1|Page
HESI MED-SURG 3 EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| MED SURG 3 HESI EXAM PREP
(MOST RECENT!!)
A female client receiving IV vasopressin (Pitressin) for esophageal
varices rupture reports to the nurse that she feels substernal tightness and
pressure across her chest. Which PRN protocol should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool saline.
C) Increase the vasopressin infusion.
D) Prepare for endotracheal intubation. -Correct Answer- A) Start an IV
nitroglycerin infusion.
The nurse is caring for a client who had a resection of an abdominal
aortic aneurysm yesterday. The client has an intravenous (IV) infusion at
a rate of 150 mL/hr, unchanged for the last 10 hours. The client's urine
output for the last 3 hours has been 90, 50, and 28 mL (28 mL is most
recent). The client's blood urea nitrogen level is 35 mg/dL (12.6
mmol/L), and the serum creanine level is 1.8 mg/dL (159 mmol/L),
measured this morning. Which nursing action is the priority?
A) Check the serum albumin level.
B) Check the urine specific gravity.
C) Continue monitoring urine output.
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D) Call the primary health care provider (PHCP) -Correct Answer- D)
Call the primary health care provider (PHCP)
A nurse is obtaining an admission history for a client who is scheduled
for surgery to repair a ruptured abdominal aneurysm. Which type of
shock should the nurse monitor for this client?
A) Obstructive
B) Neurogenic
C) Cardiogenic
D) Hypovolemic -Correct Answer- D) Hypovolemic
What is the term for shock associated with a ruptured abdominal
aneurysm?
A) Vasogenic shock
B) Neurogenic shock
C) Cardiogenic shock
D) Hypovolemic shock -Correct Answer- D) Hypovolemic shock
A 55-year-old male client with an abdominal aortic aneurysm (AAA)
presents to the emergent care center reporting abdominal and scrotal
pain and feeling dizzy. Which finding should the practical nurse report to
the healthcare provider?
A) Bladder distention.
B) Cough with clear breath sounds.
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C) Hyperactive bowel sounds.
D) Blood pressure of 160/90. -Correct Answer- D) Blood pressure of
160/90.
The nurse is performing an admission assessment on an older client who
has been admitted for severe partial-thickness and full-thickness burns of
their legs and buttocks. Which condition is the client at greatest risk
developing initially?
A) Blood dyscrasia
B) Hypovolemic shock
C) Severe respiratory congestion
D) Opportunistic infection -Correct Answer- B) Hypovolemic shock
The nurse is assessing a group of older adults. What factor in a male pt's
hx puts him at greatest risk for developing colon cancer?
A) smokes cigars
B) eats a high-fat diet
C) has intestinal polyps
D) is excessively exposed to sunlight -Correct Answer- C) has intestinal
polyps
The nurse is caring for a client with chronic hepatic failure who has
developed refractory ascites who has not responded to traditional
pg. 3
, 4|Page
diuretics. Which action should the nurse take to manage the
accumulation of ascites?
A) Limit sodium intake to 2,000 mg per day.
B) Administer mannitol.
C) Prepare the client for a peritoneovenous shunt.
D) Limit fluid intake to 500 ml per day -Correct Answer- B) Administer
mannitol.
A nurse is assigned the care of a client who is presently experiencing
hypovolemic shock. The client's MAP has decreased by 20 mmHg from
its baseline, tissue ischemia and anoxia of non vital organs is occurring,
pulses are weak, urine output is absent and the client's skin is cool and
moist. The client appears to be confused and extremely anxious. Which
stage of hypovolemic shock do these clinical signs and symptoms
indicate?
a) Initial stage
b) Refractory Stage
c) Progressive stage
d) Non-progressive stage -Correct Answer- c) Progressive stage
In early septic shock states, what is the primary cause of hypotension?
A) Peripheral vasoconstriction
B) Peripheral vasodilation
C) Cardiac failure
pg. 4
HESI MED-SURG 3 EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| MED SURG 3 HESI EXAM PREP
(MOST RECENT!!)
A female client receiving IV vasopressin (Pitressin) for esophageal
varices rupture reports to the nurse that she feels substernal tightness and
pressure across her chest. Which PRN protocol should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool saline.
C) Increase the vasopressin infusion.
D) Prepare for endotracheal intubation. -Correct Answer- A) Start an IV
nitroglycerin infusion.
The nurse is caring for a client who had a resection of an abdominal
aortic aneurysm yesterday. The client has an intravenous (IV) infusion at
a rate of 150 mL/hr, unchanged for the last 10 hours. The client's urine
output for the last 3 hours has been 90, 50, and 28 mL (28 mL is most
recent). The client's blood urea nitrogen level is 35 mg/dL (12.6
mmol/L), and the serum creanine level is 1.8 mg/dL (159 mmol/L),
measured this morning. Which nursing action is the priority?
A) Check the serum albumin level.
B) Check the urine specific gravity.
C) Continue monitoring urine output.
pg. 1
,2|Page
D) Call the primary health care provider (PHCP) -Correct Answer- D)
Call the primary health care provider (PHCP)
A nurse is obtaining an admission history for a client who is scheduled
for surgery to repair a ruptured abdominal aneurysm. Which type of
shock should the nurse monitor for this client?
A) Obstructive
B) Neurogenic
C) Cardiogenic
D) Hypovolemic -Correct Answer- D) Hypovolemic
What is the term for shock associated with a ruptured abdominal
aneurysm?
A) Vasogenic shock
B) Neurogenic shock
C) Cardiogenic shock
D) Hypovolemic shock -Correct Answer- D) Hypovolemic shock
A 55-year-old male client with an abdominal aortic aneurysm (AAA)
presents to the emergent care center reporting abdominal and scrotal
pain and feeling dizzy. Which finding should the practical nurse report to
the healthcare provider?
A) Bladder distention.
B) Cough with clear breath sounds.
pg. 2
,3|Page
C) Hyperactive bowel sounds.
D) Blood pressure of 160/90. -Correct Answer- D) Blood pressure of
160/90.
The nurse is performing an admission assessment on an older client who
has been admitted for severe partial-thickness and full-thickness burns of
their legs and buttocks. Which condition is the client at greatest risk
developing initially?
A) Blood dyscrasia
B) Hypovolemic shock
C) Severe respiratory congestion
D) Opportunistic infection -Correct Answer- B) Hypovolemic shock
The nurse is assessing a group of older adults. What factor in a male pt's
hx puts him at greatest risk for developing colon cancer?
A) smokes cigars
B) eats a high-fat diet
C) has intestinal polyps
D) is excessively exposed to sunlight -Correct Answer- C) has intestinal
polyps
The nurse is caring for a client with chronic hepatic failure who has
developed refractory ascites who has not responded to traditional
pg. 3
, 4|Page
diuretics. Which action should the nurse take to manage the
accumulation of ascites?
A) Limit sodium intake to 2,000 mg per day.
B) Administer mannitol.
C) Prepare the client for a peritoneovenous shunt.
D) Limit fluid intake to 500 ml per day -Correct Answer- B) Administer
mannitol.
A nurse is assigned the care of a client who is presently experiencing
hypovolemic shock. The client's MAP has decreased by 20 mmHg from
its baseline, tissue ischemia and anoxia of non vital organs is occurring,
pulses are weak, urine output is absent and the client's skin is cool and
moist. The client appears to be confused and extremely anxious. Which
stage of hypovolemic shock do these clinical signs and symptoms
indicate?
a) Initial stage
b) Refractory Stage
c) Progressive stage
d) Non-progressive stage -Correct Answer- c) Progressive stage
In early septic shock states, what is the primary cause of hypotension?
A) Peripheral vasoconstriction
B) Peripheral vasodilation
C) Cardiac failure
pg. 4
