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HESI RN Advanced Medical-Surgical 2025 — Study Guide,
Practice Questions & Nursing Exam Prep
Prepare for the HESI RN Advanced Medical-Surgical Exam 2025 with a complete study
guide, practice questions, and review materials. Master essential complex medical-surgical
nursing concepts, critical care, pharmacology, patient assessment, and clinical reasoning
skills to excel in your HESI RN Advanced Med-Surg exam and boost your nursing success.
HESI RN Advanced Medical-Surgical 2025
• HESI Med-Surg exam study guide
• Advanced medical-surgical nursing practice test
• HESI RN Med-Surg review 2025
1. A patient scheduled for an elective hysterectomy tells the nurse, I am afraid that I will die in
surgery like my mother did! Which initial response would the nurse provide?
a.Tell me more about what happened to your mother.
b.Surgical techniques have improved in recent years.
c.You will receive medication to reduce your anxiety.
d.You should talk to the doctor again about the surgery. - ANSWER-a.Tell me more about what
happened to your mother.
2. A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general
anesthesia. Which information requires the nurse's intervention to maintain patient safety?
a.The patient has never had general anesthesia.
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b.The patient is planning to drive home after surgery.
c.The patient drank a sip of water 4 hours before arriving.
d.The patient's insurance does not cover outpatient surgery - ANSWER-b.The patient is planning
to drive home after surgery.
3. The nurse is preparing to witness the patient signing the preoperative consent form when
patient says, I don't understand what the doctor said about the surgery. Which action would the
nurse take?
a.Provide a thorough explanation of the planned surgical procedure.
b.Notify the Surgeon that the informed consent process is not complete.
c.Give The Prescribed preoperative antibiotics and withhold sedative medications.
d.Notify The Operating room nurse to give a complete explanation of the procedure. - ANSWER-
b.Notify the Surgeon that the informed consent process is not complete.
4. Which topic would the nurse discuss preoperatively with a patient who is scheduled for an
open cholecystectomy?
a.Care for the surgical incision
b.Deep breathing and coughing
c.Oral antibiotic therapy after discharge
d.Medications to be used during surgery - ANSWER-b.Deep breathing and coughing
5. The nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia
repair. Which information is important to communicate to the surgeon and anesthesiologist
before surgery?
a.The patient drinks 3 cups of coffee every day.
b.The patient stopped taking aspirin 10 days ago.
c.The patient's father died after general anesthesia for surgery.
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d.The patient drank apple juice 6 hours before coming to the hospital. - ANSWER-c.The patient's
father died after general anesthesia for surgery.
6. A patient who takes a diuretic and a -blocker to control blood pressure is scheduled for breast
reconstruction surgery. Which patient information is important to communicate to the health
care provider before surgery?
a.Hematocrit 36%
b.Blood pressure 144/82
c.Serum potassium 3.2 mEq/L
d.Pulse rate 54-58 beats/minute - ANSWER-c.Serum potassium 3.2 mEq/L
27.An unconscious patient has just arrived in the emergency department with a head injury
caused by a motorcycle crash. Which planned intervention by the health care provider would
the nurse question?
a. Obtain xrays of the skull and spine.
B. Prepare the patient for lumbar puncture.
C. Send for computed tomography (CT) scan.
D. Perform neurologic checks every 15 minutes. - ANSWER-B. Prepare the patient for lumbar
puncture.
28. The charge nurse is observing a new nurse who is assessing a patient with a traumatic spinal
cord injury for sensation. Which action by the new nurse indicates the need for further teaching
about neurologic assessment?
a. Tests for light touch before testing for pain.
B. Has the patient close the eyes during testing.
C. Asks the patient if the instrument feels sharp.
D. Uses an irregular pattern to test for intact touch. - ANSWER-C. Asks the patient if the
instrument feels sharp.
HESI RN Advanced Medical-Surgical 2025 — Study Guide,
Practice Questions & Nursing Exam Prep
Prepare for the HESI RN Advanced Medical-Surgical Exam 2025 with a complete study
guide, practice questions, and review materials. Master essential complex medical-surgical
nursing concepts, critical care, pharmacology, patient assessment, and clinical reasoning
skills to excel in your HESI RN Advanced Med-Surg exam and boost your nursing success.
HESI RN Advanced Medical-Surgical 2025
• HESI Med-Surg exam study guide
• Advanced medical-surgical nursing practice test
• HESI RN Med-Surg review 2025
1. A patient scheduled for an elective hysterectomy tells the nurse, I am afraid that I will die in
surgery like my mother did! Which initial response would the nurse provide?
a.Tell me more about what happened to your mother.
b.Surgical techniques have improved in recent years.
c.You will receive medication to reduce your anxiety.
d.You should talk to the doctor again about the surgery. - ANSWER-a.Tell me more about what
happened to your mother.
2. A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general
anesthesia. Which information requires the nurse's intervention to maintain patient safety?
a.The patient has never had general anesthesia.
,2|Page
b.The patient is planning to drive home after surgery.
c.The patient drank a sip of water 4 hours before arriving.
d.The patient's insurance does not cover outpatient surgery - ANSWER-b.The patient is planning
to drive home after surgery.
3. The nurse is preparing to witness the patient signing the preoperative consent form when
patient says, I don't understand what the doctor said about the surgery. Which action would the
nurse take?
a.Provide a thorough explanation of the planned surgical procedure.
b.Notify the Surgeon that the informed consent process is not complete.
c.Give The Prescribed preoperative antibiotics and withhold sedative medications.
d.Notify The Operating room nurse to give a complete explanation of the procedure. - ANSWER-
b.Notify the Surgeon that the informed consent process is not complete.
4. Which topic would the nurse discuss preoperatively with a patient who is scheduled for an
open cholecystectomy?
a.Care for the surgical incision
b.Deep breathing and coughing
c.Oral antibiotic therapy after discharge
d.Medications to be used during surgery - ANSWER-b.Deep breathing and coughing
5. The nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia
repair. Which information is important to communicate to the surgeon and anesthesiologist
before surgery?
a.The patient drinks 3 cups of coffee every day.
b.The patient stopped taking aspirin 10 days ago.
c.The patient's father died after general anesthesia for surgery.
, 3|Page
d.The patient drank apple juice 6 hours before coming to the hospital. - ANSWER-c.The patient's
father died after general anesthesia for surgery.
6. A patient who takes a diuretic and a -blocker to control blood pressure is scheduled for breast
reconstruction surgery. Which patient information is important to communicate to the health
care provider before surgery?
a.Hematocrit 36%
b.Blood pressure 144/82
c.Serum potassium 3.2 mEq/L
d.Pulse rate 54-58 beats/minute - ANSWER-c.Serum potassium 3.2 mEq/L
27.An unconscious patient has just arrived in the emergency department with a head injury
caused by a motorcycle crash. Which planned intervention by the health care provider would
the nurse question?
a. Obtain xrays of the skull and spine.
B. Prepare the patient for lumbar puncture.
C. Send for computed tomography (CT) scan.
D. Perform neurologic checks every 15 minutes. - ANSWER-B. Prepare the patient for lumbar
puncture.
28. The charge nurse is observing a new nurse who is assessing a patient with a traumatic spinal
cord injury for sensation. Which action by the new nurse indicates the need for further teaching
about neurologic assessment?
a. Tests for light touch before testing for pain.
B. Has the patient close the eyes during testing.
C. Asks the patient if the instrument feels sharp.
D. Uses an irregular pattern to test for intact touch. - ANSWER-C. Asks the patient if the
instrument feels sharp.
