1
NUR 201 / NUR201 HESI Exam Actual
Exam 2026/2027 | Medical-Surgical
Nursing I | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 68-year-old male post-MI day 2 develops sudden retrosternal chest pain,
BP 90/60, HR 110, SpO₂ 92 %. Which action should the nurse take first?
Options:
A. Administer morphine 2 mg IV
B. Obtain 12-lead ECG and notify provider immediately - CORRECT
C. Increase O₂ to 4 L/min and reassess in 15 min
D. Give aspirin 325 mg PO
ANSWER: B
Q002: A client with acute decompensated HF has bilateral crackles, JVD, and urine
output 15 mL/hr. Which order is priority?
Options:
A. Start dobutamine drip
B. Administer furosemide 80 mg IV push - CORRECT
C. Restrict fluids to 1 L/day
D. Obtain chest X-ray
ANSWER: B
, 2
Q003: A 55-year-old female post-thyroidectomy reports tingling around mouth and
fingertips. Which electrolyte imbalance is most likely?
Options:
A. Hyperkalemia
B. Hypocalcemia - CORRECT
C. Hyponatremia
D. Hypermagnesemia
ANSWER: B
Q004: A client with COPD on 2 L NC has ABG: pH 7.32, PaCO₂ 58, PaO₂ 48.
Which intervention is priority?
Options:
A. Increase O₂ to 4 L/min
B. Switch to high-flow nasal cannula - CORRECT
C. Administer albuterol nebulizer
D. Start BiPAP
ANSWER: B
Q005: A post-op cholecystectomy client has T 38.8 °C, HR 110, and incisional
pain 8/10. Which order is priority?
Options:
A. Administer acetaminophen 650 mg PO
B. Obtain blood cultures and wound culture - CORRECT
C. Increase IV fluids
D. Apply ice pack
ANSWER: B
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Q006: A client with acute pancreatitis has severe epigastric pain and BP 80/50.
Which order is priority?
Options:
A. Administer morphine 4 mg IV
B. Start norepinephrine infusion - CORRECT
C. Insert NG tube
D. Give PO fluids
ANSWER: B
Q007: A client with DKA has glucose 480 mg/dL, K⁺ 3.0 mEq/L, and pH 7.18.
Which order is priority?
Options:
A. Start regular insulin 0.1 unit/kg/hr
B. Administer potassium chloride 20 mEq IV - CORRECT
C. Give sodium bicarbonate
D. Start D5NS
ANSWER: B
Q008: A client with acute kidney injury has urine output 200 mL/8 h and K⁺ 5.8
mEq/L. Which order is priority?
Options:
A. Give furosemide 40 mg IV
B. Administer calcium gluconate 1 g IV - CORRECT
C. Start dialysis
D. Restrict potassium intake
ANSWER: B
NUR 201 / NUR201 HESI Exam Actual
Exam 2026/2027 | Medical-Surgical
Nursing I | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 68-year-old male post-MI day 2 develops sudden retrosternal chest pain,
BP 90/60, HR 110, SpO₂ 92 %. Which action should the nurse take first?
Options:
A. Administer morphine 2 mg IV
B. Obtain 12-lead ECG and notify provider immediately - CORRECT
C. Increase O₂ to 4 L/min and reassess in 15 min
D. Give aspirin 325 mg PO
ANSWER: B
Q002: A client with acute decompensated HF has bilateral crackles, JVD, and urine
output 15 mL/hr. Which order is priority?
Options:
A. Start dobutamine drip
B. Administer furosemide 80 mg IV push - CORRECT
C. Restrict fluids to 1 L/day
D. Obtain chest X-ray
ANSWER: B
, 2
Q003: A 55-year-old female post-thyroidectomy reports tingling around mouth and
fingertips. Which electrolyte imbalance is most likely?
Options:
A. Hyperkalemia
B. Hypocalcemia - CORRECT
C. Hyponatremia
D. Hypermagnesemia
ANSWER: B
Q004: A client with COPD on 2 L NC has ABG: pH 7.32, PaCO₂ 58, PaO₂ 48.
Which intervention is priority?
Options:
A. Increase O₂ to 4 L/min
B. Switch to high-flow nasal cannula - CORRECT
C. Administer albuterol nebulizer
D. Start BiPAP
ANSWER: B
Q005: A post-op cholecystectomy client has T 38.8 °C, HR 110, and incisional
pain 8/10. Which order is priority?
Options:
A. Administer acetaminophen 650 mg PO
B. Obtain blood cultures and wound culture - CORRECT
C. Increase IV fluids
D. Apply ice pack
ANSWER: B
, 3
Q006: A client with acute pancreatitis has severe epigastric pain and BP 80/50.
Which order is priority?
Options:
A. Administer morphine 4 mg IV
B. Start norepinephrine infusion - CORRECT
C. Insert NG tube
D. Give PO fluids
ANSWER: B
Q007: A client with DKA has glucose 480 mg/dL, K⁺ 3.0 mEq/L, and pH 7.18.
Which order is priority?
Options:
A. Start regular insulin 0.1 unit/kg/hr
B. Administer potassium chloride 20 mEq IV - CORRECT
C. Give sodium bicarbonate
D. Start D5NS
ANSWER: B
Q008: A client with acute kidney injury has urine output 200 mL/8 h and K⁺ 5.8
mEq/L. Which order is priority?
Options:
A. Give furosemide 40 mg IV
B. Administer calcium gluconate 1 g IV - CORRECT
C. Start dialysis
D. Restrict potassium intake
ANSWER: B
