HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
HESI PN MEDICAL SURGICAL NGN EXAM 2025 PREP TEST BANK
WITH 450 REAL EXAM PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES/ PN HESI MED SURG EXAM
2025—2026/ EVOLVE MED SURG (PN)
A nurse is assisting in the plan of care for a client who is dehydrated and is
receiving IV fluid replacement. Which of the following interventions should the
nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
B. Check for neck vein distention.
Rational:
Neck vein distention might be a sign of congestion of fluid in the vascular system,
which can occur when a person is receiving excessive IV fluids.
Offering oral fluids every 4 hours may be appropriate for a patient who is mildly
dehydrated and able to tolerate oral intake, but it is not recommended for a
patient who is severely dehydrated and receiving IV fluid replacement.
Limiting oral fluids prior to bedtime may be appropriate for a patient with
nocturia, but it is not relevant to the care of a dehydrated patient receiving IV fluid
replacement.
Pulse pressure is the difference between the systolic and diastolic blood pressure
readings. While monitoring vital signs, including blood pressure, is important,
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, HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
pulse pressure may not be the most relevant parameter to track in this context.
Other vital signs like heart rate and blood pressure could be more indicative of the
client's overall condition
A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved
testicle. Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection."
D. "The removal of a single testicle will not
prevent you from having an erection."
TEST
A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the
medication is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight."
A. "I no longer feel nervous."
Rationale:
Propylthiouracil is a medication used to treat hyperthyroidism, Graves' disease, or
2|Page
, HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
toxic goiter (enlarged thyroid). It works by inhibiting the synthesis of thyroid
hormones and thus is effective in the treatment of hyperthyroidism.
The following statements by the client indicate the effectiveness of
propylthiouracil:
"I no longer feel nervous" - This statement is a good indicator that the medication
is effective. Hyperthyroidism can cause nervousness, anxiety, and irritability.
Therefore, if the client no longer feels nervous, it could be due to the medication's
effectiveness.
"I no longer take a stool softener" - This statement is not an indicator of
propylthiouracil's effectiveness. Stool softeners are used to relieve constipation,
which is not a symptom of hyperthyroidism or a side effect of propylthiouracil.
"I have less oily skin" - This statement is not an indicator of propylthiouracil's
effectiveness. Oily skin is not a symptom of hyperthyroidism or a side effect of
propylthiouracil.
"I continue to lose weight" - This statement is not necessarily an indicator of
propylthiouracil's effectiveness. Weight loss can be a symptom of
hyperthyroidism, but it can also be a side effect of propylthiouracil. Therefore, this
statement alone cannot confirm the medication's effectiveness.
TEST
A nurse is planning care for a client who is receiving radiation therapy to treat
throat cancer and reports a change in the taste of food. Which of the following
interventions should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily.
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, HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
C. Heat food before serving.
Rationale:
Radiation therapy can inhibit the salivary glands and taste buds. This is why the
patient is experiencing a change in taste.
Option B it can help food taste better, but it is likely that taste is still impaired as
taste buds are affected in radiation therapy.
Option D can cause nausea and vomiting especially in patients undergoing
radiation therapy.
TEST
A nurse working the night shift is caring for an older adult client who has
dementia and is at risk for falls. Which of the following actions should the nurse
take?
a) Raise all four side rails while the client is in bed.
b) Apply a motion sensor mat to the client's bed.
c) Leave the television on in the client's room.
d) Move the overbed table away from the bed.
B. Apply a motion sensor mat to the client's bed.
Rationale:
The nurse should apply a motion sensor mat to the client's bed. This will alert the
nurse if the client tries to get out of bed and will help prevent falls.
Option A raising all four side rails while the client is in bed is not recommended
because it can be considered a restraint and can lead to injury or death.
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HESI PN MEDICAL SURGICAL NGN EXAM 2025 PREP TEST BANK
WITH 450 REAL EXAM PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES/ PN HESI MED SURG EXAM
2025—2026/ EVOLVE MED SURG (PN)
A nurse is assisting in the plan of care for a client who is dehydrated and is
receiving IV fluid replacement. Which of the following interventions should the
nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
B. Check for neck vein distention.
Rational:
Neck vein distention might be a sign of congestion of fluid in the vascular system,
which can occur when a person is receiving excessive IV fluids.
Offering oral fluids every 4 hours may be appropriate for a patient who is mildly
dehydrated and able to tolerate oral intake, but it is not recommended for a
patient who is severely dehydrated and receiving IV fluid replacement.
Limiting oral fluids prior to bedtime may be appropriate for a patient with
nocturia, but it is not relevant to the care of a dehydrated patient receiving IV fluid
replacement.
Pulse pressure is the difference between the systolic and diastolic blood pressure
readings. While monitoring vital signs, including blood pressure, is important,
1|Page
, HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
pulse pressure may not be the most relevant parameter to track in this context.
Other vital signs like heart rate and blood pressure could be more indicative of the
client's overall condition
A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved
testicle. Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection."
D. "The removal of a single testicle will not
prevent you from having an erection."
TEST
A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the
medication is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight."
A. "I no longer feel nervous."
Rationale:
Propylthiouracil is a medication used to treat hyperthyroidism, Graves' disease, or
2|Page
, HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
toxic goiter (enlarged thyroid). It works by inhibiting the synthesis of thyroid
hormones and thus is effective in the treatment of hyperthyroidism.
The following statements by the client indicate the effectiveness of
propylthiouracil:
"I no longer feel nervous" - This statement is a good indicator that the medication
is effective. Hyperthyroidism can cause nervousness, anxiety, and irritability.
Therefore, if the client no longer feels nervous, it could be due to the medication's
effectiveness.
"I no longer take a stool softener" - This statement is not an indicator of
propylthiouracil's effectiveness. Stool softeners are used to relieve constipation,
which is not a symptom of hyperthyroidism or a side effect of propylthiouracil.
"I have less oily skin" - This statement is not an indicator of propylthiouracil's
effectiveness. Oily skin is not a symptom of hyperthyroidism or a side effect of
propylthiouracil.
"I continue to lose weight" - This statement is not necessarily an indicator of
propylthiouracil's effectiveness. Weight loss can be a symptom of
hyperthyroidism, but it can also be a side effect of propylthiouracil. Therefore, this
statement alone cannot confirm the medication's effectiveness.
TEST
A nurse is planning care for a client who is receiving radiation therapy to treat
throat cancer and reports a change in the taste of food. Which of the following
interventions should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily.
3|Page
, HESI PN MEDICAL SURGICAL NGN Exam 2025 Prep Test Bank
C. Heat food before serving.
Rationale:
Radiation therapy can inhibit the salivary glands and taste buds. This is why the
patient is experiencing a change in taste.
Option B it can help food taste better, but it is likely that taste is still impaired as
taste buds are affected in radiation therapy.
Option D can cause nausea and vomiting especially in patients undergoing
radiation therapy.
TEST
A nurse working the night shift is caring for an older adult client who has
dementia and is at risk for falls. Which of the following actions should the nurse
take?
a) Raise all four side rails while the client is in bed.
b) Apply a motion sensor mat to the client's bed.
c) Leave the television on in the client's room.
d) Move the overbed table away from the bed.
B. Apply a motion sensor mat to the client's bed.
Rationale:
The nurse should apply a motion sensor mat to the client's bed. This will alert the
nurse if the client tries to get out of bed and will help prevent falls.
Option A raising all four side rails while the client is in bed is not recommended
because it can be considered a restraint and can lead to injury or death.
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