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RN-Hesi Medical Surgical-Hematological System

RN Nursing Exam(s) 52 Questions 🔒 Premium Content

Exam is designed to assess a nursing student's clinical decision-making and knowledge of adult medical-surgical nursing concepts; disease processes, pharmacologic interventions, nursing assessments, diagnostic procedures, patient education, and evidence-based interventions across body systems

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: A healthy 70-year-old patient has low hemoglobin levels and no signs of gastrointestinal bleeding. which item is an effect of aging that could be the reason for the low hemoglobin level?

A. Low level of hepcidin.
B. Increase in iron-binding capacity
C. Decrease in intestinal absorption of iron.
D. Decrease in erythropoietin secretion from the kidneys.
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Q2: A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis. The nurse anticipates a prescription for which medication?

A. Methotrexate.
B. Deferoxamine.
C. Ferrous gluconate.
D. Iron dextran complex
View Full Explanation

Q3: Which goal is a primary objective for a patient who has chronic heart failure (HF)?

A. Maximizing cardiac output.
B. Maintaining ideal body weight.
C. Performing daily aerobic exercises.
D. Maintaining a steady pulse oximetry reading.
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Q4: The arterial blood gas (ABG) results for a patient who overdosed on barbiturates are pH = 7.32, PaCO2 = 52, and HCO3 = 23. Which interpretation would the nurse rely on when planning the patient's care?

A. Metabolic acidosis.
B. Metabolic alkalosis.
C. Respiratory acidosis.
D. Respiratory alkalosis.
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Q5: The nurse receives information about the assigned patients during shift report. RN Exams Which patient would the nurse assess first?

A. A patient who reports dizziness with a blood pressure (BP) of 150/92 mm Hg
B. A patient who reports a severe headache and has begun vomiting.
C. A patient with a hip fracture who reports a pain level of 2 on a 1-to-10 scale.
D. A patient who received an angiotensin- converting enzyme (ACE) inhibitor 30 minutes previously and reports fatigue.
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Exam Details
Total Questions: 52 practice questions
Category: RN Nursing Exam(s)
Subcategory: HESI Exam(s)
Domain: Hesi MedSurg
Last Updated: Dec 09, 2025
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