HESI RN MEDICAL-SURGICAL NURSING ACCURATE
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
1. The nurse is caring for a client with heart failure
who is receiving furosemide. Which assessment
finding indicates the client may be experiencing
a therapeutic response to the medication?
A. Urine output of 30 mL per hour
B. Weight loss of 2 pounds in 24 hours
C. Heart rate increase from 78 to 92 beats per
minute
D. Fine crackles auscultated in the lung bases
B
Rationale: Furosemide is a loop diuretic that
promotes fluid excretion. A weight loss of 2
, pounds in 24 hours reflects effective diuresis
and reduction of fluid overload, which is a
desired therapeutic response in heart failure.
2. A client with type 1 diabetes mellitus reports
nausea, vomiting, and abdominal pain. The
nurse notes fruity breath odor and deep rapid
respirations. Which acid-base imbalance should
the nurse suspect?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
C
Rationale: Diabetic ketoacidosis results in
accumulation of ketone bodies, producing
metabolic acidosis. Fruity breath odor and
Kussmaul respirations are classic
manifestations of metabolic acidosis in DKA.
3. The nurse is performing discharge teaching for a
client following a thyroidectomy. Which
statement by the client indicates a need for
, further teaching?
A. "I should report any tingling around my
mouth or fingers."
B. "I will take my thyroid hormone replacement
every morning."
C. "I can lift heavy objects after one week if I
feel up to it."
D. "I will keep my incision clean and dry."
C
Rationale: After thyroidectomy, the client
should avoid heavy lifting and straining for at
least two weeks to prevent stress on the
incision and reduce risk of bleeding. Lifting
heavy objects after one week indicates a need
for further teaching.
4. A client is admitted with suspected acute
pancreatitis. Which laboratory finding is most
specific for confirming this diagnosis?
A. Elevated serum amylase
B. Elevated serum lipase
C. Elevated serum bilirubin
D. Decreased serum calcium
, B
Rationale: Serum lipase is more specific for
pancreatic cell injury than serum amylase and
remains elevated longer, making it the
preferred laboratory test for acute
pancreatitis.
5. The nurse is assessing a client with chronic
obstructive pulmonary disease. Which finding
requires immediate intervention?
A. Barrel chest appearance
B. Use of accessory muscles to breathe
C. Pursed-lip breathing
D. Prolonged expiratory phase
B
Rationale: Use of accessory muscles indicates
increased work of breathing and impending
respiratory failure, requiring immediate
intervention. Barrel chest, pursed-lip
breathing, and prolonged expiration are
chronic findings in COPD.
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
1. The nurse is caring for a client with heart failure
who is receiving furosemide. Which assessment
finding indicates the client may be experiencing
a therapeutic response to the medication?
A. Urine output of 30 mL per hour
B. Weight loss of 2 pounds in 24 hours
C. Heart rate increase from 78 to 92 beats per
minute
D. Fine crackles auscultated in the lung bases
B
Rationale: Furosemide is a loop diuretic that
promotes fluid excretion. A weight loss of 2
, pounds in 24 hours reflects effective diuresis
and reduction of fluid overload, which is a
desired therapeutic response in heart failure.
2. A client with type 1 diabetes mellitus reports
nausea, vomiting, and abdominal pain. The
nurse notes fruity breath odor and deep rapid
respirations. Which acid-base imbalance should
the nurse suspect?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
C
Rationale: Diabetic ketoacidosis results in
accumulation of ketone bodies, producing
metabolic acidosis. Fruity breath odor and
Kussmaul respirations are classic
manifestations of metabolic acidosis in DKA.
3. The nurse is performing discharge teaching for a
client following a thyroidectomy. Which
statement by the client indicates a need for
, further teaching?
A. "I should report any tingling around my
mouth or fingers."
B. "I will take my thyroid hormone replacement
every morning."
C. "I can lift heavy objects after one week if I
feel up to it."
D. "I will keep my incision clean and dry."
C
Rationale: After thyroidectomy, the client
should avoid heavy lifting and straining for at
least two weeks to prevent stress on the
incision and reduce risk of bleeding. Lifting
heavy objects after one week indicates a need
for further teaching.
4. A client is admitted with suspected acute
pancreatitis. Which laboratory finding is most
specific for confirming this diagnosis?
A. Elevated serum amylase
B. Elevated serum lipase
C. Elevated serum bilirubin
D. Decreased serum calcium
, B
Rationale: Serum lipase is more specific for
pancreatic cell injury than serum amylase and
remains elevated longer, making it the
preferred laboratory test for acute
pancreatitis.
5. The nurse is assessing a client with chronic
obstructive pulmonary disease. Which finding
requires immediate intervention?
A. Barrel chest appearance
B. Use of accessory muscles to breathe
C. Pursed-lip breathing
D. Prolonged expiratory phase
B
Rationale: Use of accessory muscles indicates
increased work of breathing and impending
respiratory failure, requiring immediate
intervention. Barrel chest, pursed-lip
breathing, and prolonged expiration are
chronic findings in COPD.
