HESI PN MED SURGE PROCTORED EXAM 14
VERSIONS FINAL PAPER 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ The nurse prepares to teach a patient recovering from a
myocardial infarction (MI) about combination durg therapy based
on "best practice" for controlling hypertension. Which drugs does
the nurse include in the teaching plan? SELECT ALL THAT APPLY!!!
A) NSAID's
B) Aspirin
C) Aldosterone antagonists
D) ACE Inhibitors or ARB's
E) Central alpha Agonists
F) Beta Blockers
G) Diuretics. Answer: B,C,D,F,G
◉ The nurse is caring for a client who is disoriented as the result of a
stroke. Which action does the nurse implement to help orient this
client?
A) Turn on the television to a 24-hour news station.
,B) Provide auditory and visual stimulation simultaneously.
C) Ask the family to bring in pictures familiar to the client.
D) Maintain a calm and quite environment by minimizing visitors..
Answer: C
For the client with disorientation, the nurse can request that the
family bring in pictures or objects that are familiar to the client. The
nurse explains what the object or picture represents in simple
terms. These stimuli can be presented several times daily. Visitors
can also be familiar stimuli to reorient the client. Too much stimuli
and constant stimuli can lead to further confusion.
◉ The nurse is caring for an anorexic client who is severely
malnourished. A nasogastric feeding tube is inserted, and tube
feedings are started. Which laboratory finding is the best indication
that the client's nutritional status is improving?
A) Creatinine has dropped from 1.9 to 0.5 mg/dL.
B) Blood urea nitrogen (BUN) level has dropped from 15 to 11
mg/dL.
C) Prealbumin level has risen from 9 to 13 mg/dL.
D) Sodium has risen from 130 to 144 mg/dL.. Answer: C
The prealbumin level is a good measure of nutritional status because
its half-life is only 2 days, so it reflects current nutritional status. The
,client's prealbumin level is rising and almost normal, indicating that
the client's nutritional status is improving. The other laboratory
values are more reflective of fluid balance and kidney function.
◉ When conducting a health history assessment, the nurse would
want to know what important information about the patient's
elimination status? (Select all that apply.)
A) Time of day patient defecates
B) Patient's preferences for toileting
C) List of medications taken by patient
D) Recent changes in elimination patterns
E) Changes in color, consistency, or odor of stool or urine
F) Discomfort or pain with elimination. Answer: C,D,E,F
Recent changes in elimination patterns, color, consistency, or odor
are important for the nurse to know concerning elimination.
Discomfort or pain during elimination is important for the nurse to
know. A nurse should also know which medications the patient is on
as this may affect elimination. Time of day is not important, nor is
the patient's preferences for toileting. They are personal preferences
and do not affect elimination.
◉ A confused client is hospitalized for possible pneumonia and is
admitted from the emergency department with an indwelling
, catheter in place. During interdisciplinary rounds the following day,
what question by the nurse takes priority?
A) "Can we discontinue the in-dwelling catheter?"
B) "Will the client be able to return home?"
C) "Should we get another chest x-ray today?"
D) "Do you want daily weights on this client?". Answer: A
An in-dwelling catheter dramatically increases the risks of urinary
tract infection and urosepsis. Nursing staff should ensure that
catheters are left in place only as long as they are medically needed.
The nurse should inquire about removing the catheter. All other
questions might be appropriate, but because of client safety, this
question takes priority.
◉ The nurse is assessing a client who had a stroke in the right
cerebral hemisphere. Which neurologic deficit does the nurse assess
for in this client?
A) Agraphia
B) Aphasia
C) Impaired olfaction
D) Impaired proprioception. Answer: D
VERSIONS FINAL PAPER 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ The nurse prepares to teach a patient recovering from a
myocardial infarction (MI) about combination durg therapy based
on "best practice" for controlling hypertension. Which drugs does
the nurse include in the teaching plan? SELECT ALL THAT APPLY!!!
A) NSAID's
B) Aspirin
C) Aldosterone antagonists
D) ACE Inhibitors or ARB's
E) Central alpha Agonists
F) Beta Blockers
G) Diuretics. Answer: B,C,D,F,G
◉ The nurse is caring for a client who is disoriented as the result of a
stroke. Which action does the nurse implement to help orient this
client?
A) Turn on the television to a 24-hour news station.
,B) Provide auditory and visual stimulation simultaneously.
C) Ask the family to bring in pictures familiar to the client.
D) Maintain a calm and quite environment by minimizing visitors..
Answer: C
For the client with disorientation, the nurse can request that the
family bring in pictures or objects that are familiar to the client. The
nurse explains what the object or picture represents in simple
terms. These stimuli can be presented several times daily. Visitors
can also be familiar stimuli to reorient the client. Too much stimuli
and constant stimuli can lead to further confusion.
◉ The nurse is caring for an anorexic client who is severely
malnourished. A nasogastric feeding tube is inserted, and tube
feedings are started. Which laboratory finding is the best indication
that the client's nutritional status is improving?
A) Creatinine has dropped from 1.9 to 0.5 mg/dL.
B) Blood urea nitrogen (BUN) level has dropped from 15 to 11
mg/dL.
C) Prealbumin level has risen from 9 to 13 mg/dL.
D) Sodium has risen from 130 to 144 mg/dL.. Answer: C
The prealbumin level is a good measure of nutritional status because
its half-life is only 2 days, so it reflects current nutritional status. The
,client's prealbumin level is rising and almost normal, indicating that
the client's nutritional status is improving. The other laboratory
values are more reflective of fluid balance and kidney function.
◉ When conducting a health history assessment, the nurse would
want to know what important information about the patient's
elimination status? (Select all that apply.)
A) Time of day patient defecates
B) Patient's preferences for toileting
C) List of medications taken by patient
D) Recent changes in elimination patterns
E) Changes in color, consistency, or odor of stool or urine
F) Discomfort or pain with elimination. Answer: C,D,E,F
Recent changes in elimination patterns, color, consistency, or odor
are important for the nurse to know concerning elimination.
Discomfort or pain during elimination is important for the nurse to
know. A nurse should also know which medications the patient is on
as this may affect elimination. Time of day is not important, nor is
the patient's preferences for toileting. They are personal preferences
and do not affect elimination.
◉ A confused client is hospitalized for possible pneumonia and is
admitted from the emergency department with an indwelling
, catheter in place. During interdisciplinary rounds the following day,
what question by the nurse takes priority?
A) "Can we discontinue the in-dwelling catheter?"
B) "Will the client be able to return home?"
C) "Should we get another chest x-ray today?"
D) "Do you want daily weights on this client?". Answer: A
An in-dwelling catheter dramatically increases the risks of urinary
tract infection and urosepsis. Nursing staff should ensure that
catheters are left in place only as long as they are medically needed.
The nurse should inquire about removing the catheter. All other
questions might be appropriate, but because of client safety, this
question takes priority.
◉ The nurse is assessing a client who had a stroke in the right
cerebral hemisphere. Which neurologic deficit does the nurse assess
for in this client?
A) Agraphia
B) Aphasia
C) Impaired olfaction
D) Impaired proprioception. Answer: D
