Med-Surg Hesi PN Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with pneumonia. Which finding should be reported to the healthcare
provider immediately?
A. Mild cough with sputum
✔✔B. Respiratory rate of 32 breaths/min
C. Low-grade fever
D. Fatigue
A client is prescribed warfarin. Which food should the nurse teach the client to limit?
A. Apples
✔✔B. Spinach
C. Bananas
D. Rice
Which assessment finding indicates fluid volume overload?
A. Dry mucous membranes
1
,B. Hypotension
✔✔C. Crackles in the lungs
D. Sunken eyes
A client with diabetes reports dizziness and sweating. What is the nurse’s first action?
A. Call the healthcare provider
✔✔B. Check the client’s blood glucose
C. Offer water
D. Administer insulin
Which position should the nurse place a client in after a liver biopsy?
A. Supine
B. Left side-lying
✔✔C. Right side-lying
D. High Fowler’s
A nurse is caring for a client with hypokalemia. Which finding should the nurse expect?
A. Bradycardia
2
,✔✔B. Muscle weakness
C. Hypertension
D. Hyperactive reflexes
Which finding in a client receiving IV fluids should prompt the nurse to slow the infusion rate?
A. Increased urine output
✔✔B. Shortness of breath
C. Dry lips
D. Decreased skin turgor
A client with chronic kidney disease has pruritus. What is the nurse’s best action?
A. Increase fluid intake
✔✔B. Apply moisturizing lotion
C. Encourage sun exposure
D. Give salt tablets
A client with a new colostomy is upset about body image changes. What is the nurse’s best initial
response?
3
, A. Offer to contact a social worker
✔✔B. Encourage the client to express feelings
C. Suggest avoiding mirrors
D. Provide detailed stoma care instructions
Which electrolyte imbalance is most likely in a client with prolonged vomiting?
✔✔A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
A nurse is caring for a client with a chest tube. Which finding requires immediate intervention?
A. Small air bubbles in the water seal chamber during exhalation
✔✔B. Tracheal deviation
C. Drainage of 40 mL in 4 hours
D. Occasional cough
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with pneumonia. Which finding should be reported to the healthcare
provider immediately?
A. Mild cough with sputum
✔✔B. Respiratory rate of 32 breaths/min
C. Low-grade fever
D. Fatigue
A client is prescribed warfarin. Which food should the nurse teach the client to limit?
A. Apples
✔✔B. Spinach
C. Bananas
D. Rice
Which assessment finding indicates fluid volume overload?
A. Dry mucous membranes
1
,B. Hypotension
✔✔C. Crackles in the lungs
D. Sunken eyes
A client with diabetes reports dizziness and sweating. What is the nurse’s first action?
A. Call the healthcare provider
✔✔B. Check the client’s blood glucose
C. Offer water
D. Administer insulin
Which position should the nurse place a client in after a liver biopsy?
A. Supine
B. Left side-lying
✔✔C. Right side-lying
D. High Fowler’s
A nurse is caring for a client with hypokalemia. Which finding should the nurse expect?
A. Bradycardia
2
,✔✔B. Muscle weakness
C. Hypertension
D. Hyperactive reflexes
Which finding in a client receiving IV fluids should prompt the nurse to slow the infusion rate?
A. Increased urine output
✔✔B. Shortness of breath
C. Dry lips
D. Decreased skin turgor
A client with chronic kidney disease has pruritus. What is the nurse’s best action?
A. Increase fluid intake
✔✔B. Apply moisturizing lotion
C. Encourage sun exposure
D. Give salt tablets
A client with a new colostomy is upset about body image changes. What is the nurse’s best initial
response?
3
, A. Offer to contact a social worker
✔✔B. Encourage the client to express feelings
C. Suggest avoiding mirrors
D. Provide detailed stoma care instructions
Which electrolyte imbalance is most likely in a client with prolonged vomiting?
✔✔A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
A nurse is caring for a client with a chest tube. Which finding requires immediate intervention?
A. Small air bubbles in the water seal chamber during exhalation
✔✔B. Tracheal deviation
C. Drainage of 40 mL in 4 hours
D. Occasional cough
4
