PN Medical Surgical HESI Exam 2025
PN Medical Surgical NGN V2 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
An occupational health nurse is interpreting the results of a tuberculin skin test for a group of
clients who received the test 48 hrs ago. Which of the following clients should the nurse
identify as having a positive test result?
a) A client whose injection site has an elevated area measuring 15 mm (0.6 in)
b) A client who injection site is scabbed
c) A client whose injection site is firm and measures 3 mm (0.1 in)
d) A client whose injection site is ecchymotic - Correct Answer :A. A client whose injection site
has an elevated area measuring 15 mm (0.6 in)
Rationale:
Tuberculin skin test also known as Mantoux test yields positive result if there is an induration
of equal or more than 10mm at the injection site after 48 hrs and after 72 hrs. This can
interpret as the patient is expose to Mycobacterium Tuberculosis bacteria.
A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which
of the following actions should the nurse take?
a) Suction the client for 20 seconds with each pass.
b) Apply suction pressure while inserting the catheter into the trachea.
c) Sanitize around the stoma with povidone-iodine.
A+ TEST BANK 1
, PN Medical Surgical HESI Exam 2025
d) Allow space for one finger to be placed under the tube ties. - Correct Answer :D. Allow
space for one finger to be placed under the tube ties.
Rationale:
The nurse should suction the client for no more than 10-15 seconds with each pass. The nurse
should also not apply suction pressure while inserting the catheter into the trachea. The nurse
should sanitize around the stoma with normal saline.
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse
observes the client is restless and hears crackles in the lungs. Which of the following
interventions should the nurse take?
Instill saline into the tubing
Perform suctioning
Check the cuff pressure.
Increase the humidification - Correct Answer :Perform suctioning
Rationale:
The correct intervention for a client who has a tracheostomy tube and shows signs of
respiratory distress is to perform suctioning. Suctioning helps to clear the airway of secretions
and improve gas exchange. The other interventions are not appropriate for this situation.
Instilling saline into the tubing may cause bronchospasm or infection. Checking the cuff
pressure or increasing the humidification may not address the immediate problem of airway
obstruction
A nurse is collecting data from a client who has gastroenteritis with diarrhea and vomiting.
Which of the following laboratory values should alert the nurse that the client is at risk for fluid
volume deficit?
A+ TEST BANK 2
, PN Medical Surgical HESI Exam 2025
a) Hematocrit 56 mg/dL
b) Creatinine 1.1 mg/dL
c) Sodium 140 mEq/L
d) Potassium 4.5 mEq/L - Correct Answer :A. Hematocrit 56 mg/dL
TEST
A nurse is reviewing the results for a client's facial occult blood screening test. Which of the
following findings from the client's history should the nurse identify as potentially causing a
false-positive result?
a) The client consumed citrus juice 3 days before the test.
b) The client has a history of breast cancer.
c) The client takes ibuprofen for headaches.
d) The client had a hemorrhoidectomy 1 year
ago. - Correct Answer :C. The client takes ibuprofen for headaches.
Rationale:
All med that falls under NSAIDs category like ibuprofen increase the risk of bleeding -> this can
lead to a false-positive result in fecal occult blood test result.
TEST
A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal
suctioning. Which of the following statements by the partner indicates an understanding of
the teaching?
a) "I will suction the mouth before inserting the suction catheter into the tracheostomy."
A+ TEST BANK 3
, PN Medical Surgical HESI Exam 2025
b) "I will suction for less than 15 seconds while inserting the suction catheter."
c) "I will set the suction pressure dial between 80 and 120."
d) "I will wrap the suction catheters in a clean towel to be used again at a later time." -
Correct Answer :C. "I will set the suction pressure dial between 80 and 120."
Rationale:
The usual suction pressure is 80-120 and must not exceed 120 to prevent tracheal suction
damage.
Option A tracheostomy must be suctioned before the mouth.
Option B you should not suction while inserting. It must be inserted first, and suctioning must
be applied while pulling the catheter out.
Option D suction catheters are a one-time use only and must be sterile to prevent instillation
of pathogens into the respiratory tract.
TEST
A nurse is caring for a client who has Parkinson's disease. The client displays difficulty using
utensils while eating at mealtime. For which of the following interdisciplinary team members
should the nurse recommend a referral?
a) Recreational therapist
b) Occupational therapist
c) Physical therapist
d) Speech therapist - Correct Answer :B. Occupational therapist
A+ TEST BANK 4
PN Medical Surgical NGN V2 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
An occupational health nurse is interpreting the results of a tuberculin skin test for a group of
clients who received the test 48 hrs ago. Which of the following clients should the nurse
identify as having a positive test result?
a) A client whose injection site has an elevated area measuring 15 mm (0.6 in)
b) A client who injection site is scabbed
c) A client whose injection site is firm and measures 3 mm (0.1 in)
d) A client whose injection site is ecchymotic - Correct Answer :A. A client whose injection site
has an elevated area measuring 15 mm (0.6 in)
Rationale:
Tuberculin skin test also known as Mantoux test yields positive result if there is an induration
of equal or more than 10mm at the injection site after 48 hrs and after 72 hrs. This can
interpret as the patient is expose to Mycobacterium Tuberculosis bacteria.
A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which
of the following actions should the nurse take?
a) Suction the client for 20 seconds with each pass.
b) Apply suction pressure while inserting the catheter into the trachea.
c) Sanitize around the stoma with povidone-iodine.
A+ TEST BANK 1
, PN Medical Surgical HESI Exam 2025
d) Allow space for one finger to be placed under the tube ties. - Correct Answer :D. Allow
space for one finger to be placed under the tube ties.
Rationale:
The nurse should suction the client for no more than 10-15 seconds with each pass. The nurse
should also not apply suction pressure while inserting the catheter into the trachea. The nurse
should sanitize around the stoma with normal saline.
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse
observes the client is restless and hears crackles in the lungs. Which of the following
interventions should the nurse take?
Instill saline into the tubing
Perform suctioning
Check the cuff pressure.
Increase the humidification - Correct Answer :Perform suctioning
Rationale:
The correct intervention for a client who has a tracheostomy tube and shows signs of
respiratory distress is to perform suctioning. Suctioning helps to clear the airway of secretions
and improve gas exchange. The other interventions are not appropriate for this situation.
Instilling saline into the tubing may cause bronchospasm or infection. Checking the cuff
pressure or increasing the humidification may not address the immediate problem of airway
obstruction
A nurse is collecting data from a client who has gastroenteritis with diarrhea and vomiting.
Which of the following laboratory values should alert the nurse that the client is at risk for fluid
volume deficit?
A+ TEST BANK 2
, PN Medical Surgical HESI Exam 2025
a) Hematocrit 56 mg/dL
b) Creatinine 1.1 mg/dL
c) Sodium 140 mEq/L
d) Potassium 4.5 mEq/L - Correct Answer :A. Hematocrit 56 mg/dL
TEST
A nurse is reviewing the results for a client's facial occult blood screening test. Which of the
following findings from the client's history should the nurse identify as potentially causing a
false-positive result?
a) The client consumed citrus juice 3 days before the test.
b) The client has a history of breast cancer.
c) The client takes ibuprofen for headaches.
d) The client had a hemorrhoidectomy 1 year
ago. - Correct Answer :C. The client takes ibuprofen for headaches.
Rationale:
All med that falls under NSAIDs category like ibuprofen increase the risk of bleeding -> this can
lead to a false-positive result in fecal occult blood test result.
TEST
A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal
suctioning. Which of the following statements by the partner indicates an understanding of
the teaching?
a) "I will suction the mouth before inserting the suction catheter into the tracheostomy."
A+ TEST BANK 3
, PN Medical Surgical HESI Exam 2025
b) "I will suction for less than 15 seconds while inserting the suction catheter."
c) "I will set the suction pressure dial between 80 and 120."
d) "I will wrap the suction catheters in a clean towel to be used again at a later time." -
Correct Answer :C. "I will set the suction pressure dial between 80 and 120."
Rationale:
The usual suction pressure is 80-120 and must not exceed 120 to prevent tracheal suction
damage.
Option A tracheostomy must be suctioned before the mouth.
Option B you should not suction while inserting. It must be inserted first, and suctioning must
be applied while pulling the catheter out.
Option D suction catheters are a one-time use only and must be sterile to prevent instillation
of pathogens into the respiratory tract.
TEST
A nurse is caring for a client who has Parkinson's disease. The client displays difficulty using
utensils while eating at mealtime. For which of the following interdisciplinary team members
should the nurse recommend a referral?
a) Recreational therapist
b) Occupational therapist
c) Physical therapist
d) Speech therapist - Correct Answer :B. Occupational therapist
A+ TEST BANK 4
