enhances iron
absorption. Vitamin C-rich foods, such as orange slices, can help increase the
absorption of iron from the meal.
A postoperative client reports incisional pain. The client has two prescriptions
for PRN analgesia that accompanied the client from the postanesthesia unit.
Before selecting which medication to administer, which action should the
nurse implement?
A Determine which prescription will have the quickest onset of action.
B Compare the client's pain scale rating with the prescribed dosing.
C Document the client's report of pain in the electronic medical record.
D Ask the client to choose which medication is needed for the pain.
B Compare the client's pain scale rating with the prescribed dosing.
Comparing the client's pain scale rating with the prescribed dosing ensures that the
nurse selects the appropriate medication and dosage based on the severity of the
, Page 3 of 212
client's pain. This action helps ensure safe and effective pain management by
matching the intensity of the client's pain with the appropriate analgesic medication
and dose.
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is
admitted with severe dehydration. Which assessment finding warrants
immediate intervention by the nurse?
A Loose bowel movements.
B Occult positive emesis.
C Strong foul smelling flatus.
D Report of poor night vision.
B Occult positive emesis.
Occult positive emesis refers to vomiting that occurs without the client's awareness,
meaning that the vomitus may not be easily visible or readily apparent. Vomiting can
lead to significant fluid loss and dehydration, which is particularly concerning in a
client who has undergone a biliopancreatic diversion procedure (BDP).
A client with rheumatoid arthritis has an elevated serum rheumatoid factor.
Which interpretation of this finding should the nurse make?
A Confirmation of the autoimmune disease process.
B Representative of a decline in the client's condition.
C Evidence of spread of the disease to the kidneys.
D Indication of the onset of joint degeneration.
A Confirmation of the autoimmune disease process.
Rheumatoid factor (RF) is an autoantibody directed against the Fc portion of
immunoglobulin G (IgG). In RA, it is an indication of the autoimmune nature of the
disease, where the immune system mistakenly attacks the body's own tissues,
particularly the synovial membranes in the joints, leading to inflammation, pain, and
joint damage.
A client with metastatic cancer reports a pain level of 10 on a scale of 0 to 10.
Twenty minutes after the nurse administers an IV analgesic, the client reports
no pain relief. Which intervention is most important for the nurse to include in
this client's plan of care?
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A Replace transdermal analgesic patches every 72 hours.
B Administer analgesics on a fixed and continuous schedule.
C Monitor client for break through pain.
D Frequently evaluate the client's pain.
C Monitor client for break through pain.
Breakthrough pain is a transient exacerbation of pain that occurs despite the use of
around- the-clock analgesics for persistent pain. Breakthrough pain episodes require
rapid intervention with additional analgesics or adjustments to the current pain
management regimen to provide adequate pain relief and improve the client's quality
of life.
In providing discharge teaching to a client with chronic obstructive pulmonary
disease (COPD), which instruction is most important for the nurse to
emphasize?
A Notify the healthcare provider of any change in sputum color.
B Stay in the house if the outdoor temperature is hot and humid.
C Avoid going outdoors whenever the pollen count is high.
D Keep a food diary for one week and bring to next appointment.
A Notify the healthcare provider of any change in sputum color.
Changes in sputum color can indicate exacerbations of COPD, such as infection or
increased inflammation in the airways. Darker or greenish sputum may suggest the
presence of infection, while changes in consistency or volume can also indicate
worsening respiratory status. Promptly notifying the healthcare provider of any
change in sputum color allows for timely assessment and appropriate management.
While completing a health assessment for a young adult female with acute
appendicitis, the client informs the nurse that there is a chance that she may
be pregnant. The operating team is preparing to take the client to surgery.
Which intervention should the nurse implement immediately?
A Continue with surgery as scheduled.
B Notify the surgical team to cancel the surgery.
C Perform a bedside pregnancy test.
D Calculate gestation from last menstrual cycle.
“NAXLEX MEDICAL SURGICAL HESI
RN PROCTORED EXAM “ NEWEST
UPDATED EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION)
don't miss any practice revision materials contact me +254111429458
HESI RN Medical surgical proctored exam NAXLEX
Five months following treatment for herpes zoster, an older adult client tells
the home health nurse of continuing to experience pain where the rash
occurred. Which action should the nurse implement?
A Teach the client about phantom pain symptoms.
B Perform a complete mental status exam.
C Determine if the client has had a shingles vaccination.
D Complete an assessment of the client's pain.
D Complete an assessment of the client's pain.
Persistent pain following the resolution of herpes zoster, known as postherpetic
neuralgia (PHN), is a common complication, especially in older adults. PHN can
cause significant discomfort and affect the client's quality of life. Therefore, it is
, Page 2 of 212
essential for the nurse to conduct a comprehensive assessment of the client's pain
to better understand its characteristics, severity, duration, aggravating or alleviating
factors, and impact on daily activities.
A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL
(110 mmol/L). hematocrit of 34% (0.34 volume fraction), and microcytic and
hypochromic red blood cells (RBCs). Based on these findings, which dinner
selection should the nurse suggest to the client?
Reference Range.
Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]
Hematocrit (Hct) [42% to 52% (0.42 to 0.52 volume fraction)] 9000
A Broiled white fish with a baked sweet potato.
B Cheese pasta and a lettuce and tomato salad.
C Grilled shrimp and seasoned rice with asparagus salad.
D Beef steak with steamed broccoli and orange slices.
D Beef steak with steamed broccoli and orange slices.
Beef steak is an excellent source of heme iron, which is more readily absorbed by
the body compared to non-heme iron found in plant-based foods. Steamed broccoli
is also a good source of nonheme iron and vitamin C, which enhances iron
absorption. Vitamin C-rich foods, such as orange slices, can help increase the
absorption of iron from the meal.
A postoperative client reports incisional pain. The client has two prescriptions
for PRN analgesia that accompanied the client from the postanesthesia unit.
Before selecting which medication to administer, which action should the
nurse implement?
A Determine which prescription will have the quickest onset of action.
B Compare the client's pain scale rating with the prescribed dosing.
C Document the client's report of pain in the electronic medical record.
D Ask the client to choose which medication is needed for the pain.
B Compare the client's pain scale rating with the prescribed dosing.
Comparing the client's pain scale rating with the prescribed dosing ensures that the
nurse selects the appropriate medication and dosage based on the severity of the
, Page 3 of 212
client's pain. This action helps ensure safe and effective pain management by
matching the intensity of the client's pain with the appropriate analgesic medication
and dose.
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is
admitted with severe dehydration. Which assessment finding warrants
immediate intervention by the nurse?
A Loose bowel movements.
B Occult positive emesis.
C Strong foul smelling flatus.
D Report of poor night vision.
B Occult positive emesis.
Occult positive emesis refers to vomiting that occurs without the client's awareness,
meaning that the vomitus may not be easily visible or readily apparent. Vomiting can
lead to significant fluid loss and dehydration, which is particularly concerning in a
client who has undergone a biliopancreatic diversion procedure (BDP).
A client with rheumatoid arthritis has an elevated serum rheumatoid factor.
Which interpretation of this finding should the nurse make?
A Confirmation of the autoimmune disease process.
B Representative of a decline in the client's condition.
C Evidence of spread of the disease to the kidneys.
D Indication of the onset of joint degeneration.
A Confirmation of the autoimmune disease process.
Rheumatoid factor (RF) is an autoantibody directed against the Fc portion of
immunoglobulin G (IgG). In RA, it is an indication of the autoimmune nature of the
disease, where the immune system mistakenly attacks the body's own tissues,
particularly the synovial membranes in the joints, leading to inflammation, pain, and
joint damage.
A client with metastatic cancer reports a pain level of 10 on a scale of 0 to 10.
Twenty minutes after the nurse administers an IV analgesic, the client reports
no pain relief. Which intervention is most important for the nurse to include in
this client's plan of care?
, Page 4 of 212
A Replace transdermal analgesic patches every 72 hours.
B Administer analgesics on a fixed and continuous schedule.
C Monitor client for break through pain.
D Frequently evaluate the client's pain.
C Monitor client for break through pain.
Breakthrough pain is a transient exacerbation of pain that occurs despite the use of
around- the-clock analgesics for persistent pain. Breakthrough pain episodes require
rapid intervention with additional analgesics or adjustments to the current pain
management regimen to provide adequate pain relief and improve the client's quality
of life.
In providing discharge teaching to a client with chronic obstructive pulmonary
disease (COPD), which instruction is most important for the nurse to
emphasize?
A Notify the healthcare provider of any change in sputum color.
B Stay in the house if the outdoor temperature is hot and humid.
C Avoid going outdoors whenever the pollen count is high.
D Keep a food diary for one week and bring to next appointment.
A Notify the healthcare provider of any change in sputum color.
Changes in sputum color can indicate exacerbations of COPD, such as infection or
increased inflammation in the airways. Darker or greenish sputum may suggest the
presence of infection, while changes in consistency or volume can also indicate
worsening respiratory status. Promptly notifying the healthcare provider of any
change in sputum color allows for timely assessment and appropriate management.
While completing a health assessment for a young adult female with acute
appendicitis, the client informs the nurse that there is a chance that she may
be pregnant. The operating team is preparing to take the client to surgery.
Which intervention should the nurse implement immediately?
A Continue with surgery as scheduled.
B Notify the surgical team to cancel the surgery.
C Perform a bedside pregnancy test.
D Calculate gestation from last menstrual cycle.
