MED SURG HESI V1
Questions and Answers (2026/2027) | Verified
Answers with Detailed Rationales | HESI Medical-
Surgical Nursing Exam Study Guide | Latest Review
WHAT'S INCLUDED:
• Verified HESI Med Surg practice questions
• Correct answers with detailed rationales
• Comprehensive Medical-Surgical Nursing review
• Adult Health Nursing concepts
• Prioritization and delegation practice
• NGN-style clinical judgment questions
• Pharmacology integration
• Evidence-based nursing interventions
• Updated 2026/2027 study material
• Excellent resource for nursing exam preparation
,MED SURG HESI V1 Questions and Answers (2026/2027)
| Verified Answers with Detailed Rationales | HESI
Medical-Surgical Nursing Exam Study Guide | Latest
Review
Question 1
What Information should the nurse include in the teaching plan of a
client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program
Answer: C. Minimize symptoms by wearing loose, comfortable
clothing
Rationale: Wearing loose, comfortable clothing reduces abdominal
pressure, which can help minimize GERD symptoms. Clients with GERD
should sleep with the head elevated (not without pillows), eat smaller more
frequent meals rather than three large meals, and can participate in
moderate exercise.
Question 2
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseous and
vomiting. Which finding should the nurse report to the healthcare
provider?
,A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
Answer: C. Yellow sclera
Rationale: Yellow sclera (jaundice) indicates bile duct obstruction and
requires immediate reporting to the healthcare provider. This suggests that
bile cannot flow properly into the intestines, leading to bilirubin
accumulation in the bloodstream.
Question 3
Following surgical repair of the bladder, a female client is being
discharged from the hospital to home with an indwelling urinary
catheter. Which instruction is most important for the nurse to provide
to this client?
A. Avoid coiling the tubing and keep it free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter
Answer: C. Keep the drainage bag lower than the level of the bladder
Rationale: Keeping the drainage bag below the bladder level prevents
backflow of urine, which could lead to infection. This is the most critical
instruction for a client with an indwelling catheter.
Question 4
, A client admitted to a surgical unit is being evaluated for an intestinal
obstruction. The HCP prescribes a NG tube to be inserted and placed
to intermittent low wall suction. Which intervention should the nurse
implement to facilitate proper tube placement?
A. Soak NG tube in warm water
B. Insert tube with clients head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees
Answer: D. Elevate head of bed 60 to 90 degrees
Rationale: Elevating the head of the bed to 60-90 degrees facilitates
passage of the NG tube by aligning the esophagus and reducing the risk of
aspiration. The tube should be lubricated (not soaked), and suction should
not be applied during insertion.
Question 5
A client with urolithiasis is preparing for discharge after lithotripsy.
Which intervention should the nurse include in the client's
postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output
Answer: D. Monitor urinary stream for decrease in output
Rationale: After lithotripsy, the client should monitor for decreased urinary
output, which could indicate obstruction from stone fragments. Some
Questions and Answers (2026/2027) | Verified
Answers with Detailed Rationales | HESI Medical-
Surgical Nursing Exam Study Guide | Latest Review
WHAT'S INCLUDED:
• Verified HESI Med Surg practice questions
• Correct answers with detailed rationales
• Comprehensive Medical-Surgical Nursing review
• Adult Health Nursing concepts
• Prioritization and delegation practice
• NGN-style clinical judgment questions
• Pharmacology integration
• Evidence-based nursing interventions
• Updated 2026/2027 study material
• Excellent resource for nursing exam preparation
,MED SURG HESI V1 Questions and Answers (2026/2027)
| Verified Answers with Detailed Rationales | HESI
Medical-Surgical Nursing Exam Study Guide | Latest
Review
Question 1
What Information should the nurse include in the teaching plan of a
client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program
Answer: C. Minimize symptoms by wearing loose, comfortable
clothing
Rationale: Wearing loose, comfortable clothing reduces abdominal
pressure, which can help minimize GERD symptoms. Clients with GERD
should sleep with the head elevated (not without pillows), eat smaller more
frequent meals rather than three large meals, and can participate in
moderate exercise.
Question 2
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseous and
vomiting. Which finding should the nurse report to the healthcare
provider?
,A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
Answer: C. Yellow sclera
Rationale: Yellow sclera (jaundice) indicates bile duct obstruction and
requires immediate reporting to the healthcare provider. This suggests that
bile cannot flow properly into the intestines, leading to bilirubin
accumulation in the bloodstream.
Question 3
Following surgical repair of the bladder, a female client is being
discharged from the hospital to home with an indwelling urinary
catheter. Which instruction is most important for the nurse to provide
to this client?
A. Avoid coiling the tubing and keep it free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter
Answer: C. Keep the drainage bag lower than the level of the bladder
Rationale: Keeping the drainage bag below the bladder level prevents
backflow of urine, which could lead to infection. This is the most critical
instruction for a client with an indwelling catheter.
Question 4
, A client admitted to a surgical unit is being evaluated for an intestinal
obstruction. The HCP prescribes a NG tube to be inserted and placed
to intermittent low wall suction. Which intervention should the nurse
implement to facilitate proper tube placement?
A. Soak NG tube in warm water
B. Insert tube with clients head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees
Answer: D. Elevate head of bed 60 to 90 degrees
Rationale: Elevating the head of the bed to 60-90 degrees facilitates
passage of the NG tube by aligning the esophagus and reducing the risk of
aspiration. The tube should be lubricated (not soaked), and suction should
not be applied during insertion.
Question 5
A client with urolithiasis is preparing for discharge after lithotripsy.
Which intervention should the nurse include in the client's
postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output
Answer: D. Monitor urinary stream for decrease in output
Rationale: After lithotripsy, the client should monitor for decreased urinary
output, which could indicate obstruction from stone fragments. Some
