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Hesi Next Gen Case Studies for Med Surg Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with pneumonia develops increasing shortness of breath and confusion. What is the nurse’s priority action?✔✔Assess oxygen saturation and apply supplemental oxygen.
A client with heart failure reports sudden weight gain of 3 kg in two days. What does this most likely indicate?✔✔Fluid retention.
A client with type 2 diabetes becomes sweaty and shaky during physical therapy. What is the nurse’s first action?✔✔Check blood glucose level.
A client after abdominal surgery has absent bowel sounds and abdominal distension. What is the likely complication?✔✔Paralytic ileus.
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A client with chronic kidney disease has a potassium level of 6.5 mEq/L. What is the nurse’s immediate priority?✔✔Place the client on a cardiac monitor.
A client with COPD becomes increasingly lethargic and has shallow respirations. What should the nurse do first?✔✔Assess arterial blood gases.
A client post–thyroidectomy reports tingling around the mouth and fingertips. What condition does the nurse suspect?✔✔Hypocalcemia.
A client receiving IV antibiotics for a wound infection develops watery diarrhea. What condition should the nurse suspect?✔✔Clostridioides difficile infection.
A client admitted with a stroke has slurred speech and right-sided weakness. What is the nurse’s priority action?✔✔Perform a swallow assessment before giving food or fluids. 2 / 3
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A client with a chest tube shows continuous bubbling in the water seal chamber. What does this indicate?✔✔Air leak in the system.
A client with sepsis has a blood pressure of 80/50 mmHg despite receiving fluids. What is the next likely intervention?✔✔Administration of vasopressors.
A client receiving blood transfusion reports chills and back pain. What is the nurse’s immediate action?✔✔Stop the transfusion and keep the IV line open with normal saline.
A client with diabetic ketoacidosis has a fruity breath odor and rapid respirations. What is the priority nursing intervention?✔✔Start IV fluids as prescribed.
A client post hip surgery develops sudden shortness of breath and chest pain. What does the nurse suspect?
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