HESI - Medical Surgical Nursing Test
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient with acute pancreatitis is admitted. What is the priority nursing intervention?
✔✔A. Keep the patient NPO
B. Encourage a low-fat diet
C. Provide oral fluids
D. Give high-protein meals
A patient with Cushing’s syndrome is likely to have which finding?
A. Hypotension
B. Hypoglycemia
✔✔C. Hypertension
D. Hyperkalemia
A patient with a mechanical heart valve should limit intake of which food?
✔✔A. Spinach
B. Apples
1
,C. Milk
D. Chicken
A patient with myasthenia gravis is about to eat lunch. What should the nurse do first?
✔✔A. Give anticholinesterase medication
B. Offer small snacks
C. Provide ice water
D. Give pain medicine
A patient with Addison’s disease is prescribed hydrocortisone. Which statement shows correct
understanding?
✔✔A. "I will take my medication at the same time each day."
B. "I will stop taking it when I feel better."
C. "I will double my dose when stressed."
D. "I will avoid all salty foods."
A patient after abdominal surgery has no bowel sounds 48 hours post-op. Which complication is
likely?
A. Constipation
2
,✔✔B. Paralytic ileus
C. Gastroenteritis
D. Peritonitis
A patient receiving chemotherapy has a WBC count of 1,200/mm³. What is the priority action?
✔✔A. Implement neutropenic precautions
B. Provide a high-fiber diet
C. Increase fluid intake
D. Encourage fresh fruits and vegetables
A patient with SIADH has a sodium level of 125 mEq/L. Which intervention is most important?
✔✔A. Restrict fluid intake
B. Increase salt in diet
C. Provide hypertonic saline immediately
D. Administer furosemide
A patient with hypovolemic shock has been given fluids. Which finding shows improvement?
✔✔A. Urine output 40 mL/hr
3
, B. BP 80/50 mmHg
C. HR 130 bpm
D. Skin cold and clammy
A patient post–thyroidectomy has a respiratory rate of 28 and stridor. What should the nurse do
first?
A. Provide ice chips
B. Elevate the head of bed
✔✔C. Prepare for emergency airway management
D. Give pain medication
A patient with pneumonia has increasing confusion. What is the nurse’s priority action?
✔✔A. Check oxygen saturation
B. Administer antibiotics
C. Encourage coughing
D. Give acetaminophen
A patient with diabetic ketoacidosis is started on IV insulin. Which lab value requires close
monitoring?
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient with acute pancreatitis is admitted. What is the priority nursing intervention?
✔✔A. Keep the patient NPO
B. Encourage a low-fat diet
C. Provide oral fluids
D. Give high-protein meals
A patient with Cushing’s syndrome is likely to have which finding?
A. Hypotension
B. Hypoglycemia
✔✔C. Hypertension
D. Hyperkalemia
A patient with a mechanical heart valve should limit intake of which food?
✔✔A. Spinach
B. Apples
1
,C. Milk
D. Chicken
A patient with myasthenia gravis is about to eat lunch. What should the nurse do first?
✔✔A. Give anticholinesterase medication
B. Offer small snacks
C. Provide ice water
D. Give pain medicine
A patient with Addison’s disease is prescribed hydrocortisone. Which statement shows correct
understanding?
✔✔A. "I will take my medication at the same time each day."
B. "I will stop taking it when I feel better."
C. "I will double my dose when stressed."
D. "I will avoid all salty foods."
A patient after abdominal surgery has no bowel sounds 48 hours post-op. Which complication is
likely?
A. Constipation
2
,✔✔B. Paralytic ileus
C. Gastroenteritis
D. Peritonitis
A patient receiving chemotherapy has a WBC count of 1,200/mm³. What is the priority action?
✔✔A. Implement neutropenic precautions
B. Provide a high-fiber diet
C. Increase fluid intake
D. Encourage fresh fruits and vegetables
A patient with SIADH has a sodium level of 125 mEq/L. Which intervention is most important?
✔✔A. Restrict fluid intake
B. Increase salt in diet
C. Provide hypertonic saline immediately
D. Administer furosemide
A patient with hypovolemic shock has been given fluids. Which finding shows improvement?
✔✔A. Urine output 40 mL/hr
3
, B. BP 80/50 mmHg
C. HR 130 bpm
D. Skin cold and clammy
A patient post–thyroidectomy has a respiratory rate of 28 and stridor. What should the nurse do
first?
A. Provide ice chips
B. Elevate the head of bed
✔✔C. Prepare for emergency airway management
D. Give pain medication
A patient with pneumonia has increasing confusion. What is the nurse’s priority action?
✔✔A. Check oxygen saturation
B. Administer antibiotics
C. Encourage coughing
D. Give acetaminophen
A patient with diabetic ketoacidosis is started on IV insulin. Which lab value requires close
monitoring?
4
