• MED SURG HESI 09/11/2026
Exams
MED SURG HESI Exams 1 V1 And V2 - 2026/2027
Update Actual Exam Questions With Verified
Answers, 100% Guaranteed Pass || Complete A+
Guide
The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which information
would be most useful to the nurse when planning activities for the group?
The length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group. –
Correct Answer :The usual activity patterns of each member of the group.
P 1
, • MED SURG HESI 09/11/2026
Exams
An older person's level of activity is a determining factor in adjustment to aging as described by the Activity
Theory of Aging. The most useful information initially would be an assessment of each individual's adjustment to
the aging process.
While working in the emergency room, the nurse is exposed to a client with active tuberculosis. When should the
nurse plan to obtain a tuberculin skin test?
Immediately after the exposure.
Within one week of the exposure.
Four to six weeks after the exposure.
Three months after the exposure. –
Correct Answer :Four to six weeks after the exposure.
A tuberculin skin test is effective 4 to 6 weeks after an exposure, so the individual with a known exposure should
wait 4 to 6 weeks before having a tuberculin skin test.
A client has taken steroids for 12 years to help manage chronic obstructive pulmonary disease (COPD). When
making a home visit, which nursing assessment is of greatest importance to this client?
pulse rate, both apically and radially.
blood pressure, both standing and sitting.
temperature.
skin color and turgor. - Correct Answer :temperature.
Long term use of steroids by COPD clients is effective in suppressing inflammation in their airways making it
easier for them to breath, but at the same time suppresses the immune system, placing the client at risk for
infection, so it is very important to obtain the client's temperature.
P 2
, • MED SURG HESI 09/11/2026
Exams
During lung assessment, the nurse places a stethoscope on a client's chest and instructs him/her to say "99"
each time the chest is touched with the stethoscope. Which would be the correct interpretation if the nurse
hears the spoken words "99" very clearly through the stethoscope?
This is a normal auscultatory finding.
May indicate pneumothorax.
May indicate pneumonia.
May indicate severe emphysema. - Correct Answer :May indicate pneumonia.
This test (whispered pectoriloquy) demonstrates hyperresonance and helps determine the clarity with which
spoken words are heard upon auscultation. Normally, the spoken word is not well transmitted through lung
tissue, and is heard as a muffled or unclear transmission of the spoken word. Increased clarity of a spoken word
is indicative of some sort of consolidation process (e. g., tumor, pneumonia), and is not a normal finding.
The nurse is performing an ophthalmoscopic examination on a hypertensive client. When assessing the client,
which finding indicates the severity of hypertension?
Opague color of the sclera.
Transparency of the cornea.
Amount of retinal vessel damage that has occurred.
Constriction and dilatation of the pupils. - Correct Answer :Amount of retinal vessel damage that has occurred.
Examination of the blood vessels of the retina reveal any damange to the retinal vessels. This is a significant
indication about how much damage the client's high blood pressure has done to vessels throughout the body.
Retinal damage indicates that hypertension is moderate to severe.
The nurse is receiving report from surgery about a client with a penrose drain who is to be admitted to the
postoperative unit. Before choosing a room for this client, which information is most important for the nurse to
obtain?
If suctioning will be needed for drainage of the wound.
If the family would prefer a private or semi-private room.
P 3
, • MED SURG HESI 09/11/2026
Exams
Prescription for removal of the drain.
If the client's wound is infected. - Correct Answer :If the client's wound is infected.
Penrose drains provide a sinus tract or opening and are often used to provide drainage of an abscess. The fact
that the client has a penrose drain should alert the nurse to the possibility that the client is infected. To avoid
contamination of another postoperative client, it is most for the nurse to verify the condition of the wound and if
infected, important to place client in a private room.
The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is dated two
years ago. The client reports that he has a history of "heart trouble," but has no problems at present. Hospital
protocol requires that those over 50 years of age have a recent ECG prior to surgery. Which nursing action is best
for the nurse to implement?
Ask the client what he means by "heart trouble."
Call for an ECG to be performed immediately.
Notify surgery that the ECG is over two years old.
Notify the client's surgeon immediately. - Correct Answer :Call for an ECG to be performed immediately.
According to the hospital policy, clients over the age of 50 and/or with a history of cardiovascular disease, should
receive ECG evaluation prior to surgery, generally 24 hours to two weeks before. The nurse needs to first arrange
for an ECG to be performed immediately prior to surgery.
The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in the client's
history presents the greatest risk for developing a cerebral vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
Parkinson's disease.
Recurring pneumonia. - Correct Answer :Diabetes mellitus.
P 4
Exams
MED SURG HESI Exams 1 V1 And V2 - 2026/2027
Update Actual Exam Questions With Verified
Answers, 100% Guaranteed Pass || Complete A+
Guide
The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which information
would be most useful to the nurse when planning activities for the group?
The length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group. –
Correct Answer :The usual activity patterns of each member of the group.
P 1
, • MED SURG HESI 09/11/2026
Exams
An older person's level of activity is a determining factor in adjustment to aging as described by the Activity
Theory of Aging. The most useful information initially would be an assessment of each individual's adjustment to
the aging process.
While working in the emergency room, the nurse is exposed to a client with active tuberculosis. When should the
nurse plan to obtain a tuberculin skin test?
Immediately after the exposure.
Within one week of the exposure.
Four to six weeks after the exposure.
Three months after the exposure. –
Correct Answer :Four to six weeks after the exposure.
A tuberculin skin test is effective 4 to 6 weeks after an exposure, so the individual with a known exposure should
wait 4 to 6 weeks before having a tuberculin skin test.
A client has taken steroids for 12 years to help manage chronic obstructive pulmonary disease (COPD). When
making a home visit, which nursing assessment is of greatest importance to this client?
pulse rate, both apically and radially.
blood pressure, both standing and sitting.
temperature.
skin color and turgor. - Correct Answer :temperature.
Long term use of steroids by COPD clients is effective in suppressing inflammation in their airways making it
easier for them to breath, but at the same time suppresses the immune system, placing the client at risk for
infection, so it is very important to obtain the client's temperature.
P 2
, • MED SURG HESI 09/11/2026
Exams
During lung assessment, the nurse places a stethoscope on a client's chest and instructs him/her to say "99"
each time the chest is touched with the stethoscope. Which would be the correct interpretation if the nurse
hears the spoken words "99" very clearly through the stethoscope?
This is a normal auscultatory finding.
May indicate pneumothorax.
May indicate pneumonia.
May indicate severe emphysema. - Correct Answer :May indicate pneumonia.
This test (whispered pectoriloquy) demonstrates hyperresonance and helps determine the clarity with which
spoken words are heard upon auscultation. Normally, the spoken word is not well transmitted through lung
tissue, and is heard as a muffled or unclear transmission of the spoken word. Increased clarity of a spoken word
is indicative of some sort of consolidation process (e. g., tumor, pneumonia), and is not a normal finding.
The nurse is performing an ophthalmoscopic examination on a hypertensive client. When assessing the client,
which finding indicates the severity of hypertension?
Opague color of the sclera.
Transparency of the cornea.
Amount of retinal vessel damage that has occurred.
Constriction and dilatation of the pupils. - Correct Answer :Amount of retinal vessel damage that has occurred.
Examination of the blood vessels of the retina reveal any damange to the retinal vessels. This is a significant
indication about how much damage the client's high blood pressure has done to vessels throughout the body.
Retinal damage indicates that hypertension is moderate to severe.
The nurse is receiving report from surgery about a client with a penrose drain who is to be admitted to the
postoperative unit. Before choosing a room for this client, which information is most important for the nurse to
obtain?
If suctioning will be needed for drainage of the wound.
If the family would prefer a private or semi-private room.
P 3
, • MED SURG HESI 09/11/2026
Exams
Prescription for removal of the drain.
If the client's wound is infected. - Correct Answer :If the client's wound is infected.
Penrose drains provide a sinus tract or opening and are often used to provide drainage of an abscess. The fact
that the client has a penrose drain should alert the nurse to the possibility that the client is infected. To avoid
contamination of another postoperative client, it is most for the nurse to verify the condition of the wound and if
infected, important to place client in a private room.
The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is dated two
years ago. The client reports that he has a history of "heart trouble," but has no problems at present. Hospital
protocol requires that those over 50 years of age have a recent ECG prior to surgery. Which nursing action is best
for the nurse to implement?
Ask the client what he means by "heart trouble."
Call for an ECG to be performed immediately.
Notify surgery that the ECG is over two years old.
Notify the client's surgeon immediately. - Correct Answer :Call for an ECG to be performed immediately.
According to the hospital policy, clients over the age of 50 and/or with a history of cardiovascular disease, should
receive ECG evaluation prior to surgery, generally 24 hours to two weeks before. The nurse needs to first arrange
for an ECG to be performed immediately prior to surgery.
The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in the client's
history presents the greatest risk for developing a cerebral vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
Parkinson's disease.
Recurring pneumonia. - Correct Answer :Diabetes mellitus.
P 4
