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HESI RN MED SURG VERSION A & B ACTUAL
EXAM PREP 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED |TOP
RATED VERSION FOR 2026 BY EXPERTS |NEW
AND REVISED
Which nursing action would be appropriate for a client who is newly
diagnosed with Cushing syndrome?
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium.
C.
Encourage adequate rest between activities.
D.
Offer the client a sodium-enriched menu. - ANSWER- A
Rationale:Cushing syndrome results from a hypersecretion of
glucocorticoids in the adrenal cortex. Clients with Cushing
syndrome often develop diabetes mellitus. Monitoring of serum
glucose levels assesses for increased blood glucose levels so that
treatment can begin early. A common finding in Cushing syndrome
is generalized edema. Although potassium is needed, it is generally
obtained from food intake, not by offering potassium-enhanced
fluids. Fatigue is usually not an overwhelming factor in Cushing
,2|Page
syndrome, so an emphasis on the need for rest is not indicated. A
low-calorie, low-carbohydrate, low-sodium diet is not recommended.
A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine. Which statement given by the
nurse would offer the client accurate information about this vaccine?
A.
The vaccine is given annually before the flu season to those older than
50 years.
B.
The immunization is administered once to older adults or those at risk
for illness.
C.
The vaccine is for all ages and is given primarily to those persons
traveling overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for
up to 5 years. - ANSWER- B
Rationale:It is usually recommended that persons older than 65
years and those with a history of chronic illness should receive the
vaccine once in their lifetime. Some recommend receiving the
vaccine at 50 years of age. The influenza vaccine is given once a
year. Although the vaccine might be given to a person traveling
overseas, that is not the main rationale for administering the
vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia,
revaccination is sometimes required.
,3|Page
A client is admitted to the hospital with severe lower left abdominal
pain, nausea, vomiting, fever, and chills. Which nursing action has the
highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. - ANSWER- A
Rationale:A client is showing signs of acute severe diverticulitis and
is at risk for peritonitis and intestinal obstruction. The nurse should
make the client NPO to reduce risk of intestinal rupture. Options B,
C, and D are important but are less of a priority than option A,
which is implemented to prevent a severe complication.
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.
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C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push. - ANSWER- B
Rationale:With uncontrolled atrial fibrillation, the treatment of
choice is synchronized cardioversion to convert the cardiac rhythm
back to normal sinus rhythm. Option A is a medication used for
ventricular dysrhythmias. Option 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. Option D is the drug of choice in
symptomatic sinus bradycardia, not atrial fibrillation.
The nurse is preparing a client for discharge after a right total knee
replacement. Which client statements about use of a walker indicate to
the nurse the teaching was effective? (Select all that apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I use
the hand pieces."
C.
"I will move my right foot forward into the walker, and then my left
foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at
night."
HESI RN MED SURG VERSION A & B ACTUAL
EXAM PREP 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED |TOP
RATED VERSION FOR 2026 BY EXPERTS |NEW
AND REVISED
Which nursing action would be appropriate for a client who is newly
diagnosed with Cushing syndrome?
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium.
C.
Encourage adequate rest between activities.
D.
Offer the client a sodium-enriched menu. - ANSWER- A
Rationale:Cushing syndrome results from a hypersecretion of
glucocorticoids in the adrenal cortex. Clients with Cushing
syndrome often develop diabetes mellitus. Monitoring of serum
glucose levels assesses for increased blood glucose levels so that
treatment can begin early. A common finding in Cushing syndrome
is generalized edema. Although potassium is needed, it is generally
obtained from food intake, not by offering potassium-enhanced
fluids. Fatigue is usually not an overwhelming factor in Cushing
,2|Page
syndrome, so an emphasis on the need for rest is not indicated. A
low-calorie, low-carbohydrate, low-sodium diet is not recommended.
A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine. Which statement given by the
nurse would offer the client accurate information about this vaccine?
A.
The vaccine is given annually before the flu season to those older than
50 years.
B.
The immunization is administered once to older adults or those at risk
for illness.
C.
The vaccine is for all ages and is given primarily to those persons
traveling overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for
up to 5 years. - ANSWER- B
Rationale:It is usually recommended that persons older than 65
years and those with a history of chronic illness should receive the
vaccine once in their lifetime. Some recommend receiving the
vaccine at 50 years of age. The influenza vaccine is given once a
year. Although the vaccine might be given to a person traveling
overseas, that is not the main rationale for administering the
vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia,
revaccination is sometimes required.
,3|Page
A client is admitted to the hospital with severe lower left abdominal
pain, nausea, vomiting, fever, and chills. Which nursing action has the
highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. - ANSWER- A
Rationale:A client is showing signs of acute severe diverticulitis and
is at risk for peritonitis and intestinal obstruction. The nurse should
make the client NPO to reduce risk of intestinal rupture. Options B,
C, and D are important but are less of a priority than option A,
which is implemented to prevent a severe complication.
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.
, 4|Page
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push. - ANSWER- B
Rationale:With uncontrolled atrial fibrillation, the treatment of
choice is synchronized cardioversion to convert the cardiac rhythm
back to normal sinus rhythm. Option A is a medication used for
ventricular dysrhythmias. Option 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. Option D is the drug of choice in
symptomatic sinus bradycardia, not atrial fibrillation.
The nurse is preparing a client for discharge after a right total knee
replacement. Which client statements about use of a walker indicate to
the nurse the teaching was effective? (Select all that apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I use
the hand pieces."
C.
"I will move my right foot forward into the walker, and then my left
foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at
night."
