HESI Med Surg V1v2v3 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the priority nursing action when a patient develops sudden shortness of breath and low
oxygen saturation after surgery?
✔✔Raise the head of the bed and apply oxygen
What is the most important assessment before administering digoxin?
✔✔Check the patient’s apical pulse for one full minute
What is the priority intervention for a patient experiencing signs of hypoglycemia?
✔✔Provide a quick source of glucose
What is the first action if a patient receiving a blood transfusion reports chills and fever?
✔✔Stop the transfusion immediately
What is the most important action when caring for a patient with a chest tube that has become
disconnected from the drainage system?
1
,✔✔Place the tube end in sterile water
What is the priority action for a patient with a suspected stroke who is drooling and has difficulty
swallowing?
✔✔Keep the patient NPO
What is the most important lab to monitor for a patient receiving loop diuretics?
✔✔Potassium level
What is the correct action when a patient reports sudden severe abdominal pain after gastric
surgery?
✔✔Notify the healthcare provider immediately
What is the most important step before suctioning a patient’s airway?
✔✔Pre-oxygenate the patient
What is the first action if a patient with a tracheostomy accidentally dislodges the tube and
cannot breathe?
2
,✔✔Call for help and insert a new tracheostomy tube if available
What is the priority action for a patient with a blood pressure of 80/50 and signs of shock?
✔✔Place the patient in a supine position and start fluid resuscitation
What is the best intervention for a patient with constipation after surgery?
✔✔Encourage fluids, fiber, and ambulation
What is the initial action for a patient with an oxygen saturation of 84% on room air?
✔✔Apply supplemental oxygen
What is the most important teaching for a patient taking warfarin?
✔✔Avoid sudden changes in dietary vitamin K intake
What is the safest way to move a patient with spinal cord injury from bed to stretcher?
✔✔Use log-rolling technique
What is the most important lab value to monitor for a patient with liver cirrhosis and ascites?
3
, ✔✔Serum albumin level
What is the correct nursing action for a patient with continuous bladder irrigation when output is
less than input?
✔✔Check for kinks or clots in the catheter tubing
What is the priority intervention for a patient with COPD who becomes increasingly drowsy and
has shallow respirations?
✔✔Notify the healthcare provider immediately
What is the main nursing action when caring for a patient with neutropenia?
✔✔Implement infection control precautions
What is the priority nursing action for a patient with chest pain unrelieved by nitroglycerin?
✔✔Activate emergency response
What is the correct response when a patient with diabetes reports numbness in the feet?
✔✔Perform a foot assessment
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the priority nursing action when a patient develops sudden shortness of breath and low
oxygen saturation after surgery?
✔✔Raise the head of the bed and apply oxygen
What is the most important assessment before administering digoxin?
✔✔Check the patient’s apical pulse for one full minute
What is the priority intervention for a patient experiencing signs of hypoglycemia?
✔✔Provide a quick source of glucose
What is the first action if a patient receiving a blood transfusion reports chills and fever?
✔✔Stop the transfusion immediately
What is the most important action when caring for a patient with a chest tube that has become
disconnected from the drainage system?
1
,✔✔Place the tube end in sterile water
What is the priority action for a patient with a suspected stroke who is drooling and has difficulty
swallowing?
✔✔Keep the patient NPO
What is the most important lab to monitor for a patient receiving loop diuretics?
✔✔Potassium level
What is the correct action when a patient reports sudden severe abdominal pain after gastric
surgery?
✔✔Notify the healthcare provider immediately
What is the most important step before suctioning a patient’s airway?
✔✔Pre-oxygenate the patient
What is the first action if a patient with a tracheostomy accidentally dislodges the tube and
cannot breathe?
2
,✔✔Call for help and insert a new tracheostomy tube if available
What is the priority action for a patient with a blood pressure of 80/50 and signs of shock?
✔✔Place the patient in a supine position and start fluid resuscitation
What is the best intervention for a patient with constipation after surgery?
✔✔Encourage fluids, fiber, and ambulation
What is the initial action for a patient with an oxygen saturation of 84% on room air?
✔✔Apply supplemental oxygen
What is the most important teaching for a patient taking warfarin?
✔✔Avoid sudden changes in dietary vitamin K intake
What is the safest way to move a patient with spinal cord injury from bed to stretcher?
✔✔Use log-rolling technique
What is the most important lab value to monitor for a patient with liver cirrhosis and ascites?
3
, ✔✔Serum albumin level
What is the correct nursing action for a patient with continuous bladder irrigation when output is
less than input?
✔✔Check for kinks or clots in the catheter tubing
What is the priority intervention for a patient with COPD who becomes increasingly drowsy and
has shallow respirations?
✔✔Notify the healthcare provider immediately
What is the main nursing action when caring for a patient with neutropenia?
✔✔Implement infection control precautions
What is the priority nursing action for a patient with chest pain unrelieved by nitroglycerin?
✔✔Activate emergency response
What is the correct response when a patient with diabetes reports numbness in the feet?
✔✔Perform a foot assessment
4
