PN Medical Surgical HESI Exam 2025
PN Medical Surgical Exam 2025 Prep Test
Bank With 450 Real Exam Practice
Questions and Correct Answers with
Rationales/ PN Hesi Med Surg Exam
2025—2026/ Evolve Med Surg (PN)
TEST
A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60
mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) -
Correct Answer :864 cal
X cal = 1.2 cal x 60 mL x 12 hrs
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription
for regular and NPH insulin. Which of the following instructions on preparing the insulins
should the nurse include?
a. withdraw both types of insulin and then add 0.2 mL of air to the syringe
b. Gently shake the NPH insulin prior to withdrawing the dose.
c. Withdraw the regular insulin before withdrawing the NPH insulin
d. Inject air into the NPH vial after withdrawing regular insulin - Correct Answer :c. Withdraw
the regular insulin before withdrawing the NPH insulin
The nurse should remind the client to withdraw the regular insulin before withdrawing the
NPH insulin. This will protect the regular insulin from contamination with the NPH insulin.
A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first?
A+ TEST BANK 1
, PN Medical Surgical HESI Exam 2025
a. Place the client in Fowler's position.
b. Obtain the client's blood pressure.
c. Dangle the client's legs at the bedside.
d. Apply nonskid slippers - Correct Answer :b. Obtain the client's blood pressure.
The greatest risk to the client is postural hypotension due to decreased blood volume
following surgery. Therefore, the first action the nurse should take is to obtain the client's
baseline blood pressure to determine whether it is safe to have the client get out of bed.
A nurse is assisting with the care for a client who has age-related macular degeneration. which
of the following findings should the nurse expect?
a. Seeing halos around artificial lights
b. Distorted central vision of the eyes
c. colored spots before the visual fields
d. Spontaneous tearing of the eyes - Correct Answer :b. Distorted central vision of the eyes
Macular degeneration results in a distortion and blurring of central vision. The client might
completely lose central vision and view a dark spot in
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about how
to improve the taste of bland food. Which of the following foods should the nurse
recommend?
a. Ketchup
b. Mayo
c. Soy sauce
A+ TEST BANK 2
, PN Medical Surgical HESI Exam 2025
d. Lemon juice - Correct Answer :d. Lemon juice
The nurse should recommend that the client use lemon juice to flavor their food because it is
low in sodium.
A nurse is preparing to assist with the insertion of a double-lumen gastric sump tube for a
client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the
following images depicts the tube that the nurse should select?
a. Double lumen gastric sump tube
b. PEG feeding tube
c. Single lumen NG tube
d. Múltiple-lumen GI tube - Correct Answer :a. Double lumen gastric sump tube
- When using a double-lumen gastric sump tube, the clear portion of the tube allows for
aspiration of stomach contents. The blue portion of the tube, or the "pig tail", vents the tube
to the atmosphere, which prevents the tube from becoming lodged against the wall of the
stomach and protects the stomach from damage.
A nurse is contributing to the plan of care for a client who has tuberculosis (TB. Which of the
following interventions should the nurse include?
a. Place a "no visitors" sign on the client's door.
b. Have the client wear an N95 respiratory mask during transport.
c. Initiate droplet precautions for the client.
d. Place the client in a negative-pressure airflow room - Correct Answer :d. Place the client in a
negative-pressure airflow room
A+ TEST BANK 3
, PN Medical Surgical HESI Exam 2025
The nurse should place the client in a negative-pressure airflow room to filter the air and
prevent the transmission of micro-organisms.
A nurse is contributing to the plan of care for a client who had a stroke. For which of the
following interprofessional team members shou nurse recommend a referral prior to initiating
oral intake for the client?
a. Occupational therapist
b. Speech language pathologist
c. PT
d. Case manager - Correct Answer :b. Speech language pathologist
The nurse should recommend a referral for a speech-language pathologist to evaluate the
client's ability to safely swallow. A client who had a stroke is at increased risk for dysphagia
and aspiration of fluids, food, and medications. The speech-language pathologist should
conduct a swallowing study to determine the client's risk for aspiration and provide teaching
to the client regarding swallowing techniques.
A nurse is reviewing the medical record of a client who is postoperative. Which of the
following findings should the nurse identify as a complication of surgery?
a. Serous drainage from the incision
b. WBC count of 15,000/mm3
c. Temp of 37.2 (99)
d. Urine output of 400 mL over the past 8 hrs - Correct Answer :b. WBC count of 15,000/mm3
The nurse should monitor laboratory findings for indications of a postoperative complication.
This WBC count is above the expected reference range and indicates the presence of
infection.
A+ TEST BANK 4
PN Medical Surgical Exam 2025 Prep Test
Bank With 450 Real Exam Practice
Questions and Correct Answers with
Rationales/ PN Hesi Med Surg Exam
2025—2026/ Evolve Med Surg (PN)
TEST
A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60
mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) -
Correct Answer :864 cal
X cal = 1.2 cal x 60 mL x 12 hrs
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription
for regular and NPH insulin. Which of the following instructions on preparing the insulins
should the nurse include?
a. withdraw both types of insulin and then add 0.2 mL of air to the syringe
b. Gently shake the NPH insulin prior to withdrawing the dose.
c. Withdraw the regular insulin before withdrawing the NPH insulin
d. Inject air into the NPH vial after withdrawing regular insulin - Correct Answer :c. Withdraw
the regular insulin before withdrawing the NPH insulin
The nurse should remind the client to withdraw the regular insulin before withdrawing the
NPH insulin. This will protect the regular insulin from contamination with the NPH insulin.
A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first?
A+ TEST BANK 1
, PN Medical Surgical HESI Exam 2025
a. Place the client in Fowler's position.
b. Obtain the client's blood pressure.
c. Dangle the client's legs at the bedside.
d. Apply nonskid slippers - Correct Answer :b. Obtain the client's blood pressure.
The greatest risk to the client is postural hypotension due to decreased blood volume
following surgery. Therefore, the first action the nurse should take is to obtain the client's
baseline blood pressure to determine whether it is safe to have the client get out of bed.
A nurse is assisting with the care for a client who has age-related macular degeneration. which
of the following findings should the nurse expect?
a. Seeing halos around artificial lights
b. Distorted central vision of the eyes
c. colored spots before the visual fields
d. Spontaneous tearing of the eyes - Correct Answer :b. Distorted central vision of the eyes
Macular degeneration results in a distortion and blurring of central vision. The client might
completely lose central vision and view a dark spot in
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about how
to improve the taste of bland food. Which of the following foods should the nurse
recommend?
a. Ketchup
b. Mayo
c. Soy sauce
A+ TEST BANK 2
, PN Medical Surgical HESI Exam 2025
d. Lemon juice - Correct Answer :d. Lemon juice
The nurse should recommend that the client use lemon juice to flavor their food because it is
low in sodium.
A nurse is preparing to assist with the insertion of a double-lumen gastric sump tube for a
client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the
following images depicts the tube that the nurse should select?
a. Double lumen gastric sump tube
b. PEG feeding tube
c. Single lumen NG tube
d. Múltiple-lumen GI tube - Correct Answer :a. Double lumen gastric sump tube
- When using a double-lumen gastric sump tube, the clear portion of the tube allows for
aspiration of stomach contents. The blue portion of the tube, or the "pig tail", vents the tube
to the atmosphere, which prevents the tube from becoming lodged against the wall of the
stomach and protects the stomach from damage.
A nurse is contributing to the plan of care for a client who has tuberculosis (TB. Which of the
following interventions should the nurse include?
a. Place a "no visitors" sign on the client's door.
b. Have the client wear an N95 respiratory mask during transport.
c. Initiate droplet precautions for the client.
d. Place the client in a negative-pressure airflow room - Correct Answer :d. Place the client in a
negative-pressure airflow room
A+ TEST BANK 3
, PN Medical Surgical HESI Exam 2025
The nurse should place the client in a negative-pressure airflow room to filter the air and
prevent the transmission of micro-organisms.
A nurse is contributing to the plan of care for a client who had a stroke. For which of the
following interprofessional team members shou nurse recommend a referral prior to initiating
oral intake for the client?
a. Occupational therapist
b. Speech language pathologist
c. PT
d. Case manager - Correct Answer :b. Speech language pathologist
The nurse should recommend a referral for a speech-language pathologist to evaluate the
client's ability to safely swallow. A client who had a stroke is at increased risk for dysphagia
and aspiration of fluids, food, and medications. The speech-language pathologist should
conduct a swallowing study to determine the client's risk for aspiration and provide teaching
to the client regarding swallowing techniques.
A nurse is reviewing the medical record of a client who is postoperative. Which of the
following findings should the nurse identify as a complication of surgery?
a. Serous drainage from the incision
b. WBC count of 15,000/mm3
c. Temp of 37.2 (99)
d. Urine output of 400 mL over the past 8 hrs - Correct Answer :b. WBC count of 15,000/mm3
The nurse should monitor laboratory findings for indications of a postoperative complication.
This WBC count is above the expected reference range and indicates the presence of
infection.
A+ TEST BANK 4
