1
MED SURG HESI EXAM QUESTIONS AND
ANSWERS COMPLETE STUDY GUIDE 2026
JUST RELEASED VERSION
A male client with Type 1 diabetes mellitus takes a combination of
short acting and intermediate acting insulin. The client complains of
headaches when awakening and his blood glucose average for the
past week has been 210. The nurse recognizes the client is
experiencing a daily Somogyi, or rebound effect. Which dosing
method is likely to relieve these symptoms? Move the PM
intermediate- acting dose to bedtime.
When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse
to implement?
Swab the child's erythematous oropharyngeal surfaces or tonsilar pustules.
The nurse is caring for a 42-year-old male client who is excreting less
sodium than he is consuming. If this condition continues, what
complication can the nurse expect this client to exhibit?
edema
Which condition would likely cause secondary
,2
polycythemia? High altitude exposure.
An infant is treated for intussusception with hydrostatic reduction.
What instruction should the nurse include in the parents’ teaching
plan?
s/s of reocurrence
A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime.
For which health problem is the insulin being administered
at this time of day?
dawn phenomenon
The nurse is obtaining a throat culture of a client’s posterior
oropharyngeal region. For which health problem will this specimen be
used to diagnose?
strep throat
A middle-aged male client is being evaluated for lower
extremity edema. Which laboratory value will be used to
aid in determining the cause of this client’s manifestation?
,3
serum sodium
A client is diagnosed with secondary polycythemia.
Which health condition contributed to the development
of this secondary problem? hypovolemia
A client in the oliguric phase of acute renal failure (ARF) has a 24 hour
urine output of 400ml. nurse should allow this client to have how much
oral intake during the next 24 hours?
limit oral intake to 900. to 1000ml
A female client on the mental health unit tells the nurse that her
roommate is sitting on the bathroom floor with superficial cuts on her
wrists. The nurse cleans and assesses the client’s wrists and asks her
what happened. She doesn’t respond. Next?
take the client to a room for supervision by staff
What assessment technique should the nurse use to monitor a client
for a common untoward effect of phenytoin (Dilantin)?
inspection of the mouth
The nurse is preparing to administer an IM dose of Vitamin B1
(thiamine) to a male client experiencing acute alcohol withdrawal and
peripheral neuritis. The client belligerently states, “what do you think
you’re doing?” Response?
"This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a
painful medication, Intervention?
select a large, deep muscle mass
, 4
Locate the optic disk
the really light area on the right
When completing a mental health assessment, the nurse wishes to
obtain information about a client’s insight and judgment. Which
interview technique is most useful in assessing these mental abilities
have the client describe what should be done if a child was observed
alone in a locked car on a hot day
MED SURG HESI EXAM QUESTIONS AND
ANSWERS COMPLETE STUDY GUIDE 2026
JUST RELEASED VERSION
A male client with Type 1 diabetes mellitus takes a combination of
short acting and intermediate acting insulin. The client complains of
headaches when awakening and his blood glucose average for the
past week has been 210. The nurse recognizes the client is
experiencing a daily Somogyi, or rebound effect. Which dosing
method is likely to relieve these symptoms? Move the PM
intermediate- acting dose to bedtime.
When obtaining a throat culture from a 6 year old with possible
strepococcal infection, which action is most important for the nurse
to implement?
Swab the child's erythematous oropharyngeal surfaces or tonsilar pustules.
The nurse is caring for a 42-year-old male client who is excreting less
sodium than he is consuming. If this condition continues, what
complication can the nurse expect this client to exhibit?
edema
Which condition would likely cause secondary
,2
polycythemia? High altitude exposure.
An infant is treated for intussusception with hydrostatic reduction.
What instruction should the nurse include in the parents’ teaching
plan?
s/s of reocurrence
A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime.
For which health problem is the insulin being administered
at this time of day?
dawn phenomenon
The nurse is obtaining a throat culture of a client’s posterior
oropharyngeal region. For which health problem will this specimen be
used to diagnose?
strep throat
A middle-aged male client is being evaluated for lower
extremity edema. Which laboratory value will be used to
aid in determining the cause of this client’s manifestation?
,3
serum sodium
A client is diagnosed with secondary polycythemia.
Which health condition contributed to the development
of this secondary problem? hypovolemia
A client in the oliguric phase of acute renal failure (ARF) has a 24 hour
urine output of 400ml. nurse should allow this client to have how much
oral intake during the next 24 hours?
limit oral intake to 900. to 1000ml
A female client on the mental health unit tells the nurse that her
roommate is sitting on the bathroom floor with superficial cuts on her
wrists. The nurse cleans and assesses the client’s wrists and asks her
what happened. She doesn’t respond. Next?
take the client to a room for supervision by staff
What assessment technique should the nurse use to monitor a client
for a common untoward effect of phenytoin (Dilantin)?
inspection of the mouth
The nurse is preparing to administer an IM dose of Vitamin B1
(thiamine) to a male client experiencing acute alcohol withdrawal and
peripheral neuritis. The client belligerently states, “what do you think
you’re doing?” Response?
"This shot will help relieve the pain in your feet
When administering an intramuscular injection containing 3 ml of a
painful medication, Intervention?
select a large, deep muscle mass
, 4
Locate the optic disk
the really light area on the right
When completing a mental health assessment, the nurse wishes to
obtain information about a client’s insight and judgment. Which
interview technique is most useful in assessing these mental abilities
have the client describe what should be done if a child was observed
alone in a locked car on a hot day
