HESI-RN MED-SURG TEST (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

HESI-RN MED-SURG TEST (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themnursemismassessingmamclientmwithmacutempancreatitis.mWhichmfindingmrequiresmthemmostmimm
ediateminterventionmbymthemnurse?

A.m

Themclient'smamylasemlevelmismthreemtimesmhighermthanmthemnormalmlevel.

m B.

Themclientmhasmamcarpalmspasmmwhenmtakingmambloodmpressure.

m C.

Onmam1mtom10mscale,mthemclientmtellsmthemnursemthatmhermepigastricmpainmismatm7.

m D.

Themclientmstatesmthatmshemwillmcontinuemtomdrinkmalcoholmaftermgoingmhome.m-
mCORRECTmANSWERmB



Themnursemismassessingmamclientmwithmacutempancreatitis.mWhichmfindingmrequiresmthemmostmimm
ediateminterventionmbymthemnurse?

Rationale:AmpositivemTrousseaumsignmindicatesmhypocalcemiamandmalwaysmrequiresmfurthermasses
smentmandmintervention,mregardlessmofmthemcausem(40%mtom75%mofmthosemwithmacutempancreatiti
smexperiencemhypocalcemia,mwhichmcanmhavemserious,msystemicmeffects).mAmkeymdiagnosticmfindin
gmofmpancreatitismismserummamylasemandmlipasemlevelsmthatmaremtwomtomfivemtimesmhighermthanmth
emnormalmvalue.mSeveremboringmpainmismanmexpectedmsymptommformthismdiagnosis,mbutmdealingmw
ithmthemhypocalcemiamismamprioritymovermadministeringmanmanalgesic.mLong-
termmplanningmandmteachingmdomnotmhavemthemsamemimmediatemimportancemasmampositivemTrous
seaumsign.



Am55-year-
oldmmalemclientmhasmbeenmadmittedmtomthemhospitalmwithmammedicalmdiagnosismofmchronicmobstru

,ctivempulmonarymdiseasem(COPD).mWhichmriskmfactormismthemmostmsignificantminmthemdevelopment
mofmthismclient'smCOPD?



A.

Themclient'smfathermwasmdiagnosedmwithmCOPDminmhism50s.

m B.

Amclosemfamilymmembermcontractedmtuberculosismlastmyear.

m C.

Themclientmsmokesmonemtomtwompacksmofmcigarettesmpermday.

m D.

Themclientmhasmbeenm40mpoundsmoverweightmform15myears.m-mCORRECTmANSWERmC

Rationale:Smoking,mconsideredmtombemammodifiablemriskmfactor,mismthemmostmsignificantmriskmfacto
rmformthemdevelopmentmofmCOPD.mThemexactmmechanismmofmgeneticmandmhereditarymimplications
mformthemdevelopmentmofmCOPDmismstillmunderminvestigation,malthoughmexposuremtomsimilarmpredis


posingmfactorsm(e.g.,msmokingmorminhalingmsecondhandmsmoke)mmaymincreasemthemlikelihoodmofmC
OPDmincidencemamongmfamilymmembers.mOptionsmBmandmDmdomnotmexceedmthemrisksmassociatedm
withmcigarettemsmokingminmthemdevelopmentmofmCOPD.



Inmassessingmamclientmdiagnosedmwithmprimarymaldosteronism,mthemnursemexpectsmthemlaboratory
mtestmresultsmtomindicatemamdecreasedmserummlevelmofmwhichmsubstance?



A.

Sodium

m B.

Phosphate

m C.

Potassium

m D.

Glucosem-mCORRECTmANSWERmC

,Rationale:Clientsmwithmprimarymaldosteronismmexhibitmamprofoundmdeclineminmserummlevelsmofmp
otassium;mhypokalemia;mhypertensionmismthemmostmprominentmandmuniversalmsign.mThemserumms
odiummlevelmismnormalmormelevated,mdependingmonmthemamountmofmwatermresorbedmwithmthemsod
ium.mOptionmBmisminfluencedmbymparathyroidmhormonem(PTH).mOptionmDmismnotmaffectedmbymprim
arymaldosteronism.



ThemnursemismcompletingmanmadmissionminterviewmformamclientmwithmParkinsonmdisease.mWhichmq
uestionmwillmprovidemadditionalminformationmaboutmmanifestationsmthatmthemclientmismlikelymtomex
perience?

A.

"Havemyoumevermexperiencedmanymparalysismofmyourmarmsmormlegs?"

m B.

"Domyoumhavemfrequentmblackoutmspells?"

m C.

"Havemyoumevermbeenmfrozenminmonemspot,munablemtommove?"

m D.

"Domyoumhavemheadaches,mespeciallymonesmwithmthrobbingmpain?"m-mCORRECTmANSWERmC

Rationale:ClientsmwithmParkinsonmdiseasemfrequentlymexperiencemdifficultyminminitiating,mmaintain
ing,mandmperformingmmotormactivities.mTheymmaymevenmexperiencembeingmrootedmtomthemspotman
dmunablemtommove.mParkinsonmdiseasemdoesmnotmtypicallymcausemoptionmA,mB,mormD.



Clientmcensusmismoftenmusedmtomdeterminemstaffingmneeds.mWhichmmethodmofmobtainingmcensusmd
eterminationmformamparticularmunitmprovidesmthembestmformulamformdeterminingmlong-
rangemstaffingmpatterns?

A.

Midnightmcensus

m B.

Oncomingmshiftmcensus

m C.

, Averagemdailymcensus

m D.

Hourlymcensusm-mCORRECTmANSWERmC

Rationale:Anmaveragemdailymcensusmismdeterminedmbymtrendmdatamandmtakesmintomaccountmseaso
nalmandmdailymfluctuations,msomitmismthembestmmethodmformdeterminingmstaffingmneeds.mOptionsmA
mandmBmprovidemdatamatmamcertainmpointminmtime,mandmthatmdatamcouldmchangemquickly.mItmismunre


alisticmtomexpectmtomobtainmanmhourlymcensus,mandmsuchmdatamwouldmonlymprovideminformationma
boutmamcertainmpointminmtime.



Ammalemclientmhasmjustmundergonemamlaryngectomymandmhasmamcuffedmtracheostomymtubeminmplac
e.mWhenminitiatingmbolusmtubemfeedingsmpostoperatively,mwhenmshouldmthemnurseminflatemthemcuf
f?

A.

Immediatelymaftermfeeding

m B.

Justmpriormtomtubemfeeding

m C.

Continuousminflationmismrequired

m D.

Inflationmismnotmrequiredm-mCORRECTmANSWERmB

Rationale:Themcuffmshouldmbeminflatedmbeforemthemfeedingmtomblockmthemtracheamandmpreventmfo
odmfrommenteringmifmoralmfeedingsmaremstartedmwhilemamcuffedmtracheostomymtubemisminmplace.mItm
shouldmremainminflatedmthroughoutmthemfeedingmtompreventmaspirationmofmfoodmintomthemrespirat
orymsystem.mOptionsmAmandmDmplacemthemclientmatmriskmformaspiration.mOptionmCmplacesmthemclient
matmriskmformtrachealmwallmnecrosis.




Amclientmwithmamnasogastricmtubemattachedmtomlowmsuctionmstatesmthatmshemismnauseated.mThemnu
rsemassessesmthatmtheremhasmbeenmnomdrainagemthroughmthemnasogastricmtubeminmthemlastm2mhour
s.mWhichmactionmshouldmthemnursemtakemfirst?

A.