HESI - Medical Surgical Nursing test EXAM || MOST RECENT
EXAM 2026-2027 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
A client who has type 2 diabetes is prescribed glipizide
(Glucotrol). Which
precautions does the nurse include in the teaching plan
related to this
medication?
A) "Avoid taking nonsteroidal anti-
inflammatory drugs."
B) "Change positions slowly when
you get up."
C) "If you miss a dose of this drug, you can double
the next dose."
D) "Discontinue the medication if you develop an infection." -
ANSWER -A
Nonsteroidal anti-inflammatory drugs potentiate the
hypoglycemic effects of sulfonylurea agents. Glipizide is a
sulfonylurea. The other statements are not applicable to
glipizide.
,The nurse is caring for a client who had a stroke. Which
nursing intervention does the nurse implement during the first
72 hours to prevent complications?
A) Position with the head of the bed flat to enhance cerebral
perfusion.
B) Monitor neurologic and vital signs closely to identify early
changes in status.
C) Administer prescribed analgesics to promote pain relief.
D) Cluster nursing procedures together to avoid fatiguing the
client. - ANSWER -B
Early detection of neurologic, blood pressure, and heart rhythm
changes offers an opportunity to intervene in a timely fashion.
Evidence is not yet sufficient to recommend a specific back
rest elevation after stroke. Analgesics are often held during the
first 72 hours to ensure that the client's neurologic status is not
altered by pain medications. Preventing fatigue is not a priority
in the first 72 hours.
A client with diabetes is prescribed insulin glargine once daily
and regular insulin four times daily. One dose of regular insulin
is scheduled at the same time as the glargine. How does the
nurse instruct the client to administer the two doses of insulin?
A) "Draw up and inject the insulin glargine first, then draw up
and inject the regular insulin."
,B) "First draw up the dose of regular insulin, then draw up
the dose of insulin glargine in the same syringe, mix, and inject
the two insulins together."
C) "First draw up the dose of insulin glargine, then draw up
the dose of regular insulin in the same syringe, mix, and inject
the two insulins together."
D) "Draw up and inject the insulin glargine first, wait 20
minutes, then draw up and inject the regular insulin." -
ANSWER -A
Insulin glargine must not be diluted or mixed with any other
insulin or solution. Mixing results in an unpredictable alteration
in the onset of action and time to peak action. The correct
instruction is to draw up and inject first the glargine, then the
regular insulin right afterward.
The nurse would identify which body systems as directly
involved in the process
of normal gas exchange? (Select all
that apply.)
A) Endocrine system
B) Neurologic system
C) Hepatic system
D) Immune system
E) Cardiovascular system
F) Pulmonary system - ANSWER -B, E, F
, The neurologic system controls respiratory drive; the
respiratory system controls delivery of oxygen to the lung
capillaries; and the cardiac system is responsible for the
perfusion of vital organs. These systems are primarily
responsible for the adequacy of gas exchange in the body. The
endocrine and hepatic systems are not directly involved with
gas exchange. The immune system primarily protects the body
against infection.
The nurse is discharging home a client at risk for venous
thromboembolism
(VTE) on low-molecular-weight heparin. What instruction
does the nurse
provide to this
client?
A) "You must have your aPTT checked every
2 weeks."
B) "Notify your health care provider if your stools
appear tarry."
C) "An IV catheter will be placed to administer
your heparin."
D) "Massage the injection site after the heparin is injected."
- ANSWER –B
As with any anticoagulation, low-molecular-weight heparin
incurs risk of bleeding. Clients should be taught to report to
their health care provider the presence of tarry stools, bleeding
gums, hematuria, ecchymosis, or petechiae. Low-molecular-
EXAM 2026-2027 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
A client who has type 2 diabetes is prescribed glipizide
(Glucotrol). Which
precautions does the nurse include in the teaching plan
related to this
medication?
A) "Avoid taking nonsteroidal anti-
inflammatory drugs."
B) "Change positions slowly when
you get up."
C) "If you miss a dose of this drug, you can double
the next dose."
D) "Discontinue the medication if you develop an infection." -
ANSWER -A
Nonsteroidal anti-inflammatory drugs potentiate the
hypoglycemic effects of sulfonylurea agents. Glipizide is a
sulfonylurea. The other statements are not applicable to
glipizide.
,The nurse is caring for a client who had a stroke. Which
nursing intervention does the nurse implement during the first
72 hours to prevent complications?
A) Position with the head of the bed flat to enhance cerebral
perfusion.
B) Monitor neurologic and vital signs closely to identify early
changes in status.
C) Administer prescribed analgesics to promote pain relief.
D) Cluster nursing procedures together to avoid fatiguing the
client. - ANSWER -B
Early detection of neurologic, blood pressure, and heart rhythm
changes offers an opportunity to intervene in a timely fashion.
Evidence is not yet sufficient to recommend a specific back
rest elevation after stroke. Analgesics are often held during the
first 72 hours to ensure that the client's neurologic status is not
altered by pain medications. Preventing fatigue is not a priority
in the first 72 hours.
A client with diabetes is prescribed insulin glargine once daily
and regular insulin four times daily. One dose of regular insulin
is scheduled at the same time as the glargine. How does the
nurse instruct the client to administer the two doses of insulin?
A) "Draw up and inject the insulin glargine first, then draw up
and inject the regular insulin."
,B) "First draw up the dose of regular insulin, then draw up
the dose of insulin glargine in the same syringe, mix, and inject
the two insulins together."
C) "First draw up the dose of insulin glargine, then draw up
the dose of regular insulin in the same syringe, mix, and inject
the two insulins together."
D) "Draw up and inject the insulin glargine first, wait 20
minutes, then draw up and inject the regular insulin." -
ANSWER -A
Insulin glargine must not be diluted or mixed with any other
insulin or solution. Mixing results in an unpredictable alteration
in the onset of action and time to peak action. The correct
instruction is to draw up and inject first the glargine, then the
regular insulin right afterward.
The nurse would identify which body systems as directly
involved in the process
of normal gas exchange? (Select all
that apply.)
A) Endocrine system
B) Neurologic system
C) Hepatic system
D) Immune system
E) Cardiovascular system
F) Pulmonary system - ANSWER -B, E, F
, The neurologic system controls respiratory drive; the
respiratory system controls delivery of oxygen to the lung
capillaries; and the cardiac system is responsible for the
perfusion of vital organs. These systems are primarily
responsible for the adequacy of gas exchange in the body. The
endocrine and hepatic systems are not directly involved with
gas exchange. The immune system primarily protects the body
against infection.
The nurse is discharging home a client at risk for venous
thromboembolism
(VTE) on low-molecular-weight heparin. What instruction
does the nurse
provide to this
client?
A) "You must have your aPTT checked every
2 weeks."
B) "Notify your health care provider if your stools
appear tarry."
C) "An IV catheter will be placed to administer
your heparin."
D) "Massage the injection site after the heparin is injected."
- ANSWER –B
As with any anticoagulation, low-molecular-weight heparin
incurs risk of bleeding. Clients should be taught to report to
their health care provider the presence of tarry stools, bleeding
gums, hematuria, ecchymosis, or petechiae. Low-molecular-
