MED SURG HESI Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the most common cause of peptic ulcer disease?
✔✔Helicobacter pylori infection.
Which laboratory value should be monitored closely for a patient receiving loop diuretics?
✔✔Potassium.
What is the best position for a patient with increased intracranial pressure?
✔✔Head of bed elevated 30 degrees.
What is the expected finding in a patient with left-sided heart failure?
✔✔Pulmonary crackles.
What is the priority intervention for a patient with hypoglycemia who is conscious?
✔✔Provide a fast-acting carbohydrate.
1
,Which precaution is necessary when caring for a patient with active tuberculosis?
✔✔Airborne precautions.
What is the best action when a patient on warfarin has an INR of 5.2?
✔✔Hold the dose and notify the provider.
What is the primary purpose of incentive spirometry after surgery?
✔✔Prevent atelectasis.
What is the classic symptom of a deep vein thrombosis?
✔✔Unilateral leg swelling and pain.
What is the immediate action for a patient with a suspected stroke within the last hour?
✔✔Call a stroke code and prepare for CT scan.
Which sign indicates hypocalcemia?
✔✔Positive Chvostek’s sign.
2
,What is the safest oxygen delivery method for a patient with COPD needing low-flow oxygen?
✔✔Nasal cannula at 1–2 L/min.
What is the priority nursing action when a patient’s chest tube becomes disconnected from the
drainage system?
✔✔Place the end in sterile water.
What is the best method to verify placement of a nasogastric tube before feeding?
✔✔X-ray confirmation.
What is the most important action when a patient with sepsis develops a temperature of 104°F
and low blood pressure?
✔✔Initiate rapid fluid resuscitation.
Which laboratory result indicates poor diabetes control over the past 3 months?
✔✔Hemoglobin A1C above 7%.
3
, What is the priority action for a patient experiencing sudden shortness of breath and low oxygen
saturation?
✔✔Administer oxygen immediately.
Which electrolyte imbalance is most likely to cause cardiac dysrhythmias?
✔✔Hyperkalemia.
What is the most important assessment before administering digoxin?
✔✔Check the apical pulse for one full minute.
Which dietary choice is best for a patient with iron-deficiency anemia?
✔✔Spinach and red meat.
What is the first action when a patient with a chest tube has continuous bubbling in the water seal
chamber?
✔✔Check for an air leak.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the most common cause of peptic ulcer disease?
✔✔Helicobacter pylori infection.
Which laboratory value should be monitored closely for a patient receiving loop diuretics?
✔✔Potassium.
What is the best position for a patient with increased intracranial pressure?
✔✔Head of bed elevated 30 degrees.
What is the expected finding in a patient with left-sided heart failure?
✔✔Pulmonary crackles.
What is the priority intervention for a patient with hypoglycemia who is conscious?
✔✔Provide a fast-acting carbohydrate.
1
,Which precaution is necessary when caring for a patient with active tuberculosis?
✔✔Airborne precautions.
What is the best action when a patient on warfarin has an INR of 5.2?
✔✔Hold the dose and notify the provider.
What is the primary purpose of incentive spirometry after surgery?
✔✔Prevent atelectasis.
What is the classic symptom of a deep vein thrombosis?
✔✔Unilateral leg swelling and pain.
What is the immediate action for a patient with a suspected stroke within the last hour?
✔✔Call a stroke code and prepare for CT scan.
Which sign indicates hypocalcemia?
✔✔Positive Chvostek’s sign.
2
,What is the safest oxygen delivery method for a patient with COPD needing low-flow oxygen?
✔✔Nasal cannula at 1–2 L/min.
What is the priority nursing action when a patient’s chest tube becomes disconnected from the
drainage system?
✔✔Place the end in sterile water.
What is the best method to verify placement of a nasogastric tube before feeding?
✔✔X-ray confirmation.
What is the most important action when a patient with sepsis develops a temperature of 104°F
and low blood pressure?
✔✔Initiate rapid fluid resuscitation.
Which laboratory result indicates poor diabetes control over the past 3 months?
✔✔Hemoglobin A1C above 7%.
3
, What is the priority action for a patient experiencing sudden shortness of breath and low oxygen
saturation?
✔✔Administer oxygen immediately.
Which electrolyte imbalance is most likely to cause cardiac dysrhythmias?
✔✔Hyperkalemia.
What is the most important assessment before administering digoxin?
✔✔Check the apical pulse for one full minute.
Which dietary choice is best for a patient with iron-deficiency anemia?
✔✔Spinach and red meat.
What is the first action when a patient with a chest tube has continuous bubbling in the water seal
chamber?
✔✔Check for an air leak.
4
