1|Page
Med-Surg Hesi PN Final Exam Most Recent || 2026
Actual Complete Real Exam Questions With verified
Answers With Rationales||Verified Exam!!! (Correct
Answers With Rationales) Already Graded A+ ,
Guaranteed success| Newest Exam!!!
A client with a history of asthma and bronchitis arrives at
the clinic with shortness of breath, productive cough with
thickened tenacious mucous, and the inability to walk up a
flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client
about self-care?
A. Increase the daily intake of oral fluids to liquefy
secretions
B. Avoid crowded enclosed areas to reduce pathogen
exposure
C. Call the clinic if undesirable side effects of mediations
occur
D. Teach anxiety reduction methods for feelings of
suffocation - Answers-A. Increase the daily intake of oral
fluids to liquefy secretions
,2|Page
A cardiac catherterization of a client with heart disease
indicates the following blockages: 95% proximal left
anterior descending (LAD), 99% proximal circumflex, and
? % proximal right coronary artery (RCA). The client later
asks the nurse "what does all this mean for me?" What
information should the nurse provide?
A. Blood supply to the heart is diminished by
artherosclerotic lesions, which necessitate lifestyle
changes.
B. Blood vessels supplying the pumping chamber have
blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1
to 5% of blood flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a
risk of heart failure and fluid retention. - Answers-C. Three
main arteries have major blockages, with only 1 to 5% of
blood flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose
of heparin 80 units/kg. The heparin is available in a 2 ml
vial, labeled 10,000 units/ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is
required, round to the nearest tenth.) - Answers-0.6 ml
,3|Page
What information should the nurse include in the teaching
plan of a client diagnosed with gastroesophageal reflux
disease (GERD)?
A. Sleep without pillows at night to maintain neck
alignment.
B. Adjust food intake to three full meals per day and no
snacks.
C. Minimize symptoms by wearing loose, comfortable
clothing
D. Avoid participation in any aerobic exercise programs -
Answers-C. Minimize symptoms by wearing loose,
comfortable clothing
The nurse is caring for a client with a lower left lobe
pulmonary abscess. Which position should the nurse
instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
, 4|Page
D. Knee-chest - Answers-A. left lateral
A client with cholelithiasis has a gallstone lodged in the
common bile duct and is unable to eat or drink without
becoming nauseated and vomiting. Which finding should
the nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Answers-C. Yellow sclera
A client with a productive cough has obtained a sputum
specimen for culture as instructed. What is the best initial
nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - Answers-B.
Observe the color, consistency, and amount of sputum
Med-Surg Hesi PN Final Exam Most Recent || 2026
Actual Complete Real Exam Questions With verified
Answers With Rationales||Verified Exam!!! (Correct
Answers With Rationales) Already Graded A+ ,
Guaranteed success| Newest Exam!!!
A client with a history of asthma and bronchitis arrives at
the clinic with shortness of breath, productive cough with
thickened tenacious mucous, and the inability to walk up a
flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client
about self-care?
A. Increase the daily intake of oral fluids to liquefy
secretions
B. Avoid crowded enclosed areas to reduce pathogen
exposure
C. Call the clinic if undesirable side effects of mediations
occur
D. Teach anxiety reduction methods for feelings of
suffocation - Answers-A. Increase the daily intake of oral
fluids to liquefy secretions
,2|Page
A cardiac catherterization of a client with heart disease
indicates the following blockages: 95% proximal left
anterior descending (LAD), 99% proximal circumflex, and
? % proximal right coronary artery (RCA). The client later
asks the nurse "what does all this mean for me?" What
information should the nurse provide?
A. Blood supply to the heart is diminished by
artherosclerotic lesions, which necessitate lifestyle
changes.
B. Blood vessels supplying the pumping chamber have
blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1
to 5% of blood flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a
risk of heart failure and fluid retention. - Answers-C. Three
main arteries have major blockages, with only 1 to 5% of
blood flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose
of heparin 80 units/kg. The heparin is available in a 2 ml
vial, labeled 10,000 units/ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is
required, round to the nearest tenth.) - Answers-0.6 ml
,3|Page
What information should the nurse include in the teaching
plan of a client diagnosed with gastroesophageal reflux
disease (GERD)?
A. Sleep without pillows at night to maintain neck
alignment.
B. Adjust food intake to three full meals per day and no
snacks.
C. Minimize symptoms by wearing loose, comfortable
clothing
D. Avoid participation in any aerobic exercise programs -
Answers-C. Minimize symptoms by wearing loose,
comfortable clothing
The nurse is caring for a client with a lower left lobe
pulmonary abscess. Which position should the nurse
instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
, 4|Page
D. Knee-chest - Answers-A. left lateral
A client with cholelithiasis has a gallstone lodged in the
common bile duct and is unable to eat or drink without
becoming nauseated and vomiting. Which finding should
the nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Answers-C. Yellow sclera
A client with a productive cough has obtained a sputum
specimen for culture as instructed. What is the best initial
nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - Answers-B.
Observe the color, consistency, and amount of sputum
