HESI RN MED-SURGE CERTIFICATION
EXAMINATION TEST 2026 QUESTIONS
WITH VERIFIED ANSWERS 100% CORRECT
⩥ A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is intubated
and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which
assessment is most important for the nurse to obtain? Answer: Breath
sounds over bilateral lung fields.
⩥ After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? Answer: Reorient client to
his room
⩥ A male client with heart failure (HF) calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? Answer: Has his weight changed in
the last several days?
⩥ An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement? Answer: Assist
her to an upright position
,⩥ A client with a 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? Answer: Increase the daily
intake of oral fluids to liquefy secretions
⩥ A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD),
99% proximal circumflex, and ? % proximal right coronary artery
(RCA). The client later asks the nurse "what does all this mean for me?"
What information should the nurse provide? Answer: Three main
arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
⩥ A client who weighs 175 pounds is receiving IV bolus dose of heparin
80 units/kg. The heparin is available in a 2 ml vial, labeled 10,000
units/ml. How many ml should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest
tenth.) Answer: 0.6 ml
⩥ What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)? Answer:
Minimize symptoms by wearing loose, comfortable clothing
,⩥ The nurse is caring for a client with a lower left lobe pulmonary
abscess. Which position should the nurse instruct the client to maintain?
Answer: left lateral
⩥ A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseated and
vomiting. Which finding should the nurse report to the healthcare
provider. Answer: Yellow sclera
⩥ While caring for a client with Amyotrophic Lateral Sclerosis (ALS),
the nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse?
Answer: Weakened cough effort
⩥ The nurse is providing preoperative education for a Jewish client
scheduled 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 male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next? Answer: Prepare the client to return to the
operating room
, ⩥ A client with carcinoma of the lung is complaining of weakness and
has a serum sodium level of 117 mEq/L. Which nursing problem should
the nurse include in this client's plan of care? Answer: Fluid volume
excess
⩥ A female client enters the clinic and insists on being seen. She is
weak, nervous, and reports a racing heart beat and recent weight loss of
15 pounds. After ruling out substance withdrawal, the healthcare
provider suspects hyperthyroidism and admits her for further testing.
Which action should the nurse implement? Answer: Space the client's
care to provide periods of rest
⩥ The nurse is teaching a client with glomerulonephritis about self-care.
Which dietary recommendations should the nurse encourage the client to
follow? Answer: Restrict protein intake by limiting meats and other
high-protein foods
⩥ An overweight, young adult made who was recently diagnosed with
type 2 diabetes mellitus is admitted for a hernia repair. He tells the nurse
that he is feeling very weak and jittery. Which actions should the nurse
implement? (Select all that apply.) Answer: Check his fingerstick
glucose level.
Assess his skin temperature and moisture.
EXAMINATION TEST 2026 QUESTIONS
WITH VERIFIED ANSWERS 100% CORRECT
⩥ A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is intubated
and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which
assessment is most important for the nurse to obtain? Answer: Breath
sounds over bilateral lung fields.
⩥ After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? Answer: Reorient client to
his room
⩥ A male client with heart failure (HF) calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? Answer: Has his weight changed in
the last several days?
⩥ An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement? Answer: Assist
her to an upright position
,⩥ A client with a 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? Answer: Increase the daily
intake of oral fluids to liquefy secretions
⩥ A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD),
99% proximal circumflex, and ? % proximal right coronary artery
(RCA). The client later asks the nurse "what does all this mean for me?"
What information should the nurse provide? Answer: Three main
arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
⩥ A client who weighs 175 pounds is receiving IV bolus dose of heparin
80 units/kg. The heparin is available in a 2 ml vial, labeled 10,000
units/ml. How many ml should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest
tenth.) Answer: 0.6 ml
⩥ What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)? Answer:
Minimize symptoms by wearing loose, comfortable clothing
,⩥ The nurse is caring for a client with a lower left lobe pulmonary
abscess. Which position should the nurse instruct the client to maintain?
Answer: left lateral
⩥ A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseated and
vomiting. Which finding should the nurse report to the healthcare
provider. Answer: Yellow sclera
⩥ While caring for a client with Amyotrophic Lateral Sclerosis (ALS),
the nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse?
Answer: Weakened cough effort
⩥ The nurse is providing preoperative education for a Jewish client
scheduled 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 male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next? Answer: Prepare the client to return to the
operating room
, ⩥ A client with carcinoma of the lung is complaining of weakness and
has a serum sodium level of 117 mEq/L. Which nursing problem should
the nurse include in this client's plan of care? Answer: Fluid volume
excess
⩥ A female client enters the clinic and insists on being seen. She is
weak, nervous, and reports a racing heart beat and recent weight loss of
15 pounds. After ruling out substance withdrawal, the healthcare
provider suspects hyperthyroidism and admits her for further testing.
Which action should the nurse implement? Answer: Space the client's
care to provide periods of rest
⩥ The nurse is teaching a client with glomerulonephritis about self-care.
Which dietary recommendations should the nurse encourage the client to
follow? Answer: Restrict protein intake by limiting meats and other
high-protein foods
⩥ An overweight, young adult made who was recently diagnosed with
type 2 diabetes mellitus is admitted for a hernia repair. He tells the nurse
that he is feeling very weak and jittery. Which actions should the nurse
implement? (Select all that apply.) Answer: Check his fingerstick
glucose level.
Assess his skin temperature and moisture.
