HESI Medical Surgical Exam Test Bank 2026 Verified Answers

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HESI MEDICAL SURGICAL EXAM TEST BANK 2026/ACTU
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AL EXAM WITH CORRECT DETAILED AND VERIFIED ANS
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WERS/ MEDICAL SURGICAL HESI EXAM 2026-2027
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Ahmalehclienthwithhsicklehcellhanemia,hwhohhashbeenhhospitalizedh forhanotherhhealthhproblem,htellshthehnursehhehhashh
h


adhanherectionh forhoverh4hhours.hWhathactionhshouldhthehnursehimplementhfirst?

h
h Notifyhthehclient’sh healthcarehprovider.

h DocumenththehFindinghinhthehclienthrecord.

Preparehahwarmhenemahsolutionh forhrectalh instillation.

Obtainhahlargehborehneedlehforhaspirationh ofhthehcorporahcavernosa.

Explanation
Priapism,hahurologichemergency,hishcommonhduringhsicklehcellhcrisishduehtohsicklehcellshclogginghthehmicrocirculation
h inhthehpenis,hcausinghahreductionh ofhbloodhowhandhoxygenationh tohthehpenis,hsohthe


healthcareh providerhshouldhbehrsthnotihedhimmediately.h Thehprescribedhtherapyhmayhconsisthofhnoninvasivehme
asuresh suchhashapplyinghicehtohthehpenis,hinstillingh ahwarmhsolutionh enemahtohincreasehouthowhinhthehcorporahca
vernosahandhgivinghpainhmedications.h Ifhnoninvasiveh measureshdohnothwork,hthenhneedlehaspirationhofhthehcorp
orahcavernosahishimplementedh byhthehhealthcarehprovider.



Thehnursehcompleteshvisualhinspectionh ofhahclient’shabdomen.hWhathtechniquehshouldhthehnursehperformhnexthinhthehabdom
inalhexamination?
h Percussion.

h Auscultation.
h


Deephpalpation.hLight
h palpation.

Explanation
Auscultationhofhthehclient’shabdomenhishperformedh nexthbecausehmanualhmanipulationh ofhthehabdomenhcanhstim
ulateh peristalsish andhcreatehinaccurateh assessmenthofhbowelhsoundshheardhduringhauscultation.




Whichhinterventionh shouldhthehnursehimplementh thathbesthconhrmshplacementh ofhanhendotrachealhtubeh(ETT)?




h h Usehanhend-titalh CO2hdetector.
h



h Ascultatehforhbilateralh breathhsounds.

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Obtainhpulsehoximeterh reading.

hCheckhsymmetricalh chesthmovement.

Explanation
Thehend-
tidalhcarbonhdioxidehdetectorhindicatesh thehprescencehofhCO2tidalbyhahcolorhchangehorhahnumberhindicatedh onht
hehdetector,hwhichhishsupportinghevidencehthaththehETThishinhthehtrachea,h noththehesophagus.

Ahfemalehclienthwithhtypeh2hdiabeteshmellitush reportshdysuria.hWhichhassessmenthndinghishmosthimportanthforhthehnurs
ehtohreporthtohthehhealthcareh provider?
h Suprapublichpainhandhdistention.

h Boundinghpulsehath100h beats/minute.

Fingerstickhglucosehofh300hmg/dl.h

Smallhvesicularhperinealhlesions.

Explanation
Elevatedhngerstickh glucosehlevelshneedshtohbehreportedhtothhehhealthcareh provider,hsohahplanhofhcarehcanhbehadju
stedhtohtreaththehelevatedhglucosehlevel.hAlsohelevatedhglucosehlevels,hspillshintohthehurinehandhprovidehahmediu
mhforhbacterialhgrowth.




AhclienthwithhtypehIIhdiabetesharrivesh aththehclinich withhahbloodhglucosehofh50hmg/dL.hThehnursehprovideshthehclienthwi
thh6hounceshofhorangehjuice.hInh15hminutesh thehclient’sh capillaryh glucosehish74hmg/dL.hWhathactionh shouldhthehnurseh
take?
h Obtainhahspecimenhforhserumhglucosehlevel.

h Administerhinsulinh perhslidingh scale.

Providehcheesehandhbreadhtoheat.

hCollecthahglycosylatedh hemoglobinh specimen.

Explanation


Oncehbloodhglucosehishgreaterhthanh70hmg/dl,hthehclienthshouldheathahregularlyh scheduledhmealhorhahsnackhthathcontain
shproteinhandhcarbohydrateshtohhelphpreventhhypoglycemiahfromhrecurring.

Ah48-year-oldhclienthwithhendometrialh cancerhishbeinghdischargedhafterhahtotalhhysterectomyh andhbilateralhsalpingo-
hoophorectomy.


Whichhclienthstatementh indicateshthathfurtherhteachinghishneeded?
h "Well,hIhdon’thhavehtohworryhabouthgettinghpregnanthanymore."


h "Ihcan’thwaithtohgohonhthehcruisehthathIhhavehplannedhforhthishsummer."h

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"IhknowhIhwillhmisshhavinghsexualhintercourseh withhmyhhusband."

"Ihhavehaskedh myhdaughterhtohstayh withh mehnexthweekhafterhIhamhdischarged."

Explanation
Furtherhteachinghishneededhinhresponsehtohthehclient’shmisunderstandingh ofhnothbeinghablehtohhavehsexualhinterco
ursehafterhahhysterectomy,h needshtohbehaddressed.




Ahclienthaskshthehnursehabouththehpurposehofhbeginninghchemotherapyh (CT)hbecausehthehtumorhishstillhveryhsmall.hWhi
chhinformationhsupportshthehexplanationhthaththehnursehshouldhprovide?
h Sideheûectsh arehlesshlikelyh ifhtherapyhishstartedh early.

h Collateralhcirculationh increaseshashthehtumorhgrows.

Sensitivityh ofhcancerhcellshtohCThishbasedhonhcellhcyclehrate.

Thehcellhcounthofhthehtumorh reduceshbyhhalfhwithheachhdose.h

Explanation
Initiatingh chemotherapyhwhilehthehtumorhishsmallhprovideshahbetterhchancehofheradicatingh allhcancerhcellshbecaus
eh50%hofhcancerhcellshorhtumorhcellsharehkilledhwithheachhdose.




Ahclienthinhthehpreoperativehholdinghareahreceiveshahprescriptionh forhmidazolamh (Versed)hIV.hThehnursehdetermineshth
aththehsurgicalhconsenthformhneedshtohbehsignedhbyhthehclient.h Whichhactionhshouldhthehnursehimplement?
h h Givehtheh drughandhallowh thehclienth tohreadh andhsignh thehconsenthform.

h Counter-signhthehclient’sh initialsh onhthehconsenthformhafterh givinghthehdrug.

Withholdhthehdrughuntilhthehclienthvalidateshunderstandinghofhthehsurgicalhprocedurehandhsignshthehcons
enthform.



hCallhthehhealthcareh providerhtohexplainhthehsurgicalh procedurehbeforehthehclienth signshthehconsent.

Explanation
Midazolam,hahbenzodiazepinehsedative,hishcommonlyhusedhforhconscious-sedationh intraoperativelyh and
interfereshwithhthehclienthshcognitionh andhlevelhofhconsciousness,h sohthehconsenthformhshouldhbehsignedhbeforehth
ehdrughishadministered.




Whichhclienthshouldhthehnursehassesshrst?
h Ah27-year-oldhcomplainingh ofhseverehbackhpain.

h Ah63-year-oldhcomplainingh ofhfoothandhanklehpain.

Ah49-year-oldhwithhpancreatitish complainingh ofhunrelentingh abdominalhpain.

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Ah55-year-

oldhnewlyhadmittedhclienthcomplaininghofhjawhpainhandhindigestion.hExplanation
Theh55-year-
oldhclienthshouldhbehassessedhrsthtohrulehouthcardiachinvolvementhbecausehjawhpainhandhindigestionharehcommonhdes
criptorshofhmyocardialhinjury.




Whathishthehprimaryh nursinghproblemhforhahclienthwithhasymptomatich primaryhsyphilis?
h Acutehpain.

h Riskhforhinjury.

Sexualhdysfunction.h

Dehcienthknowledge.

Explanation
Anhasymptomatichclienthwithhprimaryhsyphilishishmosthlikelyhunawarehofhthishdisease,hsohtohpreventhtransmissionhtoh
othershandhrecurrencehinhthehclient,h thehpriorityh nursinghdiagnosishishdehcienthknowledgehofhthehdisease
pathophysiology.



Anh85-year-
oldhmalehclienthcomeshtohthehclinich forhhishannualhphysicalhexamhandhrenewalhofhantihypertensivehmedicationhprescri
ptions.h Thehclient’shradialhpulsehratehish104hbeats/minute.hWhichhadditionalhassessmenthshouldhthehnursehcomplete?


h Palpatehthehpedalhpulsehvolume.


hCounththehbrachialhpulsehrate.hM
easurehthehbloodhpressure.

Assesshforhahcarotidh bruit.

Explanation
Elderlyhclientshwhohtakehantihypertensiveh medicationshoftenhexperiencehsideheûects,h suchhashhypotension,h whichhc
auseshtachycardia,hahcompensatoryhmechanismhtohmaintainhadequatehcardiachoutput,hsohthehclient’shbloodhpressure
hshouldhbehmeasured.




Thehnursehassesseshahlong-
termhresidenthofhahnursinghhomehandhndshthehclienthhashahfungalhinfectionh (candidiasis)hbeneathhbothhbreasts.hTohpre
venthnosocomialhinfection,h whichhprotocolhshouldhthehnursehreviewhwithhthehresthofhthehstaû?
Followhcontacthisolationhprocedures.