2026 UPDATED HESI PN MEDICAL SURGICAL NGN NEWEST 2025 VERSION 3 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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2026 UPDATED HESI PN MEDICAL SURGICAL NGN

NEWEST 2025 VERSION 3 COMPLETE 55 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

• A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the

following statements by the client indicates an understanding of the teaching?

• "I will need to empty the bag every 4 to 6 hours."
• "I will use moisturizing soap to clean around the stoma before applying the bag."
• "I will use a skin sealant before I apply the bag."
• "I will cut the wafer opening one-fourth of an inch larger than the stoma."

Correct Answer: C. "I will use a skin sealant before I apply the bag."

• A nurse is reinforcing teaching with a client about breast self-examinations. Which

of the following statements by the client indicates an understanding of the teaching?

• "It is common for one breast to be larger than the other."
• "It is common for the skin on my breasts to dimple."
• "I will perform breast exams the day my period begins."
• "I will perform breast exams every other month."

Correct Answer: A. "It is common for one breast to be larger than the other."

• A nurse is preparing to obtain a postprandial blood glucose level from a client who

has diabetes mellitus. Which of the following actions should the nurse take?

a) Apply the first drop of blood to the test strip.

b) Clean the client's finger with hexachlorophene.

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c) Prick the central tip of the client's finger.

d) Hold the client's finger in a dependent position.

Correct Answer: D. Hold the client's finger in a dependent position.

• A nurse is caring for a client who has a new prescription for nitroglycerin. The nurse

should monitor for which of the following adverse effects of the medication?• Nocturia • Increased saliva production • Flushing • Fever

Correct Answer: Flushing

• A nurse is obtaining a medication history from a client who is to start taking

nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hrs of using nitroglycerin?

a) Atorvastatin

b) Metformin

c) Sildenafil

d) Omeprazole

Correct Answer: C. Sildenafil

• A nurse is providing directions to an assistive personnel about moving a client up in

bed.

• "Place a pillow under the client's head prior to repositioning."
• "Keep your feet close together while moving the client"
• "Face in the direction of the client's movement"
• "Move the client's arms to his sides prior to repositioning."

Correct Answer: C. "Face in the direction of the client's movement."

• A nurse is contributing to the plan of care for a client who reports difficulty eating

due to chronic arthritis. Which of the following interventions should the nurse include in the plan?

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a) Apply foam handles to the client's eating utensils.

b) Obtain a referral for physical therapy.

c) Have an assistive personnel feed the client.

d) Ask the provider for a prescription for a pureed diet.

Correct Answer: A. Apply foam handles to the client's eating utensils.

• A nurse enters a client's room and sees smoke coming from the bathroom. Which of

the following actions should the nurse take first?

a) Activate the fire alarm system.

b) Use a fire extinguisher at the source of the smoke.

c) Assist the client to a nearby common area.

d) Close the doors to the room and to the bathroom.

Correct Answer: C. Assist the client to a nearby common area.

• A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3.

Which of the following actions should the nurse take?

a) Cleanse the client's toothbrush with hydrogen peroxide.

b) Instruct the client to use a disposable razor to shave.

c) Decrease the client's protein intake.

d) Encourage the client to eat unpasteurized dairy products.

Correct Answer: A. Cleanse the client's toothbrush with hydrogen peroxide.

• A nurse is caring for a client who is taking lithium and reports persistent nausea

and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider?

a) Potassium 4.0 mEq/L

b) Lithium 0.9 mEq/L

c) BUN 12 mg/dL

d) Sodium 132 mEq/L

Correct Answer: D. Sodium 132 mEq/L

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• 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.

Correct Answer: B. Check for neck vein distention.

• 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?

• "I'm sure any partner will understand that you have no control over this."
• "There are other ways to express intimacy besides intercourse."
• "You should focus on recovering from your cancer right now."
• "The removal of a single testicle will not prevent you from having an erection."

Correct Answer: D. "The removal of a single testicle will not prevent you from having an erection."

• 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?

• "I no longer feel nervous."
• "I no longer take a stool softener."
• "I have less oily skin."
• "I continue to lose weight."

Correct Answer: A. "I no longer feel nervous."

• 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.