HESI RN Med Surg Version A &
Version B Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client with a stroke has difficulty swallowing liquids. Which intervention is most appropriate?
A. Offer thin liquids with a straw
✔✔B. Give thickened liquids
C. Place food on both sides of the mouth
D. Provide water between bites
A post-thyroidectomy client develops stridor and difficulty breathing. What is the nurse’s first
action?
✔✔A. Call the rapid response team
B. Provide ice chips
C. Reassure the client
D. Elevate the head of the bed
A client receiving a blood transfusion develops chills and back pain 20 minutes after starting.
What should the nurse do first?
1
,✔✔A. Stop the transfusion immediately
B. Slow the transfusion rate
C. Notify the laboratory
D. Administer diphenhydramine
A client with Addison’s disease is prescribed hydrocortisone. Which statement indicates further
teaching is needed?
A. “I will take my medicine at the same time every day.”
✔✔B. “I will stop the medication once I feel better.”
C. “I will carry medical alert identification.”
D. “I will increase my dose during times of stress.”
A client with a colostomy reports a pale, dusky stoma. What is the nurse’s priority?
✔✔A. Notify the healthcare provider
B. Clean the stoma
C. Empty the pouch
D. Reassure the client
2
,A client with peptic ulcer disease suddenly develops a rigid abdomen and severe pain. What is
the nurse’s priority?
✔✔A. Notify the healthcare provider immediately
B. Give an antacid
C. Offer a glass of milk
D. Document the findings
A client with myasthenia gravis is experiencing difficulty breathing and increasing weakness.
What should the nurse do first?
✔✔A. Assist with deep breathing and notify the provider
B. Provide a high-protein snack
C. Encourage rest and document findings
D. Offer sips of water
A client with COPD is admitted for an exacerbation. Which diet is best for this client?
A. High-carbohydrate, low-fat
✔✔B. High-protein, high-calorie
C. Low-protein, high-fat
3
, D. Low-fiber, low-calorie
A client with chronic kidney disease has lab results showing potassium of 6.5 mEq/L. What is
the nurse’s priority?
✔✔A. Place the client on a cardiac monitor
B. Offer a low-potassium diet
C. Encourage fluid intake
D. Administer an antacid
A client with a urinary tract infection reports burning on urination and frequency. Which action
should the nurse take first?
✔✔A. Encourage increased fluid intake
B. Provide warm compresses to the abdomen
C. Offer cranberry juice
D. Administer an anti-inflammatory
A client with heart failure has crackles in the lungs and shortness of breath. Which order should
the nurse implement first?
✔✔A. Administer prescribed diuretic
4
Version B Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client with a stroke has difficulty swallowing liquids. Which intervention is most appropriate?
A. Offer thin liquids with a straw
✔✔B. Give thickened liquids
C. Place food on both sides of the mouth
D. Provide water between bites
A post-thyroidectomy client develops stridor and difficulty breathing. What is the nurse’s first
action?
✔✔A. Call the rapid response team
B. Provide ice chips
C. Reassure the client
D. Elevate the head of the bed
A client receiving a blood transfusion develops chills and back pain 20 minutes after starting.
What should the nurse do first?
1
,✔✔A. Stop the transfusion immediately
B. Slow the transfusion rate
C. Notify the laboratory
D. Administer diphenhydramine
A client with Addison’s disease is prescribed hydrocortisone. Which statement indicates further
teaching is needed?
A. “I will take my medicine at the same time every day.”
✔✔B. “I will stop the medication once I feel better.”
C. “I will carry medical alert identification.”
D. “I will increase my dose during times of stress.”
A client with a colostomy reports a pale, dusky stoma. What is the nurse’s priority?
✔✔A. Notify the healthcare provider
B. Clean the stoma
C. Empty the pouch
D. Reassure the client
2
,A client with peptic ulcer disease suddenly develops a rigid abdomen and severe pain. What is
the nurse’s priority?
✔✔A. Notify the healthcare provider immediately
B. Give an antacid
C. Offer a glass of milk
D. Document the findings
A client with myasthenia gravis is experiencing difficulty breathing and increasing weakness.
What should the nurse do first?
✔✔A. Assist with deep breathing and notify the provider
B. Provide a high-protein snack
C. Encourage rest and document findings
D. Offer sips of water
A client with COPD is admitted for an exacerbation. Which diet is best for this client?
A. High-carbohydrate, low-fat
✔✔B. High-protein, high-calorie
C. Low-protein, high-fat
3
, D. Low-fiber, low-calorie
A client with chronic kidney disease has lab results showing potassium of 6.5 mEq/L. What is
the nurse’s priority?
✔✔A. Place the client on a cardiac monitor
B. Offer a low-potassium diet
C. Encourage fluid intake
D. Administer an antacid
A client with a urinary tract infection reports burning on urination and frequency. Which action
should the nurse take first?
✔✔A. Encourage increased fluid intake
B. Provide warm compresses to the abdomen
C. Offer cranberry juice
D. Administer an anti-inflammatory
A client with heart failure has crackles in the lungs and shortness of breath. Which order should
the nurse implement first?
✔✔A. Administer prescribed diuretic
4
