MED SURG HESI V1 EXAM FULL QUESTIONS
AND ANSWERS 2026 GRADED A+
◉ The registered nurse (RN) is assisting the healthcare provider
(HCP) with the removal of a chest tube. Which intervention has the
highest priority and should be anticipated by the RN after the
removal of the chest tube?
A: Prepare the client for chest x-ray at the bedside.
B: Review arterial blood gases after removal.
C: Elevate the head of bed to 45 degrees.
D: Assist with disassembling the drainage system. Answer: A:
Prepare the client for chest x-ray at the bedside.
A chest x-ray should be performed immediately after the removal of
a chest tube to ensure lung expansion has been maintained after its
removal.
◉ A client with chest pain, dizziness, and vomiting for the last 2
hours is admitted for evaluation for Acute Coronary Syndrome
(ACS). Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial
damage?
,A: Creatine Kinase (CK-MB).
B: Serum troponin.
C: Myoglobin.
D: Ischemia modified albumin. Answer: B: Serum troponin.
Troponin is the most sensitive and specific test for myocardial
damage. Troponin elevation is more specific than CK-MB.
◉ A female client is recently diagnosed with Sarcoidosis. The client
tells the registered nurse (RN) that she does not understand why
she has this. When teaching the client, the RN should include that
sarcoidosis most commonly occurs with which ethnic group of
women?
A: African American women.
B: Caucasian women.
C: Asian women.
D: Hispanic women. Answer: A: African American women.
Sarcoidosis, an autoimmune inflammatory disease affecting multiple
organs and has shown familial tendency due to multiple genes that
together increase the susceptibility of developing the disease. In
research studies it occurs more commonly in African American
,women (10-80 out of 100,000); compare to Caucasian women of the
United States (8 out of 100,000).
◉ The registered nurse (RN) is evaluating a client who presents with
symptoms of viral gastroenteritis. Which assessment finding should
the RN report to the healthcare provider?
A: Dry mucous membranes and lips.
B: Rebound abdominal tenderness over right lower quadrant.
C: Dizziness when client ambulates from a sitting position.
D: Poor skin turgor over client's wrist. Answer: B: Rebound
abdominal tenderness over right lower quadrant.
Right lower quadrant (RLQ) rebound abdominal tenderness may be
related to acute appendicitis and should be reported to the
healthcare provider.
◉ The registered nurse (RN) is caring for a client with peptic ulcer
disease (PUD). What assessment should the RN identify and
document that is consistent with PUD? (Select all that apply).
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
, Intolerance of spicy foods.
Diarrhea and steatorrhea. Answer: Hematemesis.
Gastric pain on an empty stomach.
Intolerance of spicy foods.
Manifestations of PUD include hematemesis, gastric pain, and spicy
food intolerance.
◉ The registered nurse (RN) recognizes which client group is at the
greatest risk for developing a urinary tract infection (UTI)?
(Rank from highest risk to lowest risk.)
Older males.
School-age female.
Older females.
Adolescent males. Answer: 1. Older females.
2. School-age female.
3. Older males.
4. Adolescent males.
Hypoestrogenism and alkalotic urine are other age-related factors
put older women at the highest risk for UTIs. School age girls (6 to
12 years) are at risk for UTIs due to a higher prevalence to taking
AND ANSWERS 2026 GRADED A+
◉ The registered nurse (RN) is assisting the healthcare provider
(HCP) with the removal of a chest tube. Which intervention has the
highest priority and should be anticipated by the RN after the
removal of the chest tube?
A: Prepare the client for chest x-ray at the bedside.
B: Review arterial blood gases after removal.
C: Elevate the head of bed to 45 degrees.
D: Assist with disassembling the drainage system. Answer: A:
Prepare the client for chest x-ray at the bedside.
A chest x-ray should be performed immediately after the removal of
a chest tube to ensure lung expansion has been maintained after its
removal.
◉ A client with chest pain, dizziness, and vomiting for the last 2
hours is admitted for evaluation for Acute Coronary Syndrome
(ACS). Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial
damage?
,A: Creatine Kinase (CK-MB).
B: Serum troponin.
C: Myoglobin.
D: Ischemia modified albumin. Answer: B: Serum troponin.
Troponin is the most sensitive and specific test for myocardial
damage. Troponin elevation is more specific than CK-MB.
◉ A female client is recently diagnosed with Sarcoidosis. The client
tells the registered nurse (RN) that she does not understand why
she has this. When teaching the client, the RN should include that
sarcoidosis most commonly occurs with which ethnic group of
women?
A: African American women.
B: Caucasian women.
C: Asian women.
D: Hispanic women. Answer: A: African American women.
Sarcoidosis, an autoimmune inflammatory disease affecting multiple
organs and has shown familial tendency due to multiple genes that
together increase the susceptibility of developing the disease. In
research studies it occurs more commonly in African American
,women (10-80 out of 100,000); compare to Caucasian women of the
United States (8 out of 100,000).
◉ The registered nurse (RN) is evaluating a client who presents with
symptoms of viral gastroenteritis. Which assessment finding should
the RN report to the healthcare provider?
A: Dry mucous membranes and lips.
B: Rebound abdominal tenderness over right lower quadrant.
C: Dizziness when client ambulates from a sitting position.
D: Poor skin turgor over client's wrist. Answer: B: Rebound
abdominal tenderness over right lower quadrant.
Right lower quadrant (RLQ) rebound abdominal tenderness may be
related to acute appendicitis and should be reported to the
healthcare provider.
◉ The registered nurse (RN) is caring for a client with peptic ulcer
disease (PUD). What assessment should the RN identify and
document that is consistent with PUD? (Select all that apply).
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
, Intolerance of spicy foods.
Diarrhea and steatorrhea. Answer: Hematemesis.
Gastric pain on an empty stomach.
Intolerance of spicy foods.
Manifestations of PUD include hematemesis, gastric pain, and spicy
food intolerance.
◉ The registered nurse (RN) recognizes which client group is at the
greatest risk for developing a urinary tract infection (UTI)?
(Rank from highest risk to lowest risk.)
Older males.
School-age female.
Older females.
Adolescent males. Answer: 1. Older females.
2. School-age female.
3. Older males.
4. Adolescent males.
Hypoestrogenism and alkalotic urine are other age-related factors
put older women at the highest risk for UTIs. School age girls (6 to
12 years) are at risk for UTIs due to a higher prevalence to taking
