2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Test
A nurse is caring for a client who is taking lithium and reports persistent
nausea and vomiting for 2 days. Which of the following laboratory values
should the nurse report to the provider?
A) potassium 4.0 meq/l
B) lithium 0.9 meq/l
C) bun 12 mg/dl
D) sodium 132 meq/l - (answers)d. Sodium 132 meq/l
Rationale:
The nurse should identify that a sodium level of 132 meq/l is not within the
expected reference range of 136 to 145 meq/l. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client
at risk for lithium toxicity. The nurse should report this finding to the
provider.
A nurse is caring for a client who has cancer and has a wbc count of
4,000/mm3. Which of the following
Actions should the nurse take?
A) cleanse the client's toothbrush with hydrogen peroxide.
B) instruct the client to use a disposable razor to shave.
C) decrease the client's protein intake.
,2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
D) encourage the client to eat unpasteurized dairy products. - (answers)a.
Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A wbc count of 4,000/mm3 is considered low and is known as leukopenia.
A low wbc count can be caused by cancer or cancer treatment. The nurse
should instruct the client to cleanse their toothbrush with hydrogen
peroxide. People with leukemia or leukopenia should avoid using
disposable razors, which can cause cuts and bleeding that can lead to
infections. Instead, they recommend using an electric razor to reduce the
risk of injury. Encouraging the client to eat unpasteurized dairy products is
not recommended as they can contain harmful bacteria that can cause
infections. Decreasing the client's protein intake is not recommended as
protein is important for wound healing and immune function
Test
A nurse enters a client's room and sees smoke coming from the bathroom.
Which of the following actions should the nurse take first?
A) activate the fire alarm system.
B) use a fire extinguisher at the source of the
Smoke.
C) assist the client to a nearby common area.
D) close the doors to the room and to the
,2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Bathroom. - (answers)c. Assist the client to a nearby common area.
Rationale:
Use
Rescue
Alarm
Contain
Extinguish
Test
A nurse is contributing to the plan of care for a client who reports difficulty
eating due to chronic arthritis. Which of the following interventions should
the nurse include in the plan?
A) apply foam handles to the client's eating utensils.
B) obtain a referral for physical therapy.
C) have an assistive personnel feed the client.
D) ask the provider for a prescription for a pureed diet. - (answers)a. Apply
foam handles to the client's eating utensils.
Rationale:
To help a client with chronic arthritis who experiences difficulty eating,
applying foam handles to the eating utensils can provide a larger, more
, 2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
comfortable grip and reduce strain on the joints. Asking for a puree diet
may not be necessary unless swallowing difficulties are present. Having an
assistive personnel feed the client may not promote independence. While
obtaining a referral for physical therapy may be beneficial for overall
mobility, it does not directly address the client's difficulty with eating.
A nurse is providing directions to an assistive personnel about moving a
client up in bed.
A. "place a pillow under the client's head prior to repositioning."
B. "keep your feet close together while moving the client"
C "face in the direction of the client's movement"
D. "move the client's arms to his sides prior to repositioning." - (answers)c.
"face in the direction of the client's movement."
Rational:
When moving a client up in bed, it is important for the nurse to face in the
direction of the client's movement to maintain proper body mechanics and
ensure safe transfer.
1)adjust the head of the bed to a flat position.
2)remove all pillows from under the client.
3)position the uap on the side opposite the nurse.
4)place a friction-reducing sheet under the client.
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Test
A nurse is caring for a client who is taking lithium and reports persistent
nausea and vomiting for 2 days. Which of the following laboratory values
should the nurse report to the provider?
A) potassium 4.0 meq/l
B) lithium 0.9 meq/l
C) bun 12 mg/dl
D) sodium 132 meq/l - (answers)d. Sodium 132 meq/l
Rationale:
The nurse should identify that a sodium level of 132 meq/l is not within the
expected reference range of 136 to 145 meq/l. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client
at risk for lithium toxicity. The nurse should report this finding to the
provider.
A nurse is caring for a client who has cancer and has a wbc count of
4,000/mm3. Which of the following
Actions should the nurse take?
A) cleanse the client's toothbrush with hydrogen peroxide.
B) instruct the client to use a disposable razor to shave.
C) decrease the client's protein intake.
,2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
D) encourage the client to eat unpasteurized dairy products. - (answers)a.
Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A wbc count of 4,000/mm3 is considered low and is known as leukopenia.
A low wbc count can be caused by cancer or cancer treatment. The nurse
should instruct the client to cleanse their toothbrush with hydrogen
peroxide. People with leukemia or leukopenia should avoid using
disposable razors, which can cause cuts and bleeding that can lead to
infections. Instead, they recommend using an electric razor to reduce the
risk of injury. Encouraging the client to eat unpasteurized dairy products is
not recommended as they can contain harmful bacteria that can cause
infections. Decreasing the client's protein intake is not recommended as
protein is important for wound healing and immune function
Test
A nurse enters a client's room and sees smoke coming from the bathroom.
Which of the following actions should the nurse take first?
A) activate the fire alarm system.
B) use a fire extinguisher at the source of the
Smoke.
C) assist the client to a nearby common area.
D) close the doors to the room and to the
,2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Bathroom. - (answers)c. Assist the client to a nearby common area.
Rationale:
Use
Rescue
Alarm
Contain
Extinguish
Test
A nurse is contributing to the plan of care for a client who reports difficulty
eating due to chronic arthritis. Which of the following interventions should
the nurse include in the plan?
A) apply foam handles to the client's eating utensils.
B) obtain a referral for physical therapy.
C) have an assistive personnel feed the client.
D) ask the provider for a prescription for a pureed diet. - (answers)a. Apply
foam handles to the client's eating utensils.
Rationale:
To help a client with chronic arthritis who experiences difficulty eating,
applying foam handles to the eating utensils can provide a larger, more
, 2025 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST
2024 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
comfortable grip and reduce strain on the joints. Asking for a puree diet
may not be necessary unless swallowing difficulties are present. Having an
assistive personnel feed the client may not promote independence. While
obtaining a referral for physical therapy may be beneficial for overall
mobility, it does not directly address the client's difficulty with eating.
A nurse is providing directions to an assistive personnel about moving a
client up in bed.
A. "place a pillow under the client's head prior to repositioning."
B. "keep your feet close together while moving the client"
C "face in the direction of the client's movement"
D. "move the client's arms to his sides prior to repositioning." - (answers)c.
"face in the direction of the client's movement."
Rational:
When moving a client up in bed, it is important for the nurse to face in the
direction of the client's movement to maintain proper body mechanics and
ensure safe transfer.
1)adjust the head of the bed to a flat position.
2)remove all pillows from under the client.
3)position the uap on the side opposite the nurse.
4)place a friction-reducing sheet under the client.
