lOMoAR cPSD| 57819357
Med-Surg 1 HESI 2026/2027 Latest PREP EXAM
with 180 Questions and Correct Answers WITH
DETAILED EXPLANATIONS/ Med-Surg HESI
Exam COVERING RECENT AND MOST TESTED
QUESTIONS A+ GRADE ASSURED
Question 1 of 3
A nurse is assessing a client who is exhibiting bulging veins and 3+ pitting
dependent peripheral edema. The nurse should anticipate the client to most
likely be diagnosed with which medical condition?
Atherosclerosis.
Coronary artery disease. Left-
sided heart failure.
Correct
Right-sided heart failure.
Rationale
Right-sided heart failure can cause peripheral edema and increased pressure and volume in the
venous system due to the right ventricle not emptying completely causing a back-up and emptying
of the venous system.
Question 2 of 3
A charge nurse at an urgent care center reports to the clinic's
admininstration that a large and increasing number of clients are complaining
of fever, unusual looking rashes, sore throats, blurry vision and descending
muscle weakness. The clinic's adminstration notifies the county's health
department of a possible bioterrism. This reporting is what stage of the
bioterrorism program?
Primary prevention: non-disaster stage.
Primary prevention: pre-disaster stage.
Correct
Secondary prevention.
Tertiary prevention.
Rationale
, lOMoAR cPSD| 57819357
Governmental bioterrorism notification results from health care providers' vigilance regarding
specific patterns of clients seeking care, including large clusters of illnesses, endemic illnesses,
rare illnesses, and increases in illness, as well as specific respiratory, gastrointestinal, and
pyretic complaints; protocol for providers is to notify infection control and/or the facility
administration. Secondary prevention in a disaster response is to prevent further illness or
spread of disease, as opposed to prevention of the disaster or community recovery.
Question 3 of 3
Which has been shown to be the most effective intervention a nurse can
perform to prevent most hospital-acquired infections?
Maintaining sterile technique during procedures.
Correct
Washing hands before and after each client contact.
Abiding by the hospital's established isolation room protocols.
Assuring nures assigned to surgical clients do not care for infectious clients.
Rationale
Hand hygiene is the most effective method to prevent hospital-acquired infections.
Question 1 of 3
The nurse is assessing the femoral insertion site of a client who recently had a
cardiac catheterization. The client reports discomfort at the site. According to
the standing orders, which action should the nurse implement? (Click on the
chart tab for additional information. Please scroll to the bottom right corner to
view all information contained in the client's medical record.)
Vital signs: 1.Every 15 mins x4; then every 30 mins x 4; then every 1 hour x 2 and
then 4 times daily while awake.
2. Notify Cardiologist for symptomatic hypotension; systolic
BP less than 90; heart rate less than 50 beats/minute.
Activity: 1.Bedrest for 6 hours; HOB less than 30 degrees for 6 hours
2.(R) leg straight for 6 hours with a 5 pounds weighted sandbag at femoral
insertion site.
Medications: 1. Aspirin (ASA) 325mg (1) tablet PO daily
2. Acetaminophen 300mg/ codeine phosphate 30mg (Tynelol #3) 1 to
2 tablet PO every 4 to 6 hours as needed
Additional 1.Check cath insertion site ; distal pulses to cath insertion site; (R) leg
prescriptions: extremity for color, temperature and movement with vital signs. 2. If
bleeding occurs at femoral puncture site; apply manual
pressure and notify physician if bleeding doesn’t stop after 5
minutes.
, lOMoAR cPSD| 57819357
Notify the healthcare provider.
Correct
Administer acetaminophen/ codeine phosphate.
Place an ice pack to area of discomfort.
Apply manual pressure to insertion site.
Rationale
According to the prescribed standing orders, the nurse should administer acetaminophen
300mg/ codeine phosphate 30mg as prescribed.
Question 2 of 3
The nurse encourages a client to maintain a steady weight within the
recommended range as a part of a health promotion strategy. The nurse
should explain that weight control is an effective way to decrease the risk of
which common endocrine disease?
Hypothyroidism.
Diabetes insipidus.
Hyperthyroidism.
Correct
Diabetes mellitus.
Rationale
The incidence of diabetes mellitus (DM) increases with age. Type 2 DM is the form of the
disease most often observed in older adults, accounting for 85% to 90% of all cases.
Maintaining a normal weight promotes a spontaneous decrease in plasma glucose levels and
reduces insulin resistance.
Question 3 of 3
A client has a swollen, bruised, sprained ankle and states that the current pain
level has risen from a 3 to a 5 on a 10 point scale. Which analgesic
medication would most likely be prescribed to relieve this pain?
Morphine.
Correct
Ibuprofen.
Oxycodone.
Acetaminophen.
Rationale
, lOMoAR cPSD| 57819357
Ibuprofen is indicated for mild to moderate pain relief. It is also a non-steroidal anti-inflammatory
drug (NSAID) which inhibits the synthesis of prostaglandins which then inhibits the cellular
response to inflammation.
Question 1 of 2
Which nursing research question will be appropriate for a quantitative research
project?
"What are the nurse's experiences when implementing a water birth program?"
Incorrect
"What motivates women to choose a water birth?"
Correct
"What effect does water birth have on the Apgar scores of newborns?"
"What do health care providers generally think of policy statements for water births?"
Rationale
Quantitative research relies on systematic measurements to describe variables and test
relationships. A research question for a quantitative study should have direct and measurable
variables, such as newborn Apgar scores, and may test a specific relationship, such as the
relationship between water birth and Apgar scores. Question 2 of 2
The nurse is assessing a client that is experiencing indigestion and vague abdominal
pain that radiates to the right shoulder, increase passing of gas, burping and nausea
whenever they eat greasy fried food. The client has clay-colored stool, urine that
appears dark colored and foamy. Based on the clients presenting signs and symptoms
which condition is this client most likely to be diagnosed?
Pancreatitis.
Correct
Cholecystitis.
Appendicitis.
Gastroenteritis.
Rationale
Cholecystitis is inflammation of the gallbladder which occurs when gallstones (cholelithiasis)
obstruct the gallbladder's cystic duct. The obstructed duct causes the entrapment of the bile
which in turn causes inflammation of the gallbladder. The entrapped bile then causes the
client's stool to be clay-colored due to lack of bile and their urine becomes dark and foamy as
the kidneys attempt to excrete the excess circulating bilirubin out through the urine. The gastric
symptoms of flatulence, dyspepsia, eructation and abdominal pain that radiates to the (R)
shoulder occur whenever fatty or large volume of food is ingested. Question 1 of 3
Med-Surg 1 HESI 2026/2027 Latest PREP EXAM
with 180 Questions and Correct Answers WITH
DETAILED EXPLANATIONS/ Med-Surg HESI
Exam COVERING RECENT AND MOST TESTED
QUESTIONS A+ GRADE ASSURED
Question 1 of 3
A nurse is assessing a client who is exhibiting bulging veins and 3+ pitting
dependent peripheral edema. The nurse should anticipate the client to most
likely be diagnosed with which medical condition?
Atherosclerosis.
Coronary artery disease. Left-
sided heart failure.
Correct
Right-sided heart failure.
Rationale
Right-sided heart failure can cause peripheral edema and increased pressure and volume in the
venous system due to the right ventricle not emptying completely causing a back-up and emptying
of the venous system.
Question 2 of 3
A charge nurse at an urgent care center reports to the clinic's
admininstration that a large and increasing number of clients are complaining
of fever, unusual looking rashes, sore throats, blurry vision and descending
muscle weakness. The clinic's adminstration notifies the county's health
department of a possible bioterrism. This reporting is what stage of the
bioterrorism program?
Primary prevention: non-disaster stage.
Primary prevention: pre-disaster stage.
Correct
Secondary prevention.
Tertiary prevention.
Rationale
, lOMoAR cPSD| 57819357
Governmental bioterrorism notification results from health care providers' vigilance regarding
specific patterns of clients seeking care, including large clusters of illnesses, endemic illnesses,
rare illnesses, and increases in illness, as well as specific respiratory, gastrointestinal, and
pyretic complaints; protocol for providers is to notify infection control and/or the facility
administration. Secondary prevention in a disaster response is to prevent further illness or
spread of disease, as opposed to prevention of the disaster or community recovery.
Question 3 of 3
Which has been shown to be the most effective intervention a nurse can
perform to prevent most hospital-acquired infections?
Maintaining sterile technique during procedures.
Correct
Washing hands before and after each client contact.
Abiding by the hospital's established isolation room protocols.
Assuring nures assigned to surgical clients do not care for infectious clients.
Rationale
Hand hygiene is the most effective method to prevent hospital-acquired infections.
Question 1 of 3
The nurse is assessing the femoral insertion site of a client who recently had a
cardiac catheterization. The client reports discomfort at the site. According to
the standing orders, which action should the nurse implement? (Click on the
chart tab for additional information. Please scroll to the bottom right corner to
view all information contained in the client's medical record.)
Vital signs: 1.Every 15 mins x4; then every 30 mins x 4; then every 1 hour x 2 and
then 4 times daily while awake.
2. Notify Cardiologist for symptomatic hypotension; systolic
BP less than 90; heart rate less than 50 beats/minute.
Activity: 1.Bedrest for 6 hours; HOB less than 30 degrees for 6 hours
2.(R) leg straight for 6 hours with a 5 pounds weighted sandbag at femoral
insertion site.
Medications: 1. Aspirin (ASA) 325mg (1) tablet PO daily
2. Acetaminophen 300mg/ codeine phosphate 30mg (Tynelol #3) 1 to
2 tablet PO every 4 to 6 hours as needed
Additional 1.Check cath insertion site ; distal pulses to cath insertion site; (R) leg
prescriptions: extremity for color, temperature and movement with vital signs. 2. If
bleeding occurs at femoral puncture site; apply manual
pressure and notify physician if bleeding doesn’t stop after 5
minutes.
, lOMoAR cPSD| 57819357
Notify the healthcare provider.
Correct
Administer acetaminophen/ codeine phosphate.
Place an ice pack to area of discomfort.
Apply manual pressure to insertion site.
Rationale
According to the prescribed standing orders, the nurse should administer acetaminophen
300mg/ codeine phosphate 30mg as prescribed.
Question 2 of 3
The nurse encourages a client to maintain a steady weight within the
recommended range as a part of a health promotion strategy. The nurse
should explain that weight control is an effective way to decrease the risk of
which common endocrine disease?
Hypothyroidism.
Diabetes insipidus.
Hyperthyroidism.
Correct
Diabetes mellitus.
Rationale
The incidence of diabetes mellitus (DM) increases with age. Type 2 DM is the form of the
disease most often observed in older adults, accounting for 85% to 90% of all cases.
Maintaining a normal weight promotes a spontaneous decrease in plasma glucose levels and
reduces insulin resistance.
Question 3 of 3
A client has a swollen, bruised, sprained ankle and states that the current pain
level has risen from a 3 to a 5 on a 10 point scale. Which analgesic
medication would most likely be prescribed to relieve this pain?
Morphine.
Correct
Ibuprofen.
Oxycodone.
Acetaminophen.
Rationale
, lOMoAR cPSD| 57819357
Ibuprofen is indicated for mild to moderate pain relief. It is also a non-steroidal anti-inflammatory
drug (NSAID) which inhibits the synthesis of prostaglandins which then inhibits the cellular
response to inflammation.
Question 1 of 2
Which nursing research question will be appropriate for a quantitative research
project?
"What are the nurse's experiences when implementing a water birth program?"
Incorrect
"What motivates women to choose a water birth?"
Correct
"What effect does water birth have on the Apgar scores of newborns?"
"What do health care providers generally think of policy statements for water births?"
Rationale
Quantitative research relies on systematic measurements to describe variables and test
relationships. A research question for a quantitative study should have direct and measurable
variables, such as newborn Apgar scores, and may test a specific relationship, such as the
relationship between water birth and Apgar scores. Question 2 of 2
The nurse is assessing a client that is experiencing indigestion and vague abdominal
pain that radiates to the right shoulder, increase passing of gas, burping and nausea
whenever they eat greasy fried food. The client has clay-colored stool, urine that
appears dark colored and foamy. Based on the clients presenting signs and symptoms
which condition is this client most likely to be diagnosed?
Pancreatitis.
Correct
Cholecystitis.
Appendicitis.
Gastroenteritis.
Rationale
Cholecystitis is inflammation of the gallbladder which occurs when gallstones (cholelithiasis)
obstruct the gallbladder's cystic duct. The obstructed duct causes the entrapment of the bile
which in turn causes inflammation of the gallbladder. The entrapped bile then causes the
client's stool to be clay-colored due to lack of bile and their urine becomes dark and foamy as
the kidneys attempt to excrete the excess circulating bilirubin out through the urine. The gastric
symptoms of flatulence, dyspepsia, eructation and abdominal pain that radiates to the (R)
shoulder occur whenever fatty or large volume of food is ingested. Question 1 of 3
