HESI RN MEDICAL SURGICAL (2025/2026) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

HESI RN MEDICAL SURGICAL
(2025/2026) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
AnnERnnursenisncompletingnannassessmentnonnanpatientnthatnisnalertnbutnstrugglesntonanswernquesti
ons.nWhennshenattemptsntontalk,nshenslursnhernspeechnandnappearsnverynfrightened.nWhatnadditio
nalnclinicalnmanifestationndoesnthennursenexpectntonfindnifnnacy'snsysmptomsnhavenbeenncausednby
nanbrainnattackn(stroke)?




A.nAncarotidnbruit

B.nAnhypotensivenbloodnpressure

C.nhyperreflexicndeepntendonnrelexes.

D.nDecreasednbowelnsoundsn-nCORRECTnANSWERSnA)nAncarotidnbruit.



Rationale:nthencarotidnarteryn(arteryntonthenbrain)nisnnarrowedninnclientsnwithnanbrainnattack.nAnbru
itnisnannabnormalnsoundnheardnonnauscultationnresultingnfromninterferencenwithnnormalnbloodnflo
w.nUsuallynthenbloodnpressurenisnhypertensive.nInitiallynflaccidnparalysisnoccurs,nresultingninnhypor
efkexicndeepntendonnreflexes.nBowelnsoundsnarennotnindicativenofnanbrainnattack.



Whichnclinicalnmanifestationnfurthernsupportsnannassessmentnofnanleft-sidednbrainnattack?



A)nVisualnfieldndeficitnonnthenleftnside.

B)nSpatial-perceptualndeficits.

C)nParesthesianofnthenleftnside.

D)nGlobalnaphasia.

,D)nGlobalnaphasia.n-nCORRECTnANSWERSnD)nGlobalnaphasia.



Rationale:nGlobalnaphasianrefersntondifficultynspeaking,nlistening,nandnunderstanding,nasnwellnasndi
fficultynreadingnandnwriting.nSymptomsnvarynfromnpersonntonperson.nAphasianmaynoccurnsecondar
yntonanynbrainninjuryninvolvingnthenleftnhemisphere.nVisualnfieldndeficits,nspatial-
perceptualndeficits,nandnparesthsianofnthenleftnsidenusuallynoccurnwithnright-sidednbrainnattack.



Whennpreparingnanpatientnfornannoncontrastncomputedntomographyn(CT)nscannSTAT,nwhatnnursingn
interventionnshouldnthennursenimplement?



A)nDeterminenifnthenclientnhasnanynallergiesntoniodine

B)nExplainnthatnthenclientnwillnnotnbenablentonmovenhernheadnthroughoutnthenCTnscan.

C)nPremedicatenthenclientntondecreasenpainnpriorntonhavingnthenprocedure.

D)nProvidenannexplanationnofnrelaxationnexercisesnpriorntonthenprocedure.n-
nCORRECTnANSWERSnB)nExplainnthatnthenclientnwillnnotnbenablentonmovenhernheadnthroughoutnthen


CTnscan.



Rationale:nBecausenheadnmotionnwillndistortnthenimages,nNancynwillnhaventonremainnstillnthrougho
utnthenprocedure.nAllergiesntoniodinenisnimportantnifncontrastndyenisnbeingnusednfornthenCTnscan.nPr
emedicatingnthenclientntondecreasenpainnpriorntonthenprocedurenisnunnecessarynbecausenCTnscanni
ngnisnannoninvasivenandnpainlessnprocedure.nProvidingnannexplanationnofnrelaxationnexercisesnprio
rntonthenprocedurenisnanworthwhileninterventionntondecreasenanxietynbutnisnnotnofnhighestnpriority.



Anneurologistnprescribesnanmagneticnresonancenimagingn(MRI)nofnthenheadnSTATnfornanpatient.nWhi
chndatanwarrantsnimmediateninterventionnbynthennursenconcerningnthisndiagnosticntest?



A)nElevatednbloodnpressure.

B)nAllergyntonshellnfish.

C)nRightnhipnreplacement.

,D)nHistorynofnatrialnfibrillation.n-nCORRECTnANSWERSnC)nRightnhipnreplacement.



ThenmagneticnfieldngeneratednbynthenMRInisnsonstrongnthatnmetal-
containingnitemsnarenstronglynattractedntonthenmagnet.nBecausenthenhipnjointnisnmadenofnmetal,nanl
eadnshieldnmustnbenusednduringnthenprocedure.nElevatednbloodnpressure,nannallergyntonshellnfish,na
ndnanhistorynofnatrialnfibrillationnwouldnnotnaffectnthenMRI.



Anclient'sndaughternisnsittingnbynhernmother'snbedsidenwhonwasnrecentlyntransferredntonthenInterm
ediatenCarenUnit.nShenstatesn"Indon'tnunderstandnwhatnanbrainnattacknis.nThenhealthcarenprovidernt
oldnmenmynmothernisninnseriousnconditionnandntheynarengoingntonrunnseveralntests.nInjustndon'tnkno
wnwhatnisngoingnon.nWhatnhappenedntonmynmother?"nWhatnisnthenbestnresponsenbynthennurse?



A)n"Inamnsorry,nbutnaccordingntonthenHealthnInsurancenPortabilitynandnAccountingnActn(HIPAA),nInca
nnotngivenyounanyninformation."

B)n"Yournmothernhasnhadnanstroke,nandnthenbloodnsupplyntonthenbrainnhasnbeennblocked."

C)n"Howndonyounfeelnaboutnwhatnthenhealthcarenprovidernsaid?"

D)n"Inwillncallnthenhealthcarenprovidernsonhe/shencanntalkntonyounaboutnyournmother'snseriousncond
ition."n-
nCORRECTnANSWERSnB)n"Yournmothernhasnhadnanstroke,nandnthenbloodnsupplyntonthenbrainnhasnbe


ennblocked."



Rationale:nThennursencanndiscussnwhatnandiagnosisnmeans.nNancynisnunablentonmakendecisions,nson
thennextnofnkin,nherndaughter,nGail,nneedsnsufficientninformationntonmakeninformedndecisions.nThen
nursenhasnthenknowledge,nandnthenresponsibility,ntonexplainnNancy'snconditionntonGail.nThennursen
shouldngivenfactsnfirst,nandnthennaddressnhernfeelingsnafterntheninformationnisnprovided.



Whatnisnthennormalnrangenforncardiacnoutput?n-
nCORRECTnANSWERSnThennormalnrangenforncardiacnoutputntonensurencerebralnbloodnflownandnoxy


genndeliverynisn4nton8nL/min.

, Anclientnwasnadmittednwithnthendiagnosisnofnanbrainnattack.nTheirnsymptomsnbegann24nhoursnbefor
enbeingnadmitted.nWhynwouldnthisnclientnnotnbenancandidatenfornfornthrombolyticntherapy?n-
nCORRECTnANSWERSnThrombolyticntherapynisncontraindicatedninnclientsnwithnsymptomnonsetnlong


ernthann3nhoursnpriorntonadmission.nThisnclientnhadnsymptomsnforn24nhoursnbeforenbeingnbroughtnt
onthenmedicalncenter



Whatnarenplatenguards?n-
nCORRECTnANSWERSnPlatenguardsnpreventnfoodnfromnbeingnpushednoffnthenplate.nUsingnplatenguar


dsnandnothernassistivendevicesnwillnencouragenindependenceninnanclientnwithnanself-carendeficit.



Whichnconditionnisnconsiderednannon-modifiablenrisknfactornfornanbrainnattack?



A)nHighncholesterolnlevels.

B)nObesity.

C)nHistorynofnatrialnfibrillation.

D)nAdvancednage.n-nCORRECTnANSWERSnD)nAdvancednage.



Rationale:nPeoplenovernagen55narenanhigh-
riskngroupnfornanbrainnattacknbecausenthenincidencenofnstrokenmorenthanndoublesninneachnsuccessi
vendecadenofnlife.nNon-
modifiablenmeansnthenclientncannotndonanythingntonchangenthenrisknfactor.nAllnthenothernoptionsna
renmodifiablenrisknfactors.



Anclientnisnexperiencingnhomonymousnhemianopsianasnthenresultnofnanbrainnattack.nWhichnnursingn
interventionnwouldnthennursenimplementntonaddressnthisncondition?



A)nTurnnNancyneveryntwonhoursnandnperformnactivenrangenofnmotionnexercises.

B)nPlacenthenobjectsnNancynneedsnfornactivitiesnofndailynlivingnonnthenleftnsidenofnthentable.

C)nSpeaknslowlynandnclearlyntonassistnNancyninnformingnsoundsntonwords.