Hesi-Rn Med-Surg Test (2025/2026)
Update|Exam
Questions With Multiple
Choices |Verified & Revised
Answers (New)!!!
Themnursemismassessingmamclientmwithmacutempancreatitis.mWhichmfindingmrequiresmthemmostmimm
ediateminterventionmbymthemnurse?
A.m
Themclient'smamylasemlevelmismthreemtimesmhighermthanmthemnormalmlevel.
m B.
Themclientmhasmamcarpalmspasmmwhenmtakingmambloodmpressure.
m C.
Onmam1mtom10mscale,mthemclientmtellsmthemnursemthatmhermepigastricmpainmismatm7.
m D.
Themclientmstatesmthatmshemwillmcontinuemtomdrinkmalcoholmaftermgoingmhome.m-
mCORRECTmANSWERSmB
Themnursemismassessingmamclientmwithmacutempancreatitis.mWhichmfindingmrequiresmthemmostmimm
ediateminterventionmbymthemnurse?
Rationale:AmpositivemTrousseaumsignmindicatesmhypocalcemiamandmalwaysmrequiresmfurthermasses
smentmandmintervention,mregardlessmofmthemcausem(40%mtom75%mofmthosemwithmacutempancreatiti
smexperiencemhypocalcemia,mwhichmcanmhavemserious,msystemicmeffects).mAmkeymdiagnosticmfindin
gmofmpancreatitismismserummamylasemandmlipasemlevelsmthatmaremtwomtomfivemtimesmhighermthanmth
emnormalmvalue.mSeveremboringmpainmismanmexpectedmsymptommformthismdiagnosis,mbutmdealingmw
ithmthemhypocalcemiamismamprioritymovermadministeringmanmanalgesic.mLong-
termmplanningmandmteachingmdomnotmhavemthemsamemimmediatemimportancemasmampositivemTrous
seaumsign.
,Am55-year-
oldmmalemclientmhasmbeenmadmittedmtomthemhospitalmwithmammedicalmdiagnosismofmchronicmobstru
ctivempulmonarymdiseasem(COPD).mWhichmriskmfactormismthemmostmsignificantminmthemdevelopment
mofmthismclient'smCOPD?
A.
Themclient'smfathermwasmdiagnosedmwithmCOPDminmhism50s.
m B.
Amclosemfamilymmembermcontractedmtuberculosismlastmyear.
m C.
Themclientmsmokesmonemtomtwompacksmofmcigarettesmpermday.
m D.
Themclientmhasmbeenm40mpoundsmoverweightmform15myears.m-mCORRECTmANSWERSmC
Rationale:Smoking,mconsideredmtombemammodifiablemriskmfactor,mismthemmostmsignificantmriskmfacto
rmformthemdevelopmentmofmCOPD.mThemexactmmechanismmofmgeneticmandmhereditarymimplications
mformthemdevelopmentmofmCOPDmismstillmunderminvestigation,malthoughmexposuremtomsimilarmpredis
posingmfactorsm(e.g.,msmokingmorminhalingmsecondhandmsmoke)mmaymincreasemthemlikelihoodmofmC
OPDmincidencemamongmfamilymmembers.mOptionsmBmandmDmdomnotmexceedmthemrisksmassociatedm
withmcigarettemsmokingminmthemdevelopmentmofmCOPD.
Inmassessingmamclientmdiagnosedmwithmprimarymaldosteronism,mthemnursemexpectsmthemlaboratory
mtestmresultsmtomindicatemamdecreasedmserummlevelmofmwhichmsubstance?
A.
Sodium
m B.
Phosphate
m C.
Potassium
m D.
Glucosem-mCORRECTmANSWERSmC
,Rationale:Clientsmwithmprimarymaldosteronismmexhibitmamprofoundmdeclineminmserummlevelsmofmp
otassium;mhypokalemia;mhypertensionmismthemmostmprominentmandmuniversalmsign.mThemserumms
odiummlevelmismnormalmormelevated,mdependingmonmthemamountmofmwatermresorbedmwithmthemsod
ium.mOptionmBmisminfluencedmbymparathyroidmhormonem(PTH).mOptionmDmismnotmaffectedmbymprim
arymaldosteronism.
ThemnursemismcompletingmanmadmissionminterviewmformamclientmwithmParkinsonmdisease.mWhichmq
uestionmwillmprovidemadditionalminformationmaboutmmanifestationsmthatmthemclientmismlikelymtomex
perience?
A.
"Havemyoumevermexperiencedmanymparalysismofmyourmarmsmormlegs?"
m B.
"Domyoumhavemfrequentmblackoutmspells?"
m C.
"Havemyoumevermbeenmfrozenminmonemspot,munablemtommove?"
m D.
"Domyoumhavemheadaches,mespeciallymonesmwithmthrobbingmpain?"m-mCORRECTmANSWERSmC
Rationale:ClientsmwithmParkinsonmdiseasemfrequentlymexperiencemdifficultyminminitiating,mmaintain
ing,mandmperformingmmotormactivities.mTheymmaymevenmexperiencembeingmrootedmtomthemspotman
dmunablemtommove.mParkinsonmdiseasemdoesmnotmtypicallymcausemoptionmA,mB,mormD.
Clientmcensusmismoftenmusedmtomdeterminemstaffingmneeds.mWhichmmethodmofmobtainingmcensusmd
eterminationmformamparticularmunitmprovidesmthembestmformulamformdeterminingmlong-
rangemstaffingmpatterns?
A.
Midnightmcensus
m B.
Oncomingmshiftmcensus
m C.
, Averagemdailymcensus
m D.
Hourlymcensusm-mCORRECTmANSWERSmC
Rationale:Anmaveragemdailymcensusmismdeterminedmbymtrendmdatamandmtakesmintomaccountmseaso
nalmandmdailymfluctuations,msomitmismthembestmmethodmformdeterminingmstaffingmneeds.mOptionsmA
mandmBmprovidemdatamatmamcertainmpointminmtime,mandmthatmdatamcouldmchangemquickly.mItmismunre
alisticmtomexpectmtomobtainmanmhourlymcensus,mandmsuchmdatamwouldmonlymprovideminformationma
boutmamcertainmpointminmtime.
Ammalemclientmhasmjustmundergonemamlaryngectomymandmhasmamcuffedmtracheostomymtubeminmplac
e.mWhenminitiatingmbolusmtubemfeedingsmpostoperatively,mwhenmshouldmthemnurseminflatemthemcuf
f?
A.
Immediatelymaftermfeeding
m B.
Justmpriormtomtubemfeeding
m C.
Continuousminflationmismrequired
m D.
Inflationmismnotmrequiredm-mCORRECTmANSWERSmB
Rationale:Themcuffmshouldmbeminflatedmbeforemthemfeedingmtomblockmthemtracheamandmpreventmfo
odmfrommenteringmifmoralmfeedingsmaremstartedmwhilemamcuffedmtracheostomymtubemisminmplace.mItm
shouldmremainminflatedmthroughoutmthemfeedingmtompreventmaspirationmofmfoodmintomthemrespirat
orymsystem.mOptionsmAmandmDmplacemthemclientmatmriskmformaspiration.mOptionmCmplacesmthemclient
matmriskmformtrachealmwallmnecrosis.
Amclientmwithmamnasogastricmtubemattachedmtomlowmsuctionmstatesmthatmshemismnauseated.mThemnu
rsemassessesmthatmtheremhasmbeenmnomdrainagemthroughmthemnasogastricmtubeminmthemlastm2mhour
s.mWhichmactionmshouldmthemnursemtakemfirst?
A.
Update|Exam
Questions With Multiple
Choices |Verified & Revised
Answers (New)!!!
Themnursemismassessingmamclientmwithmacutempancreatitis.mWhichmfindingmrequiresmthemmostmimm
ediateminterventionmbymthemnurse?
A.m
Themclient'smamylasemlevelmismthreemtimesmhighermthanmthemnormalmlevel.
m B.
Themclientmhasmamcarpalmspasmmwhenmtakingmambloodmpressure.
m C.
Onmam1mtom10mscale,mthemclientmtellsmthemnursemthatmhermepigastricmpainmismatm7.
m D.
Themclientmstatesmthatmshemwillmcontinuemtomdrinkmalcoholmaftermgoingmhome.m-
mCORRECTmANSWERSmB
Themnursemismassessingmamclientmwithmacutempancreatitis.mWhichmfindingmrequiresmthemmostmimm
ediateminterventionmbymthemnurse?
Rationale:AmpositivemTrousseaumsignmindicatesmhypocalcemiamandmalwaysmrequiresmfurthermasses
smentmandmintervention,mregardlessmofmthemcausem(40%mtom75%mofmthosemwithmacutempancreatiti
smexperiencemhypocalcemia,mwhichmcanmhavemserious,msystemicmeffects).mAmkeymdiagnosticmfindin
gmofmpancreatitismismserummamylasemandmlipasemlevelsmthatmaremtwomtomfivemtimesmhighermthanmth
emnormalmvalue.mSeveremboringmpainmismanmexpectedmsymptommformthismdiagnosis,mbutmdealingmw
ithmthemhypocalcemiamismamprioritymovermadministeringmanmanalgesic.mLong-
termmplanningmandmteachingmdomnotmhavemthemsamemimmediatemimportancemasmampositivemTrous
seaumsign.
,Am55-year-
oldmmalemclientmhasmbeenmadmittedmtomthemhospitalmwithmammedicalmdiagnosismofmchronicmobstru
ctivempulmonarymdiseasem(COPD).mWhichmriskmfactormismthemmostmsignificantminmthemdevelopment
mofmthismclient'smCOPD?
A.
Themclient'smfathermwasmdiagnosedmwithmCOPDminmhism50s.
m B.
Amclosemfamilymmembermcontractedmtuberculosismlastmyear.
m C.
Themclientmsmokesmonemtomtwompacksmofmcigarettesmpermday.
m D.
Themclientmhasmbeenm40mpoundsmoverweightmform15myears.m-mCORRECTmANSWERSmC
Rationale:Smoking,mconsideredmtombemammodifiablemriskmfactor,mismthemmostmsignificantmriskmfacto
rmformthemdevelopmentmofmCOPD.mThemexactmmechanismmofmgeneticmandmhereditarymimplications
mformthemdevelopmentmofmCOPDmismstillmunderminvestigation,malthoughmexposuremtomsimilarmpredis
posingmfactorsm(e.g.,msmokingmorminhalingmsecondhandmsmoke)mmaymincreasemthemlikelihoodmofmC
OPDmincidencemamongmfamilymmembers.mOptionsmBmandmDmdomnotmexceedmthemrisksmassociatedm
withmcigarettemsmokingminmthemdevelopmentmofmCOPD.
Inmassessingmamclientmdiagnosedmwithmprimarymaldosteronism,mthemnursemexpectsmthemlaboratory
mtestmresultsmtomindicatemamdecreasedmserummlevelmofmwhichmsubstance?
A.
Sodium
m B.
Phosphate
m C.
Potassium
m D.
Glucosem-mCORRECTmANSWERSmC
,Rationale:Clientsmwithmprimarymaldosteronismmexhibitmamprofoundmdeclineminmserummlevelsmofmp
otassium;mhypokalemia;mhypertensionmismthemmostmprominentmandmuniversalmsign.mThemserumms
odiummlevelmismnormalmormelevated,mdependingmonmthemamountmofmwatermresorbedmwithmthemsod
ium.mOptionmBmisminfluencedmbymparathyroidmhormonem(PTH).mOptionmDmismnotmaffectedmbymprim
arymaldosteronism.
ThemnursemismcompletingmanmadmissionminterviewmformamclientmwithmParkinsonmdisease.mWhichmq
uestionmwillmprovidemadditionalminformationmaboutmmanifestationsmthatmthemclientmismlikelymtomex
perience?
A.
"Havemyoumevermexperiencedmanymparalysismofmyourmarmsmormlegs?"
m B.
"Domyoumhavemfrequentmblackoutmspells?"
m C.
"Havemyoumevermbeenmfrozenminmonemspot,munablemtommove?"
m D.
"Domyoumhavemheadaches,mespeciallymonesmwithmthrobbingmpain?"m-mCORRECTmANSWERSmC
Rationale:ClientsmwithmParkinsonmdiseasemfrequentlymexperiencemdifficultyminminitiating,mmaintain
ing,mandmperformingmmotormactivities.mTheymmaymevenmexperiencembeingmrootedmtomthemspotman
dmunablemtommove.mParkinsonmdiseasemdoesmnotmtypicallymcausemoptionmA,mB,mormD.
Clientmcensusmismoftenmusedmtomdeterminemstaffingmneeds.mWhichmmethodmofmobtainingmcensusmd
eterminationmformamparticularmunitmprovidesmthembestmformulamformdeterminingmlong-
rangemstaffingmpatterns?
A.
Midnightmcensus
m B.
Oncomingmshiftmcensus
m C.
, Averagemdailymcensus
m D.
Hourlymcensusm-mCORRECTmANSWERSmC
Rationale:Anmaveragemdailymcensusmismdeterminedmbymtrendmdatamandmtakesmintomaccountmseaso
nalmandmdailymfluctuations,msomitmismthembestmmethodmformdeterminingmstaffingmneeds.mOptionsmA
mandmBmprovidemdatamatmamcertainmpointminmtime,mandmthatmdatamcouldmchangemquickly.mItmismunre
alisticmtomexpectmtomobtainmanmhourlymcensus,mandmsuchmdatamwouldmonlymprovideminformationma
boutmamcertainmpointminmtime.
Ammalemclientmhasmjustmundergonemamlaryngectomymandmhasmamcuffedmtracheostomymtubeminmplac
e.mWhenminitiatingmbolusmtubemfeedingsmpostoperatively,mwhenmshouldmthemnurseminflatemthemcuf
f?
A.
Immediatelymaftermfeeding
m B.
Justmpriormtomtubemfeeding
m C.
Continuousminflationmismrequired
m D.
Inflationmismnotmrequiredm-mCORRECTmANSWERSmB
Rationale:Themcuffmshouldmbeminflatedmbeforemthemfeedingmtomblockmthemtracheamandmpreventmfo
odmfrommenteringmifmoralmfeedingsmaremstartedmwhilemamcuffedmtracheostomymtubemisminmplace.mItm
shouldmremainminflatedmthroughoutmthemfeedingmtompreventmaspirationmofmfoodmintomthemrespirat
orymsystem.mOptionsmAmandmDmplacemthemclientmatmriskmformaspiration.mOptionmCmplacesmthemclient
matmriskmformtrachealmwallmnecrosis.
Amclientmwithmamnasogastricmtubemattachedmtomlowmsuctionmstatesmthatmshemismnauseated.mThemnu
rsemassessesmthatmtheremhasmbeenmnomdrainagemthroughmthemnasogastricmtubeminmthemlastm2mhour
s.mWhichmactionmshouldmthemnursemtakemfirst?
A.
