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 58-year-old postoperative patient has a respiratory rate of 28/min, shallow
breaths, and SpO₂ 89% on 2 L nasal cannula. Which nursing action is the priority?
Options:
A. Increase oxygen to 4 L nasal cannula
B. Coach the patient to use incentive spirometry every hour while awake -
CORRECT
C. Administer prescribed opioid analgesia
D. Request a chest x-ray
ANSWER: B
Q002: A patient with heart failure is receiving IV furosemide and has a serum
potassium of 3.2 mEq/L. Which ECG change would the nurse expect?
Options:
A. Peaked T waves
B. Prolonged PR interval
C. Presence of U waves - CORRECT
D. Widened QRS complex
ANSWER: C
Q003: A 72-year-old with type 2 diabetes has a blood glucose of 48 mg/dL and is
diaphoretic and confused. Which action should the nurse take first?
, 2
Options:
A. Start an IV insulin drip
B. Administer 15 g of oral glucose gel - CORRECT
C. Give 1 mg glucagon IM
D. Obtain a stat HbA1c
ANSWER: B
Q004: A patient with COPD has a PaCO₂ of 58 mmHg and is receiving oxygen at 4
L/min via nasal cannula. Which adjustment is most appropriate?
Options:
A. Increase oxygen to 6 L/min
B. Change to a Venturi mask at 24% - CORRECT
C. Switch to a non-rebreather mask
D. Obtain an ABG in 4 hours
ANSWER: B
Q005: A postoperative cholecystectomy patient reports sudden chest pain and
shortness of breath. HR is 110/min, BP 90/60 mmHg, SpO₂ 88%. Which condition
is most suspected?
Options:
A. Acute myocardial infarction
B. Pulmonary embolism - CORRECT
C. Pneumothorax
D. Acute anxiety reaction
ANSWER: B
Q006: A patient with cirrhosis has ascites and a serum albumin of 2.1 g/dL. Which
nursing intervention helps manage ascitic fluid accumulation?
, 3
Options:
A. Encourage a high-protein diet - CORRECT
B. Restrict fluids to 1 L/day
C. Administer IV albumin twice daily
D. Apply compression stockings
ANSWER: A
Q007: A patient with acute pancreatitis has severe abdominal pain and is NPO.
Which serum marker is most specific for pancreatic inflammation?
Options:
A. ALT
B. Amylase
C. Lipase - CORRECT
D. ALP
ANSWER: C
Q008: A patient with a chest tube has no fluctuation in the water-seal chamber.
Which action is priority?
Options:
A. Strip the chest tube
B. Check for kinks or clot - CORRECT
C. Increase wall suction
D. Clamp the chest tube
ANSWER: B
Q009: A patient with hyperthyroidism has a temperature of 39 °C, HR 140/min,
and agitation. Which complication is developing?
Options:
NUR 201 / NUR201 HESI Exam Actual
Exam 2026/2027 | Medical-Surgical
Nursing I | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 58-year-old postoperative patient has a respiratory rate of 28/min, shallow
breaths, and SpO₂ 89% on 2 L nasal cannula. Which nursing action is the priority?
Options:
A. Increase oxygen to 4 L nasal cannula
B. Coach the patient to use incentive spirometry every hour while awake -
CORRECT
C. Administer prescribed opioid analgesia
D. Request a chest x-ray
ANSWER: B
Q002: A patient with heart failure is receiving IV furosemide and has a serum
potassium of 3.2 mEq/L. Which ECG change would the nurse expect?
Options:
A. Peaked T waves
B. Prolonged PR interval
C. Presence of U waves - CORRECT
D. Widened QRS complex
ANSWER: C
Q003: A 72-year-old with type 2 diabetes has a blood glucose of 48 mg/dL and is
diaphoretic and confused. Which action should the nurse take first?
, 2
Options:
A. Start an IV insulin drip
B. Administer 15 g of oral glucose gel - CORRECT
C. Give 1 mg glucagon IM
D. Obtain a stat HbA1c
ANSWER: B
Q004: A patient with COPD has a PaCO₂ of 58 mmHg and is receiving oxygen at 4
L/min via nasal cannula. Which adjustment is most appropriate?
Options:
A. Increase oxygen to 6 L/min
B. Change to a Venturi mask at 24% - CORRECT
C. Switch to a non-rebreather mask
D. Obtain an ABG in 4 hours
ANSWER: B
Q005: A postoperative cholecystectomy patient reports sudden chest pain and
shortness of breath. HR is 110/min, BP 90/60 mmHg, SpO₂ 88%. Which condition
is most suspected?
Options:
A. Acute myocardial infarction
B. Pulmonary embolism - CORRECT
C. Pneumothorax
D. Acute anxiety reaction
ANSWER: B
Q006: A patient with cirrhosis has ascites and a serum albumin of 2.1 g/dL. Which
nursing intervention helps manage ascitic fluid accumulation?
, 3
Options:
A. Encourage a high-protein diet - CORRECT
B. Restrict fluids to 1 L/day
C. Administer IV albumin twice daily
D. Apply compression stockings
ANSWER: A
Q007: A patient with acute pancreatitis has severe abdominal pain and is NPO.
Which serum marker is most specific for pancreatic inflammation?
Options:
A. ALT
B. Amylase
C. Lipase - CORRECT
D. ALP
ANSWER: C
Q008: A patient with a chest tube has no fluctuation in the water-seal chamber.
Which action is priority?
Options:
A. Strip the chest tube
B. Check for kinks or clot - CORRECT
C. Increase wall suction
D. Clamp the chest tube
ANSWER: B
Q009: A patient with hyperthyroidism has a temperature of 39 °C, HR 140/min,
and agitation. Which complication is developing?
Options:
