Med Surge HESI Real Exam
Med Surge HESI Real Exam 5 200 Questions
Test Bank Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
121. The charge nurse working on a rehabilitation unit is making client assignments for 2
registered nurses (RN) that have been in the department over 3 years, and one new RN
graduate who completed orientation this week. Which client should the charge nurse assign
to
the new RN graduate? The client
a. with a T-12 spinal cord injury who is being transferred from the neurological unit.
b. with a head injury who is being discharged home with multiple referrals.
c. whose family is meeting with the rehabilitation team to discuss a treatment plan.
d. with a total knee replacement who has 3 hours of prescribed physical therapy. –
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, Med Surge HESI Real Exam
Correct Answer :ANS: D
(D) requires the least amount of teaching and evaluating, so the charge nurse should assign
this client to the new graduate RN. The charge nurse should assign the clients that require
more teaching and evaluating to the more experienced nurses (A, B, and C) until the new
graduate RN has more experience
122. A client has a new prescription for the maximum recommended dosage of
piperacillin/tazobactam (Zosyn) for nosocomial pneumonia. The nurse should report which
laboratory finding to the healthcare provider before administering the prescribed dose?
a. Presence of gram positive bacteria in the sputum.
b. Elevated white blood cell count.
c. Decreased creatinine clearance.
d. Decreased serum potassium –
Correct Answer :ANS: C
A decreased creatinine clearance (C) is an indication of renal impairment. The nurse should
contact the healthcare provider with this data, so that the prescribed dose can be reduced. A
reduced dose of many medications, including Zosyn, is needed for clients with impaired renal
function, since excretion of the drug will be altered. Zosyn is a broad-spectrum penicillin,
effective against gram positive bacteria (A). (B) is an expected finding in infection. Zosyn
dosage does not need to be altered due to hypokalemia (D
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, Med Surge HESI Real Exam
123. In teaching a client with Parkinson's disease, the nurse describes what rationale for
the prescription of levodopa-carbidopa (Sinemet)? This drug
a. acts as an antiseizure medication, reducing the tremors caused by the disease.
b. increases the amount of dopamine, needed for muscles to function correctly.
c. slows the scarring in the myelin sheath, improving muscle tone and strength.
d. reduces the inflammatory process, improving nerve transmission and function –
Correct Answer :ANS: B
The symptoms of Parkinson's disease are caused by insufficient dopamine to maintain normal
muscle function (B). Hand tremors, while typical of the disease, are not the result of (A or D).
(C) describes the pathology of multiple sclerosis
124. A male client who has been immobilized for four days because of multiple broken bones
following a motor vehicle collision is admitted from the intensive care unit to the medical unit
of an acute care hospital. What assessment data are most important for the nurse to obtain
within the first hour of admission?
a. Skin integrity and nutritional status.
b. Tolerance for moving in bed and performing ROM exercises.
c. Blood pressure and white blood cell count.
d. Temperature and breath sounds –
Correct Answer :ANS: D
(D) assesses for impaired respiratory functioning (signs of pneumonia), which are the most
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, Med Surge HESI Real Exam
important assessment data for the nurse to obtain. (A, B, and C) provide worthwhile
assessment findings, but these do not have the priority of (D)
125. Which finding should the nurse expect a client to exhibit who is newly diagnosed
with fibromyalgia?
a. Recent joint trauma.
b. Disruption in sleep patterns.
c. Unexplained weight gain.
d. Itching and rash –
Correct Answer :ANS: B
Generalized pain and insufficient sleep (B) are the typical symptoms of fibromyalgia. (A, C,
and D) are not specifically associated with fibromyalgia
126. An alert and oriented client requiring droplet precautions is placed in a private room at
the
end of the hallway. Several days later, the nurse finds that the client is restless and anxious.
What action should the nurse implement?
a. Transfer the client to a semi-private room closer to the nurse's station.
b. Encourage family members to maintain a regular visitation schedule.
c. Advise unit personnel to enter the client's room only when necessary.
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Med Surge HESI Real Exam 5 200 Questions
Test Bank Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
121. The charge nurse working on a rehabilitation unit is making client assignments for 2
registered nurses (RN) that have been in the department over 3 years, and one new RN
graduate who completed orientation this week. Which client should the charge nurse assign
to
the new RN graduate? The client
a. with a T-12 spinal cord injury who is being transferred from the neurological unit.
b. with a head injury who is being discharged home with multiple referrals.
c. whose family is meeting with the rehabilitation team to discuss a treatment plan.
d. with a total knee replacement who has 3 hours of prescribed physical therapy. –
P a g e 1 | 126
, Med Surge HESI Real Exam
Correct Answer :ANS: D
(D) requires the least amount of teaching and evaluating, so the charge nurse should assign
this client to the new graduate RN. The charge nurse should assign the clients that require
more teaching and evaluating to the more experienced nurses (A, B, and C) until the new
graduate RN has more experience
122. A client has a new prescription for the maximum recommended dosage of
piperacillin/tazobactam (Zosyn) for nosocomial pneumonia. The nurse should report which
laboratory finding to the healthcare provider before administering the prescribed dose?
a. Presence of gram positive bacteria in the sputum.
b. Elevated white blood cell count.
c. Decreased creatinine clearance.
d. Decreased serum potassium –
Correct Answer :ANS: C
A decreased creatinine clearance (C) is an indication of renal impairment. The nurse should
contact the healthcare provider with this data, so that the prescribed dose can be reduced. A
reduced dose of many medications, including Zosyn, is needed for clients with impaired renal
function, since excretion of the drug will be altered. Zosyn is a broad-spectrum penicillin,
effective against gram positive bacteria (A). (B) is an expected finding in infection. Zosyn
dosage does not need to be altered due to hypokalemia (D
P a g e 2 | 126
, Med Surge HESI Real Exam
123. In teaching a client with Parkinson's disease, the nurse describes what rationale for
the prescription of levodopa-carbidopa (Sinemet)? This drug
a. acts as an antiseizure medication, reducing the tremors caused by the disease.
b. increases the amount of dopamine, needed for muscles to function correctly.
c. slows the scarring in the myelin sheath, improving muscle tone and strength.
d. reduces the inflammatory process, improving nerve transmission and function –
Correct Answer :ANS: B
The symptoms of Parkinson's disease are caused by insufficient dopamine to maintain normal
muscle function (B). Hand tremors, while typical of the disease, are not the result of (A or D).
(C) describes the pathology of multiple sclerosis
124. A male client who has been immobilized for four days because of multiple broken bones
following a motor vehicle collision is admitted from the intensive care unit to the medical unit
of an acute care hospital. What assessment data are most important for the nurse to obtain
within the first hour of admission?
a. Skin integrity and nutritional status.
b. Tolerance for moving in bed and performing ROM exercises.
c. Blood pressure and white blood cell count.
d. Temperature and breath sounds –
Correct Answer :ANS: D
(D) assesses for impaired respiratory functioning (signs of pneumonia), which are the most
P a g e 3 | 126
, Med Surge HESI Real Exam
important assessment data for the nurse to obtain. (A, B, and C) provide worthwhile
assessment findings, but these do not have the priority of (D)
125. Which finding should the nurse expect a client to exhibit who is newly diagnosed
with fibromyalgia?
a. Recent joint trauma.
b. Disruption in sleep patterns.
c. Unexplained weight gain.
d. Itching and rash –
Correct Answer :ANS: B
Generalized pain and insufficient sleep (B) are the typical symptoms of fibromyalgia. (A, C,
and D) are not specifically associated with fibromyalgia
126. An alert and oriented client requiring droplet precautions is placed in a private room at
the
end of the hallway. Several days later, the nurse finds that the client is restless and anxious.
What action should the nurse implement?
a. Transfer the client to a semi-private room closer to the nurse's station.
b. Encourage family members to maintain a regular visitation schedule.
c. Advise unit personnel to enter the client's room only when necessary.
P a g e 4 | 126
