TEST BANK FOR HESI RN Medical Surgical
(HESI RN Med-Surg) 2024/2025 Versions 1–6
(v1,v2,v3,v4,v5,v6,) | Rated Grade A+|
verified questions & answers | Brand new!! (
2025/2026) Download Now !!!!!
Which action is the priority in the ABCDE principle when a client has trauma?
A. Check airway and cervical spine
B. Assess circulation
C. Evaluate disability
D. Expose the client for assessment
Answer: A
Rationale:
Airway compromise is immediately life-threatening. Cervical spine precautions are necessary
if trauma is suspected.
Which triage level is assigned to a client with a life-threatening condition requiring
immediate intervention?
A. Level 1 – Resuscitation
B. Level 2 – Emergent
C. Level 3 – Urgent
D. Level 5 – Non-urgent
Answer: A
Rationale:
Level 1 patients need immediate life-saving interventions.
In a mass casualty incident, which color tag indicates a patient with a penetrating head
wound expected to die?
A. Black
B. Red
,C. Yellow
D. Green
Answer: A
Rationale:
Black tags denote expectant or deceased patients not expected to survive.
Which medication is used for shock and engages dopamine, beta-1, and alpha-1 receptors?
A. Dopamine
B. Dobutamine
C. Epinephrine
D. Nitroglycerin
Answer: A
Rationale:
Dopamine stimulates cardiac contractility, vasoconstriction, and renal perfusion.
A client post-cerebral angiography should be monitored for:
A. Bleeding at the puncture site
B. Vomiting
C. Confusion unrelated to anesthesia
D. Hyperglycemia
Answer: A
Rationale:
Groin or neck catheter insertion can cause bleeding or hematoma formation.
Which posturing indicates severe brain injury and is worse than decorticate?
A. Decerebrate
B. Decorticate
C. Flaccid
D. Seizure activity
Answer: A
Rationale:
Decerebrate posturing indicates more extensive brainstem damage.
,Which lab value should be monitored before a procedure involving contrast dye?
A. BUN and creatinine
B. Hemoglobin
C. Potassium
D. Platelet count
Answer: A
Rationale:
Contrast is nephrotoxic; renal function must be evaluated.
A client presents with a stiff neck, fever, and photophobia. Which test is likely indicated?
A. Lumbar puncture
B. CT scan without contrast
C. EEG
D. MRI
Answer: A
Rationale:
Lumbar puncture is used to test for meningitis via CSF analysis.
Which type of pain is described as burning, shooting, or pins-and-needles?
A. Neuropathic pain
B. Nociceptive pain
C. Somatic pain
D. Visceral pain
Answer: A
Rationale:
Neuropathic pain is due to nerve damage; nociceptive is from tissue injury.
A patient taking opioids should have which intervention readily available?
A. Naloxone (Narcan)
B. Aspirin
C. Acetaminophen
D. Epinephrine
, Answer: A
Rationale:
Naloxone reverses opioid-induced respiratory depression in overdose.
Which sign indicates hypocalcemia?
A. Positive Chvostek sign
B. Bradycardia
C. Hyperpigmentation
D. Weight gain
Answer: A
Rationale:
Tapping the facial nerve produces twitching in hypocalcemia.
Which endocrine disorder is characterized by hyperglycemia >600 mg/dL without
ketoacidosis?
A. Hyperosmolar Hyperglycemic State (HHS)
B. Diabetic Ketoacidosis (DKA)
C. Addison’s disease
D. Cushing’s syndrome
Answer: A
Rationale:
HHS involves severe hyperglycemia and dehydration but no ketosis.
Which sign is most concerning in hypoglycemia?
A. Cool, clammy skin and confusion
B. Polyuria
C. Weight loss
D. Hyperpigmentation
Answer: A
Rationale:
Hypoglycemia manifests as adrenergic and neuroglycopenic symptoms, requiring immediate
glucose administration.
(HESI RN Med-Surg) 2024/2025 Versions 1–6
(v1,v2,v3,v4,v5,v6,) | Rated Grade A+|
verified questions & answers | Brand new!! (
2025/2026) Download Now !!!!!
Which action is the priority in the ABCDE principle when a client has trauma?
A. Check airway and cervical spine
B. Assess circulation
C. Evaluate disability
D. Expose the client for assessment
Answer: A
Rationale:
Airway compromise is immediately life-threatening. Cervical spine precautions are necessary
if trauma is suspected.
Which triage level is assigned to a client with a life-threatening condition requiring
immediate intervention?
A. Level 1 – Resuscitation
B. Level 2 – Emergent
C. Level 3 – Urgent
D. Level 5 – Non-urgent
Answer: A
Rationale:
Level 1 patients need immediate life-saving interventions.
In a mass casualty incident, which color tag indicates a patient with a penetrating head
wound expected to die?
A. Black
B. Red
,C. Yellow
D. Green
Answer: A
Rationale:
Black tags denote expectant or deceased patients not expected to survive.
Which medication is used for shock and engages dopamine, beta-1, and alpha-1 receptors?
A. Dopamine
B. Dobutamine
C. Epinephrine
D. Nitroglycerin
Answer: A
Rationale:
Dopamine stimulates cardiac contractility, vasoconstriction, and renal perfusion.
A client post-cerebral angiography should be monitored for:
A. Bleeding at the puncture site
B. Vomiting
C. Confusion unrelated to anesthesia
D. Hyperglycemia
Answer: A
Rationale:
Groin or neck catheter insertion can cause bleeding or hematoma formation.
Which posturing indicates severe brain injury and is worse than decorticate?
A. Decerebrate
B. Decorticate
C. Flaccid
D. Seizure activity
Answer: A
Rationale:
Decerebrate posturing indicates more extensive brainstem damage.
,Which lab value should be monitored before a procedure involving contrast dye?
A. BUN and creatinine
B. Hemoglobin
C. Potassium
D. Platelet count
Answer: A
Rationale:
Contrast is nephrotoxic; renal function must be evaluated.
A client presents with a stiff neck, fever, and photophobia. Which test is likely indicated?
A. Lumbar puncture
B. CT scan without contrast
C. EEG
D. MRI
Answer: A
Rationale:
Lumbar puncture is used to test for meningitis via CSF analysis.
Which type of pain is described as burning, shooting, or pins-and-needles?
A. Neuropathic pain
B. Nociceptive pain
C. Somatic pain
D. Visceral pain
Answer: A
Rationale:
Neuropathic pain is due to nerve damage; nociceptive is from tissue injury.
A patient taking opioids should have which intervention readily available?
A. Naloxone (Narcan)
B. Aspirin
C. Acetaminophen
D. Epinephrine
, Answer: A
Rationale:
Naloxone reverses opioid-induced respiratory depression in overdose.
Which sign indicates hypocalcemia?
A. Positive Chvostek sign
B. Bradycardia
C. Hyperpigmentation
D. Weight gain
Answer: A
Rationale:
Tapping the facial nerve produces twitching in hypocalcemia.
Which endocrine disorder is characterized by hyperglycemia >600 mg/dL without
ketoacidosis?
A. Hyperosmolar Hyperglycemic State (HHS)
B. Diabetic Ketoacidosis (DKA)
C. Addison’s disease
D. Cushing’s syndrome
Answer: A
Rationale:
HHS involves severe hyperglycemia and dehydration but no ketosis.
Which sign is most concerning in hypoglycemia?
A. Cool, clammy skin and confusion
B. Polyuria
C. Weight loss
D. Hyperpigmentation
Answer: A
Rationale:
Hypoglycemia manifests as adrenergic and neuroglycopenic symptoms, requiring immediate
glucose administration.
