HESI RN EXAMS.
HESI RN MED SURG 2025/2026 EXAM PACK | LATEST
UPDATE | WITH ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS | PRE-EVALUATED A+ | BRAND NEW!!
A client with a productive cough has obtained a sputum specimen for culture as instructed.
What is the best initial nursing action? - CORRECT ANS ->>Observe the color, consistency, and
amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation
(CPR) in progress. The client is intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and diaphoretic. Which assessment
is most important for the nurse to obtain? - CORRECT ANS ->>Breath sounds over bilateral lung
fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client
develops pontine myelinolysis. Which intervention should the nurse implement first? -
CORRECT ANS ->>Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain? - CORRECT
ANS ->>Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse implement? - CORRECT ANS -
>>Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most important for the nurse to instruct
the client about self-care? - CORRECT ANS ->>Increase the daily intake of oral fluids to liquefy
secretions
A cardiac catheterization of a client with heart disease indicates the following blockages: 95%
proximal left anterior descending (LAD), 99% proximal circumflex, and % proximal right
coronary artery (RCA). The client later asks the nurse "what does all this mean for me?" What
information should the nurse provide? - CORRECT ANS ->> Three main arteries have major
blockages, with only 1 to 5% of blood flow getting through to the heart muscle.
,HESI RN EXAMS.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The heparin is
available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest tenth.) - CORRECT ANS -
>>0.6 ml
What information should the nurse include in the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)? - CORRECT ANS ->>Minimize symptoms by wearing
loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position should
the nurse instruct the client to maintain? - CORRECT ANS ->>left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
or drink without becoming nauseated and vomiting. Which finding should the nurse report to
the healthcare provider. - CORRECT ANS ->>Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants immediate
intervention by the nurse? - CORRECT ANS ->>Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft graft to promote burn healing. Which information should the nurse provide this
client? - CORRECT ANS ->>The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscence’s and eviscerates. The nurse
moistens an available sterile dressing and places it over the wound. What intervention should
the nurse implement next? - CORRECT ANS ->>Prepare the client to return to the operating
room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of
117 mEq/L. Which nursing problem should the nurse include in this client's plan of care? -
CORRECT ANS ->>Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous, and reports a
racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal,
the healthcare provider suspects hyperthyroidism and admits her for further testing. Which
action should the nurse implement? - CORRECT ANS ->> Space the client's care to provide
periods of rest
, HESI RN EXAMS.
The nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse encourage the client to follow? - CORRECT ANS ->>Restrict
protein intake by limiting meats and other high-protein foods
An overweight, young adult made who was recently diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which
actions should the nurse implement? (Select all that apply.) - CORRECT ANS ->>Check his
fingerstick glucose level.
Assess his skin temperature and moisture.
Measure his pulse and blood pressure.
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? - CORRECT ANS ->>Irregular
apical pulse
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning
sensation. What action should the nurse take? - CORRECT ANS ->>Continue to monitor the
fingers until color returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar
breath sounds. Vital signs are temperature 101F, heart rate 128 beats/minute, respirations 28
breaths/minute, and blood pressure 122/82. Which intervention is most important for the
nurse to implement first? - CORRECT ANS ->> Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants notification of
the healthcare provider prior to proceeding with the scheduled procedure? - CORRECT ANS -
>>The client's blood pressure reading is 184/88 mm Hg
Following surgical repair of the bladder, a female client is being discharged from the hospital to
home with an indwelling urinary catheter. Which instruction is most important for the nurse to
provide to this client? - CORRECT ANS ->>Keep the drainage bag lower than the level of the
bladder
A client who has a history of hypothyroidism was initially admitted with lethargy and confusion.
Which additional finding warrants the most immediate action by the nurse? - CORRECT ANS -
>>Further decline in level of consciousness
HESI RN MED SURG 2025/2026 EXAM PACK | LATEST
UPDATE | WITH ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS | PRE-EVALUATED A+ | BRAND NEW!!
A client with a productive cough has obtained a sputum specimen for culture as instructed.
What is the best initial nursing action? - CORRECT ANS ->>Observe the color, consistency, and
amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation
(CPR) in progress. The client is intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and diaphoretic. Which assessment
is most important for the nurse to obtain? - CORRECT ANS ->>Breath sounds over bilateral lung
fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client
develops pontine myelinolysis. Which intervention should the nurse implement first? -
CORRECT ANS ->>Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain? - CORRECT
ANS ->>Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse implement? - CORRECT ANS -
>>Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most important for the nurse to instruct
the client about self-care? - CORRECT ANS ->>Increase the daily intake of oral fluids to liquefy
secretions
A cardiac catheterization of a client with heart disease indicates the following blockages: 95%
proximal left anterior descending (LAD), 99% proximal circumflex, and % proximal right
coronary artery (RCA). The client later asks the nurse "what does all this mean for me?" What
information should the nurse provide? - CORRECT ANS ->> Three main arteries have major
blockages, with only 1 to 5% of blood flow getting through to the heart muscle.
,HESI RN EXAMS.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The heparin is
available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest tenth.) - CORRECT ANS -
>>0.6 ml
What information should the nurse include in the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)? - CORRECT ANS ->>Minimize symptoms by wearing
loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position should
the nurse instruct the client to maintain? - CORRECT ANS ->>left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
or drink without becoming nauseated and vomiting. Which finding should the nurse report to
the healthcare provider. - CORRECT ANS ->>Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants immediate
intervention by the nurse? - CORRECT ANS ->>Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft graft to promote burn healing. Which information should the nurse provide this
client? - CORRECT ANS ->>The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscence’s and eviscerates. The nurse
moistens an available sterile dressing and places it over the wound. What intervention should
the nurse implement next? - CORRECT ANS ->>Prepare the client to return to the operating
room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of
117 mEq/L. Which nursing problem should the nurse include in this client's plan of care? -
CORRECT ANS ->>Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous, and reports a
racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal,
the healthcare provider suspects hyperthyroidism and admits her for further testing. Which
action should the nurse implement? - CORRECT ANS ->> Space the client's care to provide
periods of rest
, HESI RN EXAMS.
The nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse encourage the client to follow? - CORRECT ANS ->>Restrict
protein intake by limiting meats and other high-protein foods
An overweight, young adult made who was recently diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which
actions should the nurse implement? (Select all that apply.) - CORRECT ANS ->>Check his
fingerstick glucose level.
Assess his skin temperature and moisture.
Measure his pulse and blood pressure.
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? - CORRECT ANS ->>Irregular
apical pulse
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning
sensation. What action should the nurse take? - CORRECT ANS ->>Continue to monitor the
fingers until color returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar
breath sounds. Vital signs are temperature 101F, heart rate 128 beats/minute, respirations 28
breaths/minute, and blood pressure 122/82. Which intervention is most important for the
nurse to implement first? - CORRECT ANS ->> Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants notification of
the healthcare provider prior to proceeding with the scheduled procedure? - CORRECT ANS -
>>The client's blood pressure reading is 184/88 mm Hg
Following surgical repair of the bladder, a female client is being discharged from the hospital to
home with an indwelling urinary catheter. Which instruction is most important for the nurse to
provide to this client? - CORRECT ANS ->>Keep the drainage bag lower than the level of the
bladder
A client who has a history of hypothyroidism was initially admitted with lethargy and confusion.
Which additional finding warrants the most immediate action by the nurse? - CORRECT ANS -
>>Further decline in level of consciousness
