• 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
Which client is at highest risk of compromised immunity?
A) Client with extreme anxiety
B) Client who is awaiting surgery
C) Client who has just had surgery
D) Client who just delivered a baby –
Correct Answer :C
P 1
, • MED SURG HESI 09/11/2026
Exams
Intact skin is a defense to prevent infection; however, a client who has recently had surgery has a portal for
organisms to enter the body and cause infection.
A client is admitted with left lower lung pneumonia. Which assessment finding does the nurse correlate with this
condition?
A) Expiratory wheeze on the right side
B) Crackles heard on expiration bilaterally
C) Dullness to percussion on the lower left side
D) Crepitus of the skin around the left lung –
Correct Answer :C
The client with pneumonia may have dullness to percussion on the affected side. The other options are all
inconsistent with pneumonia.
The nurse auscultates the following lung sound in the client with pneumonia. What is the best intervention?
Audio Clip
A) Administer IV fluids.
B) Have the client use an incentive spirometer.
C) Have the client cough and deep breathe.
D) Prepare to administer a bronchodilator. - Correct Answer :B
The sound heard is crackles. Crackles often indicate atelectasis, which can be reversed by using an incentive
spirometer. If no spirometer is available, coughing and deep breathing is the next best option. This client does
not have wheezing, so bronchodilators are not indicated. IV fluids would not help atelectasis.
A client with a history of heart failure is being discharged. Which priority instruction will assist the client in the
prevention of complications associated with heart failure?
P 2
, • MED SURG HESI 09/11/2026
Exams
A) "Eat six small meals daily instead of three larger meals."
B) "When you feel short of breath, take an additional diuretic."
C) "Avoid drinking more than 3 quarts of liquids each day."
D) "Weigh yourself daily while wearing the same amount of clothing." - Correct Answer :D
Clients with heart failure are instructed to weigh themselves daily to detect worsening heart failure early, and
thus avoid complications. Other signs of worsening heart failure include increasing dyspnea, exercise intolerance,
cold symptoms, and nocturia.
The nurse assesses a client's legs. Which assessment finding indicates arterial insufficiency?
A) Pain with activity but not while resting
B) Dependent mottling and absence of hair
C) Full veins present in dependent extremity
D) Ankle discoloration and pitting edema - Correct Answer :B
Dependent mottling and absence of hair is an indication of arterial insufficiency. Pain may be present with
activity and at rest. Edema and ankle discoloration would be indicative of venous insufficiency.
The nurse is teaching a client with pneumonia ways to clear secretions. Which intervention is the most effective?
A) Administering an antiemetic medication
B) Increasing fluids to 2 L/day if tolerated
C) Administering an antitussive medication
D) Having the client cough and deep breathe hourly - Correct Answer :B
Increasing fluids has been proven to decrease the thickness of secretions, thus allowing them to be
expectorated quickly. The other interventions would not be as effective.
P 3
, • MED SURG HESI 09/11/2026
Exams
The nurse is assessing a client with left-sided heart failure. What conditions does the nurse assess for? (Select all
that apply.)
A) S3/S4 summation gallop
B) Cough worsens at night
C) Dependent edema
D) Pulmonary crackles
E) Confusion, restlessness
F) Pulmonary hypertension - Correct Answer :A,B,D,E
Left-sided failure occurs with a decrease in contractility of the heart or an increase in afterload. Most of the signs
will be noted in the respiratory system. Right-sided failure occurs with problems from the pulmonary vasculature
onward. Signs will be noted before the right atrium or ventricle.
The nurse assesses the patient and notes all of the following. Select all of the findings that indicate the systemic
manifestations of inflammation.
A) Oral temperature 38.6 F
B) WBC 20
C) Thick, green nasal discharge
D) Patient reports, "I'm tired all the time. I haven't felt like myself in days"
E) Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal and maxillary sinuses - Correct Answer
:A,B,D
Systemic manifestations of inflammatory response include elevated temperature, leukocytosis, and malaise and
fatigue. Purulent exudates and pain are both considered local manifestations of inflammation.
A client with chronic obstructive pulmonary disease (COPD) reports social isolation. What does the nurse
encourage the client to do?
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
Which client is at highest risk of compromised immunity?
A) Client with extreme anxiety
B) Client who is awaiting surgery
C) Client who has just had surgery
D) Client who just delivered a baby –
Correct Answer :C
P 1
, • MED SURG HESI 09/11/2026
Exams
Intact skin is a defense to prevent infection; however, a client who has recently had surgery has a portal for
organisms to enter the body and cause infection.
A client is admitted with left lower lung pneumonia. Which assessment finding does the nurse correlate with this
condition?
A) Expiratory wheeze on the right side
B) Crackles heard on expiration bilaterally
C) Dullness to percussion on the lower left side
D) Crepitus of the skin around the left lung –
Correct Answer :C
The client with pneumonia may have dullness to percussion on the affected side. The other options are all
inconsistent with pneumonia.
The nurse auscultates the following lung sound in the client with pneumonia. What is the best intervention?
Audio Clip
A) Administer IV fluids.
B) Have the client use an incentive spirometer.
C) Have the client cough and deep breathe.
D) Prepare to administer a bronchodilator. - Correct Answer :B
The sound heard is crackles. Crackles often indicate atelectasis, which can be reversed by using an incentive
spirometer. If no spirometer is available, coughing and deep breathing is the next best option. This client does
not have wheezing, so bronchodilators are not indicated. IV fluids would not help atelectasis.
A client with a history of heart failure is being discharged. Which priority instruction will assist the client in the
prevention of complications associated with heart failure?
P 2
, • MED SURG HESI 09/11/2026
Exams
A) "Eat six small meals daily instead of three larger meals."
B) "When you feel short of breath, take an additional diuretic."
C) "Avoid drinking more than 3 quarts of liquids each day."
D) "Weigh yourself daily while wearing the same amount of clothing." - Correct Answer :D
Clients with heart failure are instructed to weigh themselves daily to detect worsening heart failure early, and
thus avoid complications. Other signs of worsening heart failure include increasing dyspnea, exercise intolerance,
cold symptoms, and nocturia.
The nurse assesses a client's legs. Which assessment finding indicates arterial insufficiency?
A) Pain with activity but not while resting
B) Dependent mottling and absence of hair
C) Full veins present in dependent extremity
D) Ankle discoloration and pitting edema - Correct Answer :B
Dependent mottling and absence of hair is an indication of arterial insufficiency. Pain may be present with
activity and at rest. Edema and ankle discoloration would be indicative of venous insufficiency.
The nurse is teaching a client with pneumonia ways to clear secretions. Which intervention is the most effective?
A) Administering an antiemetic medication
B) Increasing fluids to 2 L/day if tolerated
C) Administering an antitussive medication
D) Having the client cough and deep breathe hourly - Correct Answer :B
Increasing fluids has been proven to decrease the thickness of secretions, thus allowing them to be
expectorated quickly. The other interventions would not be as effective.
P 3
, • MED SURG HESI 09/11/2026
Exams
The nurse is assessing a client with left-sided heart failure. What conditions does the nurse assess for? (Select all
that apply.)
A) S3/S4 summation gallop
B) Cough worsens at night
C) Dependent edema
D) Pulmonary crackles
E) Confusion, restlessness
F) Pulmonary hypertension - Correct Answer :A,B,D,E
Left-sided failure occurs with a decrease in contractility of the heart or an increase in afterload. Most of the signs
will be noted in the respiratory system. Right-sided failure occurs with problems from the pulmonary vasculature
onward. Signs will be noted before the right atrium or ventricle.
The nurse assesses the patient and notes all of the following. Select all of the findings that indicate the systemic
manifestations of inflammation.
A) Oral temperature 38.6 F
B) WBC 20
C) Thick, green nasal discharge
D) Patient reports, "I'm tired all the time. I haven't felt like myself in days"
E) Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal and maxillary sinuses - Correct Answer
:A,B,D
Systemic manifestations of inflammatory response include elevated temperature, leukocytosis, and malaise and
fatigue. Purulent exudates and pain are both considered local manifestations of inflammation.
A client with chronic obstructive pulmonary disease (COPD) reports social isolation. What does the nurse
encourage the client to do?
P 4
