2026 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST 2026 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

2026 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST 2026
VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+

TEST

AYnurseYisYcaringYforYaYclientYwhoYisYtakingYlithiumYandYreportsYpersistentYnauseaYandYvomitingYforY
2Ydays.YWhichYofYtheYfollowingYlaboratoryYvaluesYshouldYtheYnurseYreportYtoYtheYprovider?



a)YPotassiumY4.0YmEq/L

b)YLithiumY0.9YmEq/L

c)YBUNY12Ymg/dL

d)YSodiumY132YmEq/LY-YCORRECTYANSWERSY-D.YSodiumY132YmEq/L



Rationale:



TheYnurseYshouldYidentifyYthatYaYsodiumYlevelYofY132YmEq/LYisYnotYwithinYtheYexpectedYreferenceYr
angeYofY136YtoY145YmEq/L.YThisYfindingYindicatesYhyponatremia,YwhichYcanYleadYtoYlithiumYaccum
ulationYandYplacesYtheYclientYatYriskYforYlithiumYtoxicity.YTheYnurseYshouldYreportYthisYfindingYtoYthe
Yprovider.




AYnurseYisYcaringYforYaYclientYwhoYhasYcancerYandYhasYaYWBCYcountYofY4,000/mm3.YWhichYofYtheYfo
llowing

actionsYshouldYtheYnurseYtake?



a)YCleanseYtheYclient'sYtoothbrushYwithYhydrogenYperoxide.

b)YInstructYtheYclientYtoYuseYaYdisposableYrazorYtoYshave.

,c)YDecreaseYtheYclient'sYproteinYintake.

d)YEncourageYtheYclientYtoYeatYunpasteurizedYdairyYproducts.Y-YCORRECTYANSWERSY-
A.YCleanseYtheYclient'sYtoothbrushYwithYhydrogenYperoxide.



Rationale:



AYWBCYcountYofY4,000/mm3YisYconsideredYlowYandYisYknownYasYleukopenia.YAYlowYWBCYcountYcanY
beYcausedYbyYcancerYorYcancerYtreatment.YTheYnurseYshouldYinstructYtheYclientYtoYcleanseYtheirYto
othbrushYwithYhydrogenYperoxide.YPeopleYwithYleukemiaYorYleukopeniaYshouldYavoidYusingYdispos
ableYrazors,YwhichYcanYcauseYcutsYandYbleedingYthatYcanYleadYtoYinfections.YInstead,YtheyYrecomm
endYusingYanYelectricYrazorYtoYreduceYtheYriskYofYinjury.YEncouragingYtheYclientYtoYeatYunpasteurize
dYdairyYproductsYisYnotYrecommendedYasYtheyYcanYcontainYharmfulYbacteriaYthatYcanYcauseYinfecti
ons.YDecreasingYtheYclient'sYproteinYintakeYisYnotYrecommendedYasYproteinYisYimportantYforYwoun
dYhealingYandYimmuneYfunction



TEST

AYnurseYentersYaYclient'sYroomYandYseesYsmokeYcomingYfromYtheYbathroom.YWhichYofYtheYfollowin
gYactionsYshouldYtheYnurseYtakeYfirst?



a)YActivateYtheYfireYalarmYsystem.

b)YUseYaYfireYextinguisherYatYtheYsourceYofYthe

smoke.

c)YAssistYtheYclientYtoYaYnearbyYcommonYarea.

d)YCloseYtheYdoorsYtoYtheYroomYandYtoYthe

bathroom.Y-YCORRECTYANSWERSY-C.YAssistYtheYclientYtoYaYnearbyYcommonYarea.



Rationale:



useY

,Rescue

Alarm

Contain

Extinguish



TEST

AYnurseYisYcontributingYtoYtheYplanYofYcareYforYaYclientYwhoYreportsYdifficultyYeatingYdueYtoYchronicY
arthritis.YWhichYofYtheYfollowingYinterventionsYshouldYtheYnurseYincludeYinYtheYplan?



a)YApplyYfoamYhandlesYtoYtheYclient'sYeatingYutensils.

b)YObtainYaYreferralYforYphysicalYtherapy.

c)YHaveYanYassistiveYpersonnelYfeedYtheYclient.

d)YAskYtheYproviderYforYaYprescriptionYforYaYpureedYdiet.Y-YCORRECTYANSWERSY-
A.YApplyYfoamYhandlesYtoYtheYclient'sYeatingYutensils.



Rationale:



ToYhelpYaYclientYwithYchronicYarthritisYwhoYexperiencesYdifficultyYeating,YapplyingYfoamYhandlesYtoY
theYeatingYutensilsYcanYprovideYaYlarger,YmoreYcomfortableYgripYandYreduceYstrainYonYtheYjoints.YAs
kingYforYaYpureeYdietYmayYnotYbeYnecessaryYunlessYswallowingYdifficultiesYareYpresent.YHavingYanYa
ssistiveYpersonnelYfeedYtheYclientYmayYnotYpromoteYindependence.YWhileYobtainingYaYreferralYforY
physicalYtherapyYmayYbeYbeneficialYforYoverallYmobility,YitYdoesYnotYdirectlyYaddressYtheYclient'sYdif
ficultyYwithYeating.



AYnurseYisYprovidingYdirectionsYtoYanYassistiveYpersonnelYaboutYmovingYaYclientYupYinYbed.



a.Y"PlaceYaYpillowYunderYtheYclient'sYheadYpriorYtoYrepositioning."

b.Y"KeepYyourYfeetYcloseYtogetherYwhileYmovingYtheYclient"

, cY"FaceYinYtheYdirectionYofYtheYclient'sYmovement"

d.Y"MoveYtheYclient'sYarmsYtoYhisYsidesYpriorYtoYrepositioning."Y-YCORRECTYANSWERSY-
C.Y"FaceYinYtheYdirectionYofYtheYclient'sYmovement."Y



Rational:



WhenYmovingYaYclientYupYinYbed,YitYisYimportantYforYtheYnurseYtoYfaceYinYtheYdirectionYofYtheYclient'
sYmovementYtoYmaintainYproperYbodyYmechanicsYandYensureYsafeYtransfer.Y



1)AdjustYtheYheadYofYtheYbedYtoYaYflatYposition.

2)RemoveYallYpillowsYfromYunderYtheYclient.

3)PositionYtheYUAPYonYtheYsideYoppositeYtheYnurse.

4)PlaceYaYfriction-reducingYsheetYunderYtheYclient.

5)AskYtheYclientYtoYbendYtheYlegsYandYplaceYtheYchinYonYtheYchest.

6)GraspYtheYsheetYandYmoveYtheYclientYonYtheYcountYofYthree.



AYnurseYisYobtainingYaYmedicationYhistoryYfromYaYclientYwhoYisYtoYstartYtakingYnitroglycerinYforYches
tYdiscomfortYwithYactivity.YWhichYofYtheYfollowingYmedicationsYshouldYtheYnurseYinstructYtheYclient
YtoYavoidYtakingYwithinY24YhrsYofYusingYnitroglycerin?




a)YAtorvastatin

b)YMetformin

c)YSildenafil

d)YOmeprazoleY-YCORRECTYANSWERSY-C.YSildenafil



Rationale: