HESI RN MED SURG VERSION A & VERSION B 2025-2026
ACTUAL EXAM EACH EXAM CONTAINS 125 QUESTIONS
Exam
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
A.
The client's amylase level is three times higher than the
normal level.
B.
The client has a carpal spasm when taking a blood
pressure.
C.
On a 1 to 10 scale, the client tells the nurse that her
epigastric pain is at 7.
D.
The client states that she will continue to drink alcohol
after going home. - <<<<Answers>>>>B
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
Rationale:A positive Trousseau sign indicates
hypocalcemia and always requires further assessment
and intervention, regardless of the cause (40% to 75% of
those with acute pancreatitis experience hypocalcemia,
which can have serious, systemic effects). A key
diagnostic finding of pancreatitis is serum amylase and
,lipase levels that are two to five times higher than the
normal value. Severe boring pain is an expected symptom
for this diagnosis, but dealing with the hypocalcemia is a
priority over administering an analgesic. Long-term
planning and teaching do not have the same immediate
importance as a positive Trousseau sign.
A 55-year-old male client has been admitted to the
hospital with a medical diagnosis of chronic obstructive
pulmonary disease (COPD). Which risk factor is the most
significant in the development of this client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years. -
<<<<Answers>>>>C
Rationale:Smoking, considered to be a modifiable risk
factor, is the most significant risk factor for the
development of COPD. The exact mechanism of genetic
and hereditary implications for the development of COPD
is still under investigation, although exposure to similar
predisposing factors (e.g., smoking or inhaling
secondhand smoke) may increase the likelihood of COPD
incidence among family members. Options B and D do not
exceed the risks associated with cigarette smoking in the
development of COPD.
,In assessing a client diagnosed with primary
aldosteronism, the nurse expects the laboratory test
results to indicate a decreased serum level of which
substance?
A.
Sodium
B.
Phosphate
C.
Potassium
D.
Glucose - <<<<Answers>>>>C
Rationale:Clients with primary aldosteronism exhibit a
profound decline in serum levels of potassium;
hypokalemia; hypertension is the most prominent and
universal sign. The serum sodium level is normal or
elevated, depending on the amount of water resorbed with
the sodium. Option B is influenced by parathyroid
hormone (PTH). Option D is not affected by primary
aldosteronism.
The nurse is completing an admission interview for a client
with Parkinson disease. Which question will provide
additional information about manifestations that the client
is likely to experience?
A.
"Have you ever experienced any paralysis of your arms or
legs?"
B.
"Do you have frequent blackout spells?"
C.
, "Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing
pain?" - <<<<Answers>>>>C
Rationale:Clients with Parkinson disease frequently
experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience
being rooted to the spot and unable to move. Parkinson
disease does not typically cause option A, B, or D.
Client census is often used to determine staffing needs.
Which method of obtaining census determination for a
particular unit provides the best formula for determining
long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census - <<<<Answers>>>>C
Rationale:An average daily census is determined by trend
data and takes into account seasonal and daily
fluctuations, so it is the best method for determining
staffing needs. Options A and B provide data at a certain
point in time, and that data could change quickly. It is
unrealistic to expect to obtain an hourly census, and such
data would only provide information about a certain point
in time.
ACTUAL EXAM EACH EXAM CONTAINS 125 QUESTIONS
Exam
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
A.
The client's amylase level is three times higher than the
normal level.
B.
The client has a carpal spasm when taking a blood
pressure.
C.
On a 1 to 10 scale, the client tells the nurse that her
epigastric pain is at 7.
D.
The client states that she will continue to drink alcohol
after going home. - <<<<Answers>>>>B
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
Rationale:A positive Trousseau sign indicates
hypocalcemia and always requires further assessment
and intervention, regardless of the cause (40% to 75% of
those with acute pancreatitis experience hypocalcemia,
which can have serious, systemic effects). A key
diagnostic finding of pancreatitis is serum amylase and
,lipase levels that are two to five times higher than the
normal value. Severe boring pain is an expected symptom
for this diagnosis, but dealing with the hypocalcemia is a
priority over administering an analgesic. Long-term
planning and teaching do not have the same immediate
importance as a positive Trousseau sign.
A 55-year-old male client has been admitted to the
hospital with a medical diagnosis of chronic obstructive
pulmonary disease (COPD). Which risk factor is the most
significant in the development of this client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years. -
<<<<Answers>>>>C
Rationale:Smoking, considered to be a modifiable risk
factor, is the most significant risk factor for the
development of COPD. The exact mechanism of genetic
and hereditary implications for the development of COPD
is still under investigation, although exposure to similar
predisposing factors (e.g., smoking or inhaling
secondhand smoke) may increase the likelihood of COPD
incidence among family members. Options B and D do not
exceed the risks associated with cigarette smoking in the
development of COPD.
,In assessing a client diagnosed with primary
aldosteronism, the nurse expects the laboratory test
results to indicate a decreased serum level of which
substance?
A.
Sodium
B.
Phosphate
C.
Potassium
D.
Glucose - <<<<Answers>>>>C
Rationale:Clients with primary aldosteronism exhibit a
profound decline in serum levels of potassium;
hypokalemia; hypertension is the most prominent and
universal sign. The serum sodium level is normal or
elevated, depending on the amount of water resorbed with
the sodium. Option B is influenced by parathyroid
hormone (PTH). Option D is not affected by primary
aldosteronism.
The nurse is completing an admission interview for a client
with Parkinson disease. Which question will provide
additional information about manifestations that the client
is likely to experience?
A.
"Have you ever experienced any paralysis of your arms or
legs?"
B.
"Do you have frequent blackout spells?"
C.
, "Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing
pain?" - <<<<Answers>>>>C
Rationale:Clients with Parkinson disease frequently
experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience
being rooted to the spot and unable to move. Parkinson
disease does not typically cause option A, B, or D.
Client census is often used to determine staffing needs.
Which method of obtaining census determination for a
particular unit provides the best formula for determining
long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census - <<<<Answers>>>>C
Rationale:An average daily census is determined by trend
data and takes into account seasonal and daily
fluctuations, so it is the best method for determining
staffing needs. Options A and B provide data at a certain
point in time, and that data could change quickly. It is
unrealistic to expect to obtain an hourly census, and such
data would only provide information about a certain point
in time.
