HESI MED SURG 2026 VERSION 1 ACTUAL EXAM WITH 55 QUESTIONS AND
100% VERIFIED ANSWERS WITH RATIONALES ALREADY GRADED A+
1. The nurse obtains a fingerstick glucose level utilizing bedside lancet/glu- cose meter equipment from
a client with prescribed sliding scale insulin proto- col. The meter indicates 56 mg/dl (3.12 mmol/l). At this
time which intervention should the nurse implement first?
A. Collect a blood specimen by venipuncture to send to the laboratory for serum glucose analysis.
B. Prepare the prescribed dose of rapid acting insulin from the sliding scale instructions.
C. Give the client six ounces of non-diet carbonated soda and instruct to drink it entirely.
D. Document the glucose reading in the electronic medical record as the only action needed.: C
2. To achieve maximum mobility and independence for a client with multiple sclerosis (MS), which
intervention is most important for the nurse to imple- ment?
A. Provide a walker for ambulation
B. Frequently assist the client to the bathroom
C. Apply alternating patches over eyes
D. Teach strengthening exercises: D
3. A client is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which
neurovascular assessment requires immediate in- tervention by the nurse?
A. Pupillary changes to ipsilateral dilation
B. Orientation to person and place only
C. Left- sided drooping and dysphagia
D. Unequal bilateral hand grip strengths: C
4. The nurse is teaching a client with glomerulonephritis about self care. Which dietary
recommendations should the nurse encourage the client to follow?
A. Limit oral fluid intake to 500 ml per day
B. Restrict protein intake by limiting meats and other high-protein foods
C. Increase intake of potassium-rich foods such as bananas and cantaloupe.
D. Increase intake of high fiber foods such as bran cereal: B
5. The nurse is caring for a client with Herpes zoster who reports painful, red, blisters that align from
the back along the chest's curvature to the anterior chest. Which intervention is the highest priority for the
nurse?
, HESI MED SURG 2026 VERSION 1 ACTUAL EXAM WITH 55 QUESTIONS AND
100% VERIFIED ANSWERS WITH RATIONALES ALREADY GRADED A+
A. Place the client on contact precautions
B. Administer antiviral medications
C. Place wet compresses to ruptured vesicles
D. Administer narcotic analgesics: B
6. A young adult who suffered a severe brain injury in an automobile collision has been mechanically
ventilated for the past three days and has no sponta- neous respiratory effort. After serial
electroencephalograms (EEG) reveal no brain activity, the healthcare provider discusses end-of-life options
with the family who agree to discontinue life support. Which intervention should the nurse implement?
A. Ask the family if they wish to remain at the bedside during withdrawal
B. Request a living will be placed in the clients medical record
C. Discuss the withdrawal procedure with the family and offer support
D. Turn off mechanical ventilator and note time of death: C
7. Following a transurethral resection of the prostate (TURP), a client is dis- charged from the hospital
with an indwelling urinary catheter. which instruc- tion is important for the nurse to include in the discharge
teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks: B
8. On the first postoperative day, the nurse finds an older male client disori- ented and trying to climb
over the bed railing. Previously, he was oriented to person, place, and time on admission. Which intervention
should the nurse implement first?
A. Apply wrist restraints
B. Determine the clients blood pressure
C. Administer a mild sedative
D. Assess the client for pain: D
9. Acute soft tissue injuries ( ie sprains, strains) provide the nurse with a variety of teaching
opportunities. Which instruction should the nurse provide to a client with a soft-tissue injury?
A. Watch for shortness of breath which may indicate a fat embolus
100% VERIFIED ANSWERS WITH RATIONALES ALREADY GRADED A+
1. The nurse obtains a fingerstick glucose level utilizing bedside lancet/glu- cose meter equipment from
a client with prescribed sliding scale insulin proto- col. The meter indicates 56 mg/dl (3.12 mmol/l). At this
time which intervention should the nurse implement first?
A. Collect a blood specimen by venipuncture to send to the laboratory for serum glucose analysis.
B. Prepare the prescribed dose of rapid acting insulin from the sliding scale instructions.
C. Give the client six ounces of non-diet carbonated soda and instruct to drink it entirely.
D. Document the glucose reading in the electronic medical record as the only action needed.: C
2. To achieve maximum mobility and independence for a client with multiple sclerosis (MS), which
intervention is most important for the nurse to imple- ment?
A. Provide a walker for ambulation
B. Frequently assist the client to the bathroom
C. Apply alternating patches over eyes
D. Teach strengthening exercises: D
3. A client is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which
neurovascular assessment requires immediate in- tervention by the nurse?
A. Pupillary changes to ipsilateral dilation
B. Orientation to person and place only
C. Left- sided drooping and dysphagia
D. Unequal bilateral hand grip strengths: C
4. The nurse is teaching a client with glomerulonephritis about self care. Which dietary
recommendations should the nurse encourage the client to follow?
A. Limit oral fluid intake to 500 ml per day
B. Restrict protein intake by limiting meats and other high-protein foods
C. Increase intake of potassium-rich foods such as bananas and cantaloupe.
D. Increase intake of high fiber foods such as bran cereal: B
5. The nurse is caring for a client with Herpes zoster who reports painful, red, blisters that align from
the back along the chest's curvature to the anterior chest. Which intervention is the highest priority for the
nurse?
, HESI MED SURG 2026 VERSION 1 ACTUAL EXAM WITH 55 QUESTIONS AND
100% VERIFIED ANSWERS WITH RATIONALES ALREADY GRADED A+
A. Place the client on contact precautions
B. Administer antiviral medications
C. Place wet compresses to ruptured vesicles
D. Administer narcotic analgesics: B
6. A young adult who suffered a severe brain injury in an automobile collision has been mechanically
ventilated for the past three days and has no sponta- neous respiratory effort. After serial
electroencephalograms (EEG) reveal no brain activity, the healthcare provider discusses end-of-life options
with the family who agree to discontinue life support. Which intervention should the nurse implement?
A. Ask the family if they wish to remain at the bedside during withdrawal
B. Request a living will be placed in the clients medical record
C. Discuss the withdrawal procedure with the family and offer support
D. Turn off mechanical ventilator and note time of death: C
7. Following a transurethral resection of the prostate (TURP), a client is dis- charged from the hospital
with an indwelling urinary catheter. which instruc- tion is important for the nurse to include in the discharge
teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks: B
8. On the first postoperative day, the nurse finds an older male client disori- ented and trying to climb
over the bed railing. Previously, he was oriented to person, place, and time on admission. Which intervention
should the nurse implement first?
A. Apply wrist restraints
B. Determine the clients blood pressure
C. Administer a mild sedative
D. Assess the client for pain: D
9. Acute soft tissue injuries ( ie sprains, strains) provide the nurse with a variety of teaching
opportunities. Which instruction should the nurse provide to a client with a soft-tissue injury?
A. Watch for shortness of breath which may indicate a fat embolus
