HESI RN Med-Surge Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

HESI RN Med-Surge Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client with pneumonia has thick secretions and difficulty expectorating. Which intervention will best assist with secretion removal? A. Restrict fluids B. Increase oral fluid intake C. Place client in Trendelenburg position D. Provide ice chips only A client is receiving blood transfusion. Fifteen minutes later, the client develops chills, fever, and back pain. What is the nurse’s priority action? A. Stop the transfusion B. Slow the infusion rate C. Administer acetaminophen D. Notify the dietary department A client with heart failure reports sudden weight gain of 3 pounds in 2 days. What should the nurse do first? 2 A. Encourage increased activity B. Restrict caffeine C. Notify the healthcare provider D. Offer a diuretic snack A client with a new ileostomy asks how to prevent skin breakdown. Which statement by the nurse is correct? A. "Change the pouch only when it leaks." B. "Clean the skin gently and apply a barrier before attaching the pouch." C. "Avoid using any skin sealants." D. "Use soap with oil to keep the skin moist." A client with a spinal cord injury suddenly develops severe headache, flushed skin, and elevated blood pressure. What is the most likely cause? A. Autonomic dysreflexia B. Hypovolemic shock C. Orthostatic hypotension D. Myasthenic crisis 3 The nurse is caring for a client with hypokalemia. Which food should the nurse recommend to increase potassium intake? A. White bread B. Apple juice C. Baked potato D. Rice cakes A postoperative client’s wound edges are separating with visible underlying tissue. What should the nurse do first? A. Remove sutures B. Cover the wound with a sterile saline dressing C. Apply warm compresses D. Document only A client with chronic kidney disease has been prescribed a low-protein diet. What is the rationale for this restriction? A. Reduce nitrogenous waste B. Increase muscle strength 4 C. Prevent weight loss D. Promote bone healing A client receiving total parenteral nutrition (TPN) suddenly develops shortness of breath and chest pain. What is the priority action? A. Stop the TPN and place the client on left side with head down B. Increase TPN rate C. Notify dietary services D. Flush the IV line A client is admitted with severe burns covering 40% of body surface area. Which fluid should the nurse anticipate for initial resuscitation? A. Dextrose 5% in water B. Lactated Ringer’s solution C. Normal saline with potassium D. 0.45% saline A client with COPD is receiving oxygen at 4 L/min by nasal cannula. The nurse notices increasing drowsiness. What is the priority action? 5 A. Encourage coughing and deep breathing B. Increase oxygen flow C. Lower the oxygen flow rate D. Give a sedative A client with cirrhosis has ascites. Which nursing intervention is most important? A. Measure abdominal girth daily B. Encourage high-sodium diet C. Restrict protein completely D. Avoid all fluids