HESI MED SURG PRACTICE TEST 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔The nurse is assisting a client out of bed for the first time after surgery. Which action
should the nurse do first? - ✔✔raise HOB to high-Fowler's
✔✔TRUE or FALSE?
An individual may select healthcare providers from outside of the PPO network. -
✔✔TRUE
✔✔TRUE or FALSE?
Soluble fibers helps reduce LDL cholesterol levels. - ✔✔TRUE, according to the
American Heart Association.
✔✔Does an IUD offer any protection from STDs? - ✔✔NO
✔✔A 32-year-old female client complains of severe abdominal pain each month before
her menstrual period, painful intercourse, and painful defecation. Which additional
history should the nurse obtain that is consistent with the client's complaints?
A - Frequent urinary tract infections.
B - Inability to get pregnant.
C - Premenstrual syndrome.
D - Chronic use of laxatives. - ✔✔B - Dysmenorrhea, dyspareunia, and difficulty or
painful defecation are common symptoms of endometriosis, which is the abnormal
displacement of endometrial tissue in the dependent areas of the pelvic peritoneum. A
history of infertility is another common finding associated with endometriosis.
✔✔A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which information
should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective treatment.
B - Calcium loss from bones can be slowed by increasing calcium intake and exercise.
C - Estrogen replacement therapy should be started to prevent the progression
osteoporosis.
D - Low-dose corticosteroid treatment effectively halts the course of osteoporosis. -
✔✔B - Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing
exercise can help prevent further bone loss.
✔✔What is amyotrophic lateral sclerosis (ALS)? - ✔✔A progressive nervous system
disease that affects nerve cells in the brain and spinal cord, causing loss of muscle
control.
Also called Lou Gehrig's disease.
Amyotrophic lateral sclerosis (ALS) is characterized by a degeneration of motor neurons
in the brainstem and spinal cord and is manifested by muscle weakness and wasting.
, What Stephen Hawking had.
✔✔The nurse formulates the nursing problem of urinary retention related to
sensorimotor deficit for a client with multiple sclerosis. Which nursing intervention
should the nurse implement?
A - Teach the client techniques of intermittent self-catheterization.
B - Decrease fluid intake to prevent over distention of the bladder.
C - Use incontinence briefs to maintain hygiene with urinary dribbling.
D - Explain that anticholinergic drugs will decrease muscle spasticity - ✔✔A - Bladder
control is a common problem for clients diagnosed with multiple sclerosis. A client with
urinary retention should receive instructions about self-catheterization to prevent
bladder distention.
✔✔A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg.
Which action should the nurse implement?
A - Position the head of the bed (HOB) flat.
B - Withhold intravenous fluids.
C - Administer a bolus of IV fluids.
D - Give an antihypertensive medication. - ✔✔D - Most ischemic strokes occur during
sleep when baseline blood pressure declines or blood viscosity increases due to
minimal fluid intake. Completed strokes usually produce neurologic deficits within an
hour, and the client's current elevated blood pressure requires antihypertensive
medication.
✔✔A client with a 16-year history of diabetes mellitus is having renal function tests
because of recent fatigue, weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse conclude as an early symptom of renal
insufficiency?
A - Dyspnea.
B - Nocturia.
C - Confusion.
D - Stomatitis. - ✔✔As the glomerular filtration rate decreases in early renal
insufficiency, metabolic waste products, including urea, creatinine, and other
substances, such as phenols, hormones, and electrolytes, accumulate in the blood. In
the early stage of renal insufficiency, polyuria results from the inability of the kidneys to
concentrate urine and contributes to nocturia.
✔✔What is a PEG tube? - ✔✔Percutaneous endoscopic gastrostomy (PEG) tube
The tube allows you to receive nutrition directly through your stomach. This type of
feeding is also known as enteral feeding or enteral nutrition.
✔✔What is myeloma? - ✔✔cancer of plasma cells
✔✔The nurse is planning care to prevent complications for a client with multiple
myeloma. Which intervention is most important for the nurse to include?
SOLUTIONS GRADED A+
✔✔The nurse is assisting a client out of bed for the first time after surgery. Which action
should the nurse do first? - ✔✔raise HOB to high-Fowler's
✔✔TRUE or FALSE?
An individual may select healthcare providers from outside of the PPO network. -
✔✔TRUE
✔✔TRUE or FALSE?
Soluble fibers helps reduce LDL cholesterol levels. - ✔✔TRUE, according to the
American Heart Association.
✔✔Does an IUD offer any protection from STDs? - ✔✔NO
✔✔A 32-year-old female client complains of severe abdominal pain each month before
her menstrual period, painful intercourse, and painful defecation. Which additional
history should the nurse obtain that is consistent with the client's complaints?
A - Frequent urinary tract infections.
B - Inability to get pregnant.
C - Premenstrual syndrome.
D - Chronic use of laxatives. - ✔✔B - Dysmenorrhea, dyspareunia, and difficulty or
painful defecation are common symptoms of endometriosis, which is the abnormal
displacement of endometrial tissue in the dependent areas of the pelvic peritoneum. A
history of infertility is another common finding associated with endometriosis.
✔✔A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which information
should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective treatment.
B - Calcium loss from bones can be slowed by increasing calcium intake and exercise.
C - Estrogen replacement therapy should be started to prevent the progression
osteoporosis.
D - Low-dose corticosteroid treatment effectively halts the course of osteoporosis. -
✔✔B - Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing
exercise can help prevent further bone loss.
✔✔What is amyotrophic lateral sclerosis (ALS)? - ✔✔A progressive nervous system
disease that affects nerve cells in the brain and spinal cord, causing loss of muscle
control.
Also called Lou Gehrig's disease.
Amyotrophic lateral sclerosis (ALS) is characterized by a degeneration of motor neurons
in the brainstem and spinal cord and is manifested by muscle weakness and wasting.
, What Stephen Hawking had.
✔✔The nurse formulates the nursing problem of urinary retention related to
sensorimotor deficit for a client with multiple sclerosis. Which nursing intervention
should the nurse implement?
A - Teach the client techniques of intermittent self-catheterization.
B - Decrease fluid intake to prevent over distention of the bladder.
C - Use incontinence briefs to maintain hygiene with urinary dribbling.
D - Explain that anticholinergic drugs will decrease muscle spasticity - ✔✔A - Bladder
control is a common problem for clients diagnosed with multiple sclerosis. A client with
urinary retention should receive instructions about self-catheterization to prevent
bladder distention.
✔✔A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg.
Which action should the nurse implement?
A - Position the head of the bed (HOB) flat.
B - Withhold intravenous fluids.
C - Administer a bolus of IV fluids.
D - Give an antihypertensive medication. - ✔✔D - Most ischemic strokes occur during
sleep when baseline blood pressure declines or blood viscosity increases due to
minimal fluid intake. Completed strokes usually produce neurologic deficits within an
hour, and the client's current elevated blood pressure requires antihypertensive
medication.
✔✔A client with a 16-year history of diabetes mellitus is having renal function tests
because of recent fatigue, weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse conclude as an early symptom of renal
insufficiency?
A - Dyspnea.
B - Nocturia.
C - Confusion.
D - Stomatitis. - ✔✔As the glomerular filtration rate decreases in early renal
insufficiency, metabolic waste products, including urea, creatinine, and other
substances, such as phenols, hormones, and electrolytes, accumulate in the blood. In
the early stage of renal insufficiency, polyuria results from the inability of the kidneys to
concentrate urine and contributes to nocturia.
✔✔What is a PEG tube? - ✔✔Percutaneous endoscopic gastrostomy (PEG) tube
The tube allows you to receive nutrition directly through your stomach. This type of
feeding is also known as enteral feeding or enteral nutrition.
✔✔What is myeloma? - ✔✔cancer of plasma cells
✔✔The nurse is planning care to prevent complications for a client with multiple
myeloma. Which intervention is most important for the nurse to include?
