Med Surge HESI Real Exam
Med Surge HESI Real Exam 2 200 Questions
Test Bank Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
A client with primary dysmenorrhea has several medications at home. She calls the clinic to
ask the nurse which medication should she use for her pain. Which option should the nurse
recommend as the first choice in the management of this client's pain?
Aspirin.
Codeine.
Ibuprofen.
Acetaminophen. –
Correct Answer :Ibuprofen
P a g e 1 | 144
, Med Surge HESI Real Exam
Rationale
Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID) provides the most effective relief
for primary dysmenorrhea because it has antiprostaglandin properties.
The nurse is evaluating a client who presents with symptoms of viral gastroenteritis. Which
assessment finding should the nurse report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over the right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over the client's wrist. –
Correct Answer :Rebound abdominal tenderness over the right lower quadrant
Rationale
Right lower quadrant (RLQ) rebound abdominal tenderness may be related to acute
appendicitis and should be reported to the healthcare provider.
The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve
which expected outcome?
Prevent the formation of effusion fluid.
Remove fluid from the intrapleural space.
Debulk tumor to maintain patency of air passages.
P a g e 2 | 144
, Med Surge HESI Real Exam
Relieve empyema after pneumonectomy. –
Correct Answer :Prevent the formation of effusion fluid
Rationale
Instillation of a sclerosing agent to create pleurodesis is aimed at preventing the formation of
a pleural effusion by causing the pleural spaces to be sealed together, thereby preventing the
accumulation of pleural fluid.
The nurse directs an unlicensed assistive personnel (UAP) to obtain the vital signs of a client
who returns to the unit after having a mastectomy for cancer. Which information should the
nurse provide the UAP?
Elevate the arm with an IV infusing on the operative side with a pillow.
Apply the blood pressure cuff to the arm on the non-operative side.
Position the arm on the operative side close to the body.
Collect a fingerstick blood specimen from the arm on the operative side. –
Correct Answer :apply the blood pressure cuff to the arm on the non-operative side
Rationale
The nurse gives the UAP the following instructions when providing care to a post-op
mastectomy client. Blood pressure readings should be obtained from the arm on the
nonoperative side to reduce the risk of injury to the extremity that may have compromised
lymphatic drainage postoperatively. The arm on the operative side of the mastectomy should
be elevated on a pillow above the level of the right atrium to facilitate lymphatic drainage.
P a g e 3 | 144
, Med Surge HESI Real Exam
When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, which information is important to include?
Dry, itchy skin changes may occur.
There is a possibility of long bone pain.
Permanent pigment changes to the breast may result.
A low-residue diet may be ordered to reduce the likelihood of diarrhea. –
Correct Answer :Dry, itchy skin changes may occur
Rationale
Side effects from radiation to the breast most often include temporary skin changes such as
dryness, tenderness, redness, swelling, and pruritus.
The nurse is teaching a client who is newly diagnosed with emphysema on how to perform
pursed lip breathing. What is the primary reason for teaching the client this method of
breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
Conserves energy while ambulating.
Promotes CO2 elimination –
Correct Answer :Promote CO2 elimination
Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it easier for the O2 and CO2 gas exchange to
occur. PLB prolongs exhalation, which prevents bronchiolar collapse and air trapping.
P a g e 4 | 144
Med Surge HESI Real Exam 2 200 Questions
Test Bank Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
A client with primary dysmenorrhea has several medications at home. She calls the clinic to
ask the nurse which medication should she use for her pain. Which option should the nurse
recommend as the first choice in the management of this client's pain?
Aspirin.
Codeine.
Ibuprofen.
Acetaminophen. –
Correct Answer :Ibuprofen
P a g e 1 | 144
, Med Surge HESI Real Exam
Rationale
Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID) provides the most effective relief
for primary dysmenorrhea because it has antiprostaglandin properties.
The nurse is evaluating a client who presents with symptoms of viral gastroenteritis. Which
assessment finding should the nurse report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over the right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over the client's wrist. –
Correct Answer :Rebound abdominal tenderness over the right lower quadrant
Rationale
Right lower quadrant (RLQ) rebound abdominal tenderness may be related to acute
appendicitis and should be reported to the healthcare provider.
The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve
which expected outcome?
Prevent the formation of effusion fluid.
Remove fluid from the intrapleural space.
Debulk tumor to maintain patency of air passages.
P a g e 2 | 144
, Med Surge HESI Real Exam
Relieve empyema after pneumonectomy. –
Correct Answer :Prevent the formation of effusion fluid
Rationale
Instillation of a sclerosing agent to create pleurodesis is aimed at preventing the formation of
a pleural effusion by causing the pleural spaces to be sealed together, thereby preventing the
accumulation of pleural fluid.
The nurse directs an unlicensed assistive personnel (UAP) to obtain the vital signs of a client
who returns to the unit after having a mastectomy for cancer. Which information should the
nurse provide the UAP?
Elevate the arm with an IV infusing on the operative side with a pillow.
Apply the blood pressure cuff to the arm on the non-operative side.
Position the arm on the operative side close to the body.
Collect a fingerstick blood specimen from the arm on the operative side. –
Correct Answer :apply the blood pressure cuff to the arm on the non-operative side
Rationale
The nurse gives the UAP the following instructions when providing care to a post-op
mastectomy client. Blood pressure readings should be obtained from the arm on the
nonoperative side to reduce the risk of injury to the extremity that may have compromised
lymphatic drainage postoperatively. The arm on the operative side of the mastectomy should
be elevated on a pillow above the level of the right atrium to facilitate lymphatic drainage.
P a g e 3 | 144
, Med Surge HESI Real Exam
When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, which information is important to include?
Dry, itchy skin changes may occur.
There is a possibility of long bone pain.
Permanent pigment changes to the breast may result.
A low-residue diet may be ordered to reduce the likelihood of diarrhea. –
Correct Answer :Dry, itchy skin changes may occur
Rationale
Side effects from radiation to the breast most often include temporary skin changes such as
dryness, tenderness, redness, swelling, and pruritus.
The nurse is teaching a client who is newly diagnosed with emphysema on how to perform
pursed lip breathing. What is the primary reason for teaching the client this method of
breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
Conserves energy while ambulating.
Promotes CO2 elimination –
Correct Answer :Promote CO2 elimination
Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it easier for the O2 and CO2 gas exchange to
occur. PLB prolongs exhalation, which prevents bronchiolar collapse and air trapping.
P a g e 4 | 144
