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HESI MED-SURG 3 EXAM NEWEST 2026 ACTUAL EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026
Diffusing anger in the ED - CORRECT ANSWER Self safety is PRIORITY
gunfire- protect self
separate feuding individuals explains activities, eliminate triggers.
QUESTION : Heat Stroke ** - CORRECT ANSWER Priority action:
*Lower body temperature; O2, fluids, cool towel, cool bath (NO ICE BATH)
elevate feet
+HR, +temp, confusion, headache, anxiety, cramps, gooseflesh, HOT,DRY skin,
NO sweating
QUESTION : Alcoholic- first assessment - CORRECT ANSWER CAGE:
Cut, Annoyed, Guilty, Eye-opener.
Assess: psych, w/drawal.
Mgt: blood glucose, benzo, barbiturate, seizure precautions.
Let them sleep if calm-
not calm- benzo's-
check on patient regularly for - LOC
Blood glucose range: 70-110
QUESTION : Non-fatal drowning ** - CORRECT ANSWER Priority:
manage hypoxia, acidosis and hypothermia > airway, oxygen
2026 2027 GRADED A+
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Management: CPR, core temp (rectal) rewarming procedures during CPR,
trach/PEEP, O2
Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating gastric contents.
Monitor: ECG, ICP, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
QUESTION : Serum Electrolytes - CORRECT ANSWER * Mg+ 1.5-2.5
* Phos 2.5-4.5
* K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
QUESTION : Bite Priority - CORRECT ANSWER Human bite: know what
to do first with a human bite!
Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items, providing warmth, cleansing
the wound, covering the wound with a light sterile dressing, and immobilizing
the injured body part below the level of the heart.
CABs (Circulation, Airway Breathing)
2026 2027 GRADED A+
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NO: Ice, incision and suction, or a tourniquet
Tetanus and analgesia should be given as necessary.
Meds: FabAV or CroFAb: no limit on how much to give
S&S: necrosis, edema, ecchymosis
Tick: remove with tweezers, straight up pull, (try to get close to skin as possible)
S&S: bulls eye rash
QUESTION : Poisoning in the house - CORRECT ANSWER Carbon
Monoxide: 100% O2 Atmospheric/hyperbaric chamber
Ingested Poison: ABC, Call poison control, try to describe what was ingested
Charcoal: most effective, Do not use if heavy metals were ingested. Corrosives:
give water/milk
Cathartics: sorbitol: give w/ 1st dose of charcoal
syrup ipecac: Induces vomiting, only give to alert patients-and NO patients who
ingested a corrosive agent
Gastric emptying: intubate before lavage ( if -LOC/-gag reflex) with in 1 hour of
ingestion.
QUESTION : Overdose- multiply organ dysfunction syndrome - CORRECT
ANSWER Find out what Patient OD'd on. Give antidote if there is one
Treatment goals for a patient with a drug overdose are to support the
respiratory and cardiovascular functions, to enhance clearance of the agent, and
to provide for safety of the patient and staff.
QUESTION : Abuse- interpersonal violence - CORRECT ANSWER
Priority: ask questions IN PRIVATE, separate from person who is
abusive/neglectful
2026 2027 GRADED A+
HESI MED-SURG 3 EXAM NEWEST 2026 ACTUAL EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026
Diffusing anger in the ED - CORRECT ANSWER Self safety is PRIORITY
gunfire- protect self
separate feuding individuals explains activities, eliminate triggers.
QUESTION : Heat Stroke ** - CORRECT ANSWER Priority action:
*Lower body temperature; O2, fluids, cool towel, cool bath (NO ICE BATH)
elevate feet
+HR, +temp, confusion, headache, anxiety, cramps, gooseflesh, HOT,DRY skin,
NO sweating
QUESTION : Alcoholic- first assessment - CORRECT ANSWER CAGE:
Cut, Annoyed, Guilty, Eye-opener.
Assess: psych, w/drawal.
Mgt: blood glucose, benzo, barbiturate, seizure precautions.
Let them sleep if calm-
not calm- benzo's-
check on patient regularly for - LOC
Blood glucose range: 70-110
QUESTION : Non-fatal drowning ** - CORRECT ANSWER Priority:
manage hypoxia, acidosis and hypothermia > airway, oxygen
2026 2027 GRADED A+
,2|Page
Management: CPR, core temp (rectal) rewarming procedures during CPR,
trach/PEEP, O2
Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating gastric contents.
Monitor: ECG, ICP, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
QUESTION : Serum Electrolytes - CORRECT ANSWER * Mg+ 1.5-2.5
* Phos 2.5-4.5
* K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
QUESTION : Bite Priority - CORRECT ANSWER Human bite: know what
to do first with a human bite!
Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items, providing warmth, cleansing
the wound, covering the wound with a light sterile dressing, and immobilizing
the injured body part below the level of the heart.
CABs (Circulation, Airway Breathing)
2026 2027 GRADED A+
, 3|Page
NO: Ice, incision and suction, or a tourniquet
Tetanus and analgesia should be given as necessary.
Meds: FabAV or CroFAb: no limit on how much to give
S&S: necrosis, edema, ecchymosis
Tick: remove with tweezers, straight up pull, (try to get close to skin as possible)
S&S: bulls eye rash
QUESTION : Poisoning in the house - CORRECT ANSWER Carbon
Monoxide: 100% O2 Atmospheric/hyperbaric chamber
Ingested Poison: ABC, Call poison control, try to describe what was ingested
Charcoal: most effective, Do not use if heavy metals were ingested. Corrosives:
give water/milk
Cathartics: sorbitol: give w/ 1st dose of charcoal
syrup ipecac: Induces vomiting, only give to alert patients-and NO patients who
ingested a corrosive agent
Gastric emptying: intubate before lavage ( if -LOC/-gag reflex) with in 1 hour of
ingestion.
QUESTION : Overdose- multiply organ dysfunction syndrome - CORRECT
ANSWER Find out what Patient OD'd on. Give antidote if there is one
Treatment goals for a patient with a drug overdose are to support the
respiratory and cardiovascular functions, to enhance clearance of the agent, and
to provide for safety of the patient and staff.
QUESTION : Abuse- interpersonal violence - CORRECT ANSWER
Priority: ask questions IN PRIVATE, separate from person who is
abusive/neglectful
2026 2027 GRADED A+
