• MED SURG HESI 09/11/2026
Exams
MED SURG HESI Exams 2 V1 And V2 - 2026/2027
Update Actual Exam Questions With Verified
Answers, 100% Guaranteed Pass || Complete A+
Guide
The nurse is caring for a client who is 3 hrs post-op and who received hydromorphone IV 30 minutes ago for
severe pain. The nurse enters to the client's room and notes the most recent blood pressure reading of 88/56.
The client's respiratory rate it now 14 breaths/minute and pulse rate is 94 beats/minute. Which assessment
should the nurse complete next?
a. pupillary response to light
b. level of consciousness
c. orientation to person and place
d. deep tendon reflexes - Correct Answer :b. level of consciousness
P 1
, • MED SURG HESI 09/11/2026
Exams
* Hypotension is a common side effect of opiate analgesics, especially in association with cumulative effects of
other perioperative drugs. In addition to vital sign measurement, the nurse should also assess level of
consciousness (B) to ensure that the client is not extremely sedated. (A, C, and D) are additional neurologic
assessments, but level of consciousness should be assessed first.
A client admitted to the surgical unit with symptoms of a possible intestinal obstruction. When preparing to
insert a nasogastric (NG) tube, which intervention should the nurse implement?
a. assess for a gag reflex
b. elevate the head of the bed 60 to 90 degrees
c. administer a PRN analgesic
d. measure from corner of mouth to angle of jaw - Correct Answer :b. elevate the head of the bed 60 to 90
degrees
When a nurse is caring for a client with acute hypothyroidism, which serum laboratory value requires immediate
intervention?
a. Thyroxine (T4) 4 mcg/dl
b. Serum sodium 122 mEq/L
c. Serum potassium 3.5 mEq/L
d. Triiodothyronine (T3) level 0.8 mcg/dl - Correct Answer :b. serum sodium 122 mEq/L
A potential donor of corneal tissue for the eye bank has just died. The nurse enters the room with prescribed
antibiotic eye drops. What action should the nurse take next?
a. secure eye shields over the closed eyes after instilling the eye drops
b. instill the eyedrops before placing small ice packs over the closed eyes
c. reposition with the head flat and then instill the prescribed eye drops
P 2
, • MED SURG HESI 09/11/2026
Exams
d. withhold the eyedrops and apply sterile dressing over both closed eyes - Correct Answer :a. secure eye
shields over the closed eyes after instilling the eye drops
* The head of the bed should be elevated (A) to prevent pooling of blood related to the process of liver mortis,
so the nurse should continue with corneal care next, including instillation of prescribed antibiotic eyedrops and
the placement of small ice packs over the closed eyes (B). (C and D) do not include the measures necessary to
protect and preserve the corneas.
An older female client has been diagnosed with chronic venous insufficiency. To promote venous return, which
action should the nurse encourage the client to take?
a. drink 8 to 10 ounces of water a day.
b. lie down in bed 2 times a day
c. sit at the side of the bed for 15 minutes before standing
d. wear cotton socks and enclosed toe shoes whenever outside. - Correct Answer :b. lie down in bed 2 times a
day
* Elevating the legs by lying down will promote venous return from the legs back to the heart (B). (A) is
important to prevent clot formation, but it does not promote venous return. (C) helps relieve symptoms of
orthostatic hypotension. (D) reduces risk for injury, especially for diabetics, but is not helpful in promoting
venous return.
An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she
attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does
the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - Correct Answer :A) A carotid bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain attack. A bruit is an abnormal
sound heard on auscultation resulting from interference with normal blood flow. Usually the blood pressure is
P 3
, • MED SURG HESI 09/11/2026
Exams
hypertensive. Initially flaccid paralysis occurs, resulting in hyporefkexic deep tendon reflexes. Bowel sounds are
not indicative of a brain attack.
Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - Correct Answer :D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as well as difficulty reading
and writing. Symptoms vary from person to person. Aphasia may occur secondary to any brain injury involving
the left hemisphere. Visual field deficits, spatial-perceptual deficits, and paresthsia of the left side usually occur
with right-sided brain attack.
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what nursing intervention
should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. - Correct Answer :B) Explain that the
client will not be able to move her head throughout the CT scan.
Rationale: Because head motion will distort the images, Nancy will have to remain still throughout the
procedure. Allergies to iodine is important if contrast dye is being used for the CT scan. Premedicating the client
to decrease pain prior to the procedure is unnecessary because CT scanning is a noninvasive and painless
procedure. Providing an explanation of relaxation exercises prior to the procedure is a worthwhile intervention
to decrease anxiety but is not of highest priority.
P 4
Exams
MED SURG HESI Exams 2 V1 And V2 - 2026/2027
Update Actual Exam Questions With Verified
Answers, 100% Guaranteed Pass || Complete A+
Guide
The nurse is caring for a client who is 3 hrs post-op and who received hydromorphone IV 30 minutes ago for
severe pain. The nurse enters to the client's room and notes the most recent blood pressure reading of 88/56.
The client's respiratory rate it now 14 breaths/minute and pulse rate is 94 beats/minute. Which assessment
should the nurse complete next?
a. pupillary response to light
b. level of consciousness
c. orientation to person and place
d. deep tendon reflexes - Correct Answer :b. level of consciousness
P 1
, • MED SURG HESI 09/11/2026
Exams
* Hypotension is a common side effect of opiate analgesics, especially in association with cumulative effects of
other perioperative drugs. In addition to vital sign measurement, the nurse should also assess level of
consciousness (B) to ensure that the client is not extremely sedated. (A, C, and D) are additional neurologic
assessments, but level of consciousness should be assessed first.
A client admitted to the surgical unit with symptoms of a possible intestinal obstruction. When preparing to
insert a nasogastric (NG) tube, which intervention should the nurse implement?
a. assess for a gag reflex
b. elevate the head of the bed 60 to 90 degrees
c. administer a PRN analgesic
d. measure from corner of mouth to angle of jaw - Correct Answer :b. elevate the head of the bed 60 to 90
degrees
When a nurse is caring for a client with acute hypothyroidism, which serum laboratory value requires immediate
intervention?
a. Thyroxine (T4) 4 mcg/dl
b. Serum sodium 122 mEq/L
c. Serum potassium 3.5 mEq/L
d. Triiodothyronine (T3) level 0.8 mcg/dl - Correct Answer :b. serum sodium 122 mEq/L
A potential donor of corneal tissue for the eye bank has just died. The nurse enters the room with prescribed
antibiotic eye drops. What action should the nurse take next?
a. secure eye shields over the closed eyes after instilling the eye drops
b. instill the eyedrops before placing small ice packs over the closed eyes
c. reposition with the head flat and then instill the prescribed eye drops
P 2
, • MED SURG HESI 09/11/2026
Exams
d. withhold the eyedrops and apply sterile dressing over both closed eyes - Correct Answer :a. secure eye
shields over the closed eyes after instilling the eye drops
* The head of the bed should be elevated (A) to prevent pooling of blood related to the process of liver mortis,
so the nurse should continue with corneal care next, including instillation of prescribed antibiotic eyedrops and
the placement of small ice packs over the closed eyes (B). (C and D) do not include the measures necessary to
protect and preserve the corneas.
An older female client has been diagnosed with chronic venous insufficiency. To promote venous return, which
action should the nurse encourage the client to take?
a. drink 8 to 10 ounces of water a day.
b. lie down in bed 2 times a day
c. sit at the side of the bed for 15 minutes before standing
d. wear cotton socks and enclosed toe shoes whenever outside. - Correct Answer :b. lie down in bed 2 times a
day
* Elevating the legs by lying down will promote venous return from the legs back to the heart (B). (A) is
important to prevent clot formation, but it does not promote venous return. (C) helps relieve symptoms of
orthostatic hypotension. (D) reduces risk for injury, especially for diabetics, but is not helpful in promoting
venous return.
An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she
attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does
the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - Correct Answer :A) A carotid bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain attack. A bruit is an abnormal
sound heard on auscultation resulting from interference with normal blood flow. Usually the blood pressure is
P 3
, • MED SURG HESI 09/11/2026
Exams
hypertensive. Initially flaccid paralysis occurs, resulting in hyporefkexic deep tendon reflexes. Bowel sounds are
not indicative of a brain attack.
Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - Correct Answer :D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as well as difficulty reading
and writing. Symptoms vary from person to person. Aphasia may occur secondary to any brain injury involving
the left hemisphere. Visual field deficits, spatial-perceptual deficits, and paresthsia of the left side usually occur
with right-sided brain attack.
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what nursing intervention
should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. - Correct Answer :B) Explain that the
client will not be able to move her head throughout the CT scan.
Rationale: Because head motion will distort the images, Nancy will have to remain still throughout the
procedure. Allergies to iodine is important if contrast dye is being used for the CT scan. Premedicating the client
to decrease pain prior to the procedure is unnecessary because CT scanning is a noninvasive and painless
procedure. Providing an explanation of relaxation exercises prior to the procedure is a worthwhile intervention
to decrease anxiety but is not of highest priority.
P 4
