MedSurg Hesi Certification Exam Prep:
2026-2027 Questions And Answers Latest
160+ Scenario Based Practice Questions
with Detailed Rationales
A patient who is being treated at home for pneumonia
reports fatigue to the home health nurse. Which
instruction does the nurse provide for the patient?
Get adequate rest.
Restrict fluid intake.
Avoid alcohol and smoking.
Resume work to build strength.
,Take every dose of the prescribed antibiotic. -
✔✔ANSWER ✔✔-Get adequate rest.
Avoid alcohol and smoking.
Take every dose of the prescribed antibiotic.
The nurse expects which assessment finding for a patient
with abdominal trauma who is at risk for the
development of hypovolemic shock?
Respiratory rate of 16 breaths/min
Heart rate of 58 beats/min
Blood pressure (BP) of 80/42 mm Hg
Increased pulse pressure - ✔✔ANSWER ✔✔-Blood
pressure (BP) of 80/42 mm Hg
Hypovolemic shock is a life-threatening condition that
results from excessive bleeding that can be the result of
an abdominal trauma. The assessment findings of a
,patient with hypovolemic shock are decreased BP,
decreased pulse pressure, increased respiratory rate, and
increased heart rate.
A patient sustains abdominal trauma in a motor vehicle
accident, and the nurse administers volume expanders as
prescribed. Which rationale does the nurse provide to
the patient for this action?
To prevent aspiration
To establish a patent airway
To decompress the stomach
To increase the blood pressure (BP) - ✔✔ANSWER ✔✔-
To increase the blood pressure (BP)
Volume expanders are used to increase the blood
volume and stabilize BP. A patient with abdominal
trauma will be in a hypotensive state and should be
administered volume expanders to increase the BP. A
nasogastric tube will be inserted to prevent aspiration.
Patent airway is established by clearing the vomitus. A
nasogastric tube will be inserted to decompress the
stomach.
, Which patient statement indicates understanding of
instructions provided about pelvic floor muscle exercises
to treat stress incontinence?
"I can do this exercise in a sitting or lying position."
"I can do quick 3-second squeezes periodically."
"I am doing it right when I release the muscle to urinate."
"I can tighten the muscle for 10 seconds, relax, and
repeat."
"I will see less leakage and urgency because of my
efforts within 3 weeks." - ✔✔ANSWER ✔✔-"I can do this
exercise in a sitting or lying position."
"I can do quick 3-second squeezes periodically."
"I can tighten the muscle for 10 seconds, relax, and
repeat."
Pelvic floor muscle exercises can be performed in a
sitting or lying-down position. Short squeezes require
tightening the muscle quickly, squeezing for 3 seconds,
and then relaxing. To perform long squeezes, tighten the
pelvic muscle for 5 to 10 seconds before relaxing. When
2026-2027 Questions And Answers Latest
160+ Scenario Based Practice Questions
with Detailed Rationales
A patient who is being treated at home for pneumonia
reports fatigue to the home health nurse. Which
instruction does the nurse provide for the patient?
Get adequate rest.
Restrict fluid intake.
Avoid alcohol and smoking.
Resume work to build strength.
,Take every dose of the prescribed antibiotic. -
✔✔ANSWER ✔✔-Get adequate rest.
Avoid alcohol and smoking.
Take every dose of the prescribed antibiotic.
The nurse expects which assessment finding for a patient
with abdominal trauma who is at risk for the
development of hypovolemic shock?
Respiratory rate of 16 breaths/min
Heart rate of 58 beats/min
Blood pressure (BP) of 80/42 mm Hg
Increased pulse pressure - ✔✔ANSWER ✔✔-Blood
pressure (BP) of 80/42 mm Hg
Hypovolemic shock is a life-threatening condition that
results from excessive bleeding that can be the result of
an abdominal trauma. The assessment findings of a
,patient with hypovolemic shock are decreased BP,
decreased pulse pressure, increased respiratory rate, and
increased heart rate.
A patient sustains abdominal trauma in a motor vehicle
accident, and the nurse administers volume expanders as
prescribed. Which rationale does the nurse provide to
the patient for this action?
To prevent aspiration
To establish a patent airway
To decompress the stomach
To increase the blood pressure (BP) - ✔✔ANSWER ✔✔-
To increase the blood pressure (BP)
Volume expanders are used to increase the blood
volume and stabilize BP. A patient with abdominal
trauma will be in a hypotensive state and should be
administered volume expanders to increase the BP. A
nasogastric tube will be inserted to prevent aspiration.
Patent airway is established by clearing the vomitus. A
nasogastric tube will be inserted to decompress the
stomach.
, Which patient statement indicates understanding of
instructions provided about pelvic floor muscle exercises
to treat stress incontinence?
"I can do this exercise in a sitting or lying position."
"I can do quick 3-second squeezes periodically."
"I am doing it right when I release the muscle to urinate."
"I can tighten the muscle for 10 seconds, relax, and
repeat."
"I will see less leakage and urgency because of my
efforts within 3 weeks." - ✔✔ANSWER ✔✔-"I can do this
exercise in a sitting or lying position."
"I can do quick 3-second squeezes periodically."
"I can tighten the muscle for 10 seconds, relax, and
repeat."
Pelvic floor muscle exercises can be performed in a
sitting or lying-down position. Short squeezes require
tightening the muscle quickly, squeezing for 3 seconds,
and then relaxing. To perform long squeezes, tighten the
pelvic muscle for 5 to 10 seconds before relaxing. When
