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Med Surg Test bank (Red HESI) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with COPD becomes short of breath while ambulating. Which action should the nurse take first?
- Increase oxygen flow rate
- Place client in high-Fowler’s position
- Encourage fluid intake
✔✔C. Instruct the client to use pursed-lip breathing
A client with type 2 diabetes reports blurred vision and increased urination. Which laboratory result should the nurse review first?
- Sodium
- Creatinine
- Hemoglobin
✔✔B. Blood glucose
A postoperative client is restless, with shallow respirations and a respiratory rate of 8 breaths/min after receiving morphine. What is the nurse’s priority action? 1 / 4
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- Apply oxygen
- Encourage coughing and deep breathing
- Document findings
✔✔B. Administer naloxone
A client with heart failure reports sudden weight gain of 4 lb in two days. Which action is most appropriate?
- Offer a high-sodium meal
- Increase fluid intake
- Encourage daily exercise
✔✔B. Notify the healthcare provider
A client receiving a blood transfusion develops fever and chills. Which action should the nurse take first?
- Notify the laboratory
- Administer acetaminophen
- Document the findings 2 / 4
✔✔C. Stop the transfusion
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A client with pneumonia has thick, tenacious sputum. Which intervention is most effective to loosen secretions?
- Limit fluid intake
- Encourage bedrest
- Offer a low-sodium diet
✔✔B. Increase oral fluids
A client is receiving digoxin for heart failure. Which finding is most concerning?✔✔A. Apical pulse of 52 beats/min
- Respiratory rate of 20/min
- Blood pressure 130/78 mm Hg
- Temperature 99°F
A nurse is caring for a client with cirrhosis who has ascites and difficulty breathing. Which position is best?
- Supine with legs elevated
✔✔B. High-Fowler’s 3 / 4
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- Prone
- Side-lying
A client with diabetic ketoacidosis is receiving insulin therapy. Which laboratory value should be monitored closely?
- Sodium
- Chloride
- Calcium
✔✔C. Potassium
A client with a spinal cord injury is flushed, has a pounding headache, and blood pressure of 200/110 mm Hg. Which action is priority?
- Place in supine position
- Increase IV fluids
- Administer pain medication
✔✔B. Sit the client upright
A client with chronic kidney disease is on a low-protein diet. Which food choice indicates understanding?
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