Med-Surg Hesi PN Questions and

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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 who has a productive cough. Which nursing action will help promote airway clearance?

• Offer ice chips frequently

✔✔B. Encourage the client to perform deep breathing and coughing exercises

• Limit oral fluids
• Place the client in a supine position

A client is admitted with diabetic ketoacidosis. Which initial intervention is the priority?

• Administer insulin subcutaneously

✔✔B. Begin intravenous fluid replacement

• Provide oral glucose
• Start a low-carbohydrate diet

A nurse is caring for a client with a new colostomy. Which statement indicates the client understands colostomy care? 1 / 4

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• “I will change the pouch once a week.”
• “I can reuse the pouch after rinsing it.”

✔✔C. “I will empty the pouch when it is one-third full.”

• “I should avoid cleaning around the stoma with water.”

A client receiving chemotherapy develops stomatitis. Which food choice is most appropriate?

• Spicy salsa with tortilla chips

✔✔B. Mashed potatoes

• Citrus fruit salad
• Toast with peanut butter

A nurse is caring for a client with a potassium level of 2.9 mEq/L. Which finding should the nurse expect?

• Hyperreflexia
• Bradycardia

✔✔C. Muscle weakness

• Increased bowel sounds
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A nurse is reinforcing discharge teaching for a client with heart failure who is prescribed furosemide. Which statement shows understanding?

• “I will limit foods high in potassium.”

✔✔B. “I will weigh myself daily at the same time.”

• “I will avoid drinking more than 3 liters of water each day.”
• “I will stop taking the medication if I feel dizzy.”

A nurse is caring for a client after a thyroidectomy. Which complication should be reported to the healthcare provider immediately?

• Mild hoarseness

✔✔B. Difficulty breathing

• Sore throat
• Low-grade fever

A client with COPD is experiencing shortness of breath. Which position will help improve breathing?

• Supine with legs elevated
• Side-lying with knees bent

✔✔C. Sitting upright leaning forward on a table 3 / 4

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• Trendelenburg position

A nurse is caring for a client receiving IV heparin. Which laboratory result should be monitored to evaluate the effectiveness of therapy?

• Hemoglobin

B. INR

✔✔C. aPTT

• Platelet count

A client with cirrhosis is at risk for bleeding. Which laboratory value should the nurse monitor closely?

• Serum creatinine
• Blood glucose

✔✔C. Prothrombin time

• Sodium level

A nurse is caring for a client with a chest tube connected to a water-seal drainage system. Which observation requires immediate intervention?

• Gentle bubbling in the suction chamber
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