HESI MED-SURG EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
Which method elicits the most accurate information during a physical
assessment of an older client? ( correct answers ) Use reliable
assessment tools for older adults
A client who has just tested positive for HIV does not appear to hear what the
nurse is saying during post-test counseling. Which information should the
nurse offer to facilitate the client's adjustment to HIV infection? ( correct
answers ) Discuss retesting to verify the results, which will ensure
continuing contact and give the patient support and hope, as well as time to
cope
The nurse is caring for a client with HIV who develops Mycobacterium avium
complex. What is the most significant desired outcome for this patient?
( correct answers ) Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting syndrome so
adequate nutrition and return to pre-illness weight is priority
A client who had abdominal surgery two days ago has prescriptions for IV
morphine sulfate 4 mg every 2 hours and clear liquid diet. Client complains
of feeling distended and has sharp, cramping gas pains. What nursing
intervention should be implemented? ( correct answers ) Assist the client
to ambulate in the hall
GRADED A+
,A client with Meniere's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing
intervention should the nurse implement? ( correct answers ) Turn off the
television and darken the room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns to the unit
after a bronchoscopy. What nursing interventions should be implemented in
the immediate post-procedural period? ( correct answers ) NPO until gag
reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized and
bronchoscope is coated with lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place who
is breathing spontaneously. To evaluate if the client can tolerate cuff
deflation to promote speaking and swallowing, what action should the nurse
implement? ( correct answers ) Observe the client for coughing colored
sputum after drinking a small amount of colored water
What assessment finding should the nurse identify that indicates a client
with an acute asthma exacerbation is beginning to improve after treatment?
( correct answers ) Wheezing becomes louder as airways (that were initially
so restricted wheezing was absent) successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain and
the diagnosis is sickle cell crisis. What is the most important nursing action
to implement? ( correct answers ) Evaluate the effectiveness of narcotic
analgesics because pain management is priority for patient during sickle cell
crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who is
receiving chemotherapy. Lab results reveal platelet count of 10,000/mL.
What action should the nurse implement? ( correct answers ) Check stools
for occult blood because platelets less than 100,000/mL are indicative of
thrombocytopenia (a common side effect of chemotherapy)
GRADED A+
, A client is admitted for complaints of chest pain and aching for the past 4
days. The results for serum creatinine kinase-MB (CK-MB) and troponin levels
are obtained. What rationale should the nurse use to evaluate lab findings?
( correct answers ) Myocardial damage that occurred several days early is
best validated by serum troponin levels.
**CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks
the nurse how this device will help him. How should the nurse explain the
action of a synchronous pacemaker? ( correct answers ) An electrical
stimulus is discharged when no ventricular response is sensed.
Synchronous - impulse generated on demand or as needed according to
patient intrinsic rhythm
A man who smokes two packs of cigarettes a day wants to know if smoking
is contributing to the difficulty that he and his wife are having getting
pregnant. What information is best for the nurse to provide? ( correct
answers ) Smoking can decrease quantity and quality of sperm
The first semen analysis should be repeated to confirm sperm counts
Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching
plan? ( correct answers ) Report inflammation of the incision site or
affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for
midazolam (Versed) IV. The nurse determines that the surgical consent form
needs to be signed by the client. Which action should the nurse implement?
( correct answers ) Withhold the drug until the client validates
understanding of the surgical procedure and signs the consent form.
The HCP should explain procedure to client before arriving to the
preoperative area
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
Which method elicits the most accurate information during a physical
assessment of an older client? ( correct answers ) Use reliable
assessment tools for older adults
A client who has just tested positive for HIV does not appear to hear what the
nurse is saying during post-test counseling. Which information should the
nurse offer to facilitate the client's adjustment to HIV infection? ( correct
answers ) Discuss retesting to verify the results, which will ensure
continuing contact and give the patient support and hope, as well as time to
cope
The nurse is caring for a client with HIV who develops Mycobacterium avium
complex. What is the most significant desired outcome for this patient?
( correct answers ) Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting syndrome so
adequate nutrition and return to pre-illness weight is priority
A client who had abdominal surgery two days ago has prescriptions for IV
morphine sulfate 4 mg every 2 hours and clear liquid diet. Client complains
of feeling distended and has sharp, cramping gas pains. What nursing
intervention should be implemented? ( correct answers ) Assist the client
to ambulate in the hall
GRADED A+
,A client with Meniere's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing
intervention should the nurse implement? ( correct answers ) Turn off the
television and darken the room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns to the unit
after a bronchoscopy. What nursing interventions should be implemented in
the immediate post-procedural period? ( correct answers ) NPO until gag
reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized and
bronchoscope is coated with lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place who
is breathing spontaneously. To evaluate if the client can tolerate cuff
deflation to promote speaking and swallowing, what action should the nurse
implement? ( correct answers ) Observe the client for coughing colored
sputum after drinking a small amount of colored water
What assessment finding should the nurse identify that indicates a client
with an acute asthma exacerbation is beginning to improve after treatment?
( correct answers ) Wheezing becomes louder as airways (that were initially
so restricted wheezing was absent) successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain and
the diagnosis is sickle cell crisis. What is the most important nursing action
to implement? ( correct answers ) Evaluate the effectiveness of narcotic
analgesics because pain management is priority for patient during sickle cell
crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who is
receiving chemotherapy. Lab results reveal platelet count of 10,000/mL.
What action should the nurse implement? ( correct answers ) Check stools
for occult blood because platelets less than 100,000/mL are indicative of
thrombocytopenia (a common side effect of chemotherapy)
GRADED A+
, A client is admitted for complaints of chest pain and aching for the past 4
days. The results for serum creatinine kinase-MB (CK-MB) and troponin levels
are obtained. What rationale should the nurse use to evaluate lab findings?
( correct answers ) Myocardial damage that occurred several days early is
best validated by serum troponin levels.
**CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks
the nurse how this device will help him. How should the nurse explain the
action of a synchronous pacemaker? ( correct answers ) An electrical
stimulus is discharged when no ventricular response is sensed.
Synchronous - impulse generated on demand or as needed according to
patient intrinsic rhythm
A man who smokes two packs of cigarettes a day wants to know if smoking
is contributing to the difficulty that he and his wife are having getting
pregnant. What information is best for the nurse to provide? ( correct
answers ) Smoking can decrease quantity and quality of sperm
The first semen analysis should be repeated to confirm sperm counts
Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching
plan? ( correct answers ) Report inflammation of the incision site or
affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for
midazolam (Versed) IV. The nurse determines that the surgical consent form
needs to be signed by the client. Which action should the nurse implement?
( correct answers ) Withhold the drug until the client validates
understanding of the surgical procedure and signs the consent form.
The HCP should explain procedure to client before arriving to the
preoperative area
GRADED A+
