HESI Medical Surgical Nursing Questions and Answers |
Medical Surgical HESI Practice Exam with Correct Answers
Graded A+
This HESI Medical Surgical Nursing practice exam contains 100 medium-difficulty medical-surgical nursing questions
with correct answers and detailed rationales. Topics include asthma, liver cirrhosis, deep vein thrombosis,
pancreatitis, anemia, thyroid disorders, seizure disorders, osteoporosis, peripheral artery disease, and burn care.
Designed for nursing students preparing for HESI, NCLEX-RN, ATI, and med-surg nursing exams.
1. A nurse is caring for a client with Asthma. Which nursing intervention is most appropriate?
Ignore changes in patient condition.
Delay prescribed treatments and assessments.
✔ Monitor respiratory status and administer bronchodilators.
Encourage high-sodium processed foods.
Correct Answer: ✔ Monitor respiratory status and administer bronchodilators.
Rationale: Clients with asthma require careful nursing assessment and monitoring. The nurse should monitor
respiratory status and administer bronchodilators to improve safety, reduce complications, and support positive
patient outcomes.
2. Which finding should the nurse report immediately in a client with Liver Cirrhosis?
Ignore changes in patient condition.
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
✔ Assess for fluid retention and bleeding.
Correct Answer: ✔ Assess for fluid retention and bleeding.
Rationale: Clients with liver cirrhosis require careful nursing assessment and monitoring. The nurse should assess for
fluid retention and bleeding to improve safety, reduce complications, and support positive patient outcomes.
3. A client diagnosed with Deep Vein Thrombosis asks for discharge teaching. Which response by the nurse
is best?
Encourage high-sodium processed foods.
✔ Encourage anticoagulant therapy compliance.
Ignore changes in patient condition.
Restrict all movement permanently.
Correct Answer: ✔ Encourage anticoagulant therapy compliance.
Rationale: Clients with deep vein thrombosis require careful nursing assessment and monitoring. The nurse should
encourage anticoagulant therapy compliance to improve safety, reduce complications, and support positive patient
outcomes.
,4. Which nursing action is a priority for a client with Pancreatitis?
Restrict all movement permanently.
✔ Monitor abdominal pain and serum enzymes.
Encourage high-sodium processed foods.
Delay prescribed treatments and assessments.
Correct Answer: ✔ Monitor abdominal pain and serum enzymes.
Rationale: Clients with pancreatitis require careful nursing assessment and monitoring. The nurse should monitor
abdominal pain and serum enzymes to improve safety, reduce complications, and support positive patient outcomes.
5. The nurse is planning care for a client with Anemia. Which intervention should be included?
Ignore changes in patient condition.
Avoid documenting assessment findings.
Encourage high-sodium processed foods.
✔ Monitor hemoglobin and hematocrit levels.
Correct Answer: ✔ Monitor hemoglobin and hematocrit levels.
Rationale: Clients with anemia require careful nursing assessment and monitoring. The nurse should monitor
hemoglobin and hematocrit levels to improve safety, reduce complications, and support positive patient outcomes.
6. A nurse is caring for a client with Seizure Disorder. Which nursing intervention is most appropriate?
Encourage high-sodium processed foods.
Delay prescribed treatments and assessments.
Avoid documenting assessment findings.
✔ Maintain seizure precautions.
Correct Answer: ✔ Maintain seizure precautions.
Rationale: Clients with seizure disorder require careful nursing assessment and monitoring. The nurse should
maintain seizure precautions to improve safety, reduce complications, and support positive patient outcomes.
7. Which finding should the nurse report immediately in a client with Thyroid Disorders?
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
Ignore changes in patient condition.
✔ Assess metabolic rate changes.
Correct Answer: ✔ Assess metabolic rate changes.
Rationale: Clients with thyroid disorders require careful nursing assessment and monitoring. The nurse should
assess metabolic rate changes to improve safety, reduce complications, and support positive patient outcomes.
, 8. A client diagnosed with Peripheral Artery Disease asks for discharge teaching. Which response by the
nurse is best?
Avoid documenting assessment findings.
✔ Promote smoking cessation.
Restrict all movement permanently.
Encourage high-sodium processed foods.
Correct Answer: ✔ Promote smoking cessation.
Rationale: Clients with peripheral artery disease require careful nursing assessment and monitoring. The nurse
should promote smoking cessation to improve safety, reduce complications, and support positive patient outcomes.
9. Which nursing action is a priority for a client with Osteoporosis?
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
Avoid documenting assessment findings.
✔ Encourage calcium-rich nutrition.
Correct Answer: ✔ Encourage calcium-rich nutrition.
Rationale: Clients with osteoporosis require careful nursing assessment and monitoring. The nurse should
encourage calcium-rich nutrition to improve safety, reduce complications, and support positive patient outcomes.
10. The nurse is planning care for a client with Burn Injury. Which intervention should be included?
✔ Monitor fluid balance and wound healing.
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
Restrict all movement permanently.
Correct Answer: ✔ Monitor fluid balance and wound healing.
Rationale: Clients with burn injury require careful nursing assessment and monitoring. The nurse should monitor fluid
balance and wound healing to improve safety, reduce complications, and support positive patient outcomes.
11. A nurse is caring for a client with Asthma. Which nursing intervention is most appropriate?
Ignore changes in patient condition.
Restrict all movement permanently.
✔ Monitor respiratory status and administer bronchodilators.
Encourage high-sodium processed foods.
Correct Answer: ✔ Monitor respiratory status and administer bronchodilators.
Rationale: Clients with asthma require careful nursing assessment and monitoring. The nurse should monitor
respiratory status and administer bronchodilators to improve safety, reduce complications, and support positive
patient outcomes.
Medical Surgical HESI Practice Exam with Correct Answers
Graded A+
This HESI Medical Surgical Nursing practice exam contains 100 medium-difficulty medical-surgical nursing questions
with correct answers and detailed rationales. Topics include asthma, liver cirrhosis, deep vein thrombosis,
pancreatitis, anemia, thyroid disorders, seizure disorders, osteoporosis, peripheral artery disease, and burn care.
Designed for nursing students preparing for HESI, NCLEX-RN, ATI, and med-surg nursing exams.
1. A nurse is caring for a client with Asthma. Which nursing intervention is most appropriate?
Ignore changes in patient condition.
Delay prescribed treatments and assessments.
✔ Monitor respiratory status and administer bronchodilators.
Encourage high-sodium processed foods.
Correct Answer: ✔ Monitor respiratory status and administer bronchodilators.
Rationale: Clients with asthma require careful nursing assessment and monitoring. The nurse should monitor
respiratory status and administer bronchodilators to improve safety, reduce complications, and support positive
patient outcomes.
2. Which finding should the nurse report immediately in a client with Liver Cirrhosis?
Ignore changes in patient condition.
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
✔ Assess for fluid retention and bleeding.
Correct Answer: ✔ Assess for fluid retention and bleeding.
Rationale: Clients with liver cirrhosis require careful nursing assessment and monitoring. The nurse should assess for
fluid retention and bleeding to improve safety, reduce complications, and support positive patient outcomes.
3. A client diagnosed with Deep Vein Thrombosis asks for discharge teaching. Which response by the nurse
is best?
Encourage high-sodium processed foods.
✔ Encourage anticoagulant therapy compliance.
Ignore changes in patient condition.
Restrict all movement permanently.
Correct Answer: ✔ Encourage anticoagulant therapy compliance.
Rationale: Clients with deep vein thrombosis require careful nursing assessment and monitoring. The nurse should
encourage anticoagulant therapy compliance to improve safety, reduce complications, and support positive patient
outcomes.
,4. Which nursing action is a priority for a client with Pancreatitis?
Restrict all movement permanently.
✔ Monitor abdominal pain and serum enzymes.
Encourage high-sodium processed foods.
Delay prescribed treatments and assessments.
Correct Answer: ✔ Monitor abdominal pain and serum enzymes.
Rationale: Clients with pancreatitis require careful nursing assessment and monitoring. The nurse should monitor
abdominal pain and serum enzymes to improve safety, reduce complications, and support positive patient outcomes.
5. The nurse is planning care for a client with Anemia. Which intervention should be included?
Ignore changes in patient condition.
Avoid documenting assessment findings.
Encourage high-sodium processed foods.
✔ Monitor hemoglobin and hematocrit levels.
Correct Answer: ✔ Monitor hemoglobin and hematocrit levels.
Rationale: Clients with anemia require careful nursing assessment and monitoring. The nurse should monitor
hemoglobin and hematocrit levels to improve safety, reduce complications, and support positive patient outcomes.
6. A nurse is caring for a client with Seizure Disorder. Which nursing intervention is most appropriate?
Encourage high-sodium processed foods.
Delay prescribed treatments and assessments.
Avoid documenting assessment findings.
✔ Maintain seizure precautions.
Correct Answer: ✔ Maintain seizure precautions.
Rationale: Clients with seizure disorder require careful nursing assessment and monitoring. The nurse should
maintain seizure precautions to improve safety, reduce complications, and support positive patient outcomes.
7. Which finding should the nurse report immediately in a client with Thyroid Disorders?
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
Ignore changes in patient condition.
✔ Assess metabolic rate changes.
Correct Answer: ✔ Assess metabolic rate changes.
Rationale: Clients with thyroid disorders require careful nursing assessment and monitoring. The nurse should
assess metabolic rate changes to improve safety, reduce complications, and support positive patient outcomes.
, 8. A client diagnosed with Peripheral Artery Disease asks for discharge teaching. Which response by the
nurse is best?
Avoid documenting assessment findings.
✔ Promote smoking cessation.
Restrict all movement permanently.
Encourage high-sodium processed foods.
Correct Answer: ✔ Promote smoking cessation.
Rationale: Clients with peripheral artery disease require careful nursing assessment and monitoring. The nurse
should promote smoking cessation to improve safety, reduce complications, and support positive patient outcomes.
9. Which nursing action is a priority for a client with Osteoporosis?
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
Avoid documenting assessment findings.
✔ Encourage calcium-rich nutrition.
Correct Answer: ✔ Encourage calcium-rich nutrition.
Rationale: Clients with osteoporosis require careful nursing assessment and monitoring. The nurse should
encourage calcium-rich nutrition to improve safety, reduce complications, and support positive patient outcomes.
10. The nurse is planning care for a client with Burn Injury. Which intervention should be included?
✔ Monitor fluid balance and wound healing.
Delay prescribed treatments and assessments.
Encourage high-sodium processed foods.
Restrict all movement permanently.
Correct Answer: ✔ Monitor fluid balance and wound healing.
Rationale: Clients with burn injury require careful nursing assessment and monitoring. The nurse should monitor fluid
balance and wound healing to improve safety, reduce complications, and support positive patient outcomes.
11. A nurse is caring for a client with Asthma. Which nursing intervention is most appropriate?
Ignore changes in patient condition.
Restrict all movement permanently.
✔ Monitor respiratory status and administer bronchodilators.
Encourage high-sodium processed foods.
Correct Answer: ✔ Monitor respiratory status and administer bronchodilators.
Rationale: Clients with asthma require careful nursing assessment and monitoring. The nurse should monitor
respiratory status and administer bronchodilators to improve safety, reduce complications, and support positive
patient outcomes.
