HESI RN ADVANCED MEDICAL-SURGICAL
ACCURATE COMPREHENSIVE PRACTICE EXAM
WITH ALL POSSIBLE APPROVED WELL
ELABORATED PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY (100%
CORRECT VERIFIED SOLUTIONS) 2026-2027
CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
1. A nurse is caring for a client with increased
intracranial pressure. Which position is most
appropriate?
A. Trendelenburg
B. Prone
C. Supine with hips flexed
D. Head midline with head of bed elevated 30
, degrees
D
Rationale: Elevating the head of bed 30
degrees with the head in midline promotes
venous drainage from the brain and reduces
intracranial pressure. Trendelenburg, prone,
and hip flexion increase intra-abdominal or
intrathoracic pressure, raising ICP.
2. The nurse notes a client’s serum potassium is
6.8 mEq/L. Which medication should the nurse
prepare to administer first?
A. Sodium polystyrene sulfonate
B. Regular insulin and 50% dextrose
C. Calcium gluconate
D. Furosemide
C
Rationale: Calcium gluconate is given first to
stabilize the myocardium against life-
threatening arrhythmias in hyperkalemia.
Insulin and dextrose, sodium polystyrene
sulfonate, and furosemide lower potassium but
, do not provide immediate cardiac membrane
stabilization.
3. A client with acute pancreatitis reports sudden
severe abdominal pain and has diminished
bowel sounds. Which laboratory finding most
supports the diagnosis?
A. Decreased serum lipase
B. Decreased serum amylase
C. Elevated serum lipase
D. Elevated serum bilirubin only
C
Rationale: Serum lipase is more specific for
acute pancreatitis and remains elevated longer
than amylase. Decreased amylase or lipase
does not support pancreatitis; bilirubin
elevation alone points to biliary obstruction.
4. Which assessment finding indicates a
complication in a client 48 hours after a
thyroidectomy?
A. Mild hoarseness
B. Tingling around the mouth
, C. Sore throat with swallowing
D. Slight incisional edema
B
Rationale: Tingling around the mouth is an
early sign of hypocalcemia from parathyroid
injury during thyroidectomy. Hoarseness, sore
throat, and slight edema are expected
postoperative findings.
5. A nurse is monitoring a client receiving a blood
transfusion. Which finding requires immediate
intervention?
A. Temperature 99.1°F
B. Mild itching at the IV site
C. Report of flank pain
D. Heart rate 88 beats/min
C
Rationale: Flank pain suggests an acute
hemolytic transfusion reaction, a medical
emergency. Mild temperature elevation and
local itching are less urgent; a heart rate of 88
is normal.
ACCURATE COMPREHENSIVE PRACTICE EXAM
WITH ALL POSSIBLE APPROVED WELL
ELABORATED PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY (100%
CORRECT VERIFIED SOLUTIONS) 2026-2027
CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
1. A nurse is caring for a client with increased
intracranial pressure. Which position is most
appropriate?
A. Trendelenburg
B. Prone
C. Supine with hips flexed
D. Head midline with head of bed elevated 30
, degrees
D
Rationale: Elevating the head of bed 30
degrees with the head in midline promotes
venous drainage from the brain and reduces
intracranial pressure. Trendelenburg, prone,
and hip flexion increase intra-abdominal or
intrathoracic pressure, raising ICP.
2. The nurse notes a client’s serum potassium is
6.8 mEq/L. Which medication should the nurse
prepare to administer first?
A. Sodium polystyrene sulfonate
B. Regular insulin and 50% dextrose
C. Calcium gluconate
D. Furosemide
C
Rationale: Calcium gluconate is given first to
stabilize the myocardium against life-
threatening arrhythmias in hyperkalemia.
Insulin and dextrose, sodium polystyrene
sulfonate, and furosemide lower potassium but
, do not provide immediate cardiac membrane
stabilization.
3. A client with acute pancreatitis reports sudden
severe abdominal pain and has diminished
bowel sounds. Which laboratory finding most
supports the diagnosis?
A. Decreased serum lipase
B. Decreased serum amylase
C. Elevated serum lipase
D. Elevated serum bilirubin only
C
Rationale: Serum lipase is more specific for
acute pancreatitis and remains elevated longer
than amylase. Decreased amylase or lipase
does not support pancreatitis; bilirubin
elevation alone points to biliary obstruction.
4. Which assessment finding indicates a
complication in a client 48 hours after a
thyroidectomy?
A. Mild hoarseness
B. Tingling around the mouth
, C. Sore throat with swallowing
D. Slight incisional edema
B
Rationale: Tingling around the mouth is an
early sign of hypocalcemia from parathyroid
injury during thyroidectomy. Hoarseness, sore
throat, and slight edema are expected
postoperative findings.
5. A nurse is monitoring a client receiving a blood
transfusion. Which finding requires immediate
intervention?
A. Temperature 99.1°F
B. Mild itching at the IV site
C. Report of flank pain
D. Heart rate 88 beats/min
C
Rationale: Flank pain suggests an acute
hemolytic transfusion reaction, a medical
emergency. Mild temperature elevation and
local itching are less urgent; a heart rate of 88
is normal.
