MED SURG HESI STUDY GUIDE WITH
ACCURATE ANSWERS 2026
COMPLETE REVIEW PACKAGE
◉ A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse implement
first?
Answer: Obtain a sputum sample for culture
◉ An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
Answer: palpate the bladder above the symphysis pubis
◉ An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse?
Answer: potassium of 2.5 meq/l
◉ A client with sickle cell anemia develops a fever during the last hour
of administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the SBAR communication process?
,Answer: explain specific reason for urgent notification
◉ An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalize he receives IV pentamidine
isethionate therapy. In preparing this client for discharge what important
aspect regarding his medication therapy should the nurse explain?
Answer: It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
◉ A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
Answer: collect a clean catch specimen
◉ A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated How should the nurse respond?
Answer: ask the client in the healthcare provider has giving her any
information about the classification of her cancer
◉ A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90 to
80/30 Which action should the nurse take first?
Answer: stop dialysis treatment
◉ A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
,The nurse should program the infusion pump to deliver how many
ml/hr?
Answer: 9
◉ The nurse is obtaining the admission history for a client with
suspected peptic ulcer disease (PUD). Which subjective data reported by
the client supports this diagnosis?
Answer: upper mid abdominal gnawing and burning pain
◉ The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
Answer: the xenograft is taken from nonhuman sources
◉ A client who took a camping vacation two weeks ago in a country
with a tropical climate comes to the clinic describing vague symptoms
and diarrhea for the past week. Which finding is most important for the
nurse to report?
Answer: jaundice sclera
◉ During a home visit the nurse assesses the skin of a client with
eczema who reports than an exacerbation of symptoms has occurred
during the last week. Which information is most useful in determining
the possible cause of the symptoms?
Answer: a grandson and his new dog recently visited
, ◉ When explaining dietary guidelines to a client with acute
glomerulonephritis (AGN) which instruction should the nurse include in
the dietary teaching
Answer: restrict sodium intake
◉ A male client who is 24hr post operative for an exploratory
laparoctomy complains that he is starving because he has had no real
food since before surgery. Prior to advancing his diet which intervention
should the nurse implememt?
Answer: Auscultate bowel sound in all four quadrants
◉ A client diagnose with stable angina secondary to ischemic heart
disease has a prescription for sublingual (SL) nitroglycerin (NTG). The
nurse should tell the client to follow which instructions if chest pain is
not relieved after taking 3 NTG tables 5 min apart
Answer: call 911 pain is unrelieved and chew a tablet of aspirin 325mg
◉ After taking orlistat (Xenical) for one week a femela client tells the
home health nurse that she is experiencing increasingly frequent oily
stools and flatus. What action should the nurse take?
Answer: ask the client to describe her dietary intake history for the last
several days
◉ Two days after an abscess of the chin was drained the client returns to
the clinic with fever chills and a maculopapular rash with pruritis. The
client has taken an oral antibiotic and cleansed the wound today with
ACCURATE ANSWERS 2026
COMPLETE REVIEW PACKAGE
◉ A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse implement
first?
Answer: Obtain a sputum sample for culture
◉ An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
Answer: palpate the bladder above the symphysis pubis
◉ An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse?
Answer: potassium of 2.5 meq/l
◉ A client with sickle cell anemia develops a fever during the last hour
of administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the SBAR communication process?
,Answer: explain specific reason for urgent notification
◉ An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalize he receives IV pentamidine
isethionate therapy. In preparing this client for discharge what important
aspect regarding his medication therapy should the nurse explain?
Answer: It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
◉ A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
Answer: collect a clean catch specimen
◉ A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated How should the nurse respond?
Answer: ask the client in the healthcare provider has giving her any
information about the classification of her cancer
◉ A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90 to
80/30 Which action should the nurse take first?
Answer: stop dialysis treatment
◉ A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
,The nurse should program the infusion pump to deliver how many
ml/hr?
Answer: 9
◉ The nurse is obtaining the admission history for a client with
suspected peptic ulcer disease (PUD). Which subjective data reported by
the client supports this diagnosis?
Answer: upper mid abdominal gnawing and burning pain
◉ The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
Answer: the xenograft is taken from nonhuman sources
◉ A client who took a camping vacation two weeks ago in a country
with a tropical climate comes to the clinic describing vague symptoms
and diarrhea for the past week. Which finding is most important for the
nurse to report?
Answer: jaundice sclera
◉ During a home visit the nurse assesses the skin of a client with
eczema who reports than an exacerbation of symptoms has occurred
during the last week. Which information is most useful in determining
the possible cause of the symptoms?
Answer: a grandson and his new dog recently visited
, ◉ When explaining dietary guidelines to a client with acute
glomerulonephritis (AGN) which instruction should the nurse include in
the dietary teaching
Answer: restrict sodium intake
◉ A male client who is 24hr post operative for an exploratory
laparoctomy complains that he is starving because he has had no real
food since before surgery. Prior to advancing his diet which intervention
should the nurse implememt?
Answer: Auscultate bowel sound in all four quadrants
◉ A client diagnose with stable angina secondary to ischemic heart
disease has a prescription for sublingual (SL) nitroglycerin (NTG). The
nurse should tell the client to follow which instructions if chest pain is
not relieved after taking 3 NTG tables 5 min apart
Answer: call 911 pain is unrelieved and chew a tablet of aspirin 325mg
◉ After taking orlistat (Xenical) for one week a femela client tells the
home health nurse that she is experiencing increasingly frequent oily
stools and flatus. What action should the nurse take?
Answer: ask the client to describe her dietary intake history for the last
several days
◉ Two days after an abscess of the chin was drained the client returns to
the clinic with fever chills and a maculopapular rash with pruritis. The
client has taken an oral antibiotic and cleansed the wound today with
