HESI / HESI Med-Surg RN V1 (55
Questions) – Answers & Rationales
Q1. Post-op evisceration concern
A patient states after coughing that “his guts have spilled out.” What should the nurse do
first?
Answer: Visualize the abdominal area
Rationale: First assess the severity. Evisceration is a surgical emergency, and visualization
confirms whether organs are exposed before further intervention.
Q2. Corticosteroid (Kenalog) reaction
Patient reports increased redness while on Kenalog. What should nurse do?
Answer: Schedule an appointment
Rationale: Increased redness may indicate infection or adverse reaction requiring provider
evaluation.
Q3. BDP test abnormal finding
What warrants further intervention?
Answer: Positive gastro-ocult emesis
Rationale: Indicates GI bleeding and requires immediate follow-up.
Q4. Vitamin B12 therapy monitoring
Fatigue while on B12—what lab to monitor?
Answer: CBC
Rationale: Evaluates improvement in anemia (RBC, Hgb, Hct).
, Q5. Parkinson’s medication effectiveness
Walking improvement in Parkinson’s indicates?
Answer: Medication is effective
Rationale: Improved mobility shows therapeutic response.
Q6. Latex allergy
Priority for banana allergy?
Answer: Replace latex products
Rationale: Banana allergy is cross-reactive with latex.
Q7. Prevent renal calculi
Answer: Limit tea and chocolate
Rationale: Reduces oxalate intake, decreasing stone formation.
Q8. Fibrillation medication
Answer: Adenosine
Rationale: Used to treat certain tachyarrhythmias (note: not VFib standard treatment, but
expected test logic may vary).
Q9. No pedal pulse
Answer: Use Doppler
Rationale: Confirms presence of weak or absent pulse.
Q10. COPD walking program effectiveness
Answer: Cardiovascular improvement
Rationale: Increased tolerance and endurance indicate success.
Questions) – Answers & Rationales
Q1. Post-op evisceration concern
A patient states after coughing that “his guts have spilled out.” What should the nurse do
first?
Answer: Visualize the abdominal area
Rationale: First assess the severity. Evisceration is a surgical emergency, and visualization
confirms whether organs are exposed before further intervention.
Q2. Corticosteroid (Kenalog) reaction
Patient reports increased redness while on Kenalog. What should nurse do?
Answer: Schedule an appointment
Rationale: Increased redness may indicate infection or adverse reaction requiring provider
evaluation.
Q3. BDP test abnormal finding
What warrants further intervention?
Answer: Positive gastro-ocult emesis
Rationale: Indicates GI bleeding and requires immediate follow-up.
Q4. Vitamin B12 therapy monitoring
Fatigue while on B12—what lab to monitor?
Answer: CBC
Rationale: Evaluates improvement in anemia (RBC, Hgb, Hct).
, Q5. Parkinson’s medication effectiveness
Walking improvement in Parkinson’s indicates?
Answer: Medication is effective
Rationale: Improved mobility shows therapeutic response.
Q6. Latex allergy
Priority for banana allergy?
Answer: Replace latex products
Rationale: Banana allergy is cross-reactive with latex.
Q7. Prevent renal calculi
Answer: Limit tea and chocolate
Rationale: Reduces oxalate intake, decreasing stone formation.
Q8. Fibrillation medication
Answer: Adenosine
Rationale: Used to treat certain tachyarrhythmias (note: not VFib standard treatment, but
expected test logic may vary).
Q9. No pedal pulse
Answer: Use Doppler
Rationale: Confirms presence of weak or absent pulse.
Q10. COPD walking program effectiveness
Answer: Cardiovascular improvement
Rationale: Increased tolerance and endurance indicate success.
