HESI RN MED SURG EXAM | VERSION A & VERSION
B (LATEST) || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRET
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ | GUARANTEED SUCCESS!! | JUST RELEASED!!
BRAND NEW VERSION!
The nurse is working with one LPN and two aides on a 20
bed unit. Which are the appropriate tasks to delegate to the
appropriate person? (Select all that apply.) A.
Feeding an elderly and confused client to
the aide B.
Toileting the client for the first time after surgery
to the LPN C.
Placing the bathroom supplies in the room of the new
admission to the LPN D.
Reinforcing the discharge teaching instructions
to the LPN E.
Administering a po pain medication to the LPN
F.
Performing the routine dressing change 5 days after surgery to
the LPN -
ANSWER-A, D, E, F
Rationale: There are 5 rights of delegation: the right task,
circumstances, person, direction, and supervision. The aide
can perform routine tasks, the LPN can deliver skilled care, the
RN performs the assessment and does the teaching. Toileting
the client for the first time requires the assessment of the RN.
,The bathroom supplies can be delegated to the aide. The
remaining selections are appropriate. The LPN can reinforce
teaching; the initial teaching must be done by the RN.
The nurse is concerned the client will develop a nosocomial
infection. Which nursing action is best for the nurse to take
when providing care for an incontinent client? A.
Maintain standard
precautions. B.
Initiate contact isolation measures.
C.
Insert an indwelling urinary
catheter. D.
Instruct client in the use of adult diapers. - ANSWER-A
Rationale: The best action to decrease the risk of infection in
vulnerable clients is handwashing. Option B is not necessary
unless the client has an infection. Option C increases the risk
of infection. Option D does not reduce the risk of infection.
A nurse is working in an occupational health clinic when an
employee walks in and states, "I was walking outside and I
believe I was just struck by lightning." The client is alert but
reports feeling faint. Which assessment will the nurse
perform first? A.
Pulse
characteristics
B. Open airway
C.
,Entrance and exit
wounds D.
Cervical spine injury - ANSWER-A
Rationale: Lightning is a jolt of electrical current and can
produce a "natural" defibrillation, so assessment of the pulse
rate and regularity is a priority. Because the client is talking, he
has an open airway so that assessment is not necessary.
Assessing for options C and D should occur after assessing for
adequate circulation.
An older adult who recently began self-administration of insulin
calls the nurse daily to review the steps that should be taken
when giving an injection. The nurse has assessed the client's
skills during two previous office visits and knows that the client
safely administered the injections. What is the nurse's best
response? A.
"I know you are capable of giving yourself
the insulin." B.
"Giving yourself the injection seems to make you
nervous." C.
"When I watched you give yourself the injection, you did
it correctly." D.
"Tell me what you want me to do to help you give yourself the
injection at home." - ANSWER-C
Rationale: The nurse needs to focus on the client's positive
behaviors, so focusing on the client's demonstrated ability to
self-administer the injection is likely to reinforce his level of
competence without sounding punitive. Option A does not
focus on the specific behaviors related to giving the injection
, and could be interpreted as punitive. Option B uses reflective
dialogue to assess the client's feelings, but telling the client
that he is nervous may serve as a negative reinforcement of
this behavior. Option D reinforces the client's dependence on
the nurse.
The nurse is preparing to change the bed of a client who is
non-responsive, and receiving continuous enteral tube
feedings. What step must the nurse take prior to changing the
bed? A.
Stop the feeding for 15 minutes prior to
changing the bed. B.
Obtain extra linens to absorb any feeding that leaks out
of the mouth. C.
Ask another nurse to help with changing
the bed. D.
Ask the client's spouse to leave the room during the bed
change. - ANSWER-A Rationale: This client is at risk for
aspiration during the bed change as the head of the bed must
be lowered. Stopping the feeding will help decompress the
stomach and decrease the risk. The client should not be
leaking fluid out of the mouth. Check the feeding for residual. If
the feeding is not moving out of the stomach, notify the
healthcare provider. Assistance with changing a bed is nice for
the nurse, but is not imperative for the client's safety. The
spouse does not need to leave the room.
B (LATEST) || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRET
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ | GUARANTEED SUCCESS!! | JUST RELEASED!!
BRAND NEW VERSION!
The nurse is working with one LPN and two aides on a 20
bed unit. Which are the appropriate tasks to delegate to the
appropriate person? (Select all that apply.) A.
Feeding an elderly and confused client to
the aide B.
Toileting the client for the first time after surgery
to the LPN C.
Placing the bathroom supplies in the room of the new
admission to the LPN D.
Reinforcing the discharge teaching instructions
to the LPN E.
Administering a po pain medication to the LPN
F.
Performing the routine dressing change 5 days after surgery to
the LPN -
ANSWER-A, D, E, F
Rationale: There are 5 rights of delegation: the right task,
circumstances, person, direction, and supervision. The aide
can perform routine tasks, the LPN can deliver skilled care, the
RN performs the assessment and does the teaching. Toileting
the client for the first time requires the assessment of the RN.
,The bathroom supplies can be delegated to the aide. The
remaining selections are appropriate. The LPN can reinforce
teaching; the initial teaching must be done by the RN.
The nurse is concerned the client will develop a nosocomial
infection. Which nursing action is best for the nurse to take
when providing care for an incontinent client? A.
Maintain standard
precautions. B.
Initiate contact isolation measures.
C.
Insert an indwelling urinary
catheter. D.
Instruct client in the use of adult diapers. - ANSWER-A
Rationale: The best action to decrease the risk of infection in
vulnerable clients is handwashing. Option B is not necessary
unless the client has an infection. Option C increases the risk
of infection. Option D does not reduce the risk of infection.
A nurse is working in an occupational health clinic when an
employee walks in and states, "I was walking outside and I
believe I was just struck by lightning." The client is alert but
reports feeling faint. Which assessment will the nurse
perform first? A.
Pulse
characteristics
B. Open airway
C.
,Entrance and exit
wounds D.
Cervical spine injury - ANSWER-A
Rationale: Lightning is a jolt of electrical current and can
produce a "natural" defibrillation, so assessment of the pulse
rate and regularity is a priority. Because the client is talking, he
has an open airway so that assessment is not necessary.
Assessing for options C and D should occur after assessing for
adequate circulation.
An older adult who recently began self-administration of insulin
calls the nurse daily to review the steps that should be taken
when giving an injection. The nurse has assessed the client's
skills during two previous office visits and knows that the client
safely administered the injections. What is the nurse's best
response? A.
"I know you are capable of giving yourself
the insulin." B.
"Giving yourself the injection seems to make you
nervous." C.
"When I watched you give yourself the injection, you did
it correctly." D.
"Tell me what you want me to do to help you give yourself the
injection at home." - ANSWER-C
Rationale: The nurse needs to focus on the client's positive
behaviors, so focusing on the client's demonstrated ability to
self-administer the injection is likely to reinforce his level of
competence without sounding punitive. Option A does not
focus on the specific behaviors related to giving the injection
, and could be interpreted as punitive. Option B uses reflective
dialogue to assess the client's feelings, but telling the client
that he is nervous may serve as a negative reinforcement of
this behavior. Option D reinforces the client's dependence on
the nurse.
The nurse is preparing to change the bed of a client who is
non-responsive, and receiving continuous enteral tube
feedings. What step must the nurse take prior to changing the
bed? A.
Stop the feeding for 15 minutes prior to
changing the bed. B.
Obtain extra linens to absorb any feeding that leaks out
of the mouth. C.
Ask another nurse to help with changing
the bed. D.
Ask the client's spouse to leave the room during the bed
change. - ANSWER-A Rationale: This client is at risk for
aspiration during the bed change as the head of the bed must
be lowered. Stopping the feeding will help decompress the
stomach and decrease the risk. The client should not be
leaking fluid out of the mouth. Check the feeding for residual. If
the feeding is not moving out of the stomach, notify the
healthcare provider. Assistance with changing a bed is nice for
the nurse, but is not imperative for the client's safety. The
spouse does not need to leave the room.
