MED SURG HESI EXAM QUESTIONS
2026 WITH ALL ANSWERS VERIFIED
CORRECT| GRADED A+
Whatminstructionmshouldmthemnursemincludeminmthemdischargemteachingmplanmofmamclientmwhomhad
mamcataractmextractionmtoday?m-
mCORRECTmANSWERSmLightmhousekeepingmismpermittedmbutmavoidmheavymlifting
Ammalemadultmcomesmtomthemurgentmcaremclinicm5mdaysmaftermbeingmdiagnosemwithminfluenza.mHemi
smshortmofmbreath,mfebrile,mandmcoughingmgreenmcoloredmsputum.mWhichminterventionmshouldmth
emnursemimplementmfirst?m-mCORRECTmANSWERSmObtainmamsputummsamplemformculture
Anmeldermmalemclientmtellsmthemnursemthatmhemismloosingmsleepmbecausemhemhasmtomgetmupmseveral
mtimesmatmnightmtomgomtomthembathroommthatmhemhasmtroublemstartingmhismurinarymstreammandmth
atmhemdoesmnotmfeelmlikemhismbladdermismevermcompletelymempty.mWhichminterventionmshouldmthem
nursemimplement?m-mCORRECTmANSWERSmpalpatemthembladdermabovemthemsymphysismpubis
Anmadultmclientmismadmittedmwithmdiabeticmketoacidosism(DKA)mandmamurinarymtractminfectionm(UTI
)mPrescriptionsmformintravenousmantibioticsmandminsulinminfusionmareminitiated.mWhichmserummlabo
ratorymvaluemwarrantsmthemmostmimmediateminterventionmbymthemnurse?m-
mCORRECTmANSWERSmpotassiummofm2.5mmeq/l
Amclientmwithmsicklemcellmanemiamdevelopsmamfevermduringmthemlastmhourmofmadministrationmofmamu
nitmofmpackedmredmbloodmcell.mWhenmnotifyingmthemhealthcaremprovidermwhatminformationmshoul
dmthemnursemprovidemfirstmusingmthemSBARmcommunicationmprocess?m-
mCORRECTmANSWERSmexplainmspecificmreasonmformurgentmnotification
Anmadultmmalemclientmismadmittedmformpneumocystismcarinilmpneumoniam(PCP)msecondarymtomaids.
mWhilemhospitalizemhemreceivesmIVmpentamidinemisethionatemtherapy.mInmpreparingmthismclientmfor
mdischargemwhatmimportantmaspectmregardingmhismmedicationmtherapymshouldmthemnursemexplain
?m-
,mCORRECTmANSWERSmItmwillmbemnecessarymtomcontinuemprophylacticmdosesmofmIVmormaerosolmpent
aminemeverymmonth
Amclientmsubjectivemdatamincludesmdysuria,murgency,mandmurinarymfrequency.mWhatmactionmshould
mthemnursemimplementmnext?m-mCORRECTmANSWERSmcollectmamcleanmcatchmspecimen
Amclientmtellsmthemnursemthatmhermbiopsymresultsmindicatemthatmthemcancermcellsmaremwellmdifferent
iatedmHowmshouldmthemnursemrespond?m-
mCORRECTmANSWERSmaskmthemclientminmthemhealthcaremprovidermhasmgivingmhermanyminformationm
aboutmthemclassificationmofmhermcancer
Amclientmwithmamchronicmkidneymdiseasemismtreatedmonmhemodialysis.mDuringmthem1mtreatmentmcli
entsmbloodmpressuremdropsmfromm150/90mtom80/30mWhichmactionmshouldmthemnursemtakemfirst?m-
mCORRECTmANSWERSmstopmdialysismtreatment
Amclientmwithmdeepmvainmthrombosism(DVT)mismreceivingmamcontinuesminfusionmofmheparinmsodium
m25,000munitminm5%mdextroseminjectionm250ml.mThemprescriptionmindicatesmthemdosagemshouldmbe
mincreasem900munits/hr.mThemnursemshouldmprogrammtheminfusionmpumpmtomdelivermhowmmanymml
/hr?m-mCORRECTmANSWERSm9
Themnursemismobtainingmthemadmissionmhistorymformamclientmwithmsuspectedmpepticmulcermdiseasem
(PUD).mWhichmsubjectivemdatamreportedmbymthemclientmsupportsmthismdiagnosis?m-
mCORRECTmANSWERSmuppermmidmabdominalmgnawingmandmburningmpain
Themnursemismprovidingmpreoperativemeducationmformamjewishmclientmschedulemtomreceivemamxenog
raftmgraftmtompromotemburnmhealing.mWhichminformationmshouldmthemnursemprovidemthismclient?m-
mCORRECTmANSWERSmthemxenograftmismtakenmfrommnonhumanmsources
Amclientmwhomtookmamcampingmvacationmtwomweeksmagominmamcountrymwithmamtropicalmclimatemco
mesmtomthemclinicmdescribingmvaguemsymptomsmandmdiarrheamformthempastmweek.mWhichmfindingmi
smmostmimportantmformthemnursemtomreport?m-mCORRECTmANSWERSmjaundicemsclera
, Duringmamhomemvisitmthemnursemassessesmthemskinmofmamclientmwithmeczemamwhomreportsmthanman
mexacerbationmofmsymptomsmhasmoccurredmduringmthemlastmweek.mWhichminformationmismmostmus
efulminmdeterminingmthempossiblemcausemofmthemsymptoms?m-
mCORRECTmANSWERSmamgrandsonmandmhismnewmdogmrecentlymvisited
Whenmexplainingmdietarymguidelinesmtomamclientmwithmacutemglomerulonephritism(AGN)mwhichmins
tructionmshouldmthemnursemincludeminmthemdietarymteachingm-
mCORRECTmANSWERSmrestrictmsodiummintake
Ammalemclientmwhomism24hrmpostmoperativemformanmexploratorymlaparoctomymcomplainsmthatmhemi
smstarvingmbecausemhemhasmhadmnomrealmfoodmsincembeforemsurgery.mPriormtomadvancingmhismdietm
whichminterventionmshouldmthemnursemimplememt?m-
mCORRECTmANSWERSmAuscultatembowelmsoundminmallmfourmquadrants
Amclientmdiagnosemwithmstablemanginamsecondarymtomischemicmheartmdiseasemhasmamprescriptionmf
ormsublingualm(SL)mnitroglycerinm(NTG).mThemnursemshouldmtellmthemclientmtomfollowmwhichminstruc
tionsmifmchestmpainmismnotmrelievedmaftermtakingm3mNTGmtablesm5mminmapartm-
mCORRECTmANSWERSmcallm911mpainmismunrelievedmandmchewmamtabletmofmaspirinm325mg
Aftermtakingmorlistatm(Xenical)mformonemweekmamfemelamclientmtellsmthemhomemhealthmnursemthatms
hemismexperiencingmincreasinglymfrequentmoilymstoolsmandmflatus.mWhatmactionmshouldmthemnursem
take?m-
mCORRECTmANSWERSmaskmthemclientmtomdescribemhermdietarymintakemhistorymformthemlastmseveralm
days
Twomdaysmaftermanmabscessmofmthemchinmwasmdrainedmthemclientmreturnsmtomthemclinicmwithmfeverm
chillsmandmammaculopapularmrashmwithmpruritis.mThemclientmhasmtakenmanmoralmantibioticmandmclea
nsedmthemwoundmtodaymwithmprovidemiodinem(Betadine)msolution.mWhichminterventionmshouldmth
emnursemimplementmfirst?m-mCORRECTmANSWERSmassessmairwaympatencymandmoxygenmsaturation
2026 WITH ALL ANSWERS VERIFIED
CORRECT| GRADED A+
Whatminstructionmshouldmthemnursemincludeminmthemdischargemteachingmplanmofmamclientmwhomhad
mamcataractmextractionmtoday?m-
mCORRECTmANSWERSmLightmhousekeepingmismpermittedmbutmavoidmheavymlifting
Ammalemadultmcomesmtomthemurgentmcaremclinicm5mdaysmaftermbeingmdiagnosemwithminfluenza.mHemi
smshortmofmbreath,mfebrile,mandmcoughingmgreenmcoloredmsputum.mWhichminterventionmshouldmth
emnursemimplementmfirst?m-mCORRECTmANSWERSmObtainmamsputummsamplemformculture
Anmeldermmalemclientmtellsmthemnursemthatmhemismloosingmsleepmbecausemhemhasmtomgetmupmseveral
mtimesmatmnightmtomgomtomthembathroommthatmhemhasmtroublemstartingmhismurinarymstreammandmth
atmhemdoesmnotmfeelmlikemhismbladdermismevermcompletelymempty.mWhichminterventionmshouldmthem
nursemimplement?m-mCORRECTmANSWERSmpalpatemthembladdermabovemthemsymphysismpubis
Anmadultmclientmismadmittedmwithmdiabeticmketoacidosism(DKA)mandmamurinarymtractminfectionm(UTI
)mPrescriptionsmformintravenousmantibioticsmandminsulinminfusionmareminitiated.mWhichmserummlabo
ratorymvaluemwarrantsmthemmostmimmediateminterventionmbymthemnurse?m-
mCORRECTmANSWERSmpotassiummofm2.5mmeq/l
Amclientmwithmsicklemcellmanemiamdevelopsmamfevermduringmthemlastmhourmofmadministrationmofmamu
nitmofmpackedmredmbloodmcell.mWhenmnotifyingmthemhealthcaremprovidermwhatminformationmshoul
dmthemnursemprovidemfirstmusingmthemSBARmcommunicationmprocess?m-
mCORRECTmANSWERSmexplainmspecificmreasonmformurgentmnotification
Anmadultmmalemclientmismadmittedmformpneumocystismcarinilmpneumoniam(PCP)msecondarymtomaids.
mWhilemhospitalizemhemreceivesmIVmpentamidinemisethionatemtherapy.mInmpreparingmthismclientmfor
mdischargemwhatmimportantmaspectmregardingmhismmedicationmtherapymshouldmthemnursemexplain
?m-
,mCORRECTmANSWERSmItmwillmbemnecessarymtomcontinuemprophylacticmdosesmofmIVmormaerosolmpent
aminemeverymmonth
Amclientmsubjectivemdatamincludesmdysuria,murgency,mandmurinarymfrequency.mWhatmactionmshould
mthemnursemimplementmnext?m-mCORRECTmANSWERSmcollectmamcleanmcatchmspecimen
Amclientmtellsmthemnursemthatmhermbiopsymresultsmindicatemthatmthemcancermcellsmaremwellmdifferent
iatedmHowmshouldmthemnursemrespond?m-
mCORRECTmANSWERSmaskmthemclientminmthemhealthcaremprovidermhasmgivingmhermanyminformationm
aboutmthemclassificationmofmhermcancer
Amclientmwithmamchronicmkidneymdiseasemismtreatedmonmhemodialysis.mDuringmthem1mtreatmentmcli
entsmbloodmpressuremdropsmfromm150/90mtom80/30mWhichmactionmshouldmthemnursemtakemfirst?m-
mCORRECTmANSWERSmstopmdialysismtreatment
Amclientmwithmdeepmvainmthrombosism(DVT)mismreceivingmamcontinuesminfusionmofmheparinmsodium
m25,000munitminm5%mdextroseminjectionm250ml.mThemprescriptionmindicatesmthemdosagemshouldmbe
mincreasem900munits/hr.mThemnursemshouldmprogrammtheminfusionmpumpmtomdelivermhowmmanymml
/hr?m-mCORRECTmANSWERSm9
Themnursemismobtainingmthemadmissionmhistorymformamclientmwithmsuspectedmpepticmulcermdiseasem
(PUD).mWhichmsubjectivemdatamreportedmbymthemclientmsupportsmthismdiagnosis?m-
mCORRECTmANSWERSmuppermmidmabdominalmgnawingmandmburningmpain
Themnursemismprovidingmpreoperativemeducationmformamjewishmclientmschedulemtomreceivemamxenog
raftmgraftmtompromotemburnmhealing.mWhichminformationmshouldmthemnursemprovidemthismclient?m-
mCORRECTmANSWERSmthemxenograftmismtakenmfrommnonhumanmsources
Amclientmwhomtookmamcampingmvacationmtwomweeksmagominmamcountrymwithmamtropicalmclimatemco
mesmtomthemclinicmdescribingmvaguemsymptomsmandmdiarrheamformthempastmweek.mWhichmfindingmi
smmostmimportantmformthemnursemtomreport?m-mCORRECTmANSWERSmjaundicemsclera
, Duringmamhomemvisitmthemnursemassessesmthemskinmofmamclientmwithmeczemamwhomreportsmthanman
mexacerbationmofmsymptomsmhasmoccurredmduringmthemlastmweek.mWhichminformationmismmostmus
efulminmdeterminingmthempossiblemcausemofmthemsymptoms?m-
mCORRECTmANSWERSmamgrandsonmandmhismnewmdogmrecentlymvisited
Whenmexplainingmdietarymguidelinesmtomamclientmwithmacutemglomerulonephritism(AGN)mwhichmins
tructionmshouldmthemnursemincludeminmthemdietarymteachingm-
mCORRECTmANSWERSmrestrictmsodiummintake
Ammalemclientmwhomism24hrmpostmoperativemformanmexploratorymlaparoctomymcomplainsmthatmhemi
smstarvingmbecausemhemhasmhadmnomrealmfoodmsincembeforemsurgery.mPriormtomadvancingmhismdietm
whichminterventionmshouldmthemnursemimplememt?m-
mCORRECTmANSWERSmAuscultatembowelmsoundminmallmfourmquadrants
Amclientmdiagnosemwithmstablemanginamsecondarymtomischemicmheartmdiseasemhasmamprescriptionmf
ormsublingualm(SL)mnitroglycerinm(NTG).mThemnursemshouldmtellmthemclientmtomfollowmwhichminstruc
tionsmifmchestmpainmismnotmrelievedmaftermtakingm3mNTGmtablesm5mminmapartm-
mCORRECTmANSWERSmcallm911mpainmismunrelievedmandmchewmamtabletmofmaspirinm325mg
Aftermtakingmorlistatm(Xenical)mformonemweekmamfemelamclientmtellsmthemhomemhealthmnursemthatms
hemismexperiencingmincreasinglymfrequentmoilymstoolsmandmflatus.mWhatmactionmshouldmthemnursem
take?m-
mCORRECTmANSWERSmaskmthemclientmtomdescribemhermdietarymintakemhistorymformthemlastmseveralm
days
Twomdaysmaftermanmabscessmofmthemchinmwasmdrainedmthemclientmreturnsmtomthemclinicmwithmfeverm
chillsmandmammaculopapularmrashmwithmpruritis.mThemclientmhasmtakenmanmoralmantibioticmandmclea
nsedmthemwoundmtodaymwithmprovidemiodinem(Betadine)msolution.mWhichminterventionmshouldmth
emnursemimplementmfirst?m-mCORRECTmANSWERSmassessmairwaympatencymandmoxygenmsaturation
