HESI-RN Med-
Surg Test
Questions
and Answers
Updated
2026
TheBnurseBisBassessingBaBclientBwithBacuteBpancreatitis.BWhichBfindingBrequiresBtheB
mostBimmediateBinterventionBbyBtheBnurse?
A.B
TheBclient'sBamylaseBlevelBisBthreeBtimesBhigherBthanBtheBnormalBlevel.
BB.
TheBclientBhasBaBcarpalBspasmBwhenBtakingBaBbloodBpressure.
BC.
OnBaB1BtoB10Bscale,BtheBclientBtellsBtheBnurseBthatBherBepigastricBpainBisBatB7.
BD.
,TheBclientBstatesBthatBsheBwillBcontinueBtoBdrinkBalcoholBafterBgoingBhome.B-
BAnswerBB
TheBnurseBisBassessingBaBclientBwithBacuteBpancreatitis.BWhichBfindingBrequiresBtheB
mostBimmediateBinterventionBbyBtheBnurse?
Rationale:ABpositiveBTrousseauBsignBindicatesBhypocalcemiaBandBalwaysBrequiresBfurth
erBassessmentBandBintervention,BregardlessBofBtheBcauseB(40%BtoB75%BofBthoseBwith
BacuteBpancreatitisBexperienceBhypocalcemia,BwhichBcanBhaveBserious,BsystemicBeffect
s).BABkeyBdiagnosticBfindingBofBpancreatitisBisBserumBamylaseBandBlipaseBlevelsBthatB
areBtwoBtoBfiveBtimesBhigherBthanBtheBnormalBvalue.BSevereBboringBpainBisBanBexpe
ctedBsymptomBforBthisBdiagnosis,BbutBdealingBwithBtheBhypocalcemiaBisBaBpriorityBov
erBadministeringBanBanalgesic.BLong-
termBplanningBandBteachingBdoBnotBhaveBtheBsameBimmediateBimportanceBasBaBposi
tiveBTrousseauBsign.
AB55-year-
oldBmaleBclientBhasBbeenBadmittedBtoBtheBhospitalBwithBaBmedicalBdiagnosisBofBchro
nicBobstructiveBpulmonaryBdiseaseB(COPD).BWhichBriskBfactorBisBtheBmostBsignificantB
inBtheBdevelopmentBofBthisBclient'sBCOPD?
A.
TheBclient'sBfatherBwasBdiagnosedBwithBCOPDBinBhisB50s.
BB.
ABcloseBfamilyBmemberBcontractedBtuberculosisBlastByear.
BC.
TheBclientBsmokesBoneBtoBtwoBpacksBofBcigarettesBperBday.
BD.
TheBclientBhasBbeenB40BpoundsBoverweightBforB15Byears.B-BAnswerBC
Rationale:Smoking,BconsideredBtoBbeBaBmodifiableBriskBfactor,BisBtheBmostBsignificantB
riskBfactorBforBtheBdevelopmentBofBCOPD.BTheBexactBmechanismBofBgeneticBandBhere
ditaryBimplicationsBforBtheBdevelopmentBofBCOPDBisBstillBunderBinvestigation,Balthoug
hBexposureBtoBsimilarBpredisposingBfactorsB(e.g.,BsmokingBorBinhalingBsecondhandBsm
oke)BmayBincreaseBtheBlikelihoodBofBCOPDBincidenceBamongBfamilyBmembers.BOption
sBBBandBDBdoBnotBexceedBtheBrisksBassociatedBwithBcigaretteBsmokingBinBtheBdevelo
pmentBofBCOPD.
,InBassessingBaBclientBdiagnosedBwithBprimaryBaldosteronism,BtheBnurseBexpectsBtheBl
aboratoryBtestBresultsBtoBindicateBaBdecreasedBserumBlevelBofBwhichBsubstance?
A.
Sodium
BB.
Phosphate
BC.
Potassium
BD.
GlucoseB-BAnswerBC
Rationale:ClientsBwithBprimaryBaldosteronismBexhibitBaBprofoundBdeclineBinBserumBlev
elsBofBpotassium;Bhypokalemia;BhypertensionBisBtheBmostBprominentBandBuniversalBsi
gn.BTheBserumBsodiumBlevelBisBnormalBorBelevated,BdependingBonBtheBamountBofBw
aterBresorbedBwithBtheBsodium.BOptionBBBisBinfluencedBbyBparathyroidBhormoneB(PT
H).BOptionBDBisBnotBaffectedBbyBprimaryBaldosteronism.
TheBnurseBisBcompletingBanBadmissionBinterviewBforBaBclientBwithBParkinsonBdisease.
BWhichBquestionBwillBprovideBadditionalBinformationBaboutBmanifestationsBthatBtheBcl
ientBisBlikelyBtoBexperience?
A.
"HaveByouBeverBexperiencedBanyBparalysisBofByourBarmsBorBlegs?"
BB.
"DoByouBhaveBfrequentBblackoutBspells?"
BC.
"HaveByouBeverBbeenBfrozenBinBoneBspot,BunableBtoBmove?"
BD.
"DoByouBhaveBheadaches,BespeciallyBonesBwithBthrobbingBpain?"B-BAnswerBC
Rationale:ClientsBwithBParkinsonBdiseaseBfrequentlyBexperienceBdifficultyBinBinitiating,B
maintaining,BandBperformingBmotorBactivities.BTheyBmayBevenBexperienceBbeingBroote
dBtoBtheBspotBandBunableBtoBmove.BParkinsonBdiseaseBdoesBnotBtypicallyBcauseBopti
onBA,BB,BorBD.
, ClientBcensusBisBoftenBusedBtoBdetermineBstaffingBneeds.BWhichBmethodBofBobtaining
BcensusBdeterminationBforBaBparticularBunitBprovidesBtheBbestBformulaBforBdetermini
ngBlong-rangeBstaffingBpatterns?
A.
MidnightBcensus
BB.
OncomingBshiftBcensus
BC.
AverageBdailyBcensus
BD.
HourlyBcensusB-BAnswerBC
Rationale:AnBaverageBdailyBcensusBisBdeterminedBbyBtrendBdataBandBtakesBintoBaccou
ntBseasonalBandBdailyBfluctuations,BsoBitBisBtheBbestBmethodBforBdeterminingBstaffing
Bneeds.BOptionsBABandBBBprovideBdataBatBaBcertainBpointBinBtime,BandBthatBdataBc
ouldBchangeBquickly.BItBisBunrealisticBtoBexpectBtoBobtainBanBhourlyBcensus,BandBsuc
hBdataBwouldBonlyBprovideBinformationBaboutBaBcertainBpointBinBtime.
ABmaleBclientBhasBjustBundergoneBaBlaryngectomyBandBhasBaBcuffedBtracheostomyBtu
beBinBplace.BWhenBinitiatingBbolusBtubeBfeedingsBpostoperatively,BwhenBshouldBtheBn
urseBinflateBtheBcuff?
A.
ImmediatelyBafterBfeeding
BB.
JustBpriorBtoBtubeBfeeding
BC.
ContinuousBinflationBisBrequired
BD.
InflationBisBnotBrequiredB-BAnswerBB
Rationale:TheBcuffBshouldBbeBinflatedBbeforeBtheBfeedingBtoBblockBtheBtracheaBandBp
reventBfoodBfromBenteringBifBoralBfeedingsBareBstartedBwhileBaBcuffedBtracheostomyB
Surg Test
Questions
and Answers
Updated
2026
TheBnurseBisBassessingBaBclientBwithBacuteBpancreatitis.BWhichBfindingBrequiresBtheB
mostBimmediateBinterventionBbyBtheBnurse?
A.B
TheBclient'sBamylaseBlevelBisBthreeBtimesBhigherBthanBtheBnormalBlevel.
BB.
TheBclientBhasBaBcarpalBspasmBwhenBtakingBaBbloodBpressure.
BC.
OnBaB1BtoB10Bscale,BtheBclientBtellsBtheBnurseBthatBherBepigastricBpainBisBatB7.
BD.
,TheBclientBstatesBthatBsheBwillBcontinueBtoBdrinkBalcoholBafterBgoingBhome.B-
BAnswerBB
TheBnurseBisBassessingBaBclientBwithBacuteBpancreatitis.BWhichBfindingBrequiresBtheB
mostBimmediateBinterventionBbyBtheBnurse?
Rationale:ABpositiveBTrousseauBsignBindicatesBhypocalcemiaBandBalwaysBrequiresBfurth
erBassessmentBandBintervention,BregardlessBofBtheBcauseB(40%BtoB75%BofBthoseBwith
BacuteBpancreatitisBexperienceBhypocalcemia,BwhichBcanBhaveBserious,BsystemicBeffect
s).BABkeyBdiagnosticBfindingBofBpancreatitisBisBserumBamylaseBandBlipaseBlevelsBthatB
areBtwoBtoBfiveBtimesBhigherBthanBtheBnormalBvalue.BSevereBboringBpainBisBanBexpe
ctedBsymptomBforBthisBdiagnosis,BbutBdealingBwithBtheBhypocalcemiaBisBaBpriorityBov
erBadministeringBanBanalgesic.BLong-
termBplanningBandBteachingBdoBnotBhaveBtheBsameBimmediateBimportanceBasBaBposi
tiveBTrousseauBsign.
AB55-year-
oldBmaleBclientBhasBbeenBadmittedBtoBtheBhospitalBwithBaBmedicalBdiagnosisBofBchro
nicBobstructiveBpulmonaryBdiseaseB(COPD).BWhichBriskBfactorBisBtheBmostBsignificantB
inBtheBdevelopmentBofBthisBclient'sBCOPD?
A.
TheBclient'sBfatherBwasBdiagnosedBwithBCOPDBinBhisB50s.
BB.
ABcloseBfamilyBmemberBcontractedBtuberculosisBlastByear.
BC.
TheBclientBsmokesBoneBtoBtwoBpacksBofBcigarettesBperBday.
BD.
TheBclientBhasBbeenB40BpoundsBoverweightBforB15Byears.B-BAnswerBC
Rationale:Smoking,BconsideredBtoBbeBaBmodifiableBriskBfactor,BisBtheBmostBsignificantB
riskBfactorBforBtheBdevelopmentBofBCOPD.BTheBexactBmechanismBofBgeneticBandBhere
ditaryBimplicationsBforBtheBdevelopmentBofBCOPDBisBstillBunderBinvestigation,Balthoug
hBexposureBtoBsimilarBpredisposingBfactorsB(e.g.,BsmokingBorBinhalingBsecondhandBsm
oke)BmayBincreaseBtheBlikelihoodBofBCOPDBincidenceBamongBfamilyBmembers.BOption
sBBBandBDBdoBnotBexceedBtheBrisksBassociatedBwithBcigaretteBsmokingBinBtheBdevelo
pmentBofBCOPD.
,InBassessingBaBclientBdiagnosedBwithBprimaryBaldosteronism,BtheBnurseBexpectsBtheBl
aboratoryBtestBresultsBtoBindicateBaBdecreasedBserumBlevelBofBwhichBsubstance?
A.
Sodium
BB.
Phosphate
BC.
Potassium
BD.
GlucoseB-BAnswerBC
Rationale:ClientsBwithBprimaryBaldosteronismBexhibitBaBprofoundBdeclineBinBserumBlev
elsBofBpotassium;Bhypokalemia;BhypertensionBisBtheBmostBprominentBandBuniversalBsi
gn.BTheBserumBsodiumBlevelBisBnormalBorBelevated,BdependingBonBtheBamountBofBw
aterBresorbedBwithBtheBsodium.BOptionBBBisBinfluencedBbyBparathyroidBhormoneB(PT
H).BOptionBDBisBnotBaffectedBbyBprimaryBaldosteronism.
TheBnurseBisBcompletingBanBadmissionBinterviewBforBaBclientBwithBParkinsonBdisease.
BWhichBquestionBwillBprovideBadditionalBinformationBaboutBmanifestationsBthatBtheBcl
ientBisBlikelyBtoBexperience?
A.
"HaveByouBeverBexperiencedBanyBparalysisBofByourBarmsBorBlegs?"
BB.
"DoByouBhaveBfrequentBblackoutBspells?"
BC.
"HaveByouBeverBbeenBfrozenBinBoneBspot,BunableBtoBmove?"
BD.
"DoByouBhaveBheadaches,BespeciallyBonesBwithBthrobbingBpain?"B-BAnswerBC
Rationale:ClientsBwithBParkinsonBdiseaseBfrequentlyBexperienceBdifficultyBinBinitiating,B
maintaining,BandBperformingBmotorBactivities.BTheyBmayBevenBexperienceBbeingBroote
dBtoBtheBspotBandBunableBtoBmove.BParkinsonBdiseaseBdoesBnotBtypicallyBcauseBopti
onBA,BB,BorBD.
, ClientBcensusBisBoftenBusedBtoBdetermineBstaffingBneeds.BWhichBmethodBofBobtaining
BcensusBdeterminationBforBaBparticularBunitBprovidesBtheBbestBformulaBforBdetermini
ngBlong-rangeBstaffingBpatterns?
A.
MidnightBcensus
BB.
OncomingBshiftBcensus
BC.
AverageBdailyBcensus
BD.
HourlyBcensusB-BAnswerBC
Rationale:AnBaverageBdailyBcensusBisBdeterminedBbyBtrendBdataBandBtakesBintoBaccou
ntBseasonalBandBdailyBfluctuations,BsoBitBisBtheBbestBmethodBforBdeterminingBstaffing
Bneeds.BOptionsBABandBBBprovideBdataBatBaBcertainBpointBinBtime,BandBthatBdataBc
ouldBchangeBquickly.BItBisBunrealisticBtoBexpectBtoBobtainBanBhourlyBcensus,BandBsuc
hBdataBwouldBonlyBprovideBinformationBaboutBaBcertainBpointBinBtime.
ABmaleBclientBhasBjustBundergoneBaBlaryngectomyBandBhasBaBcuffedBtracheostomyBtu
beBinBplace.BWhenBinitiatingBbolusBtubeBfeedingsBpostoperatively,BwhenBshouldBtheBn
urseBinflateBtheBcuff?
A.
ImmediatelyBafterBfeeding
BB.
JustBpriorBtoBtubeBfeeding
BC.
ContinuousBinflationBisBrequired
BD.
InflationBisBnotBrequiredB-BAnswerBB
Rationale:TheBcuffBshouldBbeBinflatedBbeforeBtheBfeedingBtoBblockBtheBtracheaBandBp
reventBfoodBfromBenteringBifBoralBfeedingsBareBstartedBwhileBaBcuffedBtracheostomyB
