RN HESI Medical-Surgical Assignment Exam COMPREHENSIVE PREDICTOR
FINAL EXAM 2026-2027 COPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
The registered nurse (RN) is teaching a client who is newly diagnosed with
emphysema how to perform pursed lip breathing. What is the primary
reason for teaching the client this method of breathing?
A: Decreases respiratory rate.
B: Increases O 2 saturation throughout the body.
C: Conserves energy while ambulating.
D: Promotes CO 2 elimination.
D: Promotes CO 2 elimination.
Pursed lip breathing helps eliminate CO2 by increasing positive pressure
within the alveoli increasing the surface area of the alveoli making it easier
for the O2 and CO2 gas exchange to occur .
The registered nurse (RN) is caring for a client with acute pancreatitis and
reviews the admission laboratory results. What laboratory value should the
RN anticipate being elevated with this diagnosis?
A: Triglycerides.
B: Amylase.
C: Creatinine.
D: Uric acid.
B: Amylase.
An elevated amylase level is associated with acute pancreatitis.
,A client is recently diagnosed with systemic lupus erythematosus (SLE)
and the registered nurse (RN) is assessing for common complications.
Which symptom should the RN instruct the client to report immediately?
A: Fever related to infection.
B: Weight loss and anorexia.
C: Depressed mood.
D: Break in tissue integrity.
A: Fever related to infection.
Secondary infections are a major concern with SLE clients due to the use
of corticosteroids and chemotherapeutic agents, which suppresses the
immune system, so reporting fever and infections should be reported
immediately.
,A client in an ambulatory clinic describes awaking in the middle of the
night with difficulty breathing and shortness of breath related to
paroxysmal nocturnal dyspnea. Which underlying condition should the
registered nurse (RN) identify in the client's history?
A: Chronic bronchitis.
B: Gastroesophageal reflux disease (GERD).
C: Heart failure (HF).
D: Chronic pancreatitis.
C: Heart failure (HF).
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is
secondary to fluid overload associated with heart failure which causes
pulmonary edema.
, A male client is admitted after falling from his bed. The healthcare
provider (HCP) tells the family that he has an incomplete fracture of the
humerus. The family ask the RN what this means. Which explanation by the
nurse accurately describes the client's fracture?
A: Straight fracture line that is also a simple, closed fracture.
B: Nondisplaced fracture line that wraps around the bone.
C: A complete fracture that also punctures the skin.
D: A fracture that bends or splinters part of the bone.
D: A fracture that bends or splinters part of the bone.
An incomplete fracture occurs when part of the bone is splintered
(broken) and it has not gone completely through the thickness of the
bone.
FINAL EXAM 2026-2027 COPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
The registered nurse (RN) is teaching a client who is newly diagnosed with
emphysema how to perform pursed lip breathing. What is the primary
reason for teaching the client this method of breathing?
A: Decreases respiratory rate.
B: Increases O 2 saturation throughout the body.
C: Conserves energy while ambulating.
D: Promotes CO 2 elimination.
D: Promotes CO 2 elimination.
Pursed lip breathing helps eliminate CO2 by increasing positive pressure
within the alveoli increasing the surface area of the alveoli making it easier
for the O2 and CO2 gas exchange to occur .
The registered nurse (RN) is caring for a client with acute pancreatitis and
reviews the admission laboratory results. What laboratory value should the
RN anticipate being elevated with this diagnosis?
A: Triglycerides.
B: Amylase.
C: Creatinine.
D: Uric acid.
B: Amylase.
An elevated amylase level is associated with acute pancreatitis.
,A client is recently diagnosed with systemic lupus erythematosus (SLE)
and the registered nurse (RN) is assessing for common complications.
Which symptom should the RN instruct the client to report immediately?
A: Fever related to infection.
B: Weight loss and anorexia.
C: Depressed mood.
D: Break in tissue integrity.
A: Fever related to infection.
Secondary infections are a major concern with SLE clients due to the use
of corticosteroids and chemotherapeutic agents, which suppresses the
immune system, so reporting fever and infections should be reported
immediately.
,A client in an ambulatory clinic describes awaking in the middle of the
night with difficulty breathing and shortness of breath related to
paroxysmal nocturnal dyspnea. Which underlying condition should the
registered nurse (RN) identify in the client's history?
A: Chronic bronchitis.
B: Gastroesophageal reflux disease (GERD).
C: Heart failure (HF).
D: Chronic pancreatitis.
C: Heart failure (HF).
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is
secondary to fluid overload associated with heart failure which causes
pulmonary edema.
, A male client is admitted after falling from his bed. The healthcare
provider (HCP) tells the family that he has an incomplete fracture of the
humerus. The family ask the RN what this means. Which explanation by the
nurse accurately describes the client's fracture?
A: Straight fracture line that is also a simple, closed fracture.
B: Nondisplaced fracture line that wraps around the bone.
C: A complete fracture that also punctures the skin.
D: A fracture that bends or splinters part of the bone.
D: A fracture that bends or splinters part of the bone.
An incomplete fracture occurs when part of the bone is splintered
(broken) and it has not gone completely through the thickness of the
bone.
