Med-Surg HESI Final Practice
Questions 2026/2027 With Verified
Questions And Answers
The nurse is providing dietary instructions to a 68-year-old client who is at high risk for development of
coronary heart disease (CHD). Which information should the nurse include?
a. Limit dietary selection of cholesterol to 300 mg per day.
b. Increase intake of soluble fiber to 10 to 25 grams per day.
c. Decrease plant stanols and sterols to less than 2 grams/day.
d. Ensure saturated fat is less than 30% of total caloric intake. - correct answer <<<<<💕💕💕✔✔B
- To reduce risk factors associated with coronary heart disease, the daily intake of soluble fiber should
be increased to between 10 and 25 grams per day. According to the American Heart Association, soluble
fibers helps reduce LDL cholesterol levels.
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and
warmth on the lower left calf. Which intervention would be most helpful to this client?
a. Apply sequential compression devices (SCDs) bilaterally.
b. Assess for a positive Homan's sign in each leg.
c. Pad all bony prominences on the affected leg.
d. Advise the client to remain in bed with the leg elevated. - correct answer <<<<<💕💕💕✔✔D -
For a client exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility, the initial
care includes bedrest and elevation of the extremity.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in sugar
and fat. According to the Health Belief Model, which event is most likely to increase the client's
willingness to become compliant with the prescribed diet?
a. He visits his diabetic brother who just had surgery to amputate an infected foot.
b. He is provided with the most current information about the dangers of untreated diabetes.
c. He comments on the community service announcements about preventing complications associated
with diabetes.
,d. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet. - correct
answer <<<<<💕💕💕✔✔A - The loss of a limb due to diabetes by a family member should be the
strongest event or "cue to action" and is most likely to increase the client's perceived seriousness of the
disease.
A 58-year-old client who has been post-menopausal for five years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
a. Osteoporosis is a progressive genetic disease with no effective treatment.
b. Calcium loss from bones can be slowed by increasing calcium intake and exercise.
c. Estrogen replacement therapy should be started to prevent the progression osteoporosis.
d. Low-dose corticosteroid treatment effectively halts the course of osteoporosis. - correct answer
<<<<<💕💕💕✔✔B - Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing exercise can help
prevent further bone loss.
The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is
dated two years ago. The client reports that he has a history of "heart trouble," but has no problems at
present. Hospital protocol requires that those over 50 years of age have a recent ECG prior to surgery.
Which nursing action is best for the nurse to implement?
a. Ask the client what he means by "heart trouble."
b. Call for an ECG to be performed immediately.
c. Notify surgery that the ECG is over two years old.
d. Notify the client's surgeon immediately. - correct answer <<<<<💕💕💕✔✔B
Which information about mammograms is most important to provide a post-menopausal female client?
a. Breast self-examinations are not needed if annual mammograms are obtained.
b. Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
c. Yearly mammograms should be done regardless of previous normal x-rays.
d. Women at high risk should have annual routine and ultrasound mammograms - correct answer
<<<<<💕💕💕✔✔C - There are different recommendations from different agnecies. For a client
with no risk factors, the earliest breast screening recommendation is a yearly mammogram at the age 40
and till the age of 54. After that every two years. The American College of OB/GYN still recommend
starting mammograms starting at the age of 40 and yearly screeenings. The American Cancer Society
new guidelines recommend starting at the age of 45 and thereafter till the age of 54 years old, then
,every two years. The US Preventive Services Task Force Services (USPSTS) recommends starting at the
age of 50 years old and screenings every two years thereafter.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
A. Flush the tube with 50 ml of water q 8 hours.
B. Check for tube placement and residual volume q4 hours.
C. Obtain a daily x- ray to verify tube placement.
D. Position on left side with head of bed elevated 45 degrees - correct answer <<<<<💕💕💕✔✔B -
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be checked
every four hours for clients on continuous feeding. If the gastric residual is more than 200mL for an adult
client; stop the feeding and re-check the gastric residual one hour later. If the residual still remains more
than 200mL; continue to keep the feeding on hold and contact the client's health care provider.
A 58-year-old client who has been post-menopausal for five years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake and exercise.
C. Estrogen replacement therapy should be started to prevent the progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of osteoporosis. - correct answer
<<<<<💕💕💕✔✔B - Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing exercise can help
prevent further bone loss.
A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching
plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which
symptoms are most important to teach the client?
A. Facial flushing.
B. Fever.
C. Pounding headache.
D. Feelings of dizziness. - correct answer <<<<<💕💕💕✔✔D - Feelings of dizziness may occur as
the result of a decreased heart rate, leading to a decreased cardiac output which may be an indication
of pacemaker failure.
, The nurse is receiving report from surgery about a client with a penrose drain who is to be admitted to
the postoperative unit. Before choosing a room for this client, which information is most important for
the nurse to obtain?
A. If suctioning will be needed for drainage of the wound.
B. If the family would prefer a private or semi-private room.
C. Prescription for removal of the drain.
D. If the client's wound is infected. - correct answer <<<<<💕💕💕✔✔D - Penrose drains provide a
sinus tract or opening and are often used to provide drainage of an abscess. The fact that the client has
a penrose drain should alert the nurse to the possibility that the client is infected. To avoid
contamination of another postoperative client, it is most for the nurse to verify the condition of the
wound and if infected, important to place client in a private room.
The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for
toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply.)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent conception during the menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours after intercourse.
E. Replace the old diaphragm every 3 months. - correct answer <<<<<💕💕💕✔✔D, E - The
diaphragm needs to remain against the cervix for 6 to 8 hours to prevent pregnancy but should not
remain for longer than 8 hours to avoid the risk of toxic shock syndrome. The diaphragm should be
replaced every 3 months to maintain integrity.
A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30 pounds overweight is
diagnosed with having a gastric ulcer. Which content is most important for the nurse to include in the
discharge teaching for this client?
A. Information about smoking cessation.
B. Diet instructions for a low-residue diet.
C. Instructions on a weight-loss program.
D. The importance of increasing milk in the diet. - correct answer <<<<<💕💕💕✔✔A - Smoking
has been associated with ulcer formation, and stopping or decreasing the number of cigarettes smoked
per day is an important aspect of ulcer management
Questions 2026/2027 With Verified
Questions And Answers
The nurse is providing dietary instructions to a 68-year-old client who is at high risk for development of
coronary heart disease (CHD). Which information should the nurse include?
a. Limit dietary selection of cholesterol to 300 mg per day.
b. Increase intake of soluble fiber to 10 to 25 grams per day.
c. Decrease plant stanols and sterols to less than 2 grams/day.
d. Ensure saturated fat is less than 30% of total caloric intake. - correct answer <<<<<💕💕💕✔✔B
- To reduce risk factors associated with coronary heart disease, the daily intake of soluble fiber should
be increased to between 10 and 25 grams per day. According to the American Heart Association, soluble
fibers helps reduce LDL cholesterol levels.
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and
warmth on the lower left calf. Which intervention would be most helpful to this client?
a. Apply sequential compression devices (SCDs) bilaterally.
b. Assess for a positive Homan's sign in each leg.
c. Pad all bony prominences on the affected leg.
d. Advise the client to remain in bed with the leg elevated. - correct answer <<<<<💕💕💕✔✔D -
For a client exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility, the initial
care includes bedrest and elevation of the extremity.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in sugar
and fat. According to the Health Belief Model, which event is most likely to increase the client's
willingness to become compliant with the prescribed diet?
a. He visits his diabetic brother who just had surgery to amputate an infected foot.
b. He is provided with the most current information about the dangers of untreated diabetes.
c. He comments on the community service announcements about preventing complications associated
with diabetes.
,d. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet. - correct
answer <<<<<💕💕💕✔✔A - The loss of a limb due to diabetes by a family member should be the
strongest event or "cue to action" and is most likely to increase the client's perceived seriousness of the
disease.
A 58-year-old client who has been post-menopausal for five years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
a. Osteoporosis is a progressive genetic disease with no effective treatment.
b. Calcium loss from bones can be slowed by increasing calcium intake and exercise.
c. Estrogen replacement therapy should be started to prevent the progression osteoporosis.
d. Low-dose corticosteroid treatment effectively halts the course of osteoporosis. - correct answer
<<<<<💕💕💕✔✔B - Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing exercise can help
prevent further bone loss.
The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is
dated two years ago. The client reports that he has a history of "heart trouble," but has no problems at
present. Hospital protocol requires that those over 50 years of age have a recent ECG prior to surgery.
Which nursing action is best for the nurse to implement?
a. Ask the client what he means by "heart trouble."
b. Call for an ECG to be performed immediately.
c. Notify surgery that the ECG is over two years old.
d. Notify the client's surgeon immediately. - correct answer <<<<<💕💕💕✔✔B
Which information about mammograms is most important to provide a post-menopausal female client?
a. Breast self-examinations are not needed if annual mammograms are obtained.
b. Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
c. Yearly mammograms should be done regardless of previous normal x-rays.
d. Women at high risk should have annual routine and ultrasound mammograms - correct answer
<<<<<💕💕💕✔✔C - There are different recommendations from different agnecies. For a client
with no risk factors, the earliest breast screening recommendation is a yearly mammogram at the age 40
and till the age of 54. After that every two years. The American College of OB/GYN still recommend
starting mammograms starting at the age of 40 and yearly screeenings. The American Cancer Society
new guidelines recommend starting at the age of 45 and thereafter till the age of 54 years old, then
,every two years. The US Preventive Services Task Force Services (USPSTS) recommends starting at the
age of 50 years old and screenings every two years thereafter.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
A. Flush the tube with 50 ml of water q 8 hours.
B. Check for tube placement and residual volume q4 hours.
C. Obtain a daily x- ray to verify tube placement.
D. Position on left side with head of bed elevated 45 degrees - correct answer <<<<<💕💕💕✔✔B -
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be checked
every four hours for clients on continuous feeding. If the gastric residual is more than 200mL for an adult
client; stop the feeding and re-check the gastric residual one hour later. If the residual still remains more
than 200mL; continue to keep the feeding on hold and contact the client's health care provider.
A 58-year-old client who has been post-menopausal for five years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake and exercise.
C. Estrogen replacement therapy should be started to prevent the progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of osteoporosis. - correct answer
<<<<<💕💕💕✔✔B - Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing exercise can help
prevent further bone loss.
A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching
plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which
symptoms are most important to teach the client?
A. Facial flushing.
B. Fever.
C. Pounding headache.
D. Feelings of dizziness. - correct answer <<<<<💕💕💕✔✔D - Feelings of dizziness may occur as
the result of a decreased heart rate, leading to a decreased cardiac output which may be an indication
of pacemaker failure.
, The nurse is receiving report from surgery about a client with a penrose drain who is to be admitted to
the postoperative unit. Before choosing a room for this client, which information is most important for
the nurse to obtain?
A. If suctioning will be needed for drainage of the wound.
B. If the family would prefer a private or semi-private room.
C. Prescription for removal of the drain.
D. If the client's wound is infected. - correct answer <<<<<💕💕💕✔✔D - Penrose drains provide a
sinus tract or opening and are often used to provide drainage of an abscess. The fact that the client has
a penrose drain should alert the nurse to the possibility that the client is infected. To avoid
contamination of another postoperative client, it is most for the nurse to verify the condition of the
wound and if infected, important to place client in a private room.
The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for
toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply.)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent conception during the menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours after intercourse.
E. Replace the old diaphragm every 3 months. - correct answer <<<<<💕💕💕✔✔D, E - The
diaphragm needs to remain against the cervix for 6 to 8 hours to prevent pregnancy but should not
remain for longer than 8 hours to avoid the risk of toxic shock syndrome. The diaphragm should be
replaced every 3 months to maintain integrity.
A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30 pounds overweight is
diagnosed with having a gastric ulcer. Which content is most important for the nurse to include in the
discharge teaching for this client?
A. Information about smoking cessation.
B. Diet instructions for a low-residue diet.
C. Instructions on a weight-loss program.
D. The importance of increasing milk in the diet. - correct answer <<<<<💕💕💕✔✔A - Smoking
has been associated with ulcer formation, and stopping or decreasing the number of cigarettes smoked
per day is an important aspect of ulcer management
