Med-Surg HESI Exam SCRIPT 2026/2027 WITH
EXPERT-VERIFIED ANSWERS RATED A+
• The nurse is obtaining the admission history for a client with suspected peptic
ulcer (PUD). Which subjective data reported by the client supports this medical
diagnosis? -✓✓ Upper mid-abdominal pain described as gnawing and burning
• The nurse assesses a client who is newly diagnosed with hyperthyroidism and
observes that the clients eyeballs are protuberant, causing a wide-eyed appearance
and eye discomfort. Based on this finding, which action should the nurse include in
this clients plan of care? -✓✓ Obtain a prescription for artificial drops
• To reduce the risk for pulmonary complication for a client with amyotrophic
lateral sclerosis (ALS). Which interventions should the nurse implement? SATA -
✓✓ Perform chest physiotherapy
Teach the client breathing exercises
Encourage use of incentive spirometer
• A client is hospitalized with heart failure (HF). Which intervention should the
nurse implement to improve ventilation and reduce venous return? -✓✓ Place the
client in high Fowler position
• A client who was involved in a motor vehicle collision is admitted with a
fractured left femur which is immobilized using a fracture traction splint in
preparation for an open reduction internal fixation (ORIF). The nurse determines
that the client's distal pulses are diminished in the left foot. Which interventions
should the nurse implement? SATA -✓✓ Verify pedal pulses using a Doppler
pulse device
Evaluate the application of the splint to the left leg
Monitor left leg for pain, pallor, paresthesia, paralysis pressure
, • The healthcare provider prescribes diagnostic test for a client whose chest x-ray
indicates pneumonia. Which diagnostic test should the nurse review for
implementation in the most therapeutic treatment of pneumonia? -✓✓ Sputum
culture and sensitivity
• A client with the history of asthma and bronchitis arrives at the clinic with
shortness of breath productive cough with thickened tenacious 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 -✓✓
Increase the daily intake of oral fluids to liquefy secretions
• The home health nurse provides teaching about insulin self injection to a client
who was recently diagnosed with diabetes mellitus. When the client begins to
perform a return demonstration of an insulin injection into the abdomen as seen in
the video which instruction should the nurse provide? -✓✓ Continue with the
insulin injection
• The nurse observes an increase number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the
prostate (turp) What is the best initial nursing action? -✓✓ Increase the flow of the
bladder irrigation
• Four days following an abdominal aortic aneurysm repair the client is exhibiting
edema of both lower extremities and pedal pulses are not palpable. Which action
should the nurse implement first? -✓✓ Assess pulses with a vascular Doppler
• A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder irrigation
with normal saline is infusing and the nurse observes dark pink tinged outflow with
EXPERT-VERIFIED ANSWERS RATED A+
• The nurse is obtaining the admission history for a client with suspected peptic
ulcer (PUD). Which subjective data reported by the client supports this medical
diagnosis? -✓✓ Upper mid-abdominal pain described as gnawing and burning
• The nurse assesses a client who is newly diagnosed with hyperthyroidism and
observes that the clients eyeballs are protuberant, causing a wide-eyed appearance
and eye discomfort. Based on this finding, which action should the nurse include in
this clients plan of care? -✓✓ Obtain a prescription for artificial drops
• To reduce the risk for pulmonary complication for a client with amyotrophic
lateral sclerosis (ALS). Which interventions should the nurse implement? SATA -
✓✓ Perform chest physiotherapy
Teach the client breathing exercises
Encourage use of incentive spirometer
• A client is hospitalized with heart failure (HF). Which intervention should the
nurse implement to improve ventilation and reduce venous return? -✓✓ Place the
client in high Fowler position
• A client who was involved in a motor vehicle collision is admitted with a
fractured left femur which is immobilized using a fracture traction splint in
preparation for an open reduction internal fixation (ORIF). The nurse determines
that the client's distal pulses are diminished in the left foot. Which interventions
should the nurse implement? SATA -✓✓ Verify pedal pulses using a Doppler
pulse device
Evaluate the application of the splint to the left leg
Monitor left leg for pain, pallor, paresthesia, paralysis pressure
, • The healthcare provider prescribes diagnostic test for a client whose chest x-ray
indicates pneumonia. Which diagnostic test should the nurse review for
implementation in the most therapeutic treatment of pneumonia? -✓✓ Sputum
culture and sensitivity
• A client with the history of asthma and bronchitis arrives at the clinic with
shortness of breath productive cough with thickened tenacious 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 -✓✓
Increase the daily intake of oral fluids to liquefy secretions
• The home health nurse provides teaching about insulin self injection to a client
who was recently diagnosed with diabetes mellitus. When the client begins to
perform a return demonstration of an insulin injection into the abdomen as seen in
the video which instruction should the nurse provide? -✓✓ Continue with the
insulin injection
• The nurse observes an increase number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the
prostate (turp) What is the best initial nursing action? -✓✓ Increase the flow of the
bladder irrigation
• Four days following an abdominal aortic aneurysm repair the client is exhibiting
edema of both lower extremities and pedal pulses are not palpable. Which action
should the nurse implement first? -✓✓ Assess pulses with a vascular Doppler
• A client arrives to the medical surgical unit four hours after a transurethral
resection of the prostate. A triple lumen catheter for continuous bladder irrigation
with normal saline is infusing and the nurse observes dark pink tinged outflow with
