HESI EXAM ms
Exam Solution
ms
Med Surg Final HESI Cartes 2026 A+ GRADE ASSURED C
ms ms ms ms ms ms ms ms ms
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (6A06 ms ms ms ms ms
6)
QUESTION 1 ms
A client with a productive cough has obtained a sputum specimen for culture as instr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ucted. What is the best initial nursing action?
ms ms ms ms ms ms ms
A. Administer the first dose of antibiotic therapy
ms ms ms ms ms ms ms
B. Observe the color, consistency, and amount of sputum
ms ms ms ms ms ms ms ms
C. Encourage the client to consume plenty of warm liquids
ms ms ms ms ms ms ms ms ms
D. Send the specimen to the lab for analysis
ms ms ms ms ms ms ms ms
ANSWER
B. Observe the color, consistency, and amount of sputum
ms ms ms ms ms ms ms ms
QUESTION 2 ms
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH),
ms ms ms ms ms ms ms ms ms ms
a client develops pontine myselinolysis. Which intervention should the nurse impleme
ms ms ms ms ms ms ms ms ms ms
nt first?
ms
A. Reorient client to his room
ms ms ms ms ms
B. Place a patch on one eye
ms ms ms ms ms ms
C. Evaluate client's ability to swallow
ms ms ms ms ms
D. Perform range of motion exercises
ms ms ms ms ms
ANSWER
A. Reorient client to his room
ms ms ms ms ms
QUESTION 3 ms
A male client with heart failure (HF) calls the clinic and reports that he cannot put hi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s shoes on because they are too tight. Which additional information should the nurse
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
obtain?
,A. What time did he take his last medications?
ms ms ms ms ms ms ms ms
B. Has his weight changed in the last several days?
ms ms ms ms ms ms ms ms ms
C. Is he still able to tighten his belt buckle?
ms ms ms ms ms ms ms ms ms
D. How many hours did he sleep last night?
ms ms ms ms ms ms ms ms
ANSWER
B. Has his weight changed in the last several days?
ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e nurse administer? (Enter numeric value only. If rounding is required, round to the n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
earest tenth.) ms
ANSWER
0.6 ml ms
QUESTION 5 ms
A client with Cushing's syndrome is recovering from an elective laparoscopic procedur
ms ms ms ms ms ms ms ms ms ms ms
e. Which assessment finding warrants immediate intervention by the nurse?
ms ms ms ms ms ms ms ms ms
A. Irregular apical pulse
ms ms ms
B. Purple marks on the skin of the abdomen
ms ms ms ms ms ms ms ms
C. Quarter size blood spot on dressing
ms ms ms ms ms ms
D. Pitting ankle edema
ms ms ms
ANSWER
A. Irregular apical pulse
ms ms ms
QUESTION 6 ms
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is hav
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ing difficulty sleeping. What is the probable etiology of this problem?
ms ms ms ms ms ms ms ms ms ms
A. Pain
ms
B. Nocturia
ms
C. Dyspnea
ms
D. Frequent cough
ms ms
ANSWER
A. Pain
ms
QUESTION 7 ms
, A client with Addison's disease started taking hydrocortisone in a divided daily dose l
ms ms ms ms ms ms ms ms ms ms ms ms ms
ast week. It is most important for the nurse to monitor which serum laboratory value
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
?
A. Osmolarity
ms
B. Glucose
ms
C. Albumin
ms
D. Platelets
ms
ANSWER
B. Glucose
ms
QUESTION 8 ms
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange
ms ms ms ms ms ms ms ms ms ms ms
from a respiratory infection. Which assessment finding warrants immediate interventi
ms ms ms ms ms ms ms ms ms
on by the nurse?
ms ms ms
A. Elevated temperature
ms ms
B. Generalized weakness
ms ms
C. Diminished lung sounds
ms ms ms
D. Pain when swallowing
ms ms ms
ANSWER
D. Pain when swallowing
ms ms ms
QUESTION 9 ms
During a paracentesis, two liters of fluid are removed from the abdomen of a client wi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
th ascites. A drainage bag is placed, and 50 ml of clear, straw-
ms ms ms ms ms ms ms ms ms ms ms ms
colored fluid drains within the first hour. What action should the nurse implement?
ms ms ms ms ms ms ms ms ms ms ms ms
A. Palpate for abdominal distention
ms ms ms ms
B. Send fluid to the lab for analysis
ms ms ms ms ms ms ms
C. Continue to monitor the fluid output
ms ms ms ms ms ms
D. Clamp the drainage tube for 5 minutes
ms ms ms ms ms ms ms
ANSWER
C. Continue to monitor the fluid output
ms ms ms ms ms ms
QUESTION 10 ms
A client who took a camping vacation two weeks ago in a county with a tropical clima
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
te comes to the clinic describing vague symptoms and diarrhea for the past week. Whi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ch finding is most important for the nurse report to the healthcare provider?
ms ms ms ms ms ms ms ms ms ms ms ms
A. Weakness and fatigue
ms ms ms
B. Intestinal cramping
ms ms
Exam Solution
ms
Med Surg Final HESI Cartes 2026 A+ GRADE ASSURED C
ms ms ms ms ms ms ms ms ms
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (6A06 ms ms ms ms ms
6)
QUESTION 1 ms
A client with a productive cough has obtained a sputum specimen for culture as instr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ucted. What is the best initial nursing action?
ms ms ms ms ms ms ms
A. Administer the first dose of antibiotic therapy
ms ms ms ms ms ms ms
B. Observe the color, consistency, and amount of sputum
ms ms ms ms ms ms ms ms
C. Encourage the client to consume plenty of warm liquids
ms ms ms ms ms ms ms ms ms
D. Send the specimen to the lab for analysis
ms ms ms ms ms ms ms ms
ANSWER
B. Observe the color, consistency, and amount of sputum
ms ms ms ms ms ms ms ms
QUESTION 2 ms
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH),
ms ms ms ms ms ms ms ms ms ms
a client develops pontine myselinolysis. Which intervention should the nurse impleme
ms ms ms ms ms ms ms ms ms ms
nt first?
ms
A. Reorient client to his room
ms ms ms ms ms
B. Place a patch on one eye
ms ms ms ms ms ms
C. Evaluate client's ability to swallow
ms ms ms ms ms
D. Perform range of motion exercises
ms ms ms ms ms
ANSWER
A. Reorient client to his room
ms ms ms ms ms
QUESTION 3 ms
A male client with heart failure (HF) calls the clinic and reports that he cannot put hi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s shoes on because they are too tight. Which additional information should the nurse
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
obtain?
,A. What time did he take his last medications?
ms ms ms ms ms ms ms ms
B. Has his weight changed in the last several days?
ms ms ms ms ms ms ms ms ms
C. Is he still able to tighten his belt buckle?
ms ms ms ms ms ms ms ms ms
D. How many hours did he sleep last night?
ms ms ms ms ms ms ms ms
ANSWER
B. Has his weight changed in the last several days?
ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e nurse administer? (Enter numeric value only. If rounding is required, round to the n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
earest tenth.) ms
ANSWER
0.6 ml ms
QUESTION 5 ms
A client with Cushing's syndrome is recovering from an elective laparoscopic procedur
ms ms ms ms ms ms ms ms ms ms ms
e. Which assessment finding warrants immediate intervention by the nurse?
ms ms ms ms ms ms ms ms ms
A. Irregular apical pulse
ms ms ms
B. Purple marks on the skin of the abdomen
ms ms ms ms ms ms ms ms
C. Quarter size blood spot on dressing
ms ms ms ms ms ms
D. Pitting ankle edema
ms ms ms
ANSWER
A. Irregular apical pulse
ms ms ms
QUESTION 6 ms
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is hav
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ing difficulty sleeping. What is the probable etiology of this problem?
ms ms ms ms ms ms ms ms ms ms
A. Pain
ms
B. Nocturia
ms
C. Dyspnea
ms
D. Frequent cough
ms ms
ANSWER
A. Pain
ms
QUESTION 7 ms
, A client with Addison's disease started taking hydrocortisone in a divided daily dose l
ms ms ms ms ms ms ms ms ms ms ms ms ms
ast week. It is most important for the nurse to monitor which serum laboratory value
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
?
A. Osmolarity
ms
B. Glucose
ms
C. Albumin
ms
D. Platelets
ms
ANSWER
B. Glucose
ms
QUESTION 8 ms
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange
ms ms ms ms ms ms ms ms ms ms ms
from a respiratory infection. Which assessment finding warrants immediate interventi
ms ms ms ms ms ms ms ms ms
on by the nurse?
ms ms ms
A. Elevated temperature
ms ms
B. Generalized weakness
ms ms
C. Diminished lung sounds
ms ms ms
D. Pain when swallowing
ms ms ms
ANSWER
D. Pain when swallowing
ms ms ms
QUESTION 9 ms
During a paracentesis, two liters of fluid are removed from the abdomen of a client wi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
th ascites. A drainage bag is placed, and 50 ml of clear, straw-
ms ms ms ms ms ms ms ms ms ms ms ms
colored fluid drains within the first hour. What action should the nurse implement?
ms ms ms ms ms ms ms ms ms ms ms ms
A. Palpate for abdominal distention
ms ms ms ms
B. Send fluid to the lab for analysis
ms ms ms ms ms ms ms
C. Continue to monitor the fluid output
ms ms ms ms ms ms
D. Clamp the drainage tube for 5 minutes
ms ms ms ms ms ms ms
ANSWER
C. Continue to monitor the fluid output
ms ms ms ms ms ms
QUESTION 10 ms
A client who took a camping vacation two weeks ago in a county with a tropical clima
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
te comes to the clinic describing vague symptoms and diarrhea for the past week. Whi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ch finding is most important for the nurse report to the healthcare provider?
ms ms ms ms ms ms ms ms ms ms ms ms
A. Weakness and fatigue
ms ms ms
B. Intestinal cramping
ms ms