HESI RN Med-Surge Practice Exam

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HESI RN Med-Surge Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with pneumonia has thick secretions and difficulty expectorating. Which intervention will best assist with secretion removal?

• Restrict fluids

✔✔B. Increase oral fluid intake

• Place client in Trendelenburg position
• Provide ice chips only

A client is receiving blood transfusion. Fifteen minutes later, the client develops chills, fever, and back pain. What is the nurse’s priority action?✔✔A. Stop the transfusion

• Slow the infusion rate
• Administer acetaminophen
• Notify the dietary department

A client with heart failure reports sudden weight gain of 3 pounds in 2 days. What should the nurse do first? 1 / 4

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• Encourage increased activity
• Restrict caffeine

✔✔C. Notify the healthcare provider

• Offer a diuretic snack

A client with a new ileostomy asks how to prevent skin breakdown. Which statement by the nurse is correct?

• "Change the pouch only when it leaks."

✔✔B. "Clean the skin gently and apply a barrier before attaching the pouch."

• "Avoid using any skin sealants."
• "Use soap with oil to keep the skin moist."

A client with a spinal cord injury suddenly develops severe headache, flushed skin, and elevated blood pressure. What is the most likely cause?✔✔A. Autonomic dysreflexia

• Hypovolemic shock
• Orthostatic hypotension
• Myasthenic crisis 2 / 4

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The nurse is caring for a client with hypokalemia. Which food should the nurse recommend to increase potassium intake?

• White bread
• Apple juice

✔✔C. Baked potato

• Rice cakes

A postoperative client’s wound edges are separating with visible underlying tissue. What should the nurse do first?

• Remove sutures

✔✔B. Cover the wound with a sterile saline dressing

• Apply warm compresses
• Document only

A client with chronic kidney disease has been prescribed a low-protein diet. What is the rationale for this restriction?✔✔A. Reduce nitrogenous waste

• Increase muscle strength 3 / 4

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• Prevent weight loss
• Promote bone healing

A client receiving total parenteral nutrition (TPN) suddenly develops shortness of breath and chest pain. What is the priority action?✔✔A. Stop the TPN and place the client on left side with head down

• Increase TPN rate
• Notify dietary services
• Flush the IV line

A client is admitted with severe burns covering 40% of body surface area. Which fluid should the nurse anticipate for initial resuscitation?

• Dextrose 5% in water

✔✔B. Lactated Ringer’s solution

• Normal saline with potassium
• 0.45% saline

A client with COPD is receiving oxygen at 4 L/min by nasal cannula. The nurse notices increasing drowsiness. What is the priority action?

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