2026 MED/SURG NCLEX-RN HESI PRACTICE EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
EXPLAINED SOLUTIONS ALREADY GRADED A+
A client on telemetry has a pattern of uncontrolled atrial fibrillation
with a rapid ventricular response. Based on this finding, the nurse
anticipates assisting the physician with which treatment?
A. Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous .push. .- .ANSWER--B
With .uncontrolled .atrial .fibrillation, .the .treatment .of .choice .is
.synchronized .cardioversion .(B) .to .convert .the .cardiac .rhythm
.back .to .normal .sinus .rhythm. .(A) .is .a .medication .used .for
.ventricular .dysrhythmias. .(C) .is .not .for .a .client .with .atrial
.fibrillation; .it .is .reserved .for .clients .with .life-threatening
.dysrhythmias, .such .as .ventricular .fibrillation .and .unstable
.ventricular .tachycardia. .(D) .is .the .drug .of .choice .in .symptomatic
.sinus .bradycardia, .not .atrial .fibrillation.
A .63-year-old .client .with .type .2 .diabetes .mellitus .is .admitted .for
.treatment .of .an .ulcer .on .the .heel .of .the .left .foot .that .has .not
.healed .with .wound .care. .The .nurse .observes .that .the .entire .left
.foot .is .darker .in .color .than .the .right .foot. .Which .additional
.symptom .should .the .nurse .expect .to .find?
A. Pedal .pulses .will .be .weak .or .absent .in .the .left .foot.
, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
. . . . .
QUESTIONS WITH VERIFIED ANSWERS AND
. . . .
EXPLAINED SOLUTIONS ALREADY GRADED A+
. . . . .
B. The .client .will .state .that .the .left .foot .is .usually .warm.
C. Flexion .and .extension .of .the .left .foot .will .be .limited.
D. Capillary .refill .of .the .client's .left .toes .will .be .brisk. .- .ANSWER--A
Symptoms .associated .with .decreased .blood .supply .are .weak .or
.absent .pedal .and .tibial .pulses .(A). .The .client .with .diabetes
.experiences .vascular .scarring .as .a .result .of .atherosclerotic
.changes .in .the .peripheral .vessels. .This .results .in .compromised
.perfusion .to .the .dependent .extremities, .which .further .delays
.wound .healing .in .the .affected .foot. .Although .flexion .and .extension
.may .be .limited .(C), .depending .on .the .degree .of .damage, .this .is
.not .always .the .case. .(B .and .D) .are .signs .of .adequate .perfusion .of
.the .foot, .which .would .not .be .expected .in .this .client.
A .client .with .cirrhosis .develops .increasing .pedal .edema .and
.ascites. .Which .dietary .modification .is .most .important .for .the .nurse
.to .teach .this .client?
A.Avoid .high-carbohydrate .foods.
B. Decrease .intake .of .fat-soluble .vitamins.
C. Decrease .caloric .intake.
D. Restrict .salt .and .fluid .intake. .- .ANSWER--D
Salt .and .fluid .restrictions .are .the .first .dietary .modifications .for .a
.client .who .is .retaining .fluid .as .manifested .by .edema .and .ascites
(D). .(A, .B, .and .C) .will .not .affect .fluid .retention.
, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
. . . . .
QUESTIONS WITH VERIFIED ANSWERS AND
. . . .
EXPLAINED SOLUTIONS ALREADY GRADED A+
. . . . .
During .report, .the .nurse .learns .that .a .client .with .tumor .lysis
.syndrome .is .receiving .an .IV .infusion .containing .insulin. .Which
.assessment .should .the .nurse .complete .first?
A.Review .the .client's .history .for .diabetes .mellitus.
B.Observe .the .extremity .distal .to .the .IV .site.
C.Monitor .the .client's .serum .potassium .and .blood .glucose .levels.
D.Evaluate .the .client's .oxygen .saturation .and .breath .sounds. .-
.ANSWER--C
Clients .with .tumor .lysis .syndrome .may .experience .hyperkalemia,
.requiring .the .addition .of .insulin .to .the .IV .solution .to .reduce .the
.serum .potassium .level. .It .is .most .important .for .the .nurse .to
.monitor .the .client's .serum .potassium .and .blood .glucose .levels .to
.ensure .that .they .are .not .at .dangerous .levels .(C). .(A, .B, .and .D)
.provide .valuable .assessment .data .but .are .of .less .priority .than .(C).
A .resident .in .a .long-term .care .facility .is .diagnosed .with .hepatitis
B. .Which .intervention .should .the .nurse .implement .with .the .staff
.caring .for .this .client?
A.Determine .if .all .employees .have .had .the .hepatitis .B .vaccine
.series.
, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
. . . . .
QUESTIONS WITH VERIFIED ANSWERS AND
. . . .
EXPLAINED SOLUTIONS ALREADY GRADED A+
. . . . .
B.Explain .that .this .type .of .hepatitis .can .be .transmitted .when
.feeding .the .client.
C.Assure .the .employees .that .they .cannot .contract .hepatitis .B
.when .providing .direct .care.
D.Tell .the .employees .that .wearing .gloves .and .a .gown .are
.required .when .providing .care. .- .ANSWER--A
Hepatitis .B .vaccine .should .be .administered .to .all .health .care
.providers .(A). .Hepatitis .A .(not .hepatitis .B) .can .be .transmitted .by
.fecal-oral .contamination .(B). .There .is .a .chance .that .staff .could
.contract .hepatitis .B .if .exposed .to .the .client's .blood .and/or .body
.fluids; .therefore, .(C) .is .incorrect. .There .is .no .need .to .wear .gloves
.and .gowns .except .with .blood .or .body .fluid .contact .(D).
The .nurse .notes .that .the .client's .drainage .has .decreased .from .50
.to .5 .mL/hr .12 .hours .after .chest .tube .insertion .for .hemothorax.
What .is .the .best .initial .action .for .the .nurse .to .take?
A.Document .this .expected .decrease .in .drainage.
B.Clamp .the .chest .tube .while .assessing .for .air .leaks.
. C.Milk .the .tube .to .remove .any .excessive .blood .clot .buildup.
D.Assess .for .kinks .or .dependent .loops .in .the .tubing. .- .ANSWER--
.D
The .least .invasive .nursing .action .should .be .performed .first .to
.determine .why .the .drainage .has .diminished .(D). .(A) .is .completed
.after .assessing .for .any .problems .causing .the .decrease .in
QUESTIONS WITH VERIFIED ANSWERS AND
EXPLAINED SOLUTIONS ALREADY GRADED A+
A client on telemetry has a pattern of uncontrolled atrial fibrillation
with a rapid ventricular response. Based on this finding, the nurse
anticipates assisting the physician with which treatment?
A. Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous .push. .- .ANSWER--B
With .uncontrolled .atrial .fibrillation, .the .treatment .of .choice .is
.synchronized .cardioversion .(B) .to .convert .the .cardiac .rhythm
.back .to .normal .sinus .rhythm. .(A) .is .a .medication .used .for
.ventricular .dysrhythmias. .(C) .is .not .for .a .client .with .atrial
.fibrillation; .it .is .reserved .for .clients .with .life-threatening
.dysrhythmias, .such .as .ventricular .fibrillation .and .unstable
.ventricular .tachycardia. .(D) .is .the .drug .of .choice .in .symptomatic
.sinus .bradycardia, .not .atrial .fibrillation.
A .63-year-old .client .with .type .2 .diabetes .mellitus .is .admitted .for
.treatment .of .an .ulcer .on .the .heel .of .the .left .foot .that .has .not
.healed .with .wound .care. .The .nurse .observes .that .the .entire .left
.foot .is .darker .in .color .than .the .right .foot. .Which .additional
.symptom .should .the .nurse .expect .to .find?
A. Pedal .pulses .will .be .weak .or .absent .in .the .left .foot.
, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
. . . . .
QUESTIONS WITH VERIFIED ANSWERS AND
. . . .
EXPLAINED SOLUTIONS ALREADY GRADED A+
. . . . .
B. The .client .will .state .that .the .left .foot .is .usually .warm.
C. Flexion .and .extension .of .the .left .foot .will .be .limited.
D. Capillary .refill .of .the .client's .left .toes .will .be .brisk. .- .ANSWER--A
Symptoms .associated .with .decreased .blood .supply .are .weak .or
.absent .pedal .and .tibial .pulses .(A). .The .client .with .diabetes
.experiences .vascular .scarring .as .a .result .of .atherosclerotic
.changes .in .the .peripheral .vessels. .This .results .in .compromised
.perfusion .to .the .dependent .extremities, .which .further .delays
.wound .healing .in .the .affected .foot. .Although .flexion .and .extension
.may .be .limited .(C), .depending .on .the .degree .of .damage, .this .is
.not .always .the .case. .(B .and .D) .are .signs .of .adequate .perfusion .of
.the .foot, .which .would .not .be .expected .in .this .client.
A .client .with .cirrhosis .develops .increasing .pedal .edema .and
.ascites. .Which .dietary .modification .is .most .important .for .the .nurse
.to .teach .this .client?
A.Avoid .high-carbohydrate .foods.
B. Decrease .intake .of .fat-soluble .vitamins.
C. Decrease .caloric .intake.
D. Restrict .salt .and .fluid .intake. .- .ANSWER--D
Salt .and .fluid .restrictions .are .the .first .dietary .modifications .for .a
.client .who .is .retaining .fluid .as .manifested .by .edema .and .ascites
(D). .(A, .B, .and .C) .will .not .affect .fluid .retention.
, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
. . . . .
QUESTIONS WITH VERIFIED ANSWERS AND
. . . .
EXPLAINED SOLUTIONS ALREADY GRADED A+
. . . . .
During .report, .the .nurse .learns .that .a .client .with .tumor .lysis
.syndrome .is .receiving .an .IV .infusion .containing .insulin. .Which
.assessment .should .the .nurse .complete .first?
A.Review .the .client's .history .for .diabetes .mellitus.
B.Observe .the .extremity .distal .to .the .IV .site.
C.Monitor .the .client's .serum .potassium .and .blood .glucose .levels.
D.Evaluate .the .client's .oxygen .saturation .and .breath .sounds. .-
.ANSWER--C
Clients .with .tumor .lysis .syndrome .may .experience .hyperkalemia,
.requiring .the .addition .of .insulin .to .the .IV .solution .to .reduce .the
.serum .potassium .level. .It .is .most .important .for .the .nurse .to
.monitor .the .client's .serum .potassium .and .blood .glucose .levels .to
.ensure .that .they .are .not .at .dangerous .levels .(C). .(A, .B, .and .D)
.provide .valuable .assessment .data .but .are .of .less .priority .than .(C).
A .resident .in .a .long-term .care .facility .is .diagnosed .with .hepatitis
B. .Which .intervention .should .the .nurse .implement .with .the .staff
.caring .for .this .client?
A.Determine .if .all .employees .have .had .the .hepatitis .B .vaccine
.series.
, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
. . . . .
QUESTIONS WITH VERIFIED ANSWERS AND
. . . .
EXPLAINED SOLUTIONS ALREADY GRADED A+
. . . . .
B.Explain .that .this .type .of .hepatitis .can .be .transmitted .when
.feeding .the .client.
C.Assure .the .employees .that .they .cannot .contract .hepatitis .B
.when .providing .direct .care.
D.Tell .the .employees .that .wearing .gloves .and .a .gown .are
.required .when .providing .care. .- .ANSWER--A
Hepatitis .B .vaccine .should .be .administered .to .all .health .care
.providers .(A). .Hepatitis .A .(not .hepatitis .B) .can .be .transmitted .by
.fecal-oral .contamination .(B). .There .is .a .chance .that .staff .could
.contract .hepatitis .B .if .exposed .to .the .client's .blood .and/or .body
.fluids; .therefore, .(C) .is .incorrect. .There .is .no .need .to .wear .gloves
.and .gowns .except .with .blood .or .body .fluid .contact .(D).
The .nurse .notes .that .the .client's .drainage .has .decreased .from .50
.to .5 .mL/hr .12 .hours .after .chest .tube .insertion .for .hemothorax.
What .is .the .best .initial .action .for .the .nurse .to .take?
A.Document .this .expected .decrease .in .drainage.
B.Clamp .the .chest .tube .while .assessing .for .air .leaks.
. C.Milk .the .tube .to .remove .any .excessive .blood .clot .buildup.
D.Assess .for .kinks .or .dependent .loops .in .the .tubing. .- .ANSWER--
.D
The .least .invasive .nursing .action .should .be .performed .first .to
.determine .why .the .drainage .has .diminished .(D). .(A) .is .completed
.after .assessing .for .any .problems .causing .the .decrease .in
