Med Surg Final HESI Questions and

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Med Surg Final HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is caring for a client with hyperthyroidism. Which symptom should the nurse expect?

• Weight gain
• Bradycardia

✔✔C. Heat intolerance

• Constipation

A client receiving total parenteral nutrition (TPN) suddenly develops shortness of breath. What should the nurse do first?

• Call the provider

✔✔B. Clamp the TPN line and place the client on their left side

• Flush the line with saline
• Check blood glucose

Which lab result is expected in a client with chronic kidney disease?

• Low BUN 1 / 4

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• Low creatinine

✔✔C. High potassium

• Low phosphate

A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle changes. Which statement indicates correct understanding?

• “I can lie down right after meals.”

✔✔B. “I will avoid spicy foods and caffeine.”

• “I should eat a large meal at night.”
• “I can wear tight belts to improve digestion.”

A client post-abdominal surgery is encouraged to use an incentive spirometer. What is the main purpose?

• Promote appetite

✔✔B. Prevent atelectasis

• Reduce pain
• Increase bowel movement
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Which sign is associated with hypomagnesemia?

• Hyporeflexia
• Bradycardia

✔✔C. Tremors and increased reflexes

• Flushed skin

A nurse is caring for a client with a new ileostomy. Which stool characteristic should the nurse expect?

• Formed brown stool
• Semi-formed stool

✔✔C. Liquid stool

• Clay-colored stool

A client with liver failure is at risk for bleeding. Which lab value supports this finding?

• Low glucose

✔✔B. Prolonged prothrombin time (PT)

• Low ammonia
• High albumin 3 / 4

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Which position is best for a client with increased intracranial pressure?

• Supine with legs elevated
• Flat in bed

✔✔C. Head of bed elevated 30 degrees

• Trendelenburg position

A nurse is caring for a client with a blood glucose of 40 mg/dL who is alert and able to swallow.What is the best action?

• Administer glucagon IM

✔✔B. Give 4 ounces of orange juice

• Notify the provider immediately
• Start IV dextrose

Which lab result is most concerning for a client receiving chemotherapy?

• Hemoglobin 11 g/dL

✔✔B. WBC 2,000/mm³

• Platelets 180,000/mm³
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