HESI MED-SURG practice
exam Questions and
Answers Updated 2026
AnBadultBclientBwhoBisBhospitalizedBafterBsurgeryBreportsBsuddenBonsetBofBchestBpai
nBandBdyspnea.BTheBclientBappearsBanxious,Brestless,BandBmildlyBcyanotic.BTheBnurse
BshouldBfurtherBassessBtheBclientBforBwhichBcondition?
BPulmonaryBembolism.B
BHeartBfailure.
BTuberculosis.
BBronchitis.B-BAnswerBPulmonaryBembolism.B
Post-
surgicalBclientsBareBatBanBincreasedBriskBforBdeepBveinBthrombosisB(DVT),BwhichBmay
BresultBinBpulmonaryBembolismBifBtheBclotBbreaksBoffBandBtravelsBtoBtheBlungs.BSign
sBandBsymptomsBofBpulmonaryBembolismBincludeBchestBpain,Bdyspnea,Banxiety,Brestle
ssness,BandB-BinBsevereBcasesB-Bcyanosis.
Jarvis,BPhysicalBExaminationBandBHealthBAssessment,B7thBed.,Bp.493
WhichBinformationBshouldBtheBnurseBobtainBwhenBperformingBanBinitialBassessmentBo
fBaBclientBwhoBpresentsBtoBtheBemergencyBdepartmentBwithBaBpainfulBankleBinjury?B
(SelectBallBthatBapply.)
QualityBofBtheBpain.B
SignsBofBinflammation.
AnkleBrangeBofBmotion.B
MuscleBstrengthBtesting.
VisibleBdeformitiesBofBtheBjoint.B-BAnswerBQualityBofBtheBpain.B
,SignsBofBinflammation.
AnkleBrangeBofBmotion.B
VisibleBdeformitiesBofBtheBjoint.B
InitialBassessmentBofBaBjointBinjuryBisBperformedBtoBdetermineBtheBextentBofBtheBda
mage.BTheBnurse'sBinitialBassessmentBofBaBpainfulBankleBinjuryBshouldBincludeBpainBq
uality,BtheBpresenceBofBdeformities,BevidenceBofBinflammation,BandBrangeBofBmotion.
JarvisBPhysicalBExaminationBandBHealthBAssessment,B7thBed.Bp.B586-8
WhichBdescriptionBofBpainBisBconsistentBwithBaBdiagnosisBofBrheumatoidBarthritis?
BJointBpainBisBworseBinBtheBmorningBandBinvolvesBsymmetricBjoints.B
BJointBpainBisBbetterBinBtheBmorningBandBworsensBthroughoutBtheBday.
BJointBpainBisBconsistentBthroughoutBtheBdayBandBisBrelievedBbyBpainBmedication.
BJointBpainBisBworseBduringBtheBdayBandBinvolvesBunilateralBjoints.B-
BAnswerBJointBpainBisBworseBinBtheBmorningBandBinvolvesBsymmetricBjoints.B
RheumatoidBarthritisB(RA)BisBanBautoimmuneBdiseaseBthatBcausesBjointBpainBandBswe
lling.BRABisBcharacterizedBbyBpainBthatBisBworseBwhenBarisingBandBinvolvesBsymmetri
cBjoints.
Jarvis.B(2016),BPhysicalBExaminationBandBHealthBAssessment,B7thBEd.,BChapterB22;Bp.B
586
WhichBphysicalBassessmentBfindingBshouldBtheBnurseBanticipateBinBaBclientBwithBlong-
termBgastroesophagealrefluxBdiseaseB(GERD)?
BHoarseness.B
BDryBmouth.
BMouthBulcers.
BWeightBloss.B-BAnswerBHoarseness.B
,DyspepsiaBandBregurgitationBareBtheBmainBsymptomsBofBgastroesophagealBrefluxBdisea
seB(GERD);Bhowever,BhoarsenessBisBoneBofBtheBmostBcommonBlong-
termBsymptomsBofBGERDBdueBtoBtheBirritationBofBtheBrefluxBofBgastricBsecretions.
Ignatavicius,B(2016).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,BeightBedition.,BCh.B49,Bp.B1111.
ABclientBpresentsBwithBchronicBvenousBinsufficiency.BWhichBassessmentBfindingBshould
BtheBnurseBanticipate?
BBilateralBlowerBlegBstasisBdermatitis.B
BClubbingBofBfingersBandBtoes.
BIntermittentBclaudication.
BPeripheralBcyanosis.B-BAnswerBBilateralBlowerBlegBstasisBdermatitis.B
ClientsBwhoBsufferBfromBchronincBvenousBinsufficiencyBoftenBdevelopBstatsisBdermatiti
sBinBtheBlowerBextremities.BStatisBdermatitisBappearBasBbrownish-
redBdiscolorationBonBtheBlowerBextremitiesBatBtheBanklesBwhichBcanBdevelopBintoBsta
sisBulcersBdueBtoBtheBpoolingBofBtheBvenousBbloodBflowBbackBtoBtheBheart.
Ignatavicius,B(2013).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,B7thBed..,BCh.B33,Bp.B803.
ABclientBhasBbeenBhospitalizedBwithBaBfemurBfractureBandBisBbeingBtreatedBwithBtrac
tion.BWhichBactionBbyBtheBnurseBisBtheBpriorityBwhenBcaringBforBthisBclient?
BAssessBneurovascularBstatus.B
BChangeBtheBclient'sBposition.
BInspectBtheBtractionBequipment.
BReviewBpainBmedicationBorders.B-BAnswerBAssessBneurovascularBstatus.B
, TheBuseBofBtractionBforBlongBboneBfracturesBreducesBtheBpotentialBforBdamageBtoBth
eBsurroundingBtissues.BReportsBofBincreasedBpainBmayBindicateBcirculatoryBcompromis
eBorBtissueBdamageB(compartmentBsyndrome).BAssessingBtheBclient'sBneurovascularBst
atusBisBtheBnurse'sBhighestBpriority.
Ignatavicius,B(2016).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,BeightBedition.,BCh.B51,Bpp.B1051-80.
WhichBstatementBmadeBbyBaBclientBwithBchronicBpancreatitisBindicatesBthatBfurtherBe
ducationBisBneeded?
IBwillBcutBbackBonBsmokingBcigarettesBdaily.B
IBwillBavoidBdrinkingBcaffeinatedBbeverages.
IBwillBrestBfrequentlyBandBavoidBvigorousBexercise.B
IBwillBeatBaBbland,Blow-fat,Bhigh-proteinBdiet.B-
BAnswerBIBwillBcutBbackBonBsmokingBcigarettesBdaily.B
ToBpreventBexacerbationsBofBchronicBpancreatitis,BclientsBshouldBbeBinstructedBtoBavoi
dBnicotineBentirely.BAdditionalBteachingBincludesBavoidingBcaffeinatedBbeverages,Brestin
gBfrequentlyBasBneeded,BandBeatingBaBblandBdietBlowBfatBandBhighBinBprotein.Ignata
vicius,B(2016).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,B8thBed.,BCh.B59,Bpp.B1084-98.
TheBnurseBisBteachingBaBfemaleBclientBwhoBusesBaBcontraceptiveBdiaphragmBaboutBre
ducingBtheBriskBforBtoxicBshockBsyndromeB(TSS).BWhichBinformationBshouldBtheBnurse
Binclude?B(SelectBallBthatBapply.)
BRemoveBtheBdiaphragmBimmediatelyBafterBintercourse.B
BWashBtheBdiaphragmBwithBanBalcoholBsolution.
BUseBtheBdiaphragmBtoBpreventBconceptionBduringBtheBmenstrualBcycle.
BDoBnotBleaveBtheBdiaphragmBinBplaceBlongerBthanB8BhoursBafterBintercourse.B
BReplaceBtheBoldBdiaphragmBeveryB3Bmonths.B-
BAnswerBDoBnotBleaveBtheBdiaphragmBinBplaceBlongerBthanB8BhoursBafterBintercours
e.B
exam Questions and
Answers Updated 2026
AnBadultBclientBwhoBisBhospitalizedBafterBsurgeryBreportsBsuddenBonsetBofBchestBpai
nBandBdyspnea.BTheBclientBappearsBanxious,Brestless,BandBmildlyBcyanotic.BTheBnurse
BshouldBfurtherBassessBtheBclientBforBwhichBcondition?
BPulmonaryBembolism.B
BHeartBfailure.
BTuberculosis.
BBronchitis.B-BAnswerBPulmonaryBembolism.B
Post-
surgicalBclientsBareBatBanBincreasedBriskBforBdeepBveinBthrombosisB(DVT),BwhichBmay
BresultBinBpulmonaryBembolismBifBtheBclotBbreaksBoffBandBtravelsBtoBtheBlungs.BSign
sBandBsymptomsBofBpulmonaryBembolismBincludeBchestBpain,Bdyspnea,Banxiety,Brestle
ssness,BandB-BinBsevereBcasesB-Bcyanosis.
Jarvis,BPhysicalBExaminationBandBHealthBAssessment,B7thBed.,Bp.493
WhichBinformationBshouldBtheBnurseBobtainBwhenBperformingBanBinitialBassessmentBo
fBaBclientBwhoBpresentsBtoBtheBemergencyBdepartmentBwithBaBpainfulBankleBinjury?B
(SelectBallBthatBapply.)
QualityBofBtheBpain.B
SignsBofBinflammation.
AnkleBrangeBofBmotion.B
MuscleBstrengthBtesting.
VisibleBdeformitiesBofBtheBjoint.B-BAnswerBQualityBofBtheBpain.B
,SignsBofBinflammation.
AnkleBrangeBofBmotion.B
VisibleBdeformitiesBofBtheBjoint.B
InitialBassessmentBofBaBjointBinjuryBisBperformedBtoBdetermineBtheBextentBofBtheBda
mage.BTheBnurse'sBinitialBassessmentBofBaBpainfulBankleBinjuryBshouldBincludeBpainBq
uality,BtheBpresenceBofBdeformities,BevidenceBofBinflammation,BandBrangeBofBmotion.
JarvisBPhysicalBExaminationBandBHealthBAssessment,B7thBed.Bp.B586-8
WhichBdescriptionBofBpainBisBconsistentBwithBaBdiagnosisBofBrheumatoidBarthritis?
BJointBpainBisBworseBinBtheBmorningBandBinvolvesBsymmetricBjoints.B
BJointBpainBisBbetterBinBtheBmorningBandBworsensBthroughoutBtheBday.
BJointBpainBisBconsistentBthroughoutBtheBdayBandBisBrelievedBbyBpainBmedication.
BJointBpainBisBworseBduringBtheBdayBandBinvolvesBunilateralBjoints.B-
BAnswerBJointBpainBisBworseBinBtheBmorningBandBinvolvesBsymmetricBjoints.B
RheumatoidBarthritisB(RA)BisBanBautoimmuneBdiseaseBthatBcausesBjointBpainBandBswe
lling.BRABisBcharacterizedBbyBpainBthatBisBworseBwhenBarisingBandBinvolvesBsymmetri
cBjoints.
Jarvis.B(2016),BPhysicalBExaminationBandBHealthBAssessment,B7thBEd.,BChapterB22;Bp.B
586
WhichBphysicalBassessmentBfindingBshouldBtheBnurseBanticipateBinBaBclientBwithBlong-
termBgastroesophagealrefluxBdiseaseB(GERD)?
BHoarseness.B
BDryBmouth.
BMouthBulcers.
BWeightBloss.B-BAnswerBHoarseness.B
,DyspepsiaBandBregurgitationBareBtheBmainBsymptomsBofBgastroesophagealBrefluxBdisea
seB(GERD);Bhowever,BhoarsenessBisBoneBofBtheBmostBcommonBlong-
termBsymptomsBofBGERDBdueBtoBtheBirritationBofBtheBrefluxBofBgastricBsecretions.
Ignatavicius,B(2016).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,BeightBedition.,BCh.B49,Bp.B1111.
ABclientBpresentsBwithBchronicBvenousBinsufficiency.BWhichBassessmentBfindingBshould
BtheBnurseBanticipate?
BBilateralBlowerBlegBstasisBdermatitis.B
BClubbingBofBfingersBandBtoes.
BIntermittentBclaudication.
BPeripheralBcyanosis.B-BAnswerBBilateralBlowerBlegBstasisBdermatitis.B
ClientsBwhoBsufferBfromBchronincBvenousBinsufficiencyBoftenBdevelopBstatsisBdermatiti
sBinBtheBlowerBextremities.BStatisBdermatitisBappearBasBbrownish-
redBdiscolorationBonBtheBlowerBextremitiesBatBtheBanklesBwhichBcanBdevelopBintoBsta
sisBulcersBdueBtoBtheBpoolingBofBtheBvenousBbloodBflowBbackBtoBtheBheart.
Ignatavicius,B(2013).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,B7thBed..,BCh.B33,Bp.B803.
ABclientBhasBbeenBhospitalizedBwithBaBfemurBfractureBandBisBbeingBtreatedBwithBtrac
tion.BWhichBactionBbyBtheBnurseBisBtheBpriorityBwhenBcaringBforBthisBclient?
BAssessBneurovascularBstatus.B
BChangeBtheBclient'sBposition.
BInspectBtheBtractionBequipment.
BReviewBpainBmedicationBorders.B-BAnswerBAssessBneurovascularBstatus.B
, TheBuseBofBtractionBforBlongBboneBfracturesBreducesBtheBpotentialBforBdamageBtoBth
eBsurroundingBtissues.BReportsBofBincreasedBpainBmayBindicateBcirculatoryBcompromis
eBorBtissueBdamageB(compartmentBsyndrome).BAssessingBtheBclient'sBneurovascularBst
atusBisBtheBnurse'sBhighestBpriority.
Ignatavicius,B(2016).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,BeightBedition.,BCh.B51,Bpp.B1051-80.
WhichBstatementBmadeBbyBaBclientBwithBchronicBpancreatitisBindicatesBthatBfurtherBe
ducationBisBneeded?
IBwillBcutBbackBonBsmokingBcigarettesBdaily.B
IBwillBavoidBdrinkingBcaffeinatedBbeverages.
IBwillBrestBfrequentlyBandBavoidBvigorousBexercise.B
IBwillBeatBaBbland,Blow-fat,Bhigh-proteinBdiet.B-
BAnswerBIBwillBcutBbackBonBsmokingBcigarettesBdaily.B
ToBpreventBexacerbationsBofBchronicBpancreatitis,BclientsBshouldBbeBinstructedBtoBavoi
dBnicotineBentirely.BAdditionalBteachingBincludesBavoidingBcaffeinatedBbeverages,Brestin
gBfrequentlyBasBneeded,BandBeatingBaBblandBdietBlowBfatBandBhighBinBprotein.Ignata
vicius,B(2016).BMedical-surgicalBnursing:BPatient-
centeredBcollaborativeBcare,B8thBed.,BCh.B59,Bpp.B1084-98.
TheBnurseBisBteachingBaBfemaleBclientBwhoBusesBaBcontraceptiveBdiaphragmBaboutBre
ducingBtheBriskBforBtoxicBshockBsyndromeB(TSS).BWhichBinformationBshouldBtheBnurse
Binclude?B(SelectBallBthatBapply.)
BRemoveBtheBdiaphragmBimmediatelyBafterBintercourse.B
BWashBtheBdiaphragmBwithBanBalcoholBsolution.
BUseBtheBdiaphragmBtoBpreventBconceptionBduringBtheBmenstrualBcycle.
BDoBnotBleaveBtheBdiaphragmBinBplaceBlongerBthanB8BhoursBafterBintercourse.B
BReplaceBtheBoldBdiaphragmBeveryB3Bmonths.B-
BAnswerBDoBnotBleaveBtheBdiaphragmBinBplaceBlongerBthanB8BhoursBafterBintercours
e.B