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Med-Surg HESI Final Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with a chest tube has no tidaling in the water seal chamber. What is the best nursing action?
- Increase suction pressure
- Clamp the chest tube
- Lower the drainage system
✔✔B. Check for kinks or obstruction
The nurse is assessing a client with hypothyroidism. Which finding is expected?
- Weight loss
- Heat intolerance
- Tachycardia
✔✔C. Constipation
A client with a femur fracture develops sudden dyspnea, confusion, and petechiae on the chest.What is the nurse’s priority? 1 / 4
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✔✔A. Administer high-flow oxygen
- Provide pain medication
- Elevate the legs
- Increase IV fluids
The nurse is caring for a client post–hip replacement surgery. Which intervention helps prevent postoperative complications?
- Keeping the legs crossed
- Positioning on the surgical side
- Applying ice to the incision
✔✔C. Using an abduction pillow
A client with COPD is prescribed pursed-lip breathing. What is the main purpose of this technique?
- Increase heart rate
- Stimulate appetite
- Decrease oxygen intake 2 / 4
✔✔B. Improve exhalation
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A client is receiving IV potassium chloride. Which action is most important for the nurse to take?
- Give as a rapid IV push
- Keep the client NPO
- Administer without monitoring
✔✔B. Dilute and infuse slowly
A client with a spinal cord injury at T4 is experiencing severe hypertension, headache, and flushing. What should the nurse do first?
- Give antihypertensive medication
- Lower the head of the bed
- Apply compression stockings
✔✔C. Check for bladder distension
A client with an ischemic stroke is scheduled for tPA administration. Which finding would require the nurse to withhold the drug?✔✔A. Active gastrointestinal bleeding
- Blood pressure of 140/85 mm Hg 3 / 4
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- Blood glucose of 110 mg/dL
- Onset of symptoms 2 hours ago
The nurse is providing discharge teaching for a client with a permanent pacemaker. Which statement requires further teaching?
- “I will avoid strong magnetic fields.”
- “I will carry my pacemaker ID card.”
- “I will report dizziness or palpitations.”
✔✔C. “I can return to contact sports immediately.”
A client with pneumonia reports shortness of breath and has an oxygen saturation of 85%. What is the nurse’s priority action?✔✔A. Apply oxygen
- Raise the foot of bed
- Offer oral fluids
- Call respiratory therapy
A client with heart failure is placed on a sodium-restricted diet. Which food should the nurse recommend?
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