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HESI RN MEDICAL SURG 2026

Question 20 of 60

The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?

• A Teach importance of medication regimen and follow up protocol.
• B Clarify that all STIs are transmitted through sexual intercourse.
• C Discuss that partners without similar symptoms may not be infected.
• D Emphasize that using safe sex practices removes the risk of STIs.

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Question 21 of 60

The nurse is assessing a client’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?

• A Pulselessness.  HESI RN MEDICAL SURG 2026
• B Redness.
• C Ecchymotic area.
• D Enlarged vein.

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Question 22 of 60

The nurse is caring for a client with urolithiasis who reports severe flank and abdominal pain. Which action should the nurse implement?

• A Encourage a high-calcium diet.
• B Strain all urine.
• C Limit fluid intake.
• D Maintain client on strict bedrest.

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Question 23 of 60

The healthcare provider prescribed 2 liters of 5% Dextrose in water (D5W) to infuse in 24 hours. The IV administration set delivers 15 gtt/mL. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

• 83

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Question 24 of 60

A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe. The nurse observes the area of inflammation extends above the ankle area. The client receives prescriptions for colchicine and indomethacin. Which instruction should the nurse include in the discharge teaching?

• A Encourage active range of motion to limit stiffness.
• B Use electric heating pad when pain is at its worse.
• C Drink at least 8 cups (1,920 mL) of water per day.
• D Eat high protein foods to achieve ideal body weight.  HESI RN MEDICAL SURG 2026

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Question 25 of 60

A client with obstructive sleep apnea (OSA) calls the clinic to report difficulty wearing the continuous positive air pressure (CPAP) mask because it is uncomfortable. The client asks the nurse for an alternative way to manage sleep apnea. Which recommendation should the nurse provide?

• A Take sedatives prior to sleep.
• B Sleep with the head of the bed flat.  HESI RN MEDICAL SURG 2026
• C Drink 1 to 2 glasses of wine at bedtime.
• D Begin a weight loss program.