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HESI Med-Surg Next Gen Questions [2026/2027] Updated Version | Verified Questions & Detailed Rationales

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Prepare for HESI Med-Surg Next Gen Questions [2026/2027] with this updated study guide featuring verified questions, correct answers, and detailed rationales. Covers adult health nursing, complex patient care scenarios, clinical decision-making, and exam-focused strategies designed to maximize understanding, retention, and top performance. Perfect for achieving A+ results.

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December 15, 2025
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HESI Med-Surg Next Gen Questions with Correct Answers


A 35-year-old female client has been The priority nursing intervention for a client with acute pancreatitis is to man
diagnosed with acute pancreatitis. What is pain. The nurse should administer analgesics as prescribed and monitor for p
the priority nursing intervention for this relief.
client?

A 40-year-old male client with a history A serum amylase level assesses pancreatic function. Elevated levels may ind
of alcohol abuse has been admitted to pancreatitis, but other conditions such as mumps, salivary gland disorders, a
the hospital with acute pancreatitis. The renal failure can also cause elevated levels.
healthcare provider has ordered a serum
amylase level to be drawn. What does this
lab test assess?

A 52-year-old male client with a history of The nurse should monitor the client's blood pressure, heart rate, and urine o
hypertension has been diagnosed with during and after administration of furosemide. The medication can cause
heart failure. The healthcare provider has hypotension and dehydration, so the nurse should also monitor the client's
prescribed furosemide (Lasix) 40 mg IV electrolyte levels.
push. What should the nurse monitor for
during and after administration of the
medication?

A 62-year-old female client has been The nurse should recommend a low-fiber diet to the client with diverticulitis.
diagnosed with diverticulitis. Which diet helps to rest the bowel and prevent further inflammation. As symptoms impr
should the nurse recommend to the the client can gradually increase fiber intake.
client?

, HESI Med-Surg Next Gen Questions with Correct Answers

A 65-year-old male patient is admitted to The nurse should prioritize administering oxygen to the patient to improve
the hospital with a history of myocardial oxygen saturation and relieve shortness of breath. The nurse should also ass
infarction. The patient's blood pressure is the patient's chest pain and administer appropriate pain medication. The pat
150/90 mmHg, heart rate is 95 beats per blood pressure should be monitored closely, and antihypertensive medicatio
minute, and oxygen saturation is 93% on may be administered as needed. A 12-lead electrocardiogram should be obt
room air. The patient is complaining of to evaluate the patient's cardiac status
chest pain and shortness of breath. What
intervention should the nurse prioritize?

A 68-year-old male client has undergone The nurse should notify the healthcare provider of the absent bowel sounds
a left hemicolectomy. During post- could indicate a postoperative complication such as paralytic ileus.
operative assessment, the nurse notes the
presence of absent bowel sounds. Which
action should the nurse take?

. A patient with a history of heart failure is The nurse should assess the patient's blood pressure and electrolyte levels a
prescribed furosemide. The patient notify the healthcare provider of the patient's symptoms.
reports feeling dizzy and weak. What
intervention should the nurse provide?

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