Med-Surg HESI Exam: 2026/2027 ACTUAL TEST
BANK WITH CORRECT ANSWERS
• A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone
secretion (SIADH). The nurse should monitor the client closely for
a. Loss of thirst, weight gain
b. Dependent edema, fever
c. Polydipsia, polyuria
d. Hypernatremia, tachypnea . CORRECT ANSWER: a. Loss of thirst, weight gain
SIADH is caused by the excessive release of an antidiuretic hormonr (ADH). As a result
of the excess ADH, the client retains water creating a dilutional hyponatremia.
• The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone
(SIADH). This condition is most often related to which predisposing condition?
A. Small cell lung cancer
B. Active TB infection
C. Hodgkin's lymphoma
D. Tricyclic antidepressant therapy . CORRECT ANSWER: A. Small cell lung cancer
Cancer is the most common cause of the syndrome of inappropriate antidiuretic
hormone (SIADH), with small cell lung cancer being the most common cancer that
increases ADH, which causes dilutional hyponatremia and fluid retention. (B, C, and D)
are also possible causes but secondary to CNS trauma or disease
• A patient arrives to the ER and is unable to give you a health history due to altered
mental status. The family reports the patient has gained over 10 lbs in 1 week and says
it is mainly "water" weight. In addition, they report the patient hasn't been able to urinate
or eat within the past week as well and was recently diagnosed with small cell lung
cancer. On assessment, you note the patient's HR is 115 and BP 180/92. Patient
sodium level is 90. Which of the following conditions do you suspect the patient is most
likely presenting with?*
A. SIADH
B. Diabetes Insipidus
C. Addison's Disease
D. Fluid Volume Deficient . CORRECT ANSWER: A. SIADH
• You are developing a care plan for a patient with SIADH. Which of the following would
be a potential nursing diagnosis for this patient?*
A. Fluid volume overload
B. Fluid volume deficient
C. Acute pain
D. Impaired skin integrity . CORRECT ANSWER: A. Fluid volume overload
• Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic
Hormone (SIADH)?*
A. A patient diagnosed with small cell lung cancer.
, B. A patient whose kidney tubules are failing to reabsorb water.
C. A patient with a tumor on the anterior pituitary gland.
D. A patient taking Declomycin. . CORRECT ANSWER: A. A patient diagnosed with
small cell lung cancer.
• A patient with SIADH is undergoing IV treatment of a hypertonic IV solution of 3%
saline and IV Lasix. Which of the following nursing findings requires intervention?*
A. Sodium level of 136.
B. Patient reports urinating more frequently.
C. Potassium level of 5.0.
D. Assessment finding of crackles throughout the lung fields. . CORRECT ANSWER:
D. Assessment finding of crackles throughout the lung fields.
• A client is being treated for syndrome of inappropriate antidiuretic hormone (SIADH).
On examination, the client has a weight gain of 4.4 lbs (2kg) in 24 hours and an
elevated blood pressure. Which intervention should the nurse implement first? .
CORRECT ANSWER: Ensure client takes a diuretic every morning
• The nurse is assessing a client who recently had an upper respiratory infection and
now presents to the emergency department with lower extremity numbness and
difficulty swallowing. Based on these findings, this client is at greater risk for which
pathophysiological condition? . CORRECT ANSWER: Guillain-Barre syndrome
• A client receiving radiation therapy for squamous papilloma of the hard palate is
experiencing mouth pain. Which is the best initial nursing action? . CORRECT
ANSWER: Administer a topical analgesic
• Four days after exposure to the coronavirus a client has a negative COVID-19 test
result. Eight days after the negative test result, the client presents with fever, fatigue,
and cough and the nurse performs a second COVID-19 test. Which action is most
important for the nurse to take? . CORRECT ANSWER: move the client to a private
room,
keep the door closed,
and initiate droplet precaution
• The nurse is preparing an adult with Addison's disease for self-management. Which
information should the nurse include in the client's instructions? . CORRECT ANSWER:
Events requiring steroid dose adjustments
• Addisons . CORRECT ANSWER: sudden withdrawal from corticosteroids may
precipitate symptoms of addison disease
• Addisons disease
Adrenocortical deficiency . CORRECT ANSWER: Autoimmune process commonly
found in conjunction with other endocrine diseases of an autoimmune nature; a primary
disorder; hypofunction of the adrenal cortex
BANK WITH CORRECT ANSWERS
• A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone
secretion (SIADH). The nurse should monitor the client closely for
a. Loss of thirst, weight gain
b. Dependent edema, fever
c. Polydipsia, polyuria
d. Hypernatremia, tachypnea . CORRECT ANSWER: a. Loss of thirst, weight gain
SIADH is caused by the excessive release of an antidiuretic hormonr (ADH). As a result
of the excess ADH, the client retains water creating a dilutional hyponatremia.
• The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone
(SIADH). This condition is most often related to which predisposing condition?
A. Small cell lung cancer
B. Active TB infection
C. Hodgkin's lymphoma
D. Tricyclic antidepressant therapy . CORRECT ANSWER: A. Small cell lung cancer
Cancer is the most common cause of the syndrome of inappropriate antidiuretic
hormone (SIADH), with small cell lung cancer being the most common cancer that
increases ADH, which causes dilutional hyponatremia and fluid retention. (B, C, and D)
are also possible causes but secondary to CNS trauma or disease
• A patient arrives to the ER and is unable to give you a health history due to altered
mental status. The family reports the patient has gained over 10 lbs in 1 week and says
it is mainly "water" weight. In addition, they report the patient hasn't been able to urinate
or eat within the past week as well and was recently diagnosed with small cell lung
cancer. On assessment, you note the patient's HR is 115 and BP 180/92. Patient
sodium level is 90. Which of the following conditions do you suspect the patient is most
likely presenting with?*
A. SIADH
B. Diabetes Insipidus
C. Addison's Disease
D. Fluid Volume Deficient . CORRECT ANSWER: A. SIADH
• You are developing a care plan for a patient with SIADH. Which of the following would
be a potential nursing diagnosis for this patient?*
A. Fluid volume overload
B. Fluid volume deficient
C. Acute pain
D. Impaired skin integrity . CORRECT ANSWER: A. Fluid volume overload
• Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic
Hormone (SIADH)?*
A. A patient diagnosed with small cell lung cancer.
, B. A patient whose kidney tubules are failing to reabsorb water.
C. A patient with a tumor on the anterior pituitary gland.
D. A patient taking Declomycin. . CORRECT ANSWER: A. A patient diagnosed with
small cell lung cancer.
• A patient with SIADH is undergoing IV treatment of a hypertonic IV solution of 3%
saline and IV Lasix. Which of the following nursing findings requires intervention?*
A. Sodium level of 136.
B. Patient reports urinating more frequently.
C. Potassium level of 5.0.
D. Assessment finding of crackles throughout the lung fields. . CORRECT ANSWER:
D. Assessment finding of crackles throughout the lung fields.
• A client is being treated for syndrome of inappropriate antidiuretic hormone (SIADH).
On examination, the client has a weight gain of 4.4 lbs (2kg) in 24 hours and an
elevated blood pressure. Which intervention should the nurse implement first? .
CORRECT ANSWER: Ensure client takes a diuretic every morning
• The nurse is assessing a client who recently had an upper respiratory infection and
now presents to the emergency department with lower extremity numbness and
difficulty swallowing. Based on these findings, this client is at greater risk for which
pathophysiological condition? . CORRECT ANSWER: Guillain-Barre syndrome
• A client receiving radiation therapy for squamous papilloma of the hard palate is
experiencing mouth pain. Which is the best initial nursing action? . CORRECT
ANSWER: Administer a topical analgesic
• Four days after exposure to the coronavirus a client has a negative COVID-19 test
result. Eight days after the negative test result, the client presents with fever, fatigue,
and cough and the nurse performs a second COVID-19 test. Which action is most
important for the nurse to take? . CORRECT ANSWER: move the client to a private
room,
keep the door closed,
and initiate droplet precaution
• The nurse is preparing an adult with Addison's disease for self-management. Which
information should the nurse include in the client's instructions? . CORRECT ANSWER:
Events requiring steroid dose adjustments
• Addisons . CORRECT ANSWER: sudden withdrawal from corticosteroids may
precipitate symptoms of addison disease
• Addisons disease
Adrenocortical deficiency . CORRECT ANSWER: Autoimmune process commonly
found in conjunction with other endocrine diseases of an autoimmune nature; a primary
disorder; hypofunction of the adrenal cortex
