• MED SURG HESI 09/11/2026
Exams
MED SURG HESI Exams V1 And V2 - 2026/2027
Update Actual Exam Questions With Verified
Answers, 100% Guaranteed Pass || Complete A+
Guide
The nurse is working on a plan of care with her patient which includes turning and positioning and adequate
nutrition to help the patient maintain intact skin integrity. The nurse helps the patient to realize that this breaks
the chain of infection by eliminating a:
A) portal of entry.
B) host.
C) mode of transmission.
D) reservoir.
P 1
, • MED SURG HESI 09/11/2026
Exams
- Correct Answer :A
Broken or impaired skin creates a portal of entry for pathogens. By maintaining intact tissue, the patient and the
nurse have broken the chain of infection by eliminating a portal of entry. Host is incorrect because you are not
eliminating the person or organism. Intact tissue does not eliminate the mode of transmission. Skin can still be
used to transfer pathogens regardless of it being intact or broken. Intact skin does not eliminate the location for
pathogens to live and grow.
The nurse is preparing to administer a prescribed IV antibiotic to a client admitted with a serious infection. Which
action by the nurse is most important?
A) Double check the "five rights."
B) Assess the client for allergies.
C) Teach the client about the drug.
D) Check the IV for patency. - Correct Answer :B
All actions are appropriate and important before administering any medications. However, client safety is the
priority. The nurse should first assess the client for medication allergies by asking the client or checking the chart
(or both). Ensuring a patent IV and checking the five rights will not protect the client from an allergic reaction.
The nurse assesses a cut that is 24 hours old and finds that the site is swollen, red, and tender to the touch.
Which cell types are responsible for these assessment findings?
A) Natural killer cells
B) Basophils and eosinophils
C) Erythrocytes and platelets
D) Plasma cells and B-lymphocytes - Correct Answer :B
P 2
, • MED SURG HESI 09/11/2026
Exams
Basophils and eosinophils release histamine, kinins, and other substances that cause the manifestations of
inflammation. Erythrocytes carry oxygen, and platelets help stop bleeding. Plasma cells and B-lymphocytes
produce antibodies to help fight infection, and natural killer cells destroy invading bacteria.
A female client is admitted with an exacerbation of ulcerative colitis. Which laboratory value does the nurse
correlate with this condition?
A) Erythrocyte sedimentation rate (ESR), 55 mm/hr
B) Potassium, 5.5 mEq/L
C) Sodium, 144 mEq/L
D) Hemoglobin, 14.2 g/dL - Correct Answer :A
The erythrocyte sedimentation rate (ESR) is an indicator of inflammation, which is elevated during an
exacerbation of ulcerative colitis. The normal range for the ESR is 0 to 33 mm/hr. Diarrhea caused by ulcerative
colitis will result in loss of potassium and hypokalemia with levels lower than 3.5 mEq/L. Bloody diarrhea will lead
to anemia, with hemoglobin levels lower than 12 g/dL in females. The sodium level is normal.
O-H-
A) who cares!
B) I cannot pick this so I will lose points (this is for the Michigan Fans!!)
C) I-O
D) O-No!! - Correct Answer :C
Sucking up here with C may be dependent on how low your accumulative test scores are...
A patient is being treated with an antibiotic. The nurse explains to the patient that this medication is required for
the reduction of inflammation at the injury site because this medication:
A) will decrease the pain at the site.
P 3
, • MED SURG HESI 09/11/2026
Exams
B) helps to kill the infection causing the inflammation.
C) will reduce the patients fever.
D) inhibits cyclooxygenase. - Correct Answer :B
Antimicrobials treat the underlying cause of the infection which leads to inflammation. Analgesics and
nonsteroidal antiinflammatory drugs (NSAIDs) help to treat pain. NSAIDs and other antipyretics are
cyclooxygenase inhibitors. Antipyretics help to reduce fever.
The nurse is caring for a client with ulcerative colitis and severe diarrhea. Which nursing assessment is the highest
priority?
A) Skin integrity
B) Blood pressure
C) Heart rate and rhythm
D) Abdominal percussion - Correct Answer :C
Although the client with severe diarrhea may experience skin irritation and hypovolemia, the client is most at risk
for cardiac dysrhythmias secondary to potassium and magnesium loss from severe diarrhea. The client should
have her or his electrolyte levels monitored, and electrolyte replacement may be necessary. Abdominal
percussion is an important part of physical assessment but has lower priority for this client than heart rate and
rhythm.
The nurse assesses a client with pneumonia and notes decreased lung sounds on the left side and decreased
lung expansion. What is the nurse's best action?
A) Increase oxygen flow to 10 L/min.
B) Perform an arterial blood gas analysis.
C) Have the client cough and deep breathe.
D) Check oxygen saturation and notify the health care provider. - Correct Answer :D
P 4
Exams
MED SURG HESI Exams V1 And V2 - 2026/2027
Update Actual Exam Questions With Verified
Answers, 100% Guaranteed Pass || Complete A+
Guide
The nurse is working on a plan of care with her patient which includes turning and positioning and adequate
nutrition to help the patient maintain intact skin integrity. The nurse helps the patient to realize that this breaks
the chain of infection by eliminating a:
A) portal of entry.
B) host.
C) mode of transmission.
D) reservoir.
P 1
, • MED SURG HESI 09/11/2026
Exams
- Correct Answer :A
Broken or impaired skin creates a portal of entry for pathogens. By maintaining intact tissue, the patient and the
nurse have broken the chain of infection by eliminating a portal of entry. Host is incorrect because you are not
eliminating the person or organism. Intact tissue does not eliminate the mode of transmission. Skin can still be
used to transfer pathogens regardless of it being intact or broken. Intact skin does not eliminate the location for
pathogens to live and grow.
The nurse is preparing to administer a prescribed IV antibiotic to a client admitted with a serious infection. Which
action by the nurse is most important?
A) Double check the "five rights."
B) Assess the client for allergies.
C) Teach the client about the drug.
D) Check the IV for patency. - Correct Answer :B
All actions are appropriate and important before administering any medications. However, client safety is the
priority. The nurse should first assess the client for medication allergies by asking the client or checking the chart
(or both). Ensuring a patent IV and checking the five rights will not protect the client from an allergic reaction.
The nurse assesses a cut that is 24 hours old and finds that the site is swollen, red, and tender to the touch.
Which cell types are responsible for these assessment findings?
A) Natural killer cells
B) Basophils and eosinophils
C) Erythrocytes and platelets
D) Plasma cells and B-lymphocytes - Correct Answer :B
P 2
, • MED SURG HESI 09/11/2026
Exams
Basophils and eosinophils release histamine, kinins, and other substances that cause the manifestations of
inflammation. Erythrocytes carry oxygen, and platelets help stop bleeding. Plasma cells and B-lymphocytes
produce antibodies to help fight infection, and natural killer cells destroy invading bacteria.
A female client is admitted with an exacerbation of ulcerative colitis. Which laboratory value does the nurse
correlate with this condition?
A) Erythrocyte sedimentation rate (ESR), 55 mm/hr
B) Potassium, 5.5 mEq/L
C) Sodium, 144 mEq/L
D) Hemoglobin, 14.2 g/dL - Correct Answer :A
The erythrocyte sedimentation rate (ESR) is an indicator of inflammation, which is elevated during an
exacerbation of ulcerative colitis. The normal range for the ESR is 0 to 33 mm/hr. Diarrhea caused by ulcerative
colitis will result in loss of potassium and hypokalemia with levels lower than 3.5 mEq/L. Bloody diarrhea will lead
to anemia, with hemoglobin levels lower than 12 g/dL in females. The sodium level is normal.
O-H-
A) who cares!
B) I cannot pick this so I will lose points (this is for the Michigan Fans!!)
C) I-O
D) O-No!! - Correct Answer :C
Sucking up here with C may be dependent on how low your accumulative test scores are...
A patient is being treated with an antibiotic. The nurse explains to the patient that this medication is required for
the reduction of inflammation at the injury site because this medication:
A) will decrease the pain at the site.
P 3
, • MED SURG HESI 09/11/2026
Exams
B) helps to kill the infection causing the inflammation.
C) will reduce the patients fever.
D) inhibits cyclooxygenase. - Correct Answer :B
Antimicrobials treat the underlying cause of the infection which leads to inflammation. Analgesics and
nonsteroidal antiinflammatory drugs (NSAIDs) help to treat pain. NSAIDs and other antipyretics are
cyclooxygenase inhibitors. Antipyretics help to reduce fever.
The nurse is caring for a client with ulcerative colitis and severe diarrhea. Which nursing assessment is the highest
priority?
A) Skin integrity
B) Blood pressure
C) Heart rate and rhythm
D) Abdominal percussion - Correct Answer :C
Although the client with severe diarrhea may experience skin irritation and hypovolemia, the client is most at risk
for cardiac dysrhythmias secondary to potassium and magnesium loss from severe diarrhea. The client should
have her or his electrolyte levels monitored, and electrolyte replacement may be necessary. Abdominal
percussion is an important part of physical assessment but has lower priority for this client than heart rate and
rhythm.
The nurse assesses a client with pneumonia and notes decreased lung sounds on the left side and decreased
lung expansion. What is the nurse's best action?
A) Increase oxygen flow to 10 L/min.
B) Perform an arterial blood gas analysis.
C) Have the client cough and deep breathe.
D) Check oxygen saturation and notify the health care provider. - Correct Answer :D
P 4
