Page 1 of 46
“HESI RN MED SURG VERSION A & VERSION
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
HESI RN MED SURG VERSION A & VERSION B 2025-2026 ACTUAL EXAM EACH
EXAM CONTAINS 125 QUESTIONS AND CORRECT DETAILED ANSWERS
Which condition should the nurse anticipate as a potential problem in a female
client with a neurogenic bladder?
A.
Stress incontinence
B.
Infection
C.
Painless gross hematuria
D.
Peritonitis
B
Rationale:Infection is the major complication resulting from stasis of urine and
subsequent catheterization. Option A is the involuntary loss of urine through an intact
urethra as a result of a sudden increase in intra-abdominal pressure. Option C is the
most common symptom of bladder cancer. Option D is the most common and
serious complication of peritoneal dialysis.
The client is admitted to an inpatient unit from the Emergency Department with
a swollen, reddened area to the left calf which is warm and painful to the
touch. The results of the remaining tests are pending. What admission
prescriptions does the nurse anticipate from the healthcare provider? (Select
all that apply.)
A.
Bed rest
B.
, Page 2 of 46
Elevate the right leg.
C.
Anticoagulant therapy
D.
Massage the area of calf tenderness tid.
E.
Warm moist compress to the area of calf tenderness tid
F.
Place a pillow under the left knee.
A, C, E
Rationale:The left leg needs to be elevated above the level of the heart, not the right
leg. Massaging the area of tenderness could dislodge the clot and cause a
pulmonary embolism. Avoid the use of the knee gatch or a pillow under the knee as
that could cause stasis in the lower leg. The remaining are recommendations for the
client with a deep vein thrombosis.
Which content about self-care should the nurse include in the teaching plan of
a female client who has genital herpes? (Select all that apply.)
A.
Encourage annual physical and Pap smear.
B.
Take antiviral medication as prescribed.
C.
Use condoms to avoid transmission to others.
D.
Warm sitz baths may relieve itching.
E.
Use Nystatin suppositories to control itching.
F.
Use a douche with weak vinegar solution to decrease itching.
A, B, C, D
Rationale:The nurse should include (A, B, C, and D) in the teaching plan of a female
client with genital herpes. (E) is specific for Candida infections, and option (F) is
used to treat Trichomonas.
The nurse initiates neurologic checks for a client who is at risk for neurologic
compromise. Which manifestation typically provides the first indication of
altered neurologic function?
A.
Change in level of consciousness
B.
Increasing muscular weakness
C.
Changes in pupil size bilaterally
D.
Progressive nuchal rigidity
A
Rationale:A decrease or change in the level of consciousness is usually the first
indication of neurologic deterioration. Options B and C may also occur but are much
less likely to be the first sign of neurologic compromise. Option D is often a sign of
meningitis.
, Page 3 of 46
The nurse is concerned about infection for a client after an
esophagogastrostomy for esophageal cancer. Which actions should the nurse
include in the client's plan of care? (Select all that apply.)
A.
Frequent oral care every 2 hours while awake.
B.
Use incentive spirometer every 2 hours.
C.
Empty contents from NG tube every 8 hours.
D.
Ambulate within 1 hour of return from the PACU.
E.
Limit visitors until postoperative day 2.
A, B, C
Rationale:One hour post op is too soon to ambulate for this client. Visitors help
support the patient and are encouraged to visit. Oral care is necessary as the client
will be NPO. To decrease the risk of infection post operatively, implement routine
pulmonary exercises. The client will have an NG tube in place, likely to intermittent
suction, to decompress the stomach post surgery.
The nurse is observing an unlicensed assistive personnel (UAP) performing
care for a bedridden client with advanced Huntington disease. Which care
measures are most important for the nurse to supervise? (Select all that
apply.)
A.
Oral care
B.
Bathing
C.
Foot care
D.
Catheter care
E.
Enteral feeding
A, E
Rationale:The client with Huntington disease experiences problems with motor skills
such as swallowing and is at high risk for aspiration, so the highest priority for the
nurse to observe is the UAP's ability to perform oral care and feeding safely. Options
B, C, and D do not necessarily require registered nurse (RN) supervision because
they do not ordinarily pose life-threatening consequences.
A tornado warning alarm has been activated at the local hospital. Which action
should the charge nurse working on a surgical unit take first?
A.
Instruct the nursing staff to close all window blinds and curtains in clients'
rooms.
B.
Move clients and visitors into the hallways and close all doors to clients'
rooms.
C.
Visually confirm the location of the tornado by checking the windows on the
unit.
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D.
Assist all visitors with evacuation down the stairs in a calm and orderly
manner.
B
Rationale:In the event of a tornado, all persons should be moved into the hallways,
away from windows, to prevent flying debris from causing injury. Although option A
may help decrease the amount of flying debris, it is not safe to leave clients in rooms
with closed blinds; option B is a higher priority at this time. Hospital staff should stay
away from windows to avoid injury and should focus on client evacuation into
hallways rather than option C. Option D is not the first action that should be taken.
The nurse is teaching a group of elders at a senior center. Which is the most
significant safety implication for this group that the nurse will include in the
teaching plan?
A.
Change in height
B.
Hair loss
C.
Stooped posture
D.
Age spots
C
Rationale:Stooped posture results in the upper torso becoming the center of gravity
for older persons. The center of gravity for adults is the hips. However, as a person
grows older, a stooped posture is common because of changes caused by
osteoporosis and normal bone degeneration. Furthermore, the knees, hips, and
elbows flex. This age-related change can put the older adult at risk for falls. Options
A, B, and D are age-related changes but are not high safety concerns.
An emaciated homeless client presents to the emergency department
complaining of a productive cough, with blood-tinged sputum and night
sweats. Which action is most important for the emergency department triage
nurse to take for this client?
A.
Initiate airborne infection precautions.
B.
Place a surgical mask on the client.
C.
Don an isolation gown and latex gloves.
D.
Start protective (reverse) isolation precautions.
A
Rationale:This client is exhibiting classic symptoms of tuberculosis (TB), and the
client is from a high-risk population for TB. Therefore, airborne infection precautions,
which are indicated for TB, should be used with this client. Option B is used with
droplet precautions. There is no evidence that option C or D would be warranted at
this time.
Which data would the nurse expect to find when reviewing laboratory values of
an 80-year-old who is in good health overall?
A.
Complete blood count reveals increased white blood cell (WBC) and
“HESI RN MED SURG VERSION A & VERSION
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
HESI RN MED SURG VERSION A & VERSION B 2025-2026 ACTUAL EXAM EACH
EXAM CONTAINS 125 QUESTIONS AND CORRECT DETAILED ANSWERS
Which condition should the nurse anticipate as a potential problem in a female
client with a neurogenic bladder?
A.
Stress incontinence
B.
Infection
C.
Painless gross hematuria
D.
Peritonitis
B
Rationale:Infection is the major complication resulting from stasis of urine and
subsequent catheterization. Option A is the involuntary loss of urine through an intact
urethra as a result of a sudden increase in intra-abdominal pressure. Option C is the
most common symptom of bladder cancer. Option D is the most common and
serious complication of peritoneal dialysis.
The client is admitted to an inpatient unit from the Emergency Department with
a swollen, reddened area to the left calf which is warm and painful to the
touch. The results of the remaining tests are pending. What admission
prescriptions does the nurse anticipate from the healthcare provider? (Select
all that apply.)
A.
Bed rest
B.
, Page 2 of 46
Elevate the right leg.
C.
Anticoagulant therapy
D.
Massage the area of calf tenderness tid.
E.
Warm moist compress to the area of calf tenderness tid
F.
Place a pillow under the left knee.
A, C, E
Rationale:The left leg needs to be elevated above the level of the heart, not the right
leg. Massaging the area of tenderness could dislodge the clot and cause a
pulmonary embolism. Avoid the use of the knee gatch or a pillow under the knee as
that could cause stasis in the lower leg. The remaining are recommendations for the
client with a deep vein thrombosis.
Which content about self-care should the nurse include in the teaching plan of
a female client who has genital herpes? (Select all that apply.)
A.
Encourage annual physical and Pap smear.
B.
Take antiviral medication as prescribed.
C.
Use condoms to avoid transmission to others.
D.
Warm sitz baths may relieve itching.
E.
Use Nystatin suppositories to control itching.
F.
Use a douche with weak vinegar solution to decrease itching.
A, B, C, D
Rationale:The nurse should include (A, B, C, and D) in the teaching plan of a female
client with genital herpes. (E) is specific for Candida infections, and option (F) is
used to treat Trichomonas.
The nurse initiates neurologic checks for a client who is at risk for neurologic
compromise. Which manifestation typically provides the first indication of
altered neurologic function?
A.
Change in level of consciousness
B.
Increasing muscular weakness
C.
Changes in pupil size bilaterally
D.
Progressive nuchal rigidity
A
Rationale:A decrease or change in the level of consciousness is usually the first
indication of neurologic deterioration. Options B and C may also occur but are much
less likely to be the first sign of neurologic compromise. Option D is often a sign of
meningitis.
, Page 3 of 46
The nurse is concerned about infection for a client after an
esophagogastrostomy for esophageal cancer. Which actions should the nurse
include in the client's plan of care? (Select all that apply.)
A.
Frequent oral care every 2 hours while awake.
B.
Use incentive spirometer every 2 hours.
C.
Empty contents from NG tube every 8 hours.
D.
Ambulate within 1 hour of return from the PACU.
E.
Limit visitors until postoperative day 2.
A, B, C
Rationale:One hour post op is too soon to ambulate for this client. Visitors help
support the patient and are encouraged to visit. Oral care is necessary as the client
will be NPO. To decrease the risk of infection post operatively, implement routine
pulmonary exercises. The client will have an NG tube in place, likely to intermittent
suction, to decompress the stomach post surgery.
The nurse is observing an unlicensed assistive personnel (UAP) performing
care for a bedridden client with advanced Huntington disease. Which care
measures are most important for the nurse to supervise? (Select all that
apply.)
A.
Oral care
B.
Bathing
C.
Foot care
D.
Catheter care
E.
Enteral feeding
A, E
Rationale:The client with Huntington disease experiences problems with motor skills
such as swallowing and is at high risk for aspiration, so the highest priority for the
nurse to observe is the UAP's ability to perform oral care and feeding safely. Options
B, C, and D do not necessarily require registered nurse (RN) supervision because
they do not ordinarily pose life-threatening consequences.
A tornado warning alarm has been activated at the local hospital. Which action
should the charge nurse working on a surgical unit take first?
A.
Instruct the nursing staff to close all window blinds and curtains in clients'
rooms.
B.
Move clients and visitors into the hallways and close all doors to clients'
rooms.
C.
Visually confirm the location of the tornado by checking the windows on the
unit.
, Page 4 of 46
D.
Assist all visitors with evacuation down the stairs in a calm and orderly
manner.
B
Rationale:In the event of a tornado, all persons should be moved into the hallways,
away from windows, to prevent flying debris from causing injury. Although option A
may help decrease the amount of flying debris, it is not safe to leave clients in rooms
with closed blinds; option B is a higher priority at this time. Hospital staff should stay
away from windows to avoid injury and should focus on client evacuation into
hallways rather than option C. Option D is not the first action that should be taken.
The nurse is teaching a group of elders at a senior center. Which is the most
significant safety implication for this group that the nurse will include in the
teaching plan?
A.
Change in height
B.
Hair loss
C.
Stooped posture
D.
Age spots
C
Rationale:Stooped posture results in the upper torso becoming the center of gravity
for older persons. The center of gravity for adults is the hips. However, as a person
grows older, a stooped posture is common because of changes caused by
osteoporosis and normal bone degeneration. Furthermore, the knees, hips, and
elbows flex. This age-related change can put the older adult at risk for falls. Options
A, B, and D are age-related changes but are not high safety concerns.
An emaciated homeless client presents to the emergency department
complaining of a productive cough, with blood-tinged sputum and night
sweats. Which action is most important for the emergency department triage
nurse to take for this client?
A.
Initiate airborne infection precautions.
B.
Place a surgical mask on the client.
C.
Don an isolation gown and latex gloves.
D.
Start protective (reverse) isolation precautions.
A
Rationale:This client is exhibiting classic symptoms of tuberculosis (TB), and the
client is from a high-risk population for TB. Therefore, airborne infection precautions,
which are indicated for TB, should be used with this client. Option B is used with
droplet precautions. There is no evidence that option C or D would be warranted at
this time.
Which data would the nurse expect to find when reviewing laboratory values of
an 80-year-old who is in good health overall?
A.
Complete blood count reveals increased white blood cell (WBC) and
