HESI RN MED SURG VERSION A & VERSION B 2025-2026 ACTUAL EXAM EACH EXAM CONTAINS 125 QUESTIONS AND CORRECT DETAILED ANSWERS

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HESI RN MED SURG VERSION A & VERSION B

2025-2026 ACTUAL EXAM EACH EXAM

CONTAINS 125 QUESTIONS AND CORRECT

DETAILED ANSWERS

• A 58-year-old client who has no health problems asks the nurse about receiving the

pneumococcal vaccine. Which statement given by the nurse would offer the client accurate information about this vaccine?

• The vaccine is given annually before the flu season to those older than 50 years.
• The immunization is administered once to older adults or those at risk for illness.
• The vaccine is for all ages and is given primarily to those persons traveling overseas to

areas of infection.

• The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5 years.

Correct Answer: B

• Which nursing action would be appropriate for a client who is newly diagnosed with

Cushing syndrome?

• Monitor blood glucose levels daily.
• Increase intake of fluids high in potassium.
• Encourage adequate rest between activities.
• Offer the client a sodium-enriched menu.

Correct Answer: A

• The nurse is conducting an osteoporosis screening clinic at a health fair. What

information should the nurse provide to individuals who are at risk for osteoporosis?(Select all that apply.)

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• Encourage alcohol and smoking cessation.
• Suggest supplementing diet with vitamin E.
• Promote regular weight-bearing exercises.
• Implement a home safety plan to prevent falls.
• Propose a regular sleep pattern of 8 hours nightly.

Correct Answer: A, C, D

• A client with a nasogastric tube attached to low suction states that she is

nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first?

• Irrigate the nasogastric tube with sterile normal saline.
• Reposition the client on her side.
• Advance the nasogastric tube 5 cm.
• Administer an intravenous antiemetic as prescribed.

Correct Answer: B

• A male client has just undergone a laryngectomy and has a cuffed tracheostomy

tube in place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the cuff?

• Immediately after feeding
• Just prior to tube feeding
• Continuous inflation is required
• Inflation is not required

Correct Answer: B

• 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?

• Midnight census
• Oncoming shift census
• Average daily census

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• Hourly census

Correct Answer: C

• The nurse is completing an admission interview for a client with Parkinson disease.

Which question will provide additional information about manifestations that the client is likely to experience?

• "Have you ever experienced any paralysis of your arms or legs?"
• "Do you have frequent blackout spells?"
• "Have you ever been frozen in one spot, unable to move?"
• "Do you have headaches, especially ones with throbbing pain?"

Correct Answer: C

• In assessing a client diagnosed with primary aldosteronism, the nurse expects the

laboratory test results to indicate a decreased serum level of which substance?

• Sodium
• Phosphate
• Potassium
• Glucose

Correct Answer: C

• A 55-year-old male client has been admitted to the hospital with a medical

diagnosis of chronic obstructive pulmonary disease (COPD). Which risk factor is the most significant in the development of this client's COPD?

• The client's father was diagnosed with COPD in his 50s.
• A close family member contracted tuberculosis last year.
• The client smokes one to two packs of cigarettes per day.
• The client has been 40 pounds overweight for 15 years.

Correct Answer: C

• The nurse is assessing a client with acute pancreatitis. Which finding requires the

most immediate intervention by the nurse?

• The client's amylase level is three times higher than the normal level.

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• The client has a carpal spasm when taking a blood pressure.
• On a 1 to 10 scale, the client tells the nurse that her epigastric pain is at 7.
• The client states that she will continue to drink alcohol after going home.

Correct Answer: B

• A client is admitted to the hospital with severe lower left abdominal pain, nausea,

vomiting, fever, and chills. Which nursing action has the highest priority?

• Place the client on NPO status.
• Assess the client's temperature.
• Obtain a stool specimen.
• Administer IV fluids.

Correct Answer: A

• 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?

• Administer lidocaine, 75 mg intravenous push.
• Perform synchronized cardioversion.
• Defibrillate the client as soon as possible.
• Administer atropine, 0.4 mg intravenous push.

Correct Answer: B

• The nurse is preparing a client for discharge after a right total knee replacement.

Which client statements about use of a walker indicate to the nurse the teaching was effective? (Select all that apply.)

• "I will walk in the middle of the walker."
• "I will make sure all four feet of the walker are on the floor before I use the hand pieces."
• "I will move my right foot forward into the walker, and then my left foot."
• "I will collapse the walker and put it in the chair opposite the bed at night."
• "I will use a silicone-based cleaning product to clean the hand pieces and rubber tips."