Med Surg HESI
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
100+
Key Solutions
VERIFIED ANSWERS
Question 1
Which statement made by a client with chronic pancreatitis indicates that further education is needed?
I will cut back on smoking cigarettes daily. Correct
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise. Incorrect
I will eat a bland, low-fat, high-protein diet.
Correct Answer
To prevent exacerbations of chronic pancreatitis, clients should be instructed to avoid nicotine entirely. Additional
teaching includes avoiding caffeinated beverages, resting frequently as needed, and eating a bland diet low fat and high
in protein.
Question 2
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring?
Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line. Correct
Correct Answer
In MCL I monitoring, the positive electrode is placed on the client's mid-chest to the right of the sternum, and the
negative electrode is placed on the upper left part of the chest. The ground may be placed anywhere, but is usually
placed on the lower left portion of the chest.
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,Question 3
In preparing to administer intravenous albumin to a client following surgery, which are the priority nursing
interventions? (Select all that apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Correct Answer
Albumin should be infused within four hours because it does not contain any preservatives. Any fluid remaining after four
hours should be discarded. A large gauge catheter allows for fast infusion rate, which may be necessary. Hemodilution
may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT levels should be monitored while
monitoring for bleeding because of the increased blood volume and blood pressure.
Question 4
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L). Which action is
most important for the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Correct
Arrange a consultation with the dietician.
Teach about the side effects of diuretics.
Correct Answer
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes in myocardial irritability and ECG waveform, so it
is most important for the nurse to initiate continuous cardiac monitoring to identify ventricular ectopy or other life-
threatening dysrhythmias. After cardiac monitoring is initiated, then the potassium chloride should be given so that the
effects of potassium replacement on the cardiac rhythm can be monitored.
Question 5
After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has
returned from the post-anesthesia care has a dark, concentrated urinary output of 54 mL for the last 2 hours. Which
priority nursing action should be implemented?
Report the findings to the surgeon. Correct
Irrigate the indwelling urinary catheter.
Apply manual pressure to the bladder.
Increase the IV flow rate for 15 minutes. Incorrect
Correct Answer
After surgery, an adult who weighs 132 pounds (60 kg) should produce about 60 mL of urine hourly (1 mL/kg/hour). Dark,
concentrated, and low volume of urine output should be reported to the surgeon.
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, Question 6
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth on
the lower left calf. Which intervention would be most helpful to this client?
Apply sequential compression devices (SCDs) bilaterally.
Assess for a positive Homan's sign in each leg. Incorrect
Pad all bony prominences on the affected leg.
Advise the client to remain in bed with the leg elevated. Correct
Correct Answer
For a client exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility, the initial care includes
bedrest and elevation of the extremity.
Question 7
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric joints. Correct
Joint pain is better in the morning and worsens throughout the day.
Joint pain is consistent throughout the day and is relieved by pain medication. Incorrect
Joint pain is worse during the day and involves unilateral joints.
Correct Answer
Rheumatoid arthritis (RA) is an autoimmune disease that causes joint pain and swelling. RA is characterized by pain that is
worse when arising and involves symmetric joints.
Question 8
A client’s susceptibility to ulcerative colitis is most likely due to which aspect in the client’s history?
Jewish European ancestry. Correct
H. pylori bowel infection.
Family history of irritable bowel syndrome.
Age between 25 and 55 years.
Correct Answer
Ulcerative colitis is 4 to 5 times more common among individuals of Jewish European or Ashkenazi ancestry.
Question 9
While working in the emergency room, the nurse is exposed to a client with active tuberculosis. When should the
nurse plan to obtain a tuberculin skin test?
Immediately after the exposure.
Within one week of the exposure.
Four to six weeks after the exposure. Correct
Three months after the exposure.
Correct Answer
A tuberculin skin test is effective 4 to 6 weeks after an exposure, so the individual with a known exposure should wait 4 to
6 weeks before having a tuberculin skin test.
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(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
100+
Key Solutions
VERIFIED ANSWERS
Question 1
Which statement made by a client with chronic pancreatitis indicates that further education is needed?
I will cut back on smoking cigarettes daily. Correct
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise. Incorrect
I will eat a bland, low-fat, high-protein diet.
Correct Answer
To prevent exacerbations of chronic pancreatitis, clients should be instructed to avoid nicotine entirely. Additional
teaching includes avoiding caffeinated beverages, resting frequently as needed, and eating a bland diet low fat and high
in protein.
Question 2
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring?
Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line. Correct
Correct Answer
In MCL I monitoring, the positive electrode is placed on the client's mid-chest to the right of the sternum, and the
negative electrode is placed on the upper left part of the chest. The ground may be placed anywhere, but is usually
placed on the lower left portion of the chest.
Trusted by thousands of students and professionals worldwide Page 1 of 30
,Question 3
In preparing to administer intravenous albumin to a client following surgery, which are the priority nursing
interventions? (Select all that apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Correct Answer
Albumin should be infused within four hours because it does not contain any preservatives. Any fluid remaining after four
hours should be discarded. A large gauge catheter allows for fast infusion rate, which may be necessary. Hemodilution
may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT levels should be monitored while
monitoring for bleeding because of the increased blood volume and blood pressure.
Question 4
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L). Which action is
most important for the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Correct
Arrange a consultation with the dietician.
Teach about the side effects of diuretics.
Correct Answer
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes in myocardial irritability and ECG waveform, so it
is most important for the nurse to initiate continuous cardiac monitoring to identify ventricular ectopy or other life-
threatening dysrhythmias. After cardiac monitoring is initiated, then the potassium chloride should be given so that the
effects of potassium replacement on the cardiac rhythm can be monitored.
Question 5
After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has
returned from the post-anesthesia care has a dark, concentrated urinary output of 54 mL for the last 2 hours. Which
priority nursing action should be implemented?
Report the findings to the surgeon. Correct
Irrigate the indwelling urinary catheter.
Apply manual pressure to the bladder.
Increase the IV flow rate for 15 minutes. Incorrect
Correct Answer
After surgery, an adult who weighs 132 pounds (60 kg) should produce about 60 mL of urine hourly (1 mL/kg/hour). Dark,
concentrated, and low volume of urine output should be reported to the surgeon.
Trusted by thousands of students and professionals worldwide Page 2 of 30
, Question 6
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth on
the lower left calf. Which intervention would be most helpful to this client?
Apply sequential compression devices (SCDs) bilaterally.
Assess for a positive Homan's sign in each leg. Incorrect
Pad all bony prominences on the affected leg.
Advise the client to remain in bed with the leg elevated. Correct
Correct Answer
For a client exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility, the initial care includes
bedrest and elevation of the extremity.
Question 7
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric joints. Correct
Joint pain is better in the morning and worsens throughout the day.
Joint pain is consistent throughout the day and is relieved by pain medication. Incorrect
Joint pain is worse during the day and involves unilateral joints.
Correct Answer
Rheumatoid arthritis (RA) is an autoimmune disease that causes joint pain and swelling. RA is characterized by pain that is
worse when arising and involves symmetric joints.
Question 8
A client’s susceptibility to ulcerative colitis is most likely due to which aspect in the client’s history?
Jewish European ancestry. Correct
H. pylori bowel infection.
Family history of irritable bowel syndrome.
Age between 25 and 55 years.
Correct Answer
Ulcerative colitis is 4 to 5 times more common among individuals of Jewish European or Ashkenazi ancestry.
Question 9
While working in the emergency room, the nurse is exposed to a client with active tuberculosis. When should the
nurse plan to obtain a tuberculin skin test?
Immediately after the exposure.
Within one week of the exposure.
Four to six weeks after the exposure. Correct
Three months after the exposure.
Correct Answer
A tuberculin skin test is effective 4 to 6 weeks after an exposure, so the individual with a known exposure should wait 4 to
6 weeks before having a tuberculin skin test.
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