2026 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST 2026
VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
TEST
AYnurseYisYcaringYforYaYclientYwhoYisYtakingYlithiumYandYreportsYpersistentYnauseaYandYvomitingYforY
2Ydays.YWhichYofYtheYfollowingYlaboratoryYvaluesYshouldYtheYnurseYreportYtoYtheYprovider?
a)YPotassiumY4.0YmEq/L
b)YLithiumY0.9YmEq/L
c)YBUNY12Ymg/dL
d)YSodiumY132YmEq/LY-YCORRECTYANSWERSY-D.YSodiumY132YmEq/L
Rationale:
TheYnurseYshouldYidentifyYthatYaYsodiumYlevelYofY132YmEq/LYisYnotYwithinYtheYexpectedYreferenceYr
angeYofY136YtoY145YmEq/L.YThisYfindingYindicatesYhyponatremia,YwhichYcanYleadYtoYlithiumYaccum
ulationYandYplacesYtheYclientYatYriskYforYlithiumYtoxicity.YTheYnurseYshouldYreportYthisYfindingYtoYthe
Yprovider.
AYnurseYisYcaringYforYaYclientYwhoYhasYcancerYandYhasYaYWBCYcountYofY4,000/mm3.YWhichYofYtheYfo
llowing
actionsYshouldYtheYnurseYtake?
a)YCleanseYtheYclient'sYtoothbrushYwithYhydrogenYperoxide.
b)YInstructYtheYclientYtoYuseYaYdisposableYrazorYtoYshave.
,c)YDecreaseYtheYclient'sYproteinYintake.
d)YEncourageYtheYclientYtoYeatYunpasteurizedYdairyYproducts.Y-YCORRECTYANSWERSY-
A.YCleanseYtheYclient'sYtoothbrushYwithYhydrogenYperoxide.
Rationale:
AYWBCYcountYofY4,000/mm3YisYconsideredYlowYandYisYknownYasYleukopenia.YAYlowYWBCYcountYcanY
beYcausedYbyYcancerYorYcancerYtreatment.YTheYnurseYshouldYinstructYtheYclientYtoYcleanseYtheirYto
othbrushYwithYhydrogenYperoxide.YPeopleYwithYleukemiaYorYleukopeniaYshouldYavoidYusingYdispos
ableYrazors,YwhichYcanYcauseYcutsYandYbleedingYthatYcanYleadYtoYinfections.YInstead,YtheyYrecomm
endYusingYanYelectricYrazorYtoYreduceYtheYriskYofYinjury.YEncouragingYtheYclientYtoYeatYunpasteurize
dYdairyYproductsYisYnotYrecommendedYasYtheyYcanYcontainYharmfulYbacteriaYthatYcanYcauseYinfecti
ons.YDecreasingYtheYclient'sYproteinYintakeYisYnotYrecommendedYasYproteinYisYimportantYforYwoun
dYhealingYandYimmuneYfunction
TEST
AYnurseYentersYaYclient'sYroomYandYseesYsmokeYcomingYfromYtheYbathroom.YWhichYofYtheYfollowin
gYactionsYshouldYtheYnurseYtakeYfirst?
a)YActivateYtheYfireYalarmYsystem.
b)YUseYaYfireYextinguisherYatYtheYsourceYofYthe
smoke.
c)YAssistYtheYclientYtoYaYnearbyYcommonYarea.
d)YCloseYtheYdoorsYtoYtheYroomYandYtoYthe
bathroom.Y-YCORRECTYANSWERSY-C.YAssistYtheYclientYtoYaYnearbyYcommonYarea.
Rationale:
useY
,Rescue
Alarm
Contain
Extinguish
TEST
AYnurseYisYcontributingYtoYtheYplanYofYcareYforYaYclientYwhoYreportsYdifficultyYeatingYdueYtoYchronicY
arthritis.YWhichYofYtheYfollowingYinterventionsYshouldYtheYnurseYincludeYinYtheYplan?
a)YApplyYfoamYhandlesYtoYtheYclient'sYeatingYutensils.
b)YObtainYaYreferralYforYphysicalYtherapy.
c)YHaveYanYassistiveYpersonnelYfeedYtheYclient.
d)YAskYtheYproviderYforYaYprescriptionYforYaYpureedYdiet.Y-YCORRECTYANSWERSY-
A.YApplyYfoamYhandlesYtoYtheYclient'sYeatingYutensils.
Rationale:
ToYhelpYaYclientYwithYchronicYarthritisYwhoYexperiencesYdifficultyYeating,YapplyingYfoamYhandlesYtoY
theYeatingYutensilsYcanYprovideYaYlarger,YmoreYcomfortableYgripYandYreduceYstrainYonYtheYjoints.YAs
kingYforYaYpureeYdietYmayYnotYbeYnecessaryYunlessYswallowingYdifficultiesYareYpresent.YHavingYanYa
ssistiveYpersonnelYfeedYtheYclientYmayYnotYpromoteYindependence.YWhileYobtainingYaYreferralYforY
physicalYtherapyYmayYbeYbeneficialYforYoverallYmobility,YitYdoesYnotYdirectlyYaddressYtheYclient'sYdif
ficultyYwithYeating.
AYnurseYisYprovidingYdirectionsYtoYanYassistiveYpersonnelYaboutYmovingYaYclientYupYinYbed.
a.Y"PlaceYaYpillowYunderYtheYclient'sYheadYpriorYtoYrepositioning."
b.Y"KeepYyourYfeetYcloseYtogetherYwhileYmovingYtheYclient"
, cY"FaceYinYtheYdirectionYofYtheYclient'sYmovement"
d.Y"MoveYtheYclient'sYarmsYtoYhisYsidesYpriorYtoYrepositioning."Y-YCORRECTYANSWERSY-
C.Y"FaceYinYtheYdirectionYofYtheYclient'sYmovement."Y
Rational:
WhenYmovingYaYclientYupYinYbed,YitYisYimportantYforYtheYnurseYtoYfaceYinYtheYdirectionYofYtheYclient'
sYmovementYtoYmaintainYproperYbodyYmechanicsYandYensureYsafeYtransfer.Y
1)AdjustYtheYheadYofYtheYbedYtoYaYflatYposition.
2)RemoveYallYpillowsYfromYunderYtheYclient.
3)PositionYtheYUAPYonYtheYsideYoppositeYtheYnurse.
4)PlaceYaYfriction-reducingYsheetYunderYtheYclient.
5)AskYtheYclientYtoYbendYtheYlegsYandYplaceYtheYchinYonYtheYchest.
6)GraspYtheYsheetYandYmoveYtheYclientYonYtheYcountYofYthree.
AYnurseYisYobtainingYaYmedicationYhistoryYfromYaYclientYwhoYisYtoYstartYtakingYnitroglycerinYforYches
tYdiscomfortYwithYactivity.YWhichYofYtheYfollowingYmedicationsYshouldYtheYnurseYinstructYtheYclient
YtoYavoidYtakingYwithinY24YhrsYofYusingYnitroglycerin?
a)YAtorvastatin
b)YMetformin
c)YSildenafil
d)YOmeprazoleY-YCORRECTYANSWERSY-C.YSildenafil
Rationale:
VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
TEST
AYnurseYisYcaringYforYaYclientYwhoYisYtakingYlithiumYandYreportsYpersistentYnauseaYandYvomitingYforY
2Ydays.YWhichYofYtheYfollowingYlaboratoryYvaluesYshouldYtheYnurseYreportYtoYtheYprovider?
a)YPotassiumY4.0YmEq/L
b)YLithiumY0.9YmEq/L
c)YBUNY12Ymg/dL
d)YSodiumY132YmEq/LY-YCORRECTYANSWERSY-D.YSodiumY132YmEq/L
Rationale:
TheYnurseYshouldYidentifyYthatYaYsodiumYlevelYofY132YmEq/LYisYnotYwithinYtheYexpectedYreferenceYr
angeYofY136YtoY145YmEq/L.YThisYfindingYindicatesYhyponatremia,YwhichYcanYleadYtoYlithiumYaccum
ulationYandYplacesYtheYclientYatYriskYforYlithiumYtoxicity.YTheYnurseYshouldYreportYthisYfindingYtoYthe
Yprovider.
AYnurseYisYcaringYforYaYclientYwhoYhasYcancerYandYhasYaYWBCYcountYofY4,000/mm3.YWhichYofYtheYfo
llowing
actionsYshouldYtheYnurseYtake?
a)YCleanseYtheYclient'sYtoothbrushYwithYhydrogenYperoxide.
b)YInstructYtheYclientYtoYuseYaYdisposableYrazorYtoYshave.
,c)YDecreaseYtheYclient'sYproteinYintake.
d)YEncourageYtheYclientYtoYeatYunpasteurizedYdairyYproducts.Y-YCORRECTYANSWERSY-
A.YCleanseYtheYclient'sYtoothbrushYwithYhydrogenYperoxide.
Rationale:
AYWBCYcountYofY4,000/mm3YisYconsideredYlowYandYisYknownYasYleukopenia.YAYlowYWBCYcountYcanY
beYcausedYbyYcancerYorYcancerYtreatment.YTheYnurseYshouldYinstructYtheYclientYtoYcleanseYtheirYto
othbrushYwithYhydrogenYperoxide.YPeopleYwithYleukemiaYorYleukopeniaYshouldYavoidYusingYdispos
ableYrazors,YwhichYcanYcauseYcutsYandYbleedingYthatYcanYleadYtoYinfections.YInstead,YtheyYrecomm
endYusingYanYelectricYrazorYtoYreduceYtheYriskYofYinjury.YEncouragingYtheYclientYtoYeatYunpasteurize
dYdairyYproductsYisYnotYrecommendedYasYtheyYcanYcontainYharmfulYbacteriaYthatYcanYcauseYinfecti
ons.YDecreasingYtheYclient'sYproteinYintakeYisYnotYrecommendedYasYproteinYisYimportantYforYwoun
dYhealingYandYimmuneYfunction
TEST
AYnurseYentersYaYclient'sYroomYandYseesYsmokeYcomingYfromYtheYbathroom.YWhichYofYtheYfollowin
gYactionsYshouldYtheYnurseYtakeYfirst?
a)YActivateYtheYfireYalarmYsystem.
b)YUseYaYfireYextinguisherYatYtheYsourceYofYthe
smoke.
c)YAssistYtheYclientYtoYaYnearbyYcommonYarea.
d)YCloseYtheYdoorsYtoYtheYroomYandYtoYthe
bathroom.Y-YCORRECTYANSWERSY-C.YAssistYtheYclientYtoYaYnearbyYcommonYarea.
Rationale:
useY
,Rescue
Alarm
Contain
Extinguish
TEST
AYnurseYisYcontributingYtoYtheYplanYofYcareYforYaYclientYwhoYreportsYdifficultyYeatingYdueYtoYchronicY
arthritis.YWhichYofYtheYfollowingYinterventionsYshouldYtheYnurseYincludeYinYtheYplan?
a)YApplyYfoamYhandlesYtoYtheYclient'sYeatingYutensils.
b)YObtainYaYreferralYforYphysicalYtherapy.
c)YHaveYanYassistiveYpersonnelYfeedYtheYclient.
d)YAskYtheYproviderYforYaYprescriptionYforYaYpureedYdiet.Y-YCORRECTYANSWERSY-
A.YApplyYfoamYhandlesYtoYtheYclient'sYeatingYutensils.
Rationale:
ToYhelpYaYclientYwithYchronicYarthritisYwhoYexperiencesYdifficultyYeating,YapplyingYfoamYhandlesYtoY
theYeatingYutensilsYcanYprovideYaYlarger,YmoreYcomfortableYgripYandYreduceYstrainYonYtheYjoints.YAs
kingYforYaYpureeYdietYmayYnotYbeYnecessaryYunlessYswallowingYdifficultiesYareYpresent.YHavingYanYa
ssistiveYpersonnelYfeedYtheYclientYmayYnotYpromoteYindependence.YWhileYobtainingYaYreferralYforY
physicalYtherapyYmayYbeYbeneficialYforYoverallYmobility,YitYdoesYnotYdirectlyYaddressYtheYclient'sYdif
ficultyYwithYeating.
AYnurseYisYprovidingYdirectionsYtoYanYassistiveYpersonnelYaboutYmovingYaYclientYupYinYbed.
a.Y"PlaceYaYpillowYunderYtheYclient'sYheadYpriorYtoYrepositioning."
b.Y"KeepYyourYfeetYcloseYtogetherYwhileYmovingYtheYclient"
, cY"FaceYinYtheYdirectionYofYtheYclient'sYmovement"
d.Y"MoveYtheYclient'sYarmsYtoYhisYsidesYpriorYtoYrepositioning."Y-YCORRECTYANSWERSY-
C.Y"FaceYinYtheYdirectionYofYtheYclient'sYmovement."Y
Rational:
WhenYmovingYaYclientYupYinYbed,YitYisYimportantYforYtheYnurseYtoYfaceYinYtheYdirectionYofYtheYclient'
sYmovementYtoYmaintainYproperYbodyYmechanicsYandYensureYsafeYtransfer.Y
1)AdjustYtheYheadYofYtheYbedYtoYaYflatYposition.
2)RemoveYallYpillowsYfromYunderYtheYclient.
3)PositionYtheYUAPYonYtheYsideYoppositeYtheYnurse.
4)PlaceYaYfriction-reducingYsheetYunderYtheYclient.
5)AskYtheYclientYtoYbendYtheYlegsYandYplaceYtheYchinYonYtheYchest.
6)GraspYtheYsheetYandYmoveYtheYclientYonYtheYcountYofYthree.
AYnurseYisYobtainingYaYmedicationYhistoryYfromYaYclientYwhoYisYtoYstartYtakingYnitroglycerinYforYches
tYdiscomfortYwithYactivity.YWhichYofYtheYfollowingYmedicationsYshouldYtheYnurseYinstructYtheYclient
YtoYavoidYtakingYwithinY24YhrsYofYusingYnitroglycerin?
a)YAtorvastatin
b)YMetformin
c)YSildenafil
d)YOmeprazoleY-YCORRECTYANSWERSY-C.YSildenafil
Rationale:
