Med-Surg Hesi PN*++ Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with pneumonia who has a productive cough. Which nursing action
will help promote airway clearance?
A. Offer ice chips frequently
✔✔B. Encourage the client to perform deep breathing and coughing exercises
C. Limit oral fluids
D. Place the client in a supine position
A client is admitted with diabetic ketoacidosis. Which initial intervention is the priority?
A. Administer insulin subcutaneously
✔✔B. Begin intravenous fluid replacement
C. Provide oral glucose
D. Start a low-carbohydrate diet
A nurse is caring for a client with a new colostomy. Which statement indicates the client
understands colostomy care?
1
,A. “I will change the pouch once a week.”
B. “I can reuse the pouch after rinsing it.”
✔✔C. “I will empty the pouch when it is one-third full.”
D. “I should avoid cleaning around the stoma with water.”
A client receiving chemotherapy develops stomatitis. Which food choice is most appropriate?
A. Spicy salsa with tortilla chips
✔✔B. Mashed potatoes
C. Citrus fruit salad
D. Toast with peanut butter
A nurse is caring for a client with a potassium level of 2.9 mEq/L. Which finding should the
nurse expect?
A. Hyperreflexia
B. Bradycardia
✔✔C. Muscle weakness
D. Increased bowel sounds
2
,A nurse is reinforcing discharge teaching for a client with heart failure who is prescribed
furosemide. Which statement shows understanding?
A. “I will limit foods high in potassium.”
✔✔B. “I will weigh myself daily at the same time.”
C. “I will avoid drinking more than 3 liters of water each day.”
D. “I will stop taking the medication if I feel dizzy.”
A nurse is caring for a client after a thyroidectomy. Which complication should be reported to the
healthcare provider immediately?
A. Mild hoarseness
✔✔B. Difficulty breathing
C. Sore throat
D. Low-grade fever
A client with COPD is experiencing shortness of breath. Which position will help improve
breathing?
A. Supine with legs elevated
B. Side-lying with knees bent
✔✔C. Sitting upright leaning forward on a table
3
, D. Trendelenburg position
A nurse is caring for a client receiving IV heparin. Which laboratory result should be monitored
to evaluate the effectiveness of therapy?
A. Hemoglobin
B. INR
✔✔C. aPTT
D. Platelet count
A client with cirrhosis is at risk for bleeding. Which laboratory value should the nurse monitor
closely?
A. Serum creatinine
B. Blood glucose
✔✔C. Prothrombin time
D. Sodium level
A nurse is caring for a client with a chest tube connected to a water-seal drainage system. Which
observation requires immediate intervention?
A. Gentle bubbling in the suction chamber
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with pneumonia who has a productive cough. Which nursing action
will help promote airway clearance?
A. Offer ice chips frequently
✔✔B. Encourage the client to perform deep breathing and coughing exercises
C. Limit oral fluids
D. Place the client in a supine position
A client is admitted with diabetic ketoacidosis. Which initial intervention is the priority?
A. Administer insulin subcutaneously
✔✔B. Begin intravenous fluid replacement
C. Provide oral glucose
D. Start a low-carbohydrate diet
A nurse is caring for a client with a new colostomy. Which statement indicates the client
understands colostomy care?
1
,A. “I will change the pouch once a week.”
B. “I can reuse the pouch after rinsing it.”
✔✔C. “I will empty the pouch when it is one-third full.”
D. “I should avoid cleaning around the stoma with water.”
A client receiving chemotherapy develops stomatitis. Which food choice is most appropriate?
A. Spicy salsa with tortilla chips
✔✔B. Mashed potatoes
C. Citrus fruit salad
D. Toast with peanut butter
A nurse is caring for a client with a potassium level of 2.9 mEq/L. Which finding should the
nurse expect?
A. Hyperreflexia
B. Bradycardia
✔✔C. Muscle weakness
D. Increased bowel sounds
2
,A nurse is reinforcing discharge teaching for a client with heart failure who is prescribed
furosemide. Which statement shows understanding?
A. “I will limit foods high in potassium.”
✔✔B. “I will weigh myself daily at the same time.”
C. “I will avoid drinking more than 3 liters of water each day.”
D. “I will stop taking the medication if I feel dizzy.”
A nurse is caring for a client after a thyroidectomy. Which complication should be reported to the
healthcare provider immediately?
A. Mild hoarseness
✔✔B. Difficulty breathing
C. Sore throat
D. Low-grade fever
A client with COPD is experiencing shortness of breath. Which position will help improve
breathing?
A. Supine with legs elevated
B. Side-lying with knees bent
✔✔C. Sitting upright leaning forward on a table
3
, D. Trendelenburg position
A nurse is caring for a client receiving IV heparin. Which laboratory result should be monitored
to evaluate the effectiveness of therapy?
A. Hemoglobin
B. INR
✔✔C. aPTT
D. Platelet count
A client with cirrhosis is at risk for bleeding. Which laboratory value should the nurse monitor
closely?
A. Serum creatinine
B. Blood glucose
✔✔C. Prothrombin time
D. Sodium level
A nurse is caring for a client with a chest tube connected to a water-seal drainage system. Which
observation requires immediate intervention?
A. Gentle bubbling in the suction chamber
4
