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Saunders HESI Med Surg Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with severe burns develops dark, scant urine output. Which complication should the nurse suspect?
- Hypoglycemia
- Respiratory distress
- Hypocalcemia
✔✔C. Acute kidney injury
A client with liver cirrhosis presents with confusion and tremors. Which lab value is most likely elevated?
- Serum calcium
- Serum potassium
- Serum sodium
✔✔D. Serum ammonia
The nurse is reinforcing education for a client prescribed warfarin. Which statement by the client indicates a need for further teaching? 1 / 4
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- “I will have my INR checked regularly.”
- “I will use a soft toothbrush.”
- “I will report any unusual bleeding.”
✔✔B. “I can eat as much spinach as I want.”
A client with acute pancreatitis reports sudden relief of abdominal pain, followed by hypotension and tachycardia. Which action should the nurse take first?
- Reassure the client
- Offer oral fluids
- Apply warm compresses
✔✔C. Notify the healthcare provider immediately
A client with pneumonia is admitted with fever, cough, and shortness of breath. Which intervention should the nurse perform first?
- Apply cool compresses
- Offer warm fluids
- Encourage relaxation techniques 2 / 4
✔✔B. Administer prescribed oxygen
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A client with a new colostomy reports gas and bloating. Which food should the nurse recommend avoiding?
- Rice
- Yogurt
- Applesauce
✔✔C. Broccoli
The nurse is caring for a client with hypoglycemia who is awake and alert. Which is the best initial action?✔✔A. Provide a fast-acting carbohydrate
- Encourage deep breathing
- Perform oral care
- Offer a protein-rich snack
A client recovering from a stroke has dysphagia. What is the most important nursing intervention before feeding?✔✔A. Check the client’s gag reflex
- Offer large sips of water 3 / 4
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- Position in semi-Fowler’s
- Provide soft bread rolls
A client with COPD is receiving oxygen therapy at 4 L/min via nasal cannula. Which action should the nurse take?✔✔A. Reduce the flow rate as prescribed to maintain oxygen saturation between 88-92%
- Increase the flow rate to 6 L/min
- Switch to a non-rebreather mask
- Encourage rapid deep breaths
A client with heart failure is on a low-sodium diet. Which meal selection indicates correct understanding?
- Ham sandwich with pickles
- Cheese omelet with salted crackers
- Canned soup and toast
✔✔B. Grilled chicken with steamed green beans
A client on chemotherapy develops mouth sores. Which food choice is best?
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