Med-Surg Final HESI Exam 2025 –
Complete Actual Questions with
Detailed Rationales (Top-Rated, Graded
& Revised)
Including Exam Questions
and Certified Answers, with
a 100% Guarantee of
Success
,Question 1
Prior to the administration of Mannitol the nurse should:
a. insert an indwelling urinary catheter
b. administer a barbituate
c. check an apical pulse
d. check BUN and creatine levels
Correct Answer
A. insert an indwelling catheter
Question 2
A nurse is assessing a patient diagnosed with a brain tumor. Which S/S would the nurse expect:
a. dysphagia
b. positive Homan's sign
c. vertigo
d. increased blood pressure
e. positive Babinski sign
Correct Answer
a. dysphagia
c. vertigo
e. positive babinksi sign
Question 3
The nurse is monitoring a patient with increased intracranial pressure (ICP). What assessment
change is the highest priority?
a. complains of headache
b. aphasia
c. slurring speech
d. constricted and nonreactive pupils
Correct Answer
d. constricted and nonreactive pupils
Question 4
A patient is having a blood transfusion reaction. What must the nurse do in order in priority first
to last?
1. notify the healthcare provider and blood bank
2. complete an appropriate documention
3. stop the transfusion
4.keep the IV open with normal saline infusion
Correct Answer
3, 4, 1, 2
Question 5
,Which respiratory pattern indicated intracranial pressure in the brain?
a. rapid, shallow respirations
b. nasal flaring
c. asymmetric chest excursion
d. slow, irregular respirations
Correct Answer
d. slow irregular respirations
Question 6
The nurse is caring for four patients. Which patient should the nurse assess first?
a. a 34 year old with non productive cough and oxygen saturation of 93%
b. a 42 year patient with the tibial cast and complains of itching
c. a 20 year old patient with complaints of severe headache and photophobia
d. a post surgical 55year old patient with complaints of 7/10 pain
Correct Answer
c. a 20 year old patient with complaints of severe headache and photophobia
Question 7
When communicating with a patient who has aphasia, which approach is helpful?
a. present one idea at the time
b. avoid writing messages
c. speak loudly
d. only use "yes and "no" questions
Correct Answer
a. present one idea at the time
Question 8
A patient with iron deficiency anemia is having trouble selecting food from the hospital menu.
Which foods should the nurse suggest to meet the patients needs for iron? select all that apply.
a. white rice
b. prunes
c. eggs
d. leafy green vegetables
e. red meat
Correct Answer
c. eggs
d. leafy green vegetables
e. red meat
Question 9
A nurse is assessing a patient and the following S/S are noted: pallor, jaundice, glossitis, fatigue
and weight loss. What should the nurse further assess?
, a. adventitious breath sounds
b. temperature of 98.6 F
c. oxygen saturation level of 95%
d. any s/s of paresthesia
Correct Answer
d. any s/s of paresthesia
Question 10
What is the name and function of cranial nerve II?
a. optic and central and peripheral vision
b. trochlear and eye movement
c. vagus and pain and temperature from ear
d. hypoglossal and skeletal muscles of the tongue
Correct Answer
a. optic and central and peripheral vision
Question 11
The nurse is assigned to care for a patient with complete right-sided hemiparesis from a stroke.
Which characteristics are associated with this condition? Select all that apply.
a. the patient is capable to ambulate independently
b. the patient has weakness on the right side of the face and tongue
c. the patient has weakness on the right side of the body
d. the patient has complete bilateral paralysis of the arms and legs
e. the patient is aphasic
Correct Answer
b. the patient has weakness on the right side of the face and tongue
c. the patient has weakness on the right side of the body
e. the patient is aphasic
Question 12
The patient with idiopathic thrombocytopenia purpura (ITP) asks the nurse why it is necessary to
take steroids. The nurse should base the response on which information?
a. steroids destroy the antibodies and prolong the life of platelets
b. steroids alter the spleens recognition of platelets and increase the life of platelets
c. steroids neutralize the antigens and prolong life of platelets
d. steroids increase phagocytosis and increase the life of platelets
Correct Answer
b. steroids alter the spleens recognition of platelets and increase the life of platelets
Question 13
Which is a common sign of PV (polycythemia vera)?
a. stasis ulcers
Complete Actual Questions with
Detailed Rationales (Top-Rated, Graded
& Revised)
Including Exam Questions
and Certified Answers, with
a 100% Guarantee of
Success
,Question 1
Prior to the administration of Mannitol the nurse should:
a. insert an indwelling urinary catheter
b. administer a barbituate
c. check an apical pulse
d. check BUN and creatine levels
Correct Answer
A. insert an indwelling catheter
Question 2
A nurse is assessing a patient diagnosed with a brain tumor. Which S/S would the nurse expect:
a. dysphagia
b. positive Homan's sign
c. vertigo
d. increased blood pressure
e. positive Babinski sign
Correct Answer
a. dysphagia
c. vertigo
e. positive babinksi sign
Question 3
The nurse is monitoring a patient with increased intracranial pressure (ICP). What assessment
change is the highest priority?
a. complains of headache
b. aphasia
c. slurring speech
d. constricted and nonreactive pupils
Correct Answer
d. constricted and nonreactive pupils
Question 4
A patient is having a blood transfusion reaction. What must the nurse do in order in priority first
to last?
1. notify the healthcare provider and blood bank
2. complete an appropriate documention
3. stop the transfusion
4.keep the IV open with normal saline infusion
Correct Answer
3, 4, 1, 2
Question 5
,Which respiratory pattern indicated intracranial pressure in the brain?
a. rapid, shallow respirations
b. nasal flaring
c. asymmetric chest excursion
d. slow, irregular respirations
Correct Answer
d. slow irregular respirations
Question 6
The nurse is caring for four patients. Which patient should the nurse assess first?
a. a 34 year old with non productive cough and oxygen saturation of 93%
b. a 42 year patient with the tibial cast and complains of itching
c. a 20 year old patient with complaints of severe headache and photophobia
d. a post surgical 55year old patient with complaints of 7/10 pain
Correct Answer
c. a 20 year old patient with complaints of severe headache and photophobia
Question 7
When communicating with a patient who has aphasia, which approach is helpful?
a. present one idea at the time
b. avoid writing messages
c. speak loudly
d. only use "yes and "no" questions
Correct Answer
a. present one idea at the time
Question 8
A patient with iron deficiency anemia is having trouble selecting food from the hospital menu.
Which foods should the nurse suggest to meet the patients needs for iron? select all that apply.
a. white rice
b. prunes
c. eggs
d. leafy green vegetables
e. red meat
Correct Answer
c. eggs
d. leafy green vegetables
e. red meat
Question 9
A nurse is assessing a patient and the following S/S are noted: pallor, jaundice, glossitis, fatigue
and weight loss. What should the nurse further assess?
, a. adventitious breath sounds
b. temperature of 98.6 F
c. oxygen saturation level of 95%
d. any s/s of paresthesia
Correct Answer
d. any s/s of paresthesia
Question 10
What is the name and function of cranial nerve II?
a. optic and central and peripheral vision
b. trochlear and eye movement
c. vagus and pain and temperature from ear
d. hypoglossal and skeletal muscles of the tongue
Correct Answer
a. optic and central and peripheral vision
Question 11
The nurse is assigned to care for a patient with complete right-sided hemiparesis from a stroke.
Which characteristics are associated with this condition? Select all that apply.
a. the patient is capable to ambulate independently
b. the patient has weakness on the right side of the face and tongue
c. the patient has weakness on the right side of the body
d. the patient has complete bilateral paralysis of the arms and legs
e. the patient is aphasic
Correct Answer
b. the patient has weakness on the right side of the face and tongue
c. the patient has weakness on the right side of the body
e. the patient is aphasic
Question 12
The patient with idiopathic thrombocytopenia purpura (ITP) asks the nurse why it is necessary to
take steroids. The nurse should base the response on which information?
a. steroids destroy the antibodies and prolong the life of platelets
b. steroids alter the spleens recognition of platelets and increase the life of platelets
c. steroids neutralize the antigens and prolong life of platelets
d. steroids increase phagocytosis and increase the life of platelets
Correct Answer
b. steroids alter the spleens recognition of platelets and increase the life of platelets
Question 13
Which is a common sign of PV (polycythemia vera)?
a. stasis ulcers
