Download HESI Med Surg Exams (7 Versions BUNDLE) | 2025/ 2026 Newly Updated | 100% Correct and more Exams Nursing in PDF only on Docsity!
HESI Med Surg Exams (7 Versions
BUNDLE) | Questions and Verified Answers |
100% Correct| 2025 / 202 6 Newly Updated
QUESTION
l l Al clientl whol hadl surgeryl yesterdayl isl becomingl increasinglyl anxious.l Thel client'sl
respiratoryl ratel hasl increasedl tol 38 l breaths/min.l Thel clientl hasl a nasogastricl tubel tol lowl intermittentl suctionl withl 500 l mLl ofl yellow-greenl drainagel overl thel lastl fourl hours.l Thel client'sl ABGsl indicatel al decreasedl CO2l andl an increasedl pH.l Whichl seruml labl valuel shouldl thel nursel monitorl first? Answer: Creatinine creatininel testl measuresl thel levell ofl creatininel inl yourl bloodl andl providesl anl estimatel ofl howl welll yourl kidneysl filter
QUESTION
l l Whenl preparingl al teachingl planl forl al clientl newlyl diagnosedl withl diabetesl mellitus,l
thel nursel shouldl describel whichl situationl asl requiringl thel most immediatel actionl byl thel clientl orl family? Answer: Hypoglycemicl Shock
QUESTION
l l Thel nursel isl teachingl al clientl howl tol collectl al sputuml specimen.l Whichl stepsl
shouldl thel nurse.... Answer: Breathel deeply,l followedl byl coughingl upl thel sputum
QUESTION
l l Anl adultl womanl withl primaryl Raynaudl phenomenonl developsl pallorl andl thenl
cyanosisl ofl herl fingers.l Afterl warmingl herl hands,l thel fingersl turnl redl andl thel clientl reportsl al burningl sensation.l Whatl actionl shouldl thel nursel take? A)l applyl al cooll compressl tol thel affectedl fingersl forl 20 l min B)l securel al pulsel oximeterl tol monitorl thel client'sl oxygenl saturation C)l Reportl thel findingl tol thel healthcarel providerl asl soonl asl possible D)l Continuel tol monitorl thel fingersl untill colorl returnsl tol normal Answer: D)l Continuel tol monitorl thel fingersl untill colorl returnsl tol normal
QUESTION
l l Al clientl withl al historyl ofl asthmal andl bronchitisl arrivesl atl thel clinicl withl shortnessl
ofl breath,l productivel coughl withl thickenedl tenaciousl mucous,l andl thel inabilityl to walkl upl al flightl ofl stairsl withoutl experiencingl breathlessness.l Whichl actionl isl mostl importantl forl thel nursel tol instructl thel clientl aboutl self-care? Answer: Increasel thel dailyl intakel ofl orall fluidsl tol liquefyl secretions.
QUESTION
l l Whilel caringl forl al clientl withl fulll thicknessl burnsl coveringl 40%l ofl thel body,l thel
nursel observesl purulentl drainagel froml thel wounds.l Beforel reportingl thel finding tol thel healthcarel provider,l thel nursel shouldl evaluatel whichl labl value? Answer: Seruml Albumin
QUESTION
l l Al clientl withl stagel IVl bonel cancerl isl admittedl tol thel hospitall forl al 1 l tol 10 l scale.l
Whichl interventionl shouldl thel nursel implement
l l Thel nursel isl assessingl al clientl whol hasl returnedl froml surgeryl followingl al
thoracotomy.l Whichl findingl indicationsl thel clientl isl experiencingl adequatel gas exchange? Answer: Pulsel Oxl 96%
QUESTION
l l Al malel clientl isl admittedl tol thel EDl whilel vomitingl darkl brown,l foul-smelingl
emesis.l Hel reportsl hel hadl surgicall repairl ofl al recurrentl inguinall hernial al weekl agol andl complainsl ofl intensel abdominall pain.l Afterl findingl thatl hisl bowell soundsl arel hyperactive,l whichl prescriptionl shouldl thel nursel implementl first? Answer: a)l Insertl al NGTl andl attachl al lowl intermittentl suction
QUESTION
l l Whatl instructionl shouldl thel nursel includel inl thel dischargel teachingl planl al al clientl
whol hadl al cataractl extractionl today? a)l sexuall activitiesl mayl bel resumedl uponl returnl home b)l lightl housekeepingl isl permittedl butl avoidl heavyl lifting c)l usel al metall eyel shieldl onl operativel eyel duringl thel day d)l administerl eyel ointmentl beforel applyingl eyel drops Answer: b)l lightl housekeepingl isl permittedl butl avoidl heavyl lifting
QUESTION
l l Al hospitalizedl clientl withl chemotherapy-inducedl stomatitisl complainsl ofl mouthl pain.l
Whatl isl thel bestl initiall nursingl action? a)l cleansel thel tonguel andl mouthl withl glycerinl swabs b)l adminl al topicall analgesicl perl PRNl protocol c)l obtainl al softl dietl forl thel patient
d)l encouragel frequentl mouthl care Answer: B)l administerl al topicall analgesicl perl PRNl protocol
QUESTION
l l Al clientl whol wasl involvedl inl al MVAl isl admittedl withl al fracturedl leftl femurl whichl
isl immobilizedl usingl al fracturel tractionl splintl inl preparationl forl anl openl reductionl internall fixationl (ORIF).l Thel nursel determinesl thatl thel client'sl distall pulsesl arel diminishedl inl thel leftl foot.l Whichl interventionsl shouldl thel nursel implement? Selectl alll thatl apply. Answer: A)l Verifyl pedall pulsel usingl al dopplerl pulsel device B)l Evaluatel thel applicationl ofl thel splintl tol thel leftl leg C)l Monitorl leftl legl forl pain,l pallorl ,paresthesia,l paralysis,l pressure.
QUESTION
l l Al clientl isl recoveringl froml al transurethrall prostatectomy.l Whichl activityl shouldl be
limitedl untill afterl thel firstl postoperativel visitl withl hisl healthcarel provider? Answer: Drivingl al car
QUESTION
l l Anl adultl malel clientl isl admittedl forl pneumocystisl carinill pneumonial (PCP)l
secondaryl tol aids.l Whilel hospitalizel hel receivesl IVl pentamidinel isethionatel therapy.l Inl preparingl thisl clientl forl dischargel whatl important aspectl regardingl hisl medicationl therapyl shouldl thel nursel explain? a)l AZTl therapyl mustl bel stoppedl whenl IVl aerosoll pentaminel isl beingl used. b)l IVl pentaminel willl bel givenl untill orall pentaminel canl bel tolerated c)l itl willl bel necessaryl tol continuel prophylacticl dosesl ofl IVl orl aerosoll pentaminel everyl month
l l Thel nursel isl obtainingl thel admissionl historyl forl al clientl withl suspectedl PUD.l
Whichl subjectivel datal reportedl byl thel clientl supportsl thel medicall diagnosis? Answer: Upperl midl abdominall gnawlingl andl burning
QUESTION
l l Al femalel collegel studentl comesl tol thel school'sl healthl clinicl complainingl ofl urinaryl
frequencyl andl burningl withl rightl lowerl backl pain.l Whichl interventionl shouldl thel nursel implement? Answer: Measurel herl temperaturel andl pulse
QUESTION
l l Whichl admissionl assessmentl findingsl shouldl thel nursel documentl relatedl tol al clientl
whol hasl beenl diagnosedl withl Cushing's? Answer: Central-typel obesity,l withl thinl extremities
QUESTION
l l Al clientl withl cirrhosisl isl admittedl tol thel ICUl becausel ofl deterioratingl hepaticl
function.l Whichl assessmentl findingl warrantsl immediatel interventionl byl the nurse? Answer: Dependentl pedall edema
QUESTION
l l Thel nursel isl admittingl al clientl withl possiblel TB.l Thel clientl isl placedl inl al privatel
rooml withl airbornel precautionsl pendingl diagnosticl testl results.l whichl diagnosticl testl shouldl thel nursel reviewl tol confirml thel diagnosis? Answer: Chestl Xl Rayl orl CT
QUESTION
l l Inl assessingl al clientl followingl lithotripsyl withl stentl insertion,l whichl datal indicatesl tol
thel nursel thatl thel proceduresl werel successful? Answer: Stonel fragmentsl arel collectedl whenl strainingl thel client'sl urine
QUESTION
l l Anl adultl womanl withl Grave'sl diseasel isl admittedl withl severel dehydrationl andl
malnutrition.l Shel isl currentlyl restlessl andl refusingl tol eat.l Whatl actionl isl most importantl forl thel nursel tol implement? Answer: Maintainl al patentl IVl site
QUESTION
l l Al clientl withl psoriasisl returnsl tol thel clinicl reportingl thel persistencel ofl severall
silvery,l scalyl areasl onl thel elbowsl andl palmsl thatl frequentlyl burnl andl sometimesl bleed.l Whichl prescriptionl shouldl thel nursel teachl thel clientl tol usel forl thel skinl condition? Answer: Topicall corticosteroids
QUESTION
administerl al PRNl dosel ofl lorazepam
QUESTION
l l Thel nursel isl evaluatingl al malel client'sl understandingl ofl dietl teachingl aboutl DASHl
(dietaryl approachesl tol stopl hypertension)l eatingl plan.l Whichl behaviorl indicatesl thatl thel clientl isl adheringl tol thel eatingl plan Answer: Enjoysl fatl freel yogurtl asl anl occasionall snackl food
QUESTION
l l Al clientl withl carcinomal ofl thel lungl isl complainingl ofl weaknessl andl hasl al seruml
sodiuml levell ofl 117 l mEq/L.l Whichl nursingl probleml shouldl thel nursel includel inl thisl client'sl planl ofl care? A)l Alteredl Urinaryl Elimination B)l Impairedl Gasl Exchange C)l Fluidl Volumel Excess D)l Decreasedl Cardiacl Output Answer: C)l Fluidl Volumel Excess
QUESTION
l l Thel nursel isl assessingl clientsl inl anl outpatientl diabeticl clinic.l Whichl entryl providesl
thel bestl indicationl thatl thel clientl isl adheringl tol thel prescribedl diabeticl regimen? Answer: Hemoglobinl A1Cl ofl 6.2% Al normall A1Cl levell isl belowl 5.7%,l al levell ofl 5.7%l tol 6.4%l indicatesl pre-diabetes,l andl al levell ofl 6.5%l orl morel indicatesl diabetes.l Withinl thel 5.7%l tol 6.4%l pre-diabetesl range,l thel higherl yourl A1C,l thel greaterl yourl riskl isl forl developingl typel 2 l diabetes.
QUESTION
l l Al clientl whol hasl developedl acutel kidneyl injuryl (AKI)l duel tol anl aminol glycosidel
antibioticl hasl movedl froml thel oliguricl phasel tol thel diureticl phasel ofl AKI.l Whichl parametersl arel mostl importantl forl thel nursel tol planl tol carefullyl monitor? Answer: Hypovolemial andl ECGl changes Hypovolemial - l lowl extracellularl fluid
QUESTION
l l Whichl nursingl probleml shouldl bel includedl inl thel planl ofl carel forl al clientl withl
heartl failure? Answer: Activityl intolerancel relatedl tol oxygenl deficitl secondaryl tol inefficientl cardiacl contractility
QUESTION
l l Al clientl isl receivingl anl IVl infusionl ofl regularl insulinl 60 l unitsl inl 100mLl ofl normall
salinel atl 5 l units/hour.l Howl manyl mL/hr?l Roundl tol nearestl wholel number. Answer: 8 l mL
QUESTION
l l Tol reducel thel riskl forl pulmonaryl complicationl forl al clientl withl ALS,l whichl
interventionsl shouldl thel nursel implement?l Selectl alll thatl apply Answer: Chestl Physiotherapy Teachl thel clientl breathingl exercises Encouragel usel ofl incentivel spirometer
QUESTION
l l Al clientl isl admittedl tol thel hospitall forl shortnessl ofl breathl andl chestl painl afterl anl
episodel ofl syncope.l Whichl labl finding? Answer: Troponinl I
QUESTION
l l Thel nursel reportsl thatl al clientl isl atl riskl forl al brainl attackl (stroke)l basedl onl whichl
assessmentl finding? a)l nuchall rigidity b)l palpablel cervicall lymphl nodes. c)l jugularl veinl distention d)l carotidl bruit Answer: D)l carotidl bruit
QUESTION
l l Al postoperativel clientl esportsl incisionall pain.l Thel clientl hasl twol prescriptionsl forl
PRNl analgesial thatl accompaniedl thel clientl froml thel postl anesthesial unit.l Beforel selectingl whichl medicationl tol administer,l whichl actionl shouldl thel nursel implement? Answer: Comparel thel client'sl painl scalel ratingl withl thel prescribedl dosing.
QUESTION
l l Al clientl withl newlyl diagnosedl Crohn'sl diseasel asksl thel nursel aboutl dietaryl
restrictions.l Howl shouldl thel nursel respond?
Answer: Describel thel usel ofl anl eliminationl dietl tol findl triggerl foods
QUESTION
l l Duringl al routinel assessmentl atl anl outpatientl clinic,l thel nursel notesl thatl al clientl hasl
abdominall obesityl andl highl waist-hipl ratio,l withl al BMIl ofl 32 l kg/m^2.l Whichl actionsl shouldl thel nursel takel inl responsel tol thesel findings? Answer: Discussl thel importancel ofl al regularl exercisel program Measurel thel client'sl bloodl pressurel inl bothl arms Screenl forl al familyl historyl forl diabetesl melitus
QUESTION
l l Inl assessingl al clientl withl ulcersl onl thel lowerl extremity,l whichl findingl indicatesl thatl
thel ulcersl arel likelyl tol bel venous,l ratherl thanl arterial? Answer: Irregularl ulcerl shapesl andl severel edema
QUESTION
l l Duringl al preoperativel assessmentl phonel call,l al clientl statesl takingl severall "pills"l
everyday.l Whichl responsel shouldl thel officel nursel provide? Answer: Obtainl al copyl ofl yourl medicationsl recordsl froml yourl healthcarel provider
QUESTION
l l Al clientl withl cholelithiasisl isl admittedl withl jaundicel duel tol obstructionl ofl thel
commonl bilel duct.l Whichl findingl isl mostl importantl forl thel nursel tol report? Answer:
l l Al clientl withl al rightl ulnarl fracturel andl castl placementl reportsl anl increasel inl arml
pain.l Whichl actionl shouldl thel nursel perform? Answer: Administerl PRNl analgesic
HESI l Med l Surg l Version l 2 | l Questions l
and l 100% l Correct l Verified l Answers| 2025 / l
2026 l NEW l Update
QUESTION
l Al clientl takingl furosemidel (Lasix),l reportsl difficultyl sleeping.l Whatl questionl isl importantl forl thel nursel tol askl thel client? A)l Whatl dosel ofl medicationl arel youl taking?l B)l Arel youl eatingl foodsl richl inl potassium?l C)l Havel youl lostl weightl recently?l D)l Atl whatl timel dol youl takel yourl medication? Answer: D)l Atl whatl timel dol youl takel yourl medication? Thel nursel needsl tol firstl determinel atl whatl timel ofl dayl thel clientl takesl thel Lasixl (D).l Becausel ofl thel diureticl effectl ofl Lasix,l clientsl shouldl takel thel medicationl inl thel morningl tol preventl nocturia.l Thel actuall dosel ofl medicationl (A)l isl ofl lessl importancel thanl thel timel taken.l (B)l isl notl relatedl tol thel insomnia.l (C)l isl valuablel informationl aboutl thel effectl ofl thel diuretic,l butl isl notl likelyl tol bel relatedl tol insomnia.
QUESTION
l Thel nursel workingl inl al postoperativel surgicall clinicl isl assessingl al womanl whol hadl al leftl radicall mastectomyl forl breastl cancer.l Whichl factorl putsl thisl clientl atl greatestl riskl forl developingl lymphedema? A)l Shel sustainedl anl insectl bitel tol herl leftl arml yesterday.l B)l Shel hasl lostl twentyl poundsl sincel thel surgery.l C)l Herl healthcarel providerl nowl prescribesl al calciuml channell blockerl forl hypertension.l
D)l Herl hobbyl isl playingl classicall musicl onl thel piano. Answer: A)l Shel sustainedl anl insectl bitel tol herl leftl arml yesterday.l Al radicall mastectomyl interruptsl lymphl flow,l andl thel increasedl lymphl flowl thatl occursl inl responsel tol thel insectl bitel increasesl thel riskl forl thel occurrencel ofl lymphedemal (A).l (B)l isl notl al factor.l Lymphedemal isl notl significantlyl relatedl tol vascularl circulationl (C).l Onlyl overusel ofl thel arm,l suchl asl weight-lifting,l wouldl causel lymphedema--(D)l wouldl not.
QUESTION
l Thel nursel isl teachingl al femalel clientl whol usesl al contraceptivel diaphragml aboutl reducingl thel riskl forl toxicl shockl syndromel (TSS).l Whichl informationl shouldl thel nursel include?l (Selectl alll thatl apply.) A)l Removel thel diaphragml immediatelyl afterl intercourse.l B)l Washl thel diaphragml withl anl alcoholl solution.l C)l Usel thel diaphragml tol preventl conceptionl duringl thel menstruall cycle.l D)l Dol notl leavel thel diaphragml inl placel longerl thanl 8 l hoursl afterl intercourse.l E)l Contactl al healthcarel providerl al suddenl onsetl ofl feverl graterl thanl 101ºl Fl appears.l F)l Replacel thel oldl diaphragml everyl 3 l months. Answer: D)l Dol notl leavel thel diaphragml inl placel longerl thanl 8 l hoursl afterl intercourse.l E)l Contactl al healthcarel providerl al suddenl onsetl ofl feverl graterl thanl 101ºl Fl appears.l Correctl selectionsl arel (Dl andl E).l Thel diaphragml needsl tol remainl againstl thel cervixl forl 6 l tol 8 l hoursl tol preventl pregnancyl butl shouldl notl remainl forl longerl thanl 8 l hoursl (D)l tol avoidl thel riskl ofl TSS.l Ifl al suddenl feverl occurs,l thel clientl shouldl notifyl thel healthcarel providerl (E).l (A)l increasesl thel riskl ofl pregnancy,l andl (B)l canl reducel thel integrityl ofl thel barrierl contraceptivel butl neitherl preventsl thel riskl ofl TSS.l Thel diaphragml shouldl notl bel usedl duringl mensesl (C)l becausel itl obstructsl thel menstruall flowl andl isl notl indicatedl becausel conceptionl doesl notl occurl duringl thisl time.l (F)l isl notl necessary.
QUESTION
l Thel nursel isl assessingl al clientl whol hasl al historyl ofl Parkinson'sl diseasel forl thel pastl 5 l years.l Whatl symptomsl shouldl thisl clientl mostl likelyl exhibit? A)l Lossl ofl short-terml memory,l faciall ticsl andl grimaces,l andl constantl writhingl movements.l
(B)l isl thel typicall triadl ofl symptomsl ofl tumorsl ofl thel adrenall medullal (symptomsl dependl onl thel relativel proportionsl ofl epinephrinel andl norepinephrinel secretion).l (A)l listsl thel signsl ofl latentl tetany,l exhibitedl byl clientsl diagnosedl withl hypoparathyroidism.l (C)l listsl thel signsl ofl anl Addisonianl (adrenal)l crisis.l (D)l listsl thel signsl ofl hyperparathyroidism.
QUESTION
l Inl preparingl tol administerl intravenousl albuminl tol al clientl followingl surgery,l whatl isl thel priorityl nursingl intervention?l (Selectl alll thatl apply.) A)l Setl thel infusionl pumpl tol infusel thel albuminl withinl fourl hours.l B)l Comparel thel client'sl bloodl typel withl thel labell onl thel albumin.l C)l Assignl al UAPl tol monitorl bloodl pressurel q15l minutes.l D)l Administerl throughl al largel gaugel catheter.l E)l Monitorl hemoglobinl andl hematocritl levels.l F)l Assessl forl increasedl bleedingl afterl administration. Answer: A)l Setl thel infusionl pumpl tol infusel thel albuminl withinl fourl hours.l D)l Administerl throughl al largel gaugel catheter.l E)l Monitorl hemoglobinl andl hematocritl levels.l F)l Assessl forl increasedl bleedingl afterl administration.l (A,l D,l E,l andl F)l arel thel correctl selections.l Albuminl shouldl bel infusedl withinl fourl hoursl becausel itl doesl notl containl anyl preservatives.l Anyl fluidl remainingl afterl fourl hoursl shouldl bel discardedl (A).l Albuminl administrationl doesl notl requirel bloodl typingl (B).l Vitall signsl shouldl bel monitoredl periodicallyl tol assessl forl fluidl volumel overload,l butl everyl 15 l minutesl isl notl necessaryl (C).l Thisl frequencyl isl oftenl usedl duringl thel firstl hourl ofl al bloodl transfusion.l Al largel gaugel catheterl (D)l allowsl forl fastl infusionl rate,l whichl mayl bel necessary.l Hemodilutionl mayl decreasel hemoglobinl andl hematocritl levelsl (E),l whilel increasedl bloodl volumel andl bloodl pressurel mayl causel bleedingl (F).
QUESTION
l Al clientl isl admittedl tol thel hospitall withl al diagnosisl ofl severel acutel diverticulitis.l Whichl assessmentl findingl shouldl thel nursel expectl thisl clientl tol exhibit? A)l Lowerl leftl quadrantl painl andl al low-gradel fever.l B)l Severel painl atl McBurney'sl pointl andl nausea.l C)l Abdominall painl andl intermittentl tenesmus.l D)l Exacerbationsl ofl severel diarrhea. Answer:
A)l Lowerl leftl quadrantl painl andl al low-gradel fever.l Leftl lowerl quadrantl painl occursl withl diverticulitisl becausel thel sigmoidl colonl isl thel mostl commonl areal forl diverticula,l andl thel inflammationl ofl diverticulal causesl al low- gradel feverl (A).l (B)l wouldl bel indicativel ofl appendicitis.l (Cl andl D)l arel symptomsl exhibitedl withl ulcerativel colitis.
QUESTION
l Al clientl whol isl fullyl awakel afterl al gastroscopyl asksl thel nursel forl somethingl tol drink.l Afterl confirmingl thatl liquidsl arel allowed,l whichl assessmentl actionl shouldl thel nursel considerl al priority? A)l Listenl tol bilaterall lungl andl bowell sounds.l B)l Obtainl thel client'sl pulsel andl bloodl pressure.l C)l Assistl thel clientl tol thel bathrooml tol void.l D)l Checkl thel client'sl gagl andl swallowl reflexes. Answer: D)l Checkl thel client'sl gagl andl swallowl reflexes.l Followingl gastroscopy,l al clientl shouldl remainl nothingl byl mouthl untill thel effectsl ofl locall anesthesial havel dissipatedl andl thel airway'sl protectivel reflexes,l gagl andl swallowl reflexes,l havel returnedl (D).l (A,l B,l andl C)l arel notl thel priorityl beforel reintroducingl orall fluidsl afterl al gastroscopy.
QUESTION
l Al 49 - year-oldl femalel clientl arrivesl atl thel clinicl forl anl annuall examl andl asksl thel nursel whyl shel becomesl excessivelyl diaphoreticl andl feelsl warml duringl nighttime.l Whatl isl thel nurse'sl bestl response? A)l Explainl thel effectl ofl thel follicle-stimulatingl andl luteinizingl hormones.l B)l Discussl perimenopausel andl relatedl comfortl measures.l C)l Assessl lungl fieldsl andl forl al coughl productivel ofl blood-tingedl mucous.l D)l Askl ifl al feverl abovel 101ºl Fl hasl occurredl inl thel lastl 24 l hours. Answer: B)l Discussl perimenopausel andl relatedl comfortl measures.l Thel perimenopausall periodl beginsl aboutl 10 l yearsl beforel menopausel withl thel cessationl ofl menstruationl atl thel averagel agesl ofl 52 l tol 54.l Lowerl estrogenl levelsl causesl FSHl andl LHl secretionl inl burstsl (surges),l whichl triggersl vasomotorl instability,l nightl sweats,l andl hotl flashes,l sol discussionsl aboutl thel perimenopausall body'sl changes,l comfortl
