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HESI PN Medical-Surgical NGN Version 3 Study Guide | 55 Practice Questions with Detailed Rationales | 2026 Updated

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Prepare for the HESI PN Medical-Surgical NGN Version 3 assessment with this comprehensive study guide featuring 55 carefully organized practice questions with detailed answers and rationales. Designed to reinforce essential medical-surgical nursing concepts, this resource helps Practical Nursing students strengthen clinical reasoning, improve test-taking skills, and prepare confidently for HESI examinations. The study guide covers a wide range of commonly reviewed topics, including adult health nursing, pharmacology, patient safety, fluid and electrolyte balance, respiratory disorders, cardiovascular conditions, endocrine disorders, gastrointestinal care, renal disorders, neurological nursing, infection control, and Next Generation NCLEX (NGN)-style clinical judgment concepts. It is ideal for self-study, course review, HESI preparation, and nursing exam revision.

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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+

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Business ExamsBusiness exams are often a mix of theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format.
Common types of business exams and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way
that demonstrates their understanding of business principles.1.4. Preparing for Business ExamsPreparing for

Terms in this set (223)




A nurse is caring for a client who is


nausea and vomiting for 2 days.


mEq/L is not within the expected reference range
provider?


accumulation and places the client at risk for


to the provider.

,Business ExamsBusiness exams are often a mix of theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in
format. Common types of business exams and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey
complex concepts in a way that demonstrates their understanding of business principles.1.4. Preparing for Business ExamsPreparing for


A nurse is caring for a client who has A. Cleanse the client's toothbrush with hydrogen
cancer and has a WBC count of peroxide.
4,000/mm3. Which of the following
actions should the nurse take? Rationale:


a) Cleanse the client's toothbrush A WBC count of 4,000/mm3 is considered low and
with hydrogen peroxide. is known as leukopenia. A low WBC count can be
b) Instruct the client to use a caused by cancer or cancer treatment. The nurse
disposable razor to shave. should instruct the client to cleanse their
c) Decrease the client's protein toothbrush with hydrogen peroxide. People with
intake. leukemia or leukopenia should avoid using
d) Encourage the client to eat disposable razors, which can cause cuts and
unpasteurized dairy products. 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 C. Assist the client to a nearby common area.
A nurse enters a client's room and
sees smoke coming from the Rationale:
bathroom. Which of the following
actions should the nurse take first? use
Rescue
a) Activate the fire alarm system. Alarm
b) Use a fire extinguisher at the Contain
source of the Extinguish
smoke.
c) Assist the client to a nearby
common area.
d) Close the doors to the room and
to the
bathroom.

,TEST A. Apply foam handles to the client's eating
A nurse is contributing to the plan of utensils.
care for a client who reports
difficulty eating due to chronic Rationale:
arthritis. Which of the following
interventions should the nurse To help a client with chronic arthritis who
include in the plan? experiences difficulty eating, applying foam
handles to the eating utensils can provide a larger,
a) Apply foam handles to the client's more comfortable grip and reduce strain on the
eating utensils. joints. Asking for a puree diet may not be necessary
b) Obtain a referral for physical unless swallowing difficulties are present. Having
therapy. an assistive personnel feed the client may not
c) Have an assistive personnel feed promote independence. While obtaining a referral
the client. for physical therapy may be beneficial for overall
d) Ask the provider for a prescription mobility, it does not directly address the client's
for a pureed diet. difficulty with eating.


A nurse is providing directions to an C. "Face in the direction of the client's movement."
assistive personnel about moving a
client up in bed. Rational:


a. "Place a pillow under the client's When moving a client up in bed, it is important for
head prior to repositioning." the nurse to face in the direction of the client's
b. "Keep your feet close together movement to maintain proper body mechanics and
while moving the client" ensure safe transfer.
c "Face in the direction of the client's
movement" 1) Adjust the head of the bed to a flat position.
d. "Move the client's arms to his sides 2) Remove all pillows from under the client.
prior to repositioning." 3) Position the UAP on the side opposite the nurse.
4) Place a friction-reducing sheet under the client.
5) Ask the client to bend the legs and place the chin
on the chest.
6) Grasp the sheet and move the client on the count
of three.
Business ExamsBusiness exams are often a mix of theoretical knowledge and practical application.
Depending on the subject area, these exams can vary significantly in format. Common types of
business exams and Writing Skills: Business exams may require students to present
ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates
their understanding of business principles.1.4. Preparing for Business ExamsPreparing for

, A nurse is obtaining a medication C. Sildenafil
history from a client who is to start
taking nitroglycerin for chest Rationale:
discomfort with activity. Which of the
following medications should the Sildenafil treats PAH (pulmonary arterial
nurse instruct the client to avoid hypertension) by relaxing the blood vessels in the
taking within 24 hrs of using lungs to allow blood to flow easily.
nitroglycerin?
Same as, nitroglycerin is a vaso-dilator which is
a) Atorvastatin primarily to treat anginal chest pain and thereby it
b) Metformin reduces blood pressure.
c) Sildenafil Remaining drugs like omeprazole and atorvastatin
d) Omeprazole can be given for patients with in 24hrs of
nitroglycerin administration.


A nurse is caring for a client who has Flushing
a new prescription for nitroglycerin.
The nurse should monitor for which Rationale:
of the following adverse effects of
the medication? nitroglycerin is a vaso-dilator. When vaso-dilators
too well, fluid start sipping out and causing
Nocturia flushing
Increased saliva production Business ExamsBusiness exams are often a mix of theoretical knowledge and practical application.

Depending on the subject area, these exams can vary significantly in format. Common types of
Flushing business exams and Writing Skills: Business exams may require students to present

Fever ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates

their understanding of business principles.1.4. Preparing for Business ExamsPreparing for

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