HESI - Medical Surgical Nursing
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient with chronic kidney disease has a potassium level of 6.9 mEq/L. What is the priority
nursing intervention?
A. Increase dietary potassium intake
B. Encourage oral fluids
✔✔C. Administer sodium polystyrene sulfonate
D. Withhold all medications
A patient with COPD is receiving oxygen at 4 L/min via nasal cannula. What complication
should the nurse monitor for?
A. Oxygen toxicity
B. Bronchospasm
✔✔C. Decreased respiratory drive
D. Hypotension
A patient with heart failure is prescribed furosemide. Which electrolyte should be monitored
closely?
1
,A. Calcium
B. Sodium
✔✔C. Potassium
D. Magnesium
A patient with pneumonia is admitted with a fever, productive cough, and pleuritic chest pain.
What is the priority intervention?
A. Encourage fluid restriction
✔✔B. Administer prescribed antibiotics
C. Give antipyretics after meals
D. Keep the patient NPO
A patient with cirrhosis develops confusion and asterixis. Which medication is most likely
prescribed?
A. Furosemide
B. Omeprazole
✔✔C. Lactulose
D. Spironolactone
2
,A patient with myasthenia gravis is at risk for which life-threatening complication?
A. Stroke
✔✔B. Respiratory failure
C. Seizures
D. Myocardial infarction
A patient with diabetes insipidus has a serum sodium of 152 mEq/L. Which treatment is
expected?
A. Potassium chloride
✔✔B. Desmopressin
C. Insulin infusion
D. Furosemide
A patient with acute pancreatitis reports severe epigastric pain radiating to the back. Which lab
result supports this diagnosis?
A. Low amylase
B. Low lipase
3
, ✔✔C. Elevated lipase
D. Elevated potassium
A patient with Addison’s disease presents with hypotension, weakness, and hyperpigmentation.
Which lab finding is expected?
A. Hypernatremia
✔✔B. Hyperkalemia
C. Hypokalemia
D. Hypocalcemia
A patient with suspected meningitis has a positive Brudzinski’s sign. What type of isolation is
necessary?
A. Airborne
✔✔B. Droplet
C. Contact
D. Protective
A patient receiving warfarin has an INR of 5.2. What is the best action?
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient with chronic kidney disease has a potassium level of 6.9 mEq/L. What is the priority
nursing intervention?
A. Increase dietary potassium intake
B. Encourage oral fluids
✔✔C. Administer sodium polystyrene sulfonate
D. Withhold all medications
A patient with COPD is receiving oxygen at 4 L/min via nasal cannula. What complication
should the nurse monitor for?
A. Oxygen toxicity
B. Bronchospasm
✔✔C. Decreased respiratory drive
D. Hypotension
A patient with heart failure is prescribed furosemide. Which electrolyte should be monitored
closely?
1
,A. Calcium
B. Sodium
✔✔C. Potassium
D. Magnesium
A patient with pneumonia is admitted with a fever, productive cough, and pleuritic chest pain.
What is the priority intervention?
A. Encourage fluid restriction
✔✔B. Administer prescribed antibiotics
C. Give antipyretics after meals
D. Keep the patient NPO
A patient with cirrhosis develops confusion and asterixis. Which medication is most likely
prescribed?
A. Furosemide
B. Omeprazole
✔✔C. Lactulose
D. Spironolactone
2
,A patient with myasthenia gravis is at risk for which life-threatening complication?
A. Stroke
✔✔B. Respiratory failure
C. Seizures
D. Myocardial infarction
A patient with diabetes insipidus has a serum sodium of 152 mEq/L. Which treatment is
expected?
A. Potassium chloride
✔✔B. Desmopressin
C. Insulin infusion
D. Furosemide
A patient with acute pancreatitis reports severe epigastric pain radiating to the back. Which lab
result supports this diagnosis?
A. Low amylase
B. Low lipase
3
, ✔✔C. Elevated lipase
D. Elevated potassium
A patient with Addison’s disease presents with hypotension, weakness, and hyperpigmentation.
Which lab finding is expected?
A. Hypernatremia
✔✔B. Hyperkalemia
C. Hypokalemia
D. Hypocalcemia
A patient with suspected meningitis has a positive Brudzinski’s sign. What type of isolation is
necessary?
A. Airborne
✔✔B. Droplet
C. Contact
D. Protective
A patient receiving warfarin has an INR of 5.2. What is the best action?
4
