1|Page
MED/SURG NCLEX-RN HESI EXAM AND
QUESTIONS 2025/2026 NEWEST TEST BANK |
ALL FREQUENTLY TESTED ACTUAL EXAM
QUESTIONS AND ANSWERS | ACCURATE AND
VERIFIED FOR GUARANTEED PASS | ALREADY
GRADED A
A client is being discharged following radioactive seed implantation for
prostate cancer. What is the most important information that the nurse
should provide to this client's family?
A.Follow exposure precautions.
B.Encourage regular meals.
C.Collect all urine.
D.Avoid touching the client. ......answer.....Clients being treated for prostate
cancer with radioactive seed implants should be instructed regarding the
amount of time and distance needed to prevent excessive exposure (A) that
would pose a hazard to others. (B) is a good suggestion to promote adequate
nutrition but is not as important as (A). (C) is unnecessary. Contact with the
client (D) IS permitted but should be BRIEF to limit radiation exposure.
,2|Page
An emaciated homeless client presents to the emergency department
complaining of a productive cough, with blood-tinged sputum and night
sweats. Which action is most important for the emergency department
triage nurse to implement for this client?
A.Initiate airborne infection precautions.
B.Place a surgical mask on the client.
C.Don an isolation gown and latex gloves.
D.Start protective (reverse) isolation precautions. ......answer.....This client is
exhibiting classic symptoms of tuberculosis (TB), and the client is from a
high-risk population for TB. Therefore, airborne infection precautions (A),
which are indicated for TB, should be used with this client. (B) is used with
DROPLET precautions. There is no evidence that (C or D) would be
warranted at this time.
Which abnormal laboratory finding indicates that a client with diabetes
needs further evaluation for diabetic nephropathy?
A.Hypokalemia
B.Microalbuminuria
C.Elevated serum lipid levels
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D.Ketonuria ......answer.....B
Microalbuminuria (B) is the earliest sign of diabetic nephropathy and
indicates the need for follow-up evaluation. Hyperkalemia, not (A), is
associated with end-stage renal disease caused by diabetic nephropathy. (C)
may be elevated in end-stage renal disease. (D) may signal the onset of
diabetic ketoacidosis (DKA).
An older client is admitted with a diagnosis of bacterial pneumonia. Which
symptom should the nurse report to the health care provider after assessing
the client?
A.Leukocytosis and febrile
B.Polycythemia and crackles
C.Pharyngitis and sputum production
D.Confusion and tachycardia ......answer.....D
The onset of pneumonia in the older client may be signaled by general
deterioration, confusion, increased heart rate, and/or increased respiratory
rate (D). (A, B, and C) are often absent in the older client with bacterial
pneumonia.
Which nursing action is necessary for the client with a flail chest?
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A.Withhold prescribed analgesic medications.
B.Percuss the fractured rib area with light taps.
C.Avoid implementing pulmonary suctioning.
D.Encourage coughing and deep breathing. ......answer.....D
Treatment of flail chest is focused on preventing atelectasis and related
complications of compromised ventilation by encouraging coughing and
deep breathing (D). This condition is typically diagnosed in clients with
three or more rib fractures, resulting in paradoxic movement of a segment of
the chest wall. (C) should not be avoided because suctioning is necessary to
maintain pulmonary toilet in clients who require mechanical ventilation. (A)
should not be withheld. (B) should not be applied because the fractures are
clearly visible on the chest radiograph.
When assigning clients on a medical-surgical floor to an RN and a PN, it is
best for the charge nurse to assign which client to the PN?
A.A young adult with bacterial meningitis with recent seizures
B.An older adult client with pneumonia and viral meningitis
C.A female client in isolation with meningococcal meningitis
MED/SURG NCLEX-RN HESI EXAM AND
QUESTIONS 2025/2026 NEWEST TEST BANK |
ALL FREQUENTLY TESTED ACTUAL EXAM
QUESTIONS AND ANSWERS | ACCURATE AND
VERIFIED FOR GUARANTEED PASS | ALREADY
GRADED A
A client is being discharged following radioactive seed implantation for
prostate cancer. What is the most important information that the nurse
should provide to this client's family?
A.Follow exposure precautions.
B.Encourage regular meals.
C.Collect all urine.
D.Avoid touching the client. ......answer.....Clients being treated for prostate
cancer with radioactive seed implants should be instructed regarding the
amount of time and distance needed to prevent excessive exposure (A) that
would pose a hazard to others. (B) is a good suggestion to promote adequate
nutrition but is not as important as (A). (C) is unnecessary. Contact with the
client (D) IS permitted but should be BRIEF to limit radiation exposure.
,2|Page
An emaciated homeless client presents to the emergency department
complaining of a productive cough, with blood-tinged sputum and night
sweats. Which action is most important for the emergency department
triage nurse to implement for this client?
A.Initiate airborne infection precautions.
B.Place a surgical mask on the client.
C.Don an isolation gown and latex gloves.
D.Start protective (reverse) isolation precautions. ......answer.....This client is
exhibiting classic symptoms of tuberculosis (TB), and the client is from a
high-risk population for TB. Therefore, airborne infection precautions (A),
which are indicated for TB, should be used with this client. (B) is used with
DROPLET precautions. There is no evidence that (C or D) would be
warranted at this time.
Which abnormal laboratory finding indicates that a client with diabetes
needs further evaluation for diabetic nephropathy?
A.Hypokalemia
B.Microalbuminuria
C.Elevated serum lipid levels
,3|Page
D.Ketonuria ......answer.....B
Microalbuminuria (B) is the earliest sign of diabetic nephropathy and
indicates the need for follow-up evaluation. Hyperkalemia, not (A), is
associated with end-stage renal disease caused by diabetic nephropathy. (C)
may be elevated in end-stage renal disease. (D) may signal the onset of
diabetic ketoacidosis (DKA).
An older client is admitted with a diagnosis of bacterial pneumonia. Which
symptom should the nurse report to the health care provider after assessing
the client?
A.Leukocytosis and febrile
B.Polycythemia and crackles
C.Pharyngitis and sputum production
D.Confusion and tachycardia ......answer.....D
The onset of pneumonia in the older client may be signaled by general
deterioration, confusion, increased heart rate, and/or increased respiratory
rate (D). (A, B, and C) are often absent in the older client with bacterial
pneumonia.
Which nursing action is necessary for the client with a flail chest?
, 4|Page
A.Withhold prescribed analgesic medications.
B.Percuss the fractured rib area with light taps.
C.Avoid implementing pulmonary suctioning.
D.Encourage coughing and deep breathing. ......answer.....D
Treatment of flail chest is focused on preventing atelectasis and related
complications of compromised ventilation by encouraging coughing and
deep breathing (D). This condition is typically diagnosed in clients with
three or more rib fractures, resulting in paradoxic movement of a segment of
the chest wall. (C) should not be avoided because suctioning is necessary to
maintain pulmonary toilet in clients who require mechanical ventilation. (A)
should not be withheld. (B) should not be applied because the fractures are
clearly visible on the chest radiograph.
When assigning clients on a medical-surgical floor to an RN and a PN, it is
best for the charge nurse to assign which client to the PN?
A.A young adult with bacterial meningitis with recent seizures
B.An older adult client with pneumonia and viral meningitis
C.A female client in isolation with meningococcal meningitis
