HESI RN ADVANCED MEDICAL SURGICAL EXAM
2025 WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
1. A patient scheduled for an elective hysterectomy tells the nurse, I am afraid that I will die in surgery
like my mother did! Which initial response would the nurse provide?
a.Tell me more about what happened to your mother.
b.Surgical techniques have improved in recent years.
c.You will receive medication to reduce your anxiety.
d.You should talk to the doctor again about the surgery.
a.Tell me more about what happened to your mother.
2. A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general
anesthesia. Which information requires the nurse's intervention to maintain patient safety?
a.The patient has never had general anesthesia.
b.The patient is planning to drive home after surgery.
c.The patient drank a sip of water 4 hours before arriving.
d.The patient's insurance does not cover outpatient surgery
b.The patient is planning to drive home after surgery.
3. The nurse is preparing to witness the patient signing the preoperative consent form when patient
says, I don't understand what the doctor said about the surgery. Which action would the nurse take?
a.Provide a thorough explanation of the planned surgical procedure.
b.Notify the Surgeon that the informed consent process is not complete.
c.Give The Prescribed preoperative antibiotics and withhold sedative medications.
d.Notify The Operating room nurse to give a complete explanation of the procedure.
b.Notify the Surgeon that the informed consent process is not complete.
1|Page
,4. Which topic would the nurse discuss preoperatively with a patient who is scheduled for an open
cholecystectomy?
a.Care for the surgical incision
b.Deep breathing and coughing
c.Oral antibiotic therapy after discharge
d.Medications to be used during surgery
b.Deep breathing and coughing
5. The nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia repair.
Which information is important to communicate to the surgeon and anesthesiologist before surgery?
a.The patient drinks 3 cups of coffee every day.
b.The patient stopped taking aspirin 10 days ago.
c.The patient's father died after general anesthesia for surgery.
d.The patient drank apple juice 6 hours before coming to the hospital.
c.The patient's father died after general anesthesia for surgery.
6. A patient who takes a diuretic and a -blocker to control blood pressure is scheduled for breast
reconstruction surgery. Which patient information is important to communicate to the health care
provider before surgery?
a.Hematocrit 36%
b.Blood pressure 144/82
c.Serum potassium 3.2 mEq/L
d.Pulse rate 54-58 beats/minute
c.Serum potassium 3.2 mEq/L
7. Which results are expected patient outcomes of the nurse providing thorough preoperative teaching?
(Select all that apply.)
a.Decreased anxiety
b.Reduced postoperative fear
c.Diminished patient satisfaction
d.Shorter length of hospitalization
e.Increased recovery time after discharge
f.Decreased development of complications
BDF
8. Which action describes how the scrub nurse protects the patient with surgical aseptic technique?
a.Uses waterproof shoe covers.
b.Wears personal protective equipment.
c.Changes gloves after touching the upper arm of the surgeon's gown.
d.Requires that all operating room (OR) staff perform a surgical scrub.
c.Changes gloves after touching the upper arm of the surgeon's gown.
2|Page
, 9. The operating room nurse is providing orientation to a new nurse. Which action would nurse describe
as a routine responsibility of a scrub nurse?
a.Document all patient care accurately.
b.Label all specimens to send to the laboratory.
c.Keep both hands above the operating table level.
d.Take the patient to the postanesthesia recovery area.
c.Keep both hands above the operating table level.
10. Which potential complication would the nurse monitor for a patient who received inhalation
anesthesia?
a.Tachypnea
b.Myoclonus
c.Hypertension
d.Laryngospasm
d.Laryngospasm
11. While in the holding area, a patient reveals to the nurse that his father had a high fever after
surgery. Which action by the nurse is a priority?
a.Notify the patient that the surgery will be canceled
b.Place a medical alert sticker on the front of the patient's chart.
c.Alert the anesthesia care provider of the family member's reaction to surgery.
d.Reassurethepatient that his temperature will be monitored closely after surgery.
b.Place a medical alert sticker on the front of the patient's chart.
12. A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia.
While in the post anesthesia care unit (PACU), which assessment finding is most important for the nurse
to report?
a.Lethargy
b.Report of nausea
c.Disorientation to time
d.Weak chest movement
d.Weak chest movement
13. A patient in the surgical holding area is being prepared for a spinal fusion. Which action by a
member of the surgical team requires immediate intervention by the charge nurse?
a.Wearing street clothes into the nursing station
b.Wearing a surgical mask into the holding room
c.Walking into the hallway outside the operating room with hair uncovered
d.Putting on a surgical mask, cap, and scrubs before entering the operating room
c.Walking into the hallway outside the operating room with hair uncovered
3|Page
2025 WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
1. A patient scheduled for an elective hysterectomy tells the nurse, I am afraid that I will die in surgery
like my mother did! Which initial response would the nurse provide?
a.Tell me more about what happened to your mother.
b.Surgical techniques have improved in recent years.
c.You will receive medication to reduce your anxiety.
d.You should talk to the doctor again about the surgery.
a.Tell me more about what happened to your mother.
2. A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general
anesthesia. Which information requires the nurse's intervention to maintain patient safety?
a.The patient has never had general anesthesia.
b.The patient is planning to drive home after surgery.
c.The patient drank a sip of water 4 hours before arriving.
d.The patient's insurance does not cover outpatient surgery
b.The patient is planning to drive home after surgery.
3. The nurse is preparing to witness the patient signing the preoperative consent form when patient
says, I don't understand what the doctor said about the surgery. Which action would the nurse take?
a.Provide a thorough explanation of the planned surgical procedure.
b.Notify the Surgeon that the informed consent process is not complete.
c.Give The Prescribed preoperative antibiotics and withhold sedative medications.
d.Notify The Operating room nurse to give a complete explanation of the procedure.
b.Notify the Surgeon that the informed consent process is not complete.
1|Page
,4. Which topic would the nurse discuss preoperatively with a patient who is scheduled for an open
cholecystectomy?
a.Care for the surgical incision
b.Deep breathing and coughing
c.Oral antibiotic therapy after discharge
d.Medications to be used during surgery
b.Deep breathing and coughing
5. The nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia repair.
Which information is important to communicate to the surgeon and anesthesiologist before surgery?
a.The patient drinks 3 cups of coffee every day.
b.The patient stopped taking aspirin 10 days ago.
c.The patient's father died after general anesthesia for surgery.
d.The patient drank apple juice 6 hours before coming to the hospital.
c.The patient's father died after general anesthesia for surgery.
6. A patient who takes a diuretic and a -blocker to control blood pressure is scheduled for breast
reconstruction surgery. Which patient information is important to communicate to the health care
provider before surgery?
a.Hematocrit 36%
b.Blood pressure 144/82
c.Serum potassium 3.2 mEq/L
d.Pulse rate 54-58 beats/minute
c.Serum potassium 3.2 mEq/L
7. Which results are expected patient outcomes of the nurse providing thorough preoperative teaching?
(Select all that apply.)
a.Decreased anxiety
b.Reduced postoperative fear
c.Diminished patient satisfaction
d.Shorter length of hospitalization
e.Increased recovery time after discharge
f.Decreased development of complications
BDF
8. Which action describes how the scrub nurse protects the patient with surgical aseptic technique?
a.Uses waterproof shoe covers.
b.Wears personal protective equipment.
c.Changes gloves after touching the upper arm of the surgeon's gown.
d.Requires that all operating room (OR) staff perform a surgical scrub.
c.Changes gloves after touching the upper arm of the surgeon's gown.
2|Page
, 9. The operating room nurse is providing orientation to a new nurse. Which action would nurse describe
as a routine responsibility of a scrub nurse?
a.Document all patient care accurately.
b.Label all specimens to send to the laboratory.
c.Keep both hands above the operating table level.
d.Take the patient to the postanesthesia recovery area.
c.Keep both hands above the operating table level.
10. Which potential complication would the nurse monitor for a patient who received inhalation
anesthesia?
a.Tachypnea
b.Myoclonus
c.Hypertension
d.Laryngospasm
d.Laryngospasm
11. While in the holding area, a patient reveals to the nurse that his father had a high fever after
surgery. Which action by the nurse is a priority?
a.Notify the patient that the surgery will be canceled
b.Place a medical alert sticker on the front of the patient's chart.
c.Alert the anesthesia care provider of the family member's reaction to surgery.
d.Reassurethepatient that his temperature will be monitored closely after surgery.
b.Place a medical alert sticker on the front of the patient's chart.
12. A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia.
While in the post anesthesia care unit (PACU), which assessment finding is most important for the nurse
to report?
a.Lethargy
b.Report of nausea
c.Disorientation to time
d.Weak chest movement
d.Weak chest movement
13. A patient in the surgical holding area is being prepared for a spinal fusion. Which action by a
member of the surgical team requires immediate intervention by the charge nurse?
a.Wearing street clothes into the nursing station
b.Wearing a surgical mask into the holding room
c.Walking into the hallway outside the operating room with hair uncovered
d.Putting on a surgical mask, cap, and scrubs before entering the operating room
c.Walking into the hallway outside the operating room with hair uncovered
3|Page
