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HESI RN Med-Surg Fall 2024.

RN Nursing Exam(s) 40 Questions 🔒 Premium Content

Exam is a standardized assessment that evaluates a nursing student’s knowledge and clinical judgment in adult health/medical-surgical nursing.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 13680 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

A. Check the abdominal surgical dressing.
B. Encourage the client to breathe deeply.
C. Review the client's baseline BP trends.
D. Increase frequency of BP assessments.
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Q2: A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and hemoglobin AIC (HbA1 c). Which statement by the client indicates teaching has been effective?

A. "l will use a lancing device on the center of my finger pad for a drop of blood."
B. l will wash my hands with warm soapy water before sticking my finger."
C. "I will inform the healthcare provider (HCP) of my average HbA1c results weekly."
D. l will document my HbA1c results from the SMBG monitor every morning
View Full Explanation

Q3: The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and legs, and massive ascites. Which mechanism contributes to edema and ascites in clients with cirrhosis?

A. Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
B. Decreased renin-angiotensin response related to an increase in renal blood flow.
C. Decreased portacaval pressure with greater collateral circulation.
D. Hyperaldosteronism causing an increased sodium reabsorption in renal tubules.
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Exam Details
Total Questions: 40 practice questions
Category: RN Nursing Exam(s)
Subcategory: HESI Exam(s)
Domain: Hesi MedSurg
Last Updated: Nov 29, 2025
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