Med Surge HESI Real Exam
Med Surge HESI Real Exam 1 200 Questions
Test Bank Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
The nurse is assessing a client with a chest tube that is attached to suction and a closed
drainage system. Which finding is most important for the nurse to further assess?
A) Upper chest subcutaneous emphysema.
B) Tidaling (fluctuation) of fluid in the water-seal chamber.
C) Constant air bubbling in the suction-control chamber.
D) Pain rated 8 (0-10) at the insertion site. –
Correct Answer :Correct Answer(s): A
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, Med Surge HESI Real Exam
* Subcutaneous emphysema (A) is a complication and indicates air is leaking beneath the
skin. Tidaling in the water-seal chamber and constant bubbling with suction in the suction-
control chamber (B and C) are expected findings that indicate the closed drainage system is
working. Pain at the insertion site is an expected finding (D) and the prescribed analgesia
should be given to assist the client to breathe deeply and facilitate lung expansion.
A couple trying to cope with an infertility problem wants to know what can be done to
preserve emotional equilibrium. What is the best response for the nurse to provide?
A) Tell your friends and family so that they can help you.
B) Get involved with a support group. I will give you some names.
C) Talk only to other friends who are infertile since only they can help.
D) Start adoption proceedings immediately since obtaining an infant is very difficult. –
Correct Answer :Correct Answer(s): B
* A support group (B) provides a safe haven for the couple to share experiences and gain
insight from others experiences. Although talking about feelings may unburden the couple of
negative feelings, infertility is a major stressor that affects the couple's relationships, so
discussion with family and friends (A) should be minimal. Limiting interaction to other infertile
couples (C) may address some psychosocial needs, but depending on where the other
couples are in the recovery process, it may not be helpful. Giving an opinion about adoption
(D) is not therapeutic nor supportive of the psychosocial needs.
The nurse is planning preoperative teaching for a client who will undergo a radical neck
dissection and total laryngectomy. Which information has the greatest priority for this client?
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, Med Surge HESI Real Exam
A) Prognosis after treatment is excellent.
B) Techniques for esophageal speech are relatively easy to learn with practice.
C) The stoma should never be covered after this type of surgery.
D) There is a radical change in appearance as a result of this surgery.
Correct Answer :Correct Answer(s): D
* Radical neck dissection is the removal of lymphatic drainage channels and nodes,
sternocleidomastoid muscle, spinal accessory nerve, jugular vein, and submandibular area.
The overall outcome of this type of surgery causes the neck to be disfigured, so (D) should be
a priority in the care of this client. (A, B, and C) are included, but the client's concern for (D) is
the priority.
When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, what information is important to include?
A) Dry, itchy skin changes may occur.
B) There is a possibility of long bone pain.
C) Permanent pigment changes to the breast may result.
D) A low-residue diet may be ordered to reduce the likelihood of diarrhea.
- Correct Answer :Correct Answer(s): A
* Side effects from radiation to the breast most often include temporary skin changes such
as: dryness, tenderness, redness, swelling, and pruritis (A). (B, C, and D) are not found in this
situation.
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, Med Surge HESI Real Exam
Which action should the nurse implement on the scheduled day of surgery for a client with
type 1 diabetes mellitus (DM)?
A) Obtain a prescription for an adjusted dose of insulin.
B) Administer an oral anti-diabetic agent.
C) Give an insulin dose using parameters of a sliding scale.
D) Withhold insulin while the client is NPO. –
Correct Answer :Correct Answer(s): A
* Stressors, such as surgery, increase serum glucose levels. A client with type 1 DM who is
NPO for scheduled surgery should receive a prescribed adjusted dose of insulin (A). (B, C, and
D) are not indicated.
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A) Mid-Fowler's with knees supported.
B) Supine with trochanter rolls to the hips.
C) Sim's position alternated with right lateral position q2 hours.
D) Left lateral, supine, brief periods on the right side, and prone. –
Correct Answer :Correct Answer(s): D
* After an acute stroke, a positioning and turning schedule that minimizes lying on the
affected side, which can impair circulation and cause pain, and includes the prone position (D)
P a g e 4 | 118
Med Surge HESI Real Exam 1 200 Questions
Test Bank Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
The nurse is assessing a client with a chest tube that is attached to suction and a closed
drainage system. Which finding is most important for the nurse to further assess?
A) Upper chest subcutaneous emphysema.
B) Tidaling (fluctuation) of fluid in the water-seal chamber.
C) Constant air bubbling in the suction-control chamber.
D) Pain rated 8 (0-10) at the insertion site. –
Correct Answer :Correct Answer(s): A
P a g e 1 | 118
, Med Surge HESI Real Exam
* Subcutaneous emphysema (A) is a complication and indicates air is leaking beneath the
skin. Tidaling in the water-seal chamber and constant bubbling with suction in the suction-
control chamber (B and C) are expected findings that indicate the closed drainage system is
working. Pain at the insertion site is an expected finding (D) and the prescribed analgesia
should be given to assist the client to breathe deeply and facilitate lung expansion.
A couple trying to cope with an infertility problem wants to know what can be done to
preserve emotional equilibrium. What is the best response for the nurse to provide?
A) Tell your friends and family so that they can help you.
B) Get involved with a support group. I will give you some names.
C) Talk only to other friends who are infertile since only they can help.
D) Start adoption proceedings immediately since obtaining an infant is very difficult. –
Correct Answer :Correct Answer(s): B
* A support group (B) provides a safe haven for the couple to share experiences and gain
insight from others experiences. Although talking about feelings may unburden the couple of
negative feelings, infertility is a major stressor that affects the couple's relationships, so
discussion with family and friends (A) should be minimal. Limiting interaction to other infertile
couples (C) may address some psychosocial needs, but depending on where the other
couples are in the recovery process, it may not be helpful. Giving an opinion about adoption
(D) is not therapeutic nor supportive of the psychosocial needs.
The nurse is planning preoperative teaching for a client who will undergo a radical neck
dissection and total laryngectomy. Which information has the greatest priority for this client?
P a g e 2 | 118
, Med Surge HESI Real Exam
A) Prognosis after treatment is excellent.
B) Techniques for esophageal speech are relatively easy to learn with practice.
C) The stoma should never be covered after this type of surgery.
D) There is a radical change in appearance as a result of this surgery.
Correct Answer :Correct Answer(s): D
* Radical neck dissection is the removal of lymphatic drainage channels and nodes,
sternocleidomastoid muscle, spinal accessory nerve, jugular vein, and submandibular area.
The overall outcome of this type of surgery causes the neck to be disfigured, so (D) should be
a priority in the care of this client. (A, B, and C) are included, but the client's concern for (D) is
the priority.
When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, what information is important to include?
A) Dry, itchy skin changes may occur.
B) There is a possibility of long bone pain.
C) Permanent pigment changes to the breast may result.
D) A low-residue diet may be ordered to reduce the likelihood of diarrhea.
- Correct Answer :Correct Answer(s): A
* Side effects from radiation to the breast most often include temporary skin changes such
as: dryness, tenderness, redness, swelling, and pruritis (A). (B, C, and D) are not found in this
situation.
P a g e 3 | 118
, Med Surge HESI Real Exam
Which action should the nurse implement on the scheduled day of surgery for a client with
type 1 diabetes mellitus (DM)?
A) Obtain a prescription for an adjusted dose of insulin.
B) Administer an oral anti-diabetic agent.
C) Give an insulin dose using parameters of a sliding scale.
D) Withhold insulin while the client is NPO. –
Correct Answer :Correct Answer(s): A
* Stressors, such as surgery, increase serum glucose levels. A client with type 1 DM who is
NPO for scheduled surgery should receive a prescribed adjusted dose of insulin (A). (B, C, and
D) are not indicated.
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A) Mid-Fowler's with knees supported.
B) Supine with trochanter rolls to the hips.
C) Sim's position alternated with right lateral position q2 hours.
D) Left lateral, supine, brief periods on the right side, and prone. –
Correct Answer :Correct Answer(s): D
* After an acute stroke, a positioning and turning schedule that minimizes lying on the
affected side, which can impair circulation and cause pain, and includes the prone position (D)
P a g e 4 | 118
