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

AMnurseMisMcaringMforMaMclientMwhoMisMtakingMlithiumMandMreportsMpersistentMnauseaMandMvomiti
ngMforM2Mdays.MWhichMofMtheMfollowingMlaboratoryMvaluesMshouldMtheMnurseMreportMtoMtheMprovi
der?



a)MPotassiumM4.0MmEq/L

b)MLithiumM0.9MmEq/L

c)MBUNM12Mmg/dL

d)MSodiumM132MmEq/LM-MCORRECTMANSWERSM-D.MSodiumM132MmEq/L



Rationale:



TheMnurseMshouldMidentifyMthatMaMsodiumMlevelMofM132MmEq/LMisMnotMwithinMtheMexpectedMrefer
enceMrangeMofM136MtoM145MmEq/L.MThisMfindingMindicatesMhyponatremia,MwhichMcanMleadMtoMlith
iumMaccumulationMandMplacesMtheMclientMatMriskMforMlithiumMtoxicity.MTheMnurseMshouldMreportMt
hisMfindingMtoMtheMprovider.



AMnurseMisMcaringMforMaMclientMwhoMhasMcancerMandMhasMaMWBCMcountMofM4,000/mm3.MWhichMo
fMtheMfollowing

actionsMshouldMtheMnurseMtake?



a)MCleanseMtheMclient'sMtoothbrushMwithMhydrogenMperoxide.

,b)MInstructMtheMclientMtoMuseMaMdisposableMrazorMtoMshave.

c)MDecreaseMtheMclient'sMproteinMintake.

d)MEncourageMtheMclientMtoMeatMunpasteurizedMdairyMproducts.M-MCORRECTMANSWERSM-
A.MCleanseMtheMclient'sMtoothbrushMwithMhydrogenMperoxide.



Rationale:



AMWBCMcountMofM4,000/mm3MisMconsideredMlowMandMisMknownMasMleukopenia.MAMlowMWBCMcou
ntMcanMbeMcausedMbyMcancerMorMcancerMtreatment.MTheMnurseMshouldMinstructMtheMclientMtoMcle
anseMtheirMtoothbrushMwithMhydrogenMperoxide.MPeopleMwithMleukemiaMorMleukopeniaMshouldMa
voidMusingMdisposableMrazors,MwhichMcanMcauseMcutsMandMbleedingMthatMcanMleadMtoMinfections.M
Instead,MtheyMrecommendMusingManMelectricMrazorMtoMreduceMtheMriskMofMinjury.MEncouragingMth
eMclientMtoMeatMunpasteurizedMdairyMproductsMisMnotMrecommendedMasMtheyMcanMcontainMharmf
ulMbacteriaMthatMcanMcauseMinfections.MDecreasingMtheMclient'sMproteinMintakeMisMnotMrecommen
dedMasMproteinMisMimportantMforMwoundMhealingMandMimmuneMfunction



TEST

AMnurseMentersMaMclient'sMroomMandMseesMsmokeMcomingMfromMtheMbathroom.MWhichMofMtheMfol
lowingMactionsMshouldMtheMnurseMtakeMfirst?



a)MActivateMtheMfireMalarmMsystem.

b)MUseMaMfireMextinguisherMatMtheMsourceMofMthe

smoke.

c)MAssistMtheMclientMtoMaMnearbyMcommonMarea.

d)MCloseMtheMdoorsMtoMtheMroomMandMtoMthe

bathroom.M-MCORRECTMANSWERSM-C.MAssistMtheMclientMtoMaMnearbyMcommonMarea.



Rationale:

,useM

Rescue

Alarm

Contain

Extinguish



TEST

AMnurseMisMcontributingMtoMtheMplanMofMcareMforMaMclientMwhoMreportsMdifficultyMeatingMdueMtoMc
hronicMarthritis.MWhichMofMtheMfollowingMinterventionsMshouldMtheMnurseMincludeMinMtheMplan?



a)MApplyMfoamMhandlesMtoMtheMclient'sMeatingMutensils.

b)MObtainMaMreferralMforMphysicalMtherapy.

c)MHaveManMassistiveMpersonnelMfeedMtheMclient.

d)MAskMtheMproviderMforMaMprescriptionMforMaMpureedMdiet.M-MCORRECTMANSWERSM-
A.MApplyMfoamMhandlesMtoMtheMclient'sMeatingMutensils.



Rationale:



ToMhelpMaMclientMwithMchronicMarthritisMwhoMexperiencesMdifficultyMeating,MapplyingMfoamMhandl
esMtoMtheMeatingMutensilsMcanMprovideMaMlarger,MmoreMcomfortableMgripMandMreduceMstrainMonMt
heMjoints.MAskingMforMaMpureeMdietMmayMnotMbeMnecessaryMunlessMswallowingMdifficultiesMareMpr
esent.MHavingManMassistiveMpersonnelMfeedMtheMclientMmayMnotMpromoteMindependence.MWhileM
obtainingMaMreferralMforMphysicalMtherapyMmayMbeMbeneficialMforMoverallMmobility,MitMdoesMnotMdi
rectlyMaddressMtheMclient'sMdifficultyMwithMeating.



AMnurseMisMprovidingMdirectionsMtoManMassistiveMpersonnelMaboutMmovingMaMclientMupMinMbed.



a.M"PlaceMaMpillowMunderMtheMclient'sMheadMpriorMtoMrepositioning."

, b.M"KeepMyourMfeetMcloseMtogetherMwhileMmovingMtheMclient"

cM"FaceMinMtheMdirectionMofMtheMclient'sMmovement"

d.M"MoveMtheMclient'sMarmsMtoMhisMsidesMpriorMtoMrepositioning."M-MCORRECTMANSWERSM-
C.M"FaceMinMtheMdirectionMofMtheMclient'sMmovement."M



Rational:



WhenMmovingMaMclientMupMinMbed,MitMisMimportantMforMtheMnurseMtoMfaceMinMtheMdirectionMofMth
eMclient'sMmovementMtoMmaintainMproperMbodyMmechanicsMandMensureMsafeMtransfer.M



1)AdjustMtheMheadMofMtheMbedMtoMaMflatMposition.

2)RemoveMallMpillowsMfromMunderMtheMclient.

3)PositionMtheMUAPMonMtheMsideMoppositeMtheMnurse.

4)PlaceMaMfriction-reducingMsheetMunderMtheMclient.

5)AskMtheMclientMtoMbendMtheMlegsMandMplaceMtheMchinMonMtheMchest.

6)GraspMtheMsheetMandMmoveMtheMclientMonMtheMcountMofMthree.



AMnurseMisMobtainingMaMmedicationMhistoryMfromMaMclientMwhoMisMtoMstartMtakingMnitroglycerinMf
orMchestMdiscomfortMwithMactivity.MWhichMofMtheMfollowingMmedicationsMshouldMtheMnurseMinstr
uctMtheMclientMtoMavoidMtakingMwithinM24MhrsMofMusingMnitroglycerin?



a)MAtorvastatin

b)MMetformin

c)MSildenafil

d)MOmeprazoleM-MCORRECTMANSWERSM-C.MSildenafil



Rationale: