HESI RN MED SURG EXAM ACTUAL EXAM 2026
| VERSION A & VERSION B | ALL QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS | VERIFIED ANSWERS
The client returns to the unit after abdominal surgery with a 5″ × 9″
absorbent dressing in place to the mid abdomen. The nurse notes a
spot of red staining centrally on the dressing. What is the nurse's next
action?
A.
Note the size of the stain in the chart.
B.
Circle the stain with an ink pen.
C.
Remove the dressing to assess the source of the bleeding.
D.
Place a pressure dressing on the existing dressing. ------------Correct
Answer--------------------B
Rationale:By circling the existing stain upon admission to the unit, the
nurse can then assess any increase, though subtle, in the amount of
drainage over time. The size of the stain will need to be noted in the
chart, but it is not the first action. The nurse removes the dressing
under the prescription of the health care provider or in an emergency.
Neither of those conditions exist in the question. The dressing in place
,is an absorbent dressing. There is no need for a further dressing until
the existing dressing becomes saturated.
For the client undergoing hemodialysis, the nurse suspects the client
has an air embolism. What symptoms lead the nurse to this conclusion?
(Select all that apply.)
A.
Dyspnea
B.
B/P 168/92 mm Hg
C.
Chest pain
D.
Anxiety
E.
O2 saturation of 98%
F.
Blue nail beds ------------Correct Answer--------------------A, C, D, F
Rationale:For the client experiencing an air embolism, the nurse will
see hypotension and not hypertension. The O2 saturation will also fall
with an air embolism. The remaining are signs of an air embolism.
,The nurse is preparing teaching for nursing students who are
participating in a flu vaccine clinic at a local school. Who should receive
the vaccine? (Select all that apply.)
A.
Health care personnel
B.
Those who are allergic to eggs
C.
Individuals who are over 50 years old
D.
Individuals with chronic health conditions
E.
Those who live in nursing homes
F.
Infants under 6 months of age ------------Correct Answer--------------------
A, C, D, E
Rationale:The current recommendation is those who are allergic to
eggs can receive the flu vaccine if it is administered in a healthcare
environment that can quickly deliver treatment for anaphylaxis.
Infants over 6 months van receive the flu shot, but not under 6
months. The remaining options are recommended to receive the flu
vaccine.
, A practical nurse (PN) tells the charge nurse in a long-term facility that
she does not want to be assigned to one particular resident. She
reports that the male client keeps insisting that she is his daughter and
begs her to stay in his room. What is the best managerial decision?
A.
Notify the family that the resident will have to be discharged if his
behavior does not improve.
B.
Notify administration of the PN's insubordination and need for
counseling about her statements.
C.
Ask the PN what she has done to encourage the resident to believe that
she is his daughter.
D.
Reassign the PN until the resident can be assessed more completely for
reality orientation. ------------Correct Answer--------------------D
Rationale:Temporary reassignment is the best option until the
resident can be examined and his medications reviewed. He may have
worsening cerebral dysfunction from an infection or electrolyte
imbalance. Option A is not the best option because the family cannot
control the resident's actions. The administration may need to know
about the situation, but not as a case of insubordination. Implying
that the PN is somehow creating the situation is inappropriate until a
further evaluation has been conducted.
| VERSION A & VERSION B | ALL QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS | VERIFIED ANSWERS
The client returns to the unit after abdominal surgery with a 5″ × 9″
absorbent dressing in place to the mid abdomen. The nurse notes a
spot of red staining centrally on the dressing. What is the nurse's next
action?
A.
Note the size of the stain in the chart.
B.
Circle the stain with an ink pen.
C.
Remove the dressing to assess the source of the bleeding.
D.
Place a pressure dressing on the existing dressing. ------------Correct
Answer--------------------B
Rationale:By circling the existing stain upon admission to the unit, the
nurse can then assess any increase, though subtle, in the amount of
drainage over time. The size of the stain will need to be noted in the
chart, but it is not the first action. The nurse removes the dressing
under the prescription of the health care provider or in an emergency.
Neither of those conditions exist in the question. The dressing in place
,is an absorbent dressing. There is no need for a further dressing until
the existing dressing becomes saturated.
For the client undergoing hemodialysis, the nurse suspects the client
has an air embolism. What symptoms lead the nurse to this conclusion?
(Select all that apply.)
A.
Dyspnea
B.
B/P 168/92 mm Hg
C.
Chest pain
D.
Anxiety
E.
O2 saturation of 98%
F.
Blue nail beds ------------Correct Answer--------------------A, C, D, F
Rationale:For the client experiencing an air embolism, the nurse will
see hypotension and not hypertension. The O2 saturation will also fall
with an air embolism. The remaining are signs of an air embolism.
,The nurse is preparing teaching for nursing students who are
participating in a flu vaccine clinic at a local school. Who should receive
the vaccine? (Select all that apply.)
A.
Health care personnel
B.
Those who are allergic to eggs
C.
Individuals who are over 50 years old
D.
Individuals with chronic health conditions
E.
Those who live in nursing homes
F.
Infants under 6 months of age ------------Correct Answer--------------------
A, C, D, E
Rationale:The current recommendation is those who are allergic to
eggs can receive the flu vaccine if it is administered in a healthcare
environment that can quickly deliver treatment for anaphylaxis.
Infants over 6 months van receive the flu shot, but not under 6
months. The remaining options are recommended to receive the flu
vaccine.
, A practical nurse (PN) tells the charge nurse in a long-term facility that
she does not want to be assigned to one particular resident. She
reports that the male client keeps insisting that she is his daughter and
begs her to stay in his room. What is the best managerial decision?
A.
Notify the family that the resident will have to be discharged if his
behavior does not improve.
B.
Notify administration of the PN's insubordination and need for
counseling about her statements.
C.
Ask the PN what she has done to encourage the resident to believe that
she is his daughter.
D.
Reassign the PN until the resident can be assessed more completely for
reality orientation. ------------Correct Answer--------------------D
Rationale:Temporary reassignment is the best option until the
resident can be examined and his medications reviewed. He may have
worsening cerebral dysfunction from an infection or electrolyte
imbalance. Option A is not the best option because the family cannot
control the resident's actions. The administration may need to know
about the situation, but not as a case of insubordination. Implying
that the PN is somehow creating the situation is inappropriate until a
further evaluation has been conducted.
