HESI PN
MEDICAL SURGICAL
700+ PRACTICE QUESTIONS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
➢ 700+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,TEST
A nurse is caring for a client who is taking lithium and reports persistent nausea
and vomiting for 2 days. Which of the following laboratory values should the
nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should
, instruct the client to cleanse their toothbrush with hydrogen peroxide. People
with leukemia or leukopenia should avoid using disposable razors, which can
cause cuts and bleeding that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended as they can contain harmful
bacteria that can cause infections. Decreasing the client's protein intake is not
recommended as protein is important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom.
Which of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty
eating due to chronic arthritis. Which of the following interventions should the
nurse include in the plan?
MEDICAL SURGICAL
700+ PRACTICE QUESTIONS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
➢ 700+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,TEST
A nurse is caring for a client who is taking lithium and reports persistent nausea
and vomiting for 2 days. Which of the following laboratory values should the
nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should
, instruct the client to cleanse their toothbrush with hydrogen peroxide. People
with leukemia or leukopenia should avoid using disposable razors, which can
cause cuts and bleeding that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended as they can contain harmful
bacteria that can cause infections. Decreasing the client's protein intake is not
recommended as protein is important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom.
Which of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty
eating due to chronic arthritis. Which of the following interventions should the
nurse include in the plan?
