HESI RN MED SURG VERSION A & VERSION B ACTUAL EXAM EACH EXAM CONTAINS 125 QUESTIONS AND CORRECT RATED A+ DETAILED ANSWERS

HESI RN MED SURG VERSION A &
VERSION B 2025-2026 ACTUAL EXAM
EACH EXAM CONTAINS 125
QUESTIONS AND CORRECT RATED
A+ DETAILED ANSWERS
Theknursekiskassessingkakclientkwithkacutekpancreatitis.kWhichkfindingkrequireskthekmostkimmediat
ekinterventionkbyktheknurse?

A.k

Thekclient'skamylaseklevelkiskthreektimeskhigherkthanktheknormalklevel.

B.
k



Thekclientkhaskakcarpalkspasmkwhenktakingkakbloodkpressure.

C.
k



Onkak1ktok10kscale,kthekclientktellsktheknursekthatkherkepigastrickpainkiskatk7.

D.
k



Thekclientkstateskthatkshekwillkcontinuektokdrinkkalcoholkafterkgoingkhome.k-kCORRECTkANSWERSkB

Theknursekiskassessingkakclientkwithkacutekpancreatitis.kWhichkfindingkrequireskthekmostkimmediat
ekinterventionkbyktheknurse?

Rationale:AkpositivekTrousseauksignkindicateskhypocalcemiakandkalwayskrequireskfurtherkassessme
ntkandkintervention,kregardlesskofkthekcausek(40%ktok75%kofkthosekwithkacutekpancreatitiskexperie
ncekhypocalcemia,kwhichkcankhavekserious,ksystemickeffects).kAkkeykdiagnostickfindingkofkpancreati
tiskiskserumkamylasekandklipaseklevelskthatkarektwoktokfivektimeskhigherkthanktheknormalkvalue.kSev
erekboringkpainkiskankexpectedksymptomkforkthiskdiagnosis,kbutkdealingkwithkthekhypocalcemiakiskak
prioritykoverkadministeringkankanalgesic.kLong-
termkplanningkandkteachingkdoknotkhavektheksamekimmediatekimportancekaskakpositivekTrousseauk
sign.



Ak55-year-
oldkmalekclientkhaskbeenkadmittedktokthekhospitalkwithkakmedicalkdiagnosiskofkchronickobstructivek

,pulmonarykdiseasek(COPD).kWhichkriskkfactorkiskthekmostksignificantkinkthekdevelopmentkofkthiskcli
ent'skCOPD?

A.

Thekclient'skfatherkwaskdiagnosedkwithkCOPDkinkhisk50s.

B.
k



Akclosekfamilykmemberkcontractedktuberculosisklastkyear.

C.
k



Thekclientksmokeskonektoktwokpackskofkcigaretteskperkday.

D.
k



Thekclientkhaskbeenk40kpoundskoverweightkfork15kyears.k-kCORRECTkANSWERSkC

Rationale:Smoking,kconsideredktokbekakmodifiablekriskkfactor,kiskthekmostksignificantkriskkfactorkfork
thekdevelopmentkofkCOPD.kThekexactkmechanismkofkgenetickandkhereditarykimplicationskforkthekd
evelopmentkofkCOPDkiskstillkunderkinvestigation,kalthoughkexposurektoksimilarkpredisposingkfactors
k(e.g.,ksmokingkorkinhalingksecondhandksmoke)kmaykincreasektheklikelihoodkofkCOPDkincidencekam


ongkfamilykmembers.kOptionskBkandkDkdoknotkexceedkthekriskskassociatedkwithkcigaretteksmokingki
nkthekdevelopmentkofkCOPD.



Inkassessingkakclientkdiagnosedkwithkprimarykaldosteronism,ktheknursekexpectsktheklaboratoryktestk
resultsktokindicatekakdecreasedkserumklevelkofkwhichksubstance?

A.

Sodium

B.
k



Phosphate

C.
k



Potassium

D.
k



Glucosek-kCORRECTkANSWERSkC

,Rationale:Clientskwithkprimarykaldosteronismkexhibitkakprofoundkdeclinekinkserumklevelskofkpotass
ium;khypokalemia;khypertensionkiskthekmostkprominentkandkuniversalksign.kThekserumksodiumklev
elkisknormalkorkelevated,kdependingkonkthekamountkofkwaterkresorbedkwithktheksodium.kOptionkBki
skinfluencedkbykparathyroidkhormonek(PTH).kOptionkDkisknotkaffectedkbykprimarykaldosteronism.



TheknursekiskcompletingkankadmissionkinterviewkforkakclientkwithkParkinsonkdisease.kWhichkquesti
onkwillkprovidekadditionalkinformationkaboutkmanifestationskthatkthekclientkisklikelyktokexperience?

A.

"Havekyoukeverkexperiencedkanykparalysiskofkyourkarmskorklegs?"

B.
k



"Dokyoukhavekfrequentkblackoutkspells?"

C.
k



"Havekyoukeverkbeenkfrozenkinkonekspot,kunablektokmove?"

D.
k



"Dokyoukhavekheadaches,kespeciallykoneskwithkthrobbingkpain?"k-kCORRECTkANSWERSkC

Rationale:ClientskwithkParkinsonkdiseasekfrequentlykexperiencekdifficultykinkinitiating,kmaintaining
,kandkperformingkmotorkactivities.kTheykmaykevenkexperiencekbeingkrootedktokthekspotkandkunable
ktokmove.kParkinsonkdiseasekdoesknotktypicallykcausekoptionkA,kB,korkD.




Clientkcensuskiskoftenkusedktokdeterminekstaffingkneeds.kWhichkmethodkofkobtainingkcensuskdeter
minationkforkakparticularkunitkprovideskthekbestkformulakforkdeterminingklong-
rangekstaffingkpatterns?

A.

Midnightkcensus

B.
k



Oncomingkshiftkcensus

C.
k



Averagekdailykcensus

, D.
k



Hourlykcensusk-kCORRECTkANSWERSkC

Rationale:Ankaveragekdailykcensuskiskdeterminedkbyktrendkdatakandktakeskintokaccountkseasonalka
ndkdailykfluctuations,ksokitkiskthekbestkmethodkforkdeterminingkstaffingkneeds.kOptionskAkandkBkpro
videkdatakatkakcertainkpointkinktime,kandkthatkdatakcouldkchangekquickly.kItkiskunrealisticktokexpectkt
okobtainkankhourlykcensus,kandksuchkdatakwouldkonlykprovidekinformationkaboutkakcertainkpointkink
time.



Akmalekclientkhaskjustkundergonekaklaryngectomykandkhaskakcuffedktracheostomyktubekinkplace.kW
henkinitiatingkbolusktubekfeedingskpostoperatively,kwhenkshouldktheknursekinflatekthekcuff?

A.

Immediatelykafterkfeeding

B.
k



Justkpriorktoktubekfeeding

C.
k



Continuouskinflationkiskrequired

D.
k



Inflationkisknotkrequiredk-kCORRECTkANSWERSkB

Rationale:Thekcuffkshouldkbekinflatedkbeforekthekfeedingktokblockkthektracheakandkpreventkfoodkfr
omkenteringkifkoralkfeedingskarekstartedkwhilekakcuffedktracheostomyktubekiskinkplace.kItkshouldkre
mainkinflatedkthroughoutkthekfeedingktokpreventkaspirationkofkfoodkintokthekrespiratoryksystem.kO
ptionskAkandkDkplacekthekclientkatkriskkforkaspiration.kOptionkCkplaceskthekclientkatkriskkforktrachealk
wallknecrosis.



Akclientkwithkaknasogastricktubekattachedktoklowksuctionkstateskthatkshekisknauseated.kTheknursekas
sesseskthatktherekhaskbeenknokdrainagekthroughktheknasogastricktubekinktheklastk2khours.kWhichkac
tionkshouldktheknursektakekfirst?

A.

Irrigatektheknasogastricktubekwithksterileknormalksaline.