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Med-Surg Hesi PN Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client with pneumonia. Which finding should be reported to the healthcare provider immediately?
- Mild cough with sputum
- Low-grade fever
- Fatigue
✔✔B. Respiratory rate of 32 breaths/min
A client is prescribed warfarin. Which food should the nurse teach the client to limit?
- Apples
- Bananas
- Rice
✔✔B. Spinach
Which assessment finding indicates fluid volume overload?
- Dry mucous membranes 1 / 4
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- Hypotension
- Sunken eyes
✔✔C. Crackles in the lungs
A client with diabetes reports dizziness and sweating. What is the nurse’s first action?
- Call the healthcare provider
- Offer water
- Administer insulin
✔✔B. Check the client’s blood glucose
Which position should the nurse place a client in after a liver biopsy?
- Supine
- Left side-lying
- High Fowler’s
✔✔C. Right side-lying
A nurse is caring for a client with hypokalemia. Which finding should the nurse expect?
- Bradycardia 2 / 4
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✔✔B. Muscle weakness
- Hypertension
- Hyperactive reflexes
Which finding in a client receiving IV fluids should prompt the nurse to slow the infusion rate?
- Increased urine output
- Dry lips
- Decreased skin turgor
✔✔B. Shortness of breath
A client with chronic kidney disease has pruritus. What is the nurse’s best action?
- Increase fluid intake
- Encourage sun exposure
- Give salt tablets
✔✔B. Apply moisturizing lotion
A client with a new colostomy is upset about body image changes. What is the nurse’s best initial response? 3 / 4
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- Offer to contact a social worker
- Suggest avoiding mirrors
- Provide detailed stoma care instructions
✔✔B. Encourage the client to express feelings
Which electrolyte imbalance is most likely in a client with prolonged vomiting?✔✔A. Hypokalemia
- Hyperkalemia
- Hypernatremia
- Hypocalcemia
A nurse is caring for a client with a chest tube. Which finding requires immediate intervention?
- Small air bubbles in the water seal chamber during exhalation
- Drainage of 40 mL in 4 hours
- Occasional cough
- / 4
✔✔B. Tracheal deviation