HESI RN MEDICAL SURGICAL EXAM PACK 2026/2027 QUESTIONS AND ANSWERS

HESI RN MEDICAL SURGICAL EXAM
PACK 2026/2027 QUESTIONS AND
ANSWERS
AnRERRnurseRisRcompletingRanRassessmentRonRaRpatientRthatRisRalertRbutRstrugglesRtoRanswerRquest
ions.RWhenRsheRattemptsRtoRtalk,RsheRslursRherRspeechRandRappearsRveryRfrightened.RWhatRadditio
nalRclinicalRmanifestationRdoesRtheRnurseRexpectRtoRfindRifRnacy'sRsysmptomsRhaveRbeenRcausedRb
yRaRbrainRattackR(stroke)?



A.RARcarotidRbruit

B.RARhypotensiveRbloodRpressure

C.RhyperreflexicRdeepRtendonRrelexes.

D.RDecreasedRbowelRsoundsR-RCORRECTRANSWERA)RARcarotidRbruit.



Rationale:RtheRcarotidRarteryR(arteryRtoRtheRbrain)RisRnarrowedRinRclientsRwithRaRbrainRattack.RARbru
itRisRanRabnormalRsoundRheardRonRauscultationRresultingRfromRinterferenceRwithRnormalRbloodRflo
w.RUsuallyRtheRbloodRpressureRisRhypertensive.RInitiallyRflaccidRparalysisRoccurs,RresultingRinRhypor
efkexicRdeepRtendonRreflexes.RBowelRsoundsRareRnotRindicativeRofRaRbrainRattack.



WhichRclinicalRmanifestationRfurtherRsupportsRanRassessmentRofRaRleft-sidedRbrainRattack?



A)RVisualRfieldRdeficitRonRtheRleftRside.

B)RSpatial-perceptualRdeficits.

C)RParesthesiaRofRtheRleftRside.

D)RGlobalRaphasia.

D)RGlobalRaphasia.R-RCORRECTRANSWERD)RGlobalRaphasia.



Rationale:RGlobalRaphasiaRrefersRtoRdifficultyRspeaking,Rlistening,RandRunderstanding,RasRwellRasRdi
fficultyRreadingRandRwriting.RSymptomsRvaryRfromRpersonRtoRperson.RAphasiaRmayRoccurRsecondar

,yRtoRanyRbrainRinjuryRinvolvingRtheRleftRhemisphere.RVisualRfieldRdeficits,Rspatial-
perceptualRdeficits,RandRparesthsiaRofRtheRleftRsideRusuallyRoccurRwithRright-sidedRbrainRattack.



WhenRpreparingRaRpatientRforRaRnoncontrastRcomputedRtomographyR(CT)RscanRSTAT,RwhatRnursing
RinterventionRshouldRtheRnurseRimplement?




A)RDetermineRifRtheRclientRhasRanyRallergiesRtoRiodine

B)RExplainRthatRtheRclientRwillRnotRbeRableRtoRmoveRherRheadRthroughoutRtheRCTRscan.

C)RPremedicateRtheRclientRtoRdecreaseRpainRpriorRtoRhavingRtheRprocedure.

D)RProvideRanRexplanationRofRrelaxationRexercisesRpriorRtoRtheRprocedure.R-
RCORRECTRANSWERB)RExplainRthatRtheRclientRwillRnotRbeRableRtoRmoveRherRheadRthroughoutRtheRC


TRscan.



Rationale:RBecauseRheadRmotionRwillRdistortRtheRimages,RNancyRwillRhaveRtoRremainRstillRthrougho
utRtheRprocedure.RAllergiesRtoRiodineRisRimportantRifRcontrastRdyeRisRbeingRusedRforRtheRCTRscan.RPr
emedicatingRtheRclientRtoRdecreaseRpainRpriorRtoRtheRprocedureRisRunnecessaryRbecauseRCTRscanni
ngRisRaRnoninvasiveRandRpainlessRprocedure.RProvidingRanRexplanationRofRrelaxationRexercisesRprio
rRtoRtheRprocedureRisRaRworthwhileRinterventionRtoRdecreaseRanxietyRbutRisRnotRofRhighestRpriority.



ARneurologistRprescribesRaRmagneticRresonanceRimagingR(MRI)RofRtheRheadRSTATRforRaRpatient.RWh
ichRdataRwarrantsRimmediateRinterventionRbyRtheRnurseRconcerningRthisRdiagnosticRtest?



A)RElevatedRbloodRpressure.

B)RAllergyRtoRshellRfish.

C)RRightRhipRreplacement.

D)RHistoryRofRatrialRfibrillation.R-RCORRECTRANSWERC)RRightRhipRreplacement.



TheRmagneticRfieldRgeneratedRbyRtheRMRIRisRsoRstrongRthatRmetal-
containingRitemsRareRstronglyRattractedRtoRtheRmagnet.RBecauseRtheRhipRjointRisRmadeRofRmetal,RaR

,leadRshieldRmustRbeRusedRduringRtheRprocedure.RElevatedRbloodRpressure,RanRallergyRtoRshellRfish,R
andRaRhistoryRofRatrialRfibrillationRwouldRnotRaffectRtheRMRI.



ARclient'sRdaughterRisRsittingRbyRherRmother'sRbedsideRwhoRwasRrecentlyRtransferredRtoRtheRInterm
ediateRCareRUnit.RSheRstatesR"IRdon'tRunderstandRwhatRaRbrainRattackRis.RTheRhealthcareRproviderRt
oldRmeRmyRmotherRisRinRseriousRconditionRandRtheyRareRgoingRtoRrunRseveralRtests.RIRjustRdon'tRkno
wRwhatRisRgoingRon.RWhatRhappenedRtoRmyRmother?"RWhatRisRtheRbestRresponseRbyRtheRnurse?



A)R"IRamRsorry,RbutRaccordingRtoRtheRHealthRInsuranceRPortabilityRandRAccountingRActR(HIPAA),RIRca
nnotRgiveRyouRanyRinformation."

B)R"YourRmotherRhasRhadRaRstroke,RandRtheRbloodRsupplyRtoRtheRbrainRhasRbeenRblocked."

C)R"HowRdoRyouRfeelRaboutRwhatRtheRhealthcareRproviderRsaid?"

D)R"IRwillRcallRtheRhealthcareRproviderRsoRhe/sheRcanRtalkRtoRyouRaboutRyourRmother'sRseriousRcon
dition."R-
RCORRECTRANSWERB)R"YourRmotherRhasRhadRaRstroke,RandRtheRbloodRsupplyRtoRtheRbrainRhasRbee


nRblocked."



Rationale:RTheRnurseRcanRdiscussRwhatRaRdiagnosisRmeans.RNancyRisRunableRtoRmakeRdecisions,RsoR
theRnextRofRkin,RherRdaughter,RGail,RneedsRsufficientRinformationRtoRmakeRinformedRdecisions.RThe
RnurseRhasRtheRknowledge,RandRtheRresponsibility,RtoRexplainRNancy'sRconditionRtoRGail.RTheRnurseR


shouldRgiveRfactsRfirst,RandRthenRaddressRherRfeelingsRafterRtheRinformationRisRprovided.



WhatRisRtheRnormalRrangeRforRcardiacRoutput?R-
RCORRECTRANSWERTheRnormalRrangeRforRcardiacRoutputRtoRensureRcerebralRbloodRflowRandRoxyg


enRdeliveryRisR4RtoR8RL/min.



ARclientRwasRadmittedRwithRtheRdiagnosisRofRaRbrainRattack.RTheirRsymptomsRbeganR24RhoursRbefor
eRbeingRadmitted.RWhyRwouldRthisRclientRnotRbeRaRcandidateRforRforRthrombolyticRtherapy?R-
RCORRECTRANSWERThrombolyticRtherapyRisRcontraindicatedRinRclientsRwithRsymptomRonsetRlonge


rRthanR3RhoursRpriorRtoRadmission.RThisRclientRhadRsymptomsRforR24RhoursRbeforeRbeingRbroughtRt
oRtheRmedicalRcenter

, WhatRareRplateRguards?R-
RCORRECTRANSWERPlateRguardsRpreventRfoodRfromRbeingRpushedRoffRtheRplate.RUsingRplateRguar


dsRandRotherRassistiveRdevicesRwillRencourageRindependenceRinRaRclientRwithRaRself-careRdeficit.



WhichRconditionRisRconsideredRaRnon-modifiableRriskRfactorRforRaRbrainRattack?



A)RHighRcholesterolRlevels.

B)RObesity.

C)RHistoryRofRatrialRfibrillation.

D)RAdvancedRage.R-RCORRECTRANSWERD)RAdvancedRage.



Rationale:RPeopleRoverRageR55RareRaRhigh-
riskRgroupRforRaRbrainRattackRbecauseRtheRincidenceRofRstrokeRmoreRthanRdoublesRinReachRsuccessi
veRdecadeRofRlife.RNon-
modifiableRmeansRtheRclientRcannotRdoRanythingRtoRchangeRtheRriskRfactor.RAllRtheRotherRoptionsRa
reRmodifiableRriskRfactors.



ARclientRisRexperiencingRhomonymousRhemianopsiaRasRtheRresultRofRaRbrainRattack.RWhichRnursing
RinterventionRwouldRtheRnurseRimplementRtoRaddressRthisRcondition?




A)RTurnRNancyReveryRtwoRhoursRandRperformRactiveRrangeRofRmotionRexercises.

B)RPlaceRtheRobjectsRNancyRneedsRforRactivitiesRofRdailyRlivingRonRtheRleftRsideRofRtheRtable.

C)RSpeakRslowlyRandRclearlyRtoRassistRNancyRinRformingRsoundsRtoRwords.

D)RRequestRthatRtheRdietaryRdepartmentRthickenRallRliquidsRonRNancy'sRmealRandRsnackRtrays.R-
RCORRECTRANSWERB)RPlaceRtheRobjectsRNancyRneedsRforRactivitiesRofRdailyRlivingRonRtheRleftRsideR


ofRtheRtable.