HESI MEDSURG1 STUDY GUIDE 2026
TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ After hospitalization for SIADH, a client develops pontine
myelinolysis. Which intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises. Answer: Reorient client to room
◉ A male client with heart failure calls the clinic and reports that he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?. Answer: Has his weight
changed in the last several days?
◉ An older adult woman with a long history of COPD is admitted with
progressive shortness of breath and a persistent cough, is anxious, and is
complaining of dry mouth. which intervention should the nurse
implement?
,A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position. Answer: Assist her to an upright
position
◉ A client with a history of asthma and bronchitis arrives at the clinic
with shortness of breath, productive cough with thickening mucous and
the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct
the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications. Answer:
Increase the daily intake of oral fluids to liquify secretions
◉ A cardiac catherization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD),
99% proximal circumflex, and 95% proximal right coronary artery
(RCA) the client later asks the nurse "What does all of that mean for
me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the
blood flow getting through to the heart muscles. Answer: Three main
arteries have major blockages, with only 1-5% of the blood flow getting
through to the heart muscles
, ◉ The nurse is caring for a client with a lower left lobe pulmonary
abscess. what position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest. Answer: Left lateral
◉ A client with Cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseous and
vomiting. Which finding should the nurse report to the healthcare
provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence. Answer: Yellow sclera
◉ While caring for a client with Amyotrophic lateral sclerosis (ALS) a
nurse performs a neurological assessment every 4 hours. Which
assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness. Answer: Asymmetrical weakness
TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ After hospitalization for SIADH, a client develops pontine
myelinolysis. Which intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises. Answer: Reorient client to room
◉ A male client with heart failure calls the clinic and reports that he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?. Answer: Has his weight
changed in the last several days?
◉ An older adult woman with a long history of COPD is admitted with
progressive shortness of breath and a persistent cough, is anxious, and is
complaining of dry mouth. which intervention should the nurse
implement?
,A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position. Answer: Assist her to an upright
position
◉ A client with a history of asthma and bronchitis arrives at the clinic
with shortness of breath, productive cough with thickening mucous and
the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct
the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications. Answer:
Increase the daily intake of oral fluids to liquify secretions
◉ A cardiac catherization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD),
99% proximal circumflex, and 95% proximal right coronary artery
(RCA) the client later asks the nurse "What does all of that mean for
me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the
blood flow getting through to the heart muscles. Answer: Three main
arteries have major blockages, with only 1-5% of the blood flow getting
through to the heart muscles
, ◉ The nurse is caring for a client with a lower left lobe pulmonary
abscess. what position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest. Answer: Left lateral
◉ A client with Cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseous and
vomiting. Which finding should the nurse report to the healthcare
provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence. Answer: Yellow sclera
◉ While caring for a client with Amyotrophic lateral sclerosis (ALS) a
nurse performs a neurological assessment every 4 hours. Which
assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness. Answer: Asymmetrical weakness
