RN HESI MED-SURG EXAM SCRIPT 2026
FULL SOLUTIONS VERIFIED CORRECT
RESPONSES HIGH SCORING
◉ Multiple Myeloma
Answer: Malignancy of plasma cells that causes bone
demineralization and hypercalcemia
Maintain hydration to promote calcium excretion
◉ Diverticulitis
Answer: Bulging pouches in GI wall that become inflamed
Usually no discomfort --> can be seen on radiologic examination
*S/S: L. lower quad pain, increased flatus, rectal bleeding, low grade
fever*
◉ Diverticulitis Interventions
Answer: Well balanced, high fiber diet,
,Bulk forming laxatives
Increase fluids 3L
Monitor I/Os
◉ What type of bacteria is more resistant to drugs and harder to
treat?
Answer: Gram negative bacteria
◉ When do you take peak and trough levels for antibiotic
medications?
Answer: Trough: 5 minutes before next dose
Peak: 30 minutes after dose
◉ Pacemaker Complications
Answer: Feelings of dizziness b/c of decreased HR and decreased CO
Instruct patient to:
-Report low pulse rate
, -Avoid leaning over running car engine
-Stand away from generators or magnets
-Avoid MRIs
◉ Positive TB test
Answer: 10 mm of induration48-72 hours after test
(5 mm for and HIV positive patient)
◉ Beurger's Disease
Answer: a genetically conditioned hypersensitivity condition to
cigarette smoketrongly related to smoking
Most effective Tx = smoking cessation
◉ Diabetes Miletus
Answer: Polyphagia, Polydipsia and Polyuria
Assess for allergy to sulfa drugs
Any illness can put client at risk for hyperglycemia
FULL SOLUTIONS VERIFIED CORRECT
RESPONSES HIGH SCORING
◉ Multiple Myeloma
Answer: Malignancy of plasma cells that causes bone
demineralization and hypercalcemia
Maintain hydration to promote calcium excretion
◉ Diverticulitis
Answer: Bulging pouches in GI wall that become inflamed
Usually no discomfort --> can be seen on radiologic examination
*S/S: L. lower quad pain, increased flatus, rectal bleeding, low grade
fever*
◉ Diverticulitis Interventions
Answer: Well balanced, high fiber diet,
,Bulk forming laxatives
Increase fluids 3L
Monitor I/Os
◉ What type of bacteria is more resistant to drugs and harder to
treat?
Answer: Gram negative bacteria
◉ When do you take peak and trough levels for antibiotic
medications?
Answer: Trough: 5 minutes before next dose
Peak: 30 minutes after dose
◉ Pacemaker Complications
Answer: Feelings of dizziness b/c of decreased HR and decreased CO
Instruct patient to:
-Report low pulse rate
, -Avoid leaning over running car engine
-Stand away from generators or magnets
-Avoid MRIs
◉ Positive TB test
Answer: 10 mm of induration48-72 hours after test
(5 mm for and HIV positive patient)
◉ Beurger's Disease
Answer: a genetically conditioned hypersensitivity condition to
cigarette smoketrongly related to smoking
Most effective Tx = smoking cessation
◉ Diabetes Miletus
Answer: Polyphagia, Polydipsia and Polyuria
Assess for allergy to sulfa drugs
Any illness can put client at risk for hyperglycemia
