HESI MED SURG #1 TEST EXAM STUDY GUIDE LATEST 2026
UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS
(2026/2027) GRADE: A+|STATUS: GUARANTEED PASS
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH insulin.
Which action should the nurse implement? - Answers -D.Return the solution to the pharmacy.
Only regular insulin is administered by the IV route, so the TPN solution containing NPH insulin
should be returned to the pharmacy.
Which data would the nurse expect to find when reviewing laboratory values of an 80-year-old
who is in good health overall? - Answers -C.Urinalysis reveals slight protein in the urine and
bacteriuria, with pyuria.
In older adults, the protein found in urine slightly rises, probably as a result of kidney changes or
subclinical urinary tract infections, and clients frequently experience asymptomatic bacteriuria
and pyuria as a result of incomplete bladder emptying.
A client with chronic asthma is admitted to the PACU complaining of pain at a level of 8 on a 1 to
10 scale, with a blood pressure of 124/78 mm Hg, pulse of 88 beats/min, and respirations of 20
breaths/min. The PACU recovery prescription is "Morphine, 2 to 4 mg IV push, while in recovery
for pain level over 5." Which action should the nurse take first? - Answers -B.Call the anesthesia
provider for a different medication for pain.
The nurse should call the provider for a different medication because morphine is a histamine-
releasing opioid and should be avoided when the client has asthma.
The clinic nurse is teaching a client with osteoarthritis to the knees bilaterally about self-care.
Which teaching points will the nurse include in the client's plan of care? (Select all that apply.) -
Answers -A.Apply heat packs to your knees as needed for pain.
B.Support your knees while you are in bed with a pillow or a rolled towel.
1|Page
, E.Get 7 to 8 hours of sleep every night.
F.Eat a balanced diet, including fish with Omega-3 fatty acids.
A family member was taught to suction a client's tracheostomy prior to the client's discharge
from the hospital. Which observation by the nurse indicates that the family member is capable
of correctly performing the suctioning technique? - Answers -B.Inserts the catheter until
resistance or coughing occurs
During assessment of a client in the intensive care unit, the nurse notes that the client's breath
sounds are clear on auscultation, but jugular vein distention and muffled heart sounds are
present. Which action should the nurse take first? - Answers -A.Prepare the client for a
pericardial tap.
The client is exhibiting symptoms of cardiac tamponade, a collection of fluid in the pericardial
sac that results in a reduction in cardiac output, which is a potentially fatal complication of
pericarditis. Treatment for tamponade is a pericardial tap.
A 58-year-old client who has no health problems asks the nurse about receiving the
pneumococcal vaccine. Which statement given by the nurse would offer the client accurate
information about this vaccine? - Answers -B.The immunization is administered once to older
adults or those at risk for illness.
It is usually recommended that persons older than 65 years and those with a history of chronic
illness should receive the vaccine once in their lifetime. Some recommend receiving the vaccine
at 50 years of age. The influenza vaccine is given once a year.
The nurse is concerned about infection for a client after an esophagogastrostomy for
esophageal cancer. Which actions should the nurse include in the client's plan of care? (Select
all that apply.) - Answers -A.Frequent oral care every 2 hours while awake.
2|Page
UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS
(2026/2027) GRADE: A+|STATUS: GUARANTEED PASS
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH insulin.
Which action should the nurse implement? - Answers -D.Return the solution to the pharmacy.
Only regular insulin is administered by the IV route, so the TPN solution containing NPH insulin
should be returned to the pharmacy.
Which data would the nurse expect to find when reviewing laboratory values of an 80-year-old
who is in good health overall? - Answers -C.Urinalysis reveals slight protein in the urine and
bacteriuria, with pyuria.
In older adults, the protein found in urine slightly rises, probably as a result of kidney changes or
subclinical urinary tract infections, and clients frequently experience asymptomatic bacteriuria
and pyuria as a result of incomplete bladder emptying.
A client with chronic asthma is admitted to the PACU complaining of pain at a level of 8 on a 1 to
10 scale, with a blood pressure of 124/78 mm Hg, pulse of 88 beats/min, and respirations of 20
breaths/min. The PACU recovery prescription is "Morphine, 2 to 4 mg IV push, while in recovery
for pain level over 5." Which action should the nurse take first? - Answers -B.Call the anesthesia
provider for a different medication for pain.
The nurse should call the provider for a different medication because morphine is a histamine-
releasing opioid and should be avoided when the client has asthma.
The clinic nurse is teaching a client with osteoarthritis to the knees bilaterally about self-care.
Which teaching points will the nurse include in the client's plan of care? (Select all that apply.) -
Answers -A.Apply heat packs to your knees as needed for pain.
B.Support your knees while you are in bed with a pillow or a rolled towel.
1|Page
, E.Get 7 to 8 hours of sleep every night.
F.Eat a balanced diet, including fish with Omega-3 fatty acids.
A family member was taught to suction a client's tracheostomy prior to the client's discharge
from the hospital. Which observation by the nurse indicates that the family member is capable
of correctly performing the suctioning technique? - Answers -B.Inserts the catheter until
resistance or coughing occurs
During assessment of a client in the intensive care unit, the nurse notes that the client's breath
sounds are clear on auscultation, but jugular vein distention and muffled heart sounds are
present. Which action should the nurse take first? - Answers -A.Prepare the client for a
pericardial tap.
The client is exhibiting symptoms of cardiac tamponade, a collection of fluid in the pericardial
sac that results in a reduction in cardiac output, which is a potentially fatal complication of
pericarditis. Treatment for tamponade is a pericardial tap.
A 58-year-old client who has no health problems asks the nurse about receiving the
pneumococcal vaccine. Which statement given by the nurse would offer the client accurate
information about this vaccine? - Answers -B.The immunization is administered once to older
adults or those at risk for illness.
It is usually recommended that persons older than 65 years and those with a history of chronic
illness should receive the vaccine once in their lifetime. Some recommend receiving the vaccine
at 50 years of age. The influenza vaccine is given once a year.
The nurse is concerned about infection for a client after an esophagogastrostomy for
esophageal cancer. Which actions should the nurse include in the client's plan of care? (Select
all that apply.) - Answers -A.Frequent oral care every 2 hours while awake.
2|Page
