HESI RN | PN INET MED SURG (2026) EXAM QUESTIONS AND ALL
CORRECT ANSWERS 100% SOLVED AND GUARANTEED SUCCESS!!
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular
response. Based on this finding, the nurse anticipates assisting the physician with which
treatment? - Correct Answer ✔✔Perform synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want to be
assigned to one particular resident. She reports that the male client keeps insisting that she is
his daughter and begs her to stay in his room. What is the best managerial decision? - Correct
Answer ✔✔Reassign the PN until the resident can be assessed more completely for reality
orientation.
Client census is often used to determine staffing needs. Which method of obtaining census
determination for a particular unit provides the best formula for determining long-range staffing
patterns? - Correct Answer ✔✔Average daily census
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention.
Which activity would be most beneficial in achieving the client's goal of osteoporosis
prevention? - Correct Answer ✔✔Cross-country skiing
Which condition should the nurse anticipate as a potential problem in a female client with a
neurogenic bladder? - Correct Answer ✔✔Infection
A client is being discharged following radioactive seed implantation for prostate cancer. What is
the most important information that the nurse should provide to this client's family? - Correct
Answer ✔✔Follow exposure precautions.
In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the
nurse notes the absence of a thrill or bruit at the shunt site. What action should the nurse take?
- Correct Answer ✔✔Notify the healthcare provider of the findings immediately.
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after
chest tube insertion for hemothorax. What is the best initial action for the nurse to take? -
Correct Answer ✔✔Assess for kinks or dependent loops in the tubing.
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which symptom of
hyperglycemia is an older adult most likely to exhibit? - Correct Answer ✔✔Infection
Which abnormal laboratory finding indicates that a client with diabetes needs further
evaluation for diabetic nephropathy? - Correct Answer ✔✔Microalbuminuria
,Which change in laboratory values indicates to the nurse that a client with rheumatoid arthritis
may be experiencing an adverse effect of methotrexate therapy? - Correct Answer ✔✔Decrease
in hemoglobin level
Which consideration is most important when the nurse is assigning a room for a client being
admitted with progressive systemic sclerosis (scleroderma)? - Correct Answer ✔✔Provide a
room that can be kept warm.
The nurse is reviewing routine medications taken by a client with chronic angle-closure
glaucoma. Which medication prescription should the nurse question? - Correct Answer
✔✔Anticholinergic with a side effect of pupillary dilation
During the change of shift report, the charge nurse reviews the infusions being received by
clients on the oncology unit. The client receiving which infusion should be assessed first? -
Correct Answer ✔✔Continuous epidural infusion of morphine
The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very
restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is
in place. Which action should the nurse take first? - Correct Answer ✔✔Obtain IV fluids for
infusion per protocol.
A client with type 2 diabetes takes metformin daily. The client is scheduled for major surgery
requiring general anesthesia the next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the perioperative period? - Correct Answer
✔✔Regular insulin subcutaneously per sliding scale
The nurse is preparing a teaching plan for a group of healthy adults. Which individual is most
likely to maintain optimum health? - Correct Answer ✔✔A teacher whose blood glucose levels
average 126 mg/dL daily with oral antidiabetic drugs
A client with hypertension has been receiving ramipril, 5 mg PO, daily for 2 weeks and is
scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg.
Which action should the nurse take? - Correct Answer ✔✔Administer the prescribed dose at the
scheduled time.
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge
nurse to assign which client to the PN? - Correct Answer ✔✔A female client in isolation with
meningococcal meningitis
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the
nurse take with the staff caring for this client? - Correct Answer ✔✔Determine if all employees
have had the hepatitis B vaccine series.
, During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which action should the nurse complete first? - Correct Answer
✔✔Monitor the client's serum potassium and blood glucose levels.
A tornado warning alarm has been activated at the local hospital. Which action should the
charge nurse working on a surgical unit take first? - Correct Answer ✔✔Move clients and visitors
into the hallways and close all doors to clients' rooms.
The nurse is assessing a client with acute pancreatitis. Which finding requires the most
immediate intervention by the nurse? - Correct Answer ✔✔The client has a carpal spasm when
taking a blood pressure.
The nurse is preparing a 45-year-old client for discharge from a cancer center following
ileostomy surgery for colon cancer. Which discharge goal should the nurse include in this client's
discharge plan? - Correct Answer ✔✔Attend an ostomy support group within 2 weeks.
The nurse is assessing a client who presents with jaundice. Which assessment finding is most
important for the nurse to follow up? - Correct Answer ✔✔Elevated serum amylase and lipase
levels
The nurse is performing hourly neurologic checks for a client with a head injury. Which new
assessment finding warrants immediate action by the nurse? - Correct Answer ✔✔A unilateral
pupil that is dilated and nonreactive to light.
The nurse is caring for a client who is one day postacute myocardial infarction. The client is
receiving oxygen at 2 L/min via nasal cannula and has a peripheral saline lock. The nurse notes
that the client is having eight premature ventricular contractions (PVCs) per minute. Which
action should the nurse take first? - Correct Answer ✔✔Increase the client's oxygen flow rate.
After attending a class on reducing cancer risk factors, a client selects bran flakes with 2% milk
and orange slices from a breakfast menu. In evaluating the client's learning, the nurse affirms
that the client has made good choices and makes what additional recommendation? - Correct
Answer ✔✔Switch to skim milk.
The nurse initiates neurologic checks for a client who is at risk for neurologic compromise.
Which manifestation typically provides the first indication of altered neurologic function? -
Correct Answer ✔✔Change in level of consciousness
Which nursing action would be appropriate for a client who is newly diagnosed with Cushing
syndrome? - Correct Answer ✔✔Monitor blood glucose levels daily.
CORRECT ANSWERS 100% SOLVED AND GUARANTEED SUCCESS!!
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular
response. Based on this finding, the nurse anticipates assisting the physician with which
treatment? - Correct Answer ✔✔Perform synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want to be
assigned to one particular resident. She reports that the male client keeps insisting that she is
his daughter and begs her to stay in his room. What is the best managerial decision? - Correct
Answer ✔✔Reassign the PN until the resident can be assessed more completely for reality
orientation.
Client census is often used to determine staffing needs. Which method of obtaining census
determination for a particular unit provides the best formula for determining long-range staffing
patterns? - Correct Answer ✔✔Average daily census
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention.
Which activity would be most beneficial in achieving the client's goal of osteoporosis
prevention? - Correct Answer ✔✔Cross-country skiing
Which condition should the nurse anticipate as a potential problem in a female client with a
neurogenic bladder? - Correct Answer ✔✔Infection
A client is being discharged following radioactive seed implantation for prostate cancer. What is
the most important information that the nurse should provide to this client's family? - Correct
Answer ✔✔Follow exposure precautions.
In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the
nurse notes the absence of a thrill or bruit at the shunt site. What action should the nurse take?
- Correct Answer ✔✔Notify the healthcare provider of the findings immediately.
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after
chest tube insertion for hemothorax. What is the best initial action for the nurse to take? -
Correct Answer ✔✔Assess for kinks or dependent loops in the tubing.
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which symptom of
hyperglycemia is an older adult most likely to exhibit? - Correct Answer ✔✔Infection
Which abnormal laboratory finding indicates that a client with diabetes needs further
evaluation for diabetic nephropathy? - Correct Answer ✔✔Microalbuminuria
,Which change in laboratory values indicates to the nurse that a client with rheumatoid arthritis
may be experiencing an adverse effect of methotrexate therapy? - Correct Answer ✔✔Decrease
in hemoglobin level
Which consideration is most important when the nurse is assigning a room for a client being
admitted with progressive systemic sclerosis (scleroderma)? - Correct Answer ✔✔Provide a
room that can be kept warm.
The nurse is reviewing routine medications taken by a client with chronic angle-closure
glaucoma. Which medication prescription should the nurse question? - Correct Answer
✔✔Anticholinergic with a side effect of pupillary dilation
During the change of shift report, the charge nurse reviews the infusions being received by
clients on the oncology unit. The client receiving which infusion should be assessed first? -
Correct Answer ✔✔Continuous epidural infusion of morphine
The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very
restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is
in place. Which action should the nurse take first? - Correct Answer ✔✔Obtain IV fluids for
infusion per protocol.
A client with type 2 diabetes takes metformin daily. The client is scheduled for major surgery
requiring general anesthesia the next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the perioperative period? - Correct Answer
✔✔Regular insulin subcutaneously per sliding scale
The nurse is preparing a teaching plan for a group of healthy adults. Which individual is most
likely to maintain optimum health? - Correct Answer ✔✔A teacher whose blood glucose levels
average 126 mg/dL daily with oral antidiabetic drugs
A client with hypertension has been receiving ramipril, 5 mg PO, daily for 2 weeks and is
scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg.
Which action should the nurse take? - Correct Answer ✔✔Administer the prescribed dose at the
scheduled time.
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge
nurse to assign which client to the PN? - Correct Answer ✔✔A female client in isolation with
meningococcal meningitis
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the
nurse take with the staff caring for this client? - Correct Answer ✔✔Determine if all employees
have had the hepatitis B vaccine series.
, During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which action should the nurse complete first? - Correct Answer
✔✔Monitor the client's serum potassium and blood glucose levels.
A tornado warning alarm has been activated at the local hospital. Which action should the
charge nurse working on a surgical unit take first? - Correct Answer ✔✔Move clients and visitors
into the hallways and close all doors to clients' rooms.
The nurse is assessing a client with acute pancreatitis. Which finding requires the most
immediate intervention by the nurse? - Correct Answer ✔✔The client has a carpal spasm when
taking a blood pressure.
The nurse is preparing a 45-year-old client for discharge from a cancer center following
ileostomy surgery for colon cancer. Which discharge goal should the nurse include in this client's
discharge plan? - Correct Answer ✔✔Attend an ostomy support group within 2 weeks.
The nurse is assessing a client who presents with jaundice. Which assessment finding is most
important for the nurse to follow up? - Correct Answer ✔✔Elevated serum amylase and lipase
levels
The nurse is performing hourly neurologic checks for a client with a head injury. Which new
assessment finding warrants immediate action by the nurse? - Correct Answer ✔✔A unilateral
pupil that is dilated and nonreactive to light.
The nurse is caring for a client who is one day postacute myocardial infarction. The client is
receiving oxygen at 2 L/min via nasal cannula and has a peripheral saline lock. The nurse notes
that the client is having eight premature ventricular contractions (PVCs) per minute. Which
action should the nurse take first? - Correct Answer ✔✔Increase the client's oxygen flow rate.
After attending a class on reducing cancer risk factors, a client selects bran flakes with 2% milk
and orange slices from a breakfast menu. In evaluating the client's learning, the nurse affirms
that the client has made good choices and makes what additional recommendation? - Correct
Answer ✔✔Switch to skim milk.
The nurse initiates neurologic checks for a client who is at risk for neurologic compromise.
Which manifestation typically provides the first indication of altered neurologic function? -
Correct Answer ✔✔Change in level of consciousness
Which nursing action would be appropriate for a client who is newly diagnosed with Cushing
syndrome? - Correct Answer ✔✔Monitor blood glucose levels daily.
