HESI 101- MED SURGE HESI RN EXAM WITH QUESTIONS
AND CORRECT ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2026
Two hours before a client's scheduled surgery, the nurse is completing the
preoperative checklist. Which information requires the most immediate action by
the nurse?
A. Surgical consent form is not signed
B. Preoperative serum potassium level is 2.8 mEq/L (2.8mmol/L)
C.Preoperative chest x-ray report is not available
D. Client's pulse oximeter reading is 96% - ANSWER B
One hour after major abdominal surgery, a client in the post anesthesia care unit
(PACU) has a blood pressure (BP) of 136/80 mmHg. Fifteen minutes later it is
114/72 mmHg. Which action should the nurse take first?
A. Increase frequency of BP assessments
B. Review the client's baseline BP trends
C. Check the abdominal surgical dressing
D. Encourage the client to breathe deeply - ANSWER C
The nurse is assessing a client's arteriovenous (AV) fistula. Which finding provides
evidence of its normal function?
A. Ecchymotic area
B. Enlarged vein
,C. Pulselessness
D. Redness - ANSWER B
Which instruction should the nurse include in the discharge teaching for a client
who has gastroesophageal reflux?
A. Encourage the client to lie down and rest after meals
B. Remind the client to avoid high-fiber foods
C. Teach the client to elevate the head of the bed on blocks
D. Instruct the client to use antacids only as a last resort - ANSWER
C
Following a transurethral resection of the prostate (TURP), a client is discharged
from the hospital with an indwelling urinary catheter. Which instruction is
important for the nurse to include in the discharge teaching plan?
A. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
C. Eliminate all spicy foods from your diet
D. Clamp the catheter when taking a shower - ANSWER B
A client with chronic cirrhosis has esophageal varies. It is most important for the
nurse to monitor the client for the onset of which problem?
A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis - ANSWER A
,After three days of persistent epigastric pain, a female client presents to the clinic.
She has been taking oral antacids without relief. Her vital signs are heart rate 122
beats/min, respirations 16 breaths/minute, oxygen saturation 96%, and blood
pressure 116/70mmHg. The nurse obtains a 12-lead electrocardiogram (ECG).
Which assessment finding is most critical?
A. Irregular pulse rate
B. ST elevation in three leads
C. Complaint of radiating jaw pain
D. Bile colored emesis - ANSWER B
A client's laboratory findings indicate elevations in thyroxine and triiodothyronine
hormones. The nurse suspects that the client may have hyperthyroidism. Which
assessment finding is most often associated with hyperthyroidism?
A. Increased pulse rate
B. Diarrhea stools
C. Atrophied thyroid gland
D. Periorbital edema - ANSWER A
A young adult male client has a diagnosis of epididymitis and a positive culture for
Escherichia coli. Which information should the nurse include in the teaching plan?
A. Avoid penile contact with the rectal area
B. Epididymitis is a pre-cancerous condition
C. Obtain an annual prostate digital exam
D. Surgical intervention is often indicated - ANSWER D
, The drainage in the chest tube of a client with emphysema has changed from
viscous green to clear watery fluid. Which action is best for the nurse to take?
A. Obtain a specimen of the drainage for culture
B. "Milk" the tube to remove any clots
C. Maintain the current IV antibiotic schedule
D. Schedule a portable chest x-ray per PRN protocol - ANSWER C
While planning care for a client with carpal tunnel syndrome, the nurse identifies a
collaborative problem of pain. What is the etiology of this problem?
A. Diminished blood flow
B. Compression of a nerve
C. Irritation of nerve endings
D. Ischemic tissue changes - ANSWER B
A client is being treated for acute kidney injury. On examination, the client has a
weight gain of 4.4 lbs (2kg) in 24 hours and exhibits changes in mental status.
Which intervention should the nurse implement?
A. Monitor daily sodium intake
B. Assess for dependent pitting edema
C. Record usual eating patterns
D. Obtain serum creatine levels daily - ANSWER D
A female client who works as a data entry clerk is concerned as to how her
recent diagnosis of Raynaud's syndrome is going to affect her job performance.
Which instruction should the nurse provide this client? A. Use a space heater to
keep the workplace warm
AND CORRECT ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2026
Two hours before a client's scheduled surgery, the nurse is completing the
preoperative checklist. Which information requires the most immediate action by
the nurse?
A. Surgical consent form is not signed
B. Preoperative serum potassium level is 2.8 mEq/L (2.8mmol/L)
C.Preoperative chest x-ray report is not available
D. Client's pulse oximeter reading is 96% - ANSWER B
One hour after major abdominal surgery, a client in the post anesthesia care unit
(PACU) has a blood pressure (BP) of 136/80 mmHg. Fifteen minutes later it is
114/72 mmHg. Which action should the nurse take first?
A. Increase frequency of BP assessments
B. Review the client's baseline BP trends
C. Check the abdominal surgical dressing
D. Encourage the client to breathe deeply - ANSWER C
The nurse is assessing a client's arteriovenous (AV) fistula. Which finding provides
evidence of its normal function?
A. Ecchymotic area
B. Enlarged vein
,C. Pulselessness
D. Redness - ANSWER B
Which instruction should the nurse include in the discharge teaching for a client
who has gastroesophageal reflux?
A. Encourage the client to lie down and rest after meals
B. Remind the client to avoid high-fiber foods
C. Teach the client to elevate the head of the bed on blocks
D. Instruct the client to use antacids only as a last resort - ANSWER
C
Following a transurethral resection of the prostate (TURP), a client is discharged
from the hospital with an indwelling urinary catheter. Which instruction is
important for the nurse to include in the discharge teaching plan?
A. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
C. Eliminate all spicy foods from your diet
D. Clamp the catheter when taking a shower - ANSWER B
A client with chronic cirrhosis has esophageal varies. It is most important for the
nurse to monitor the client for the onset of which problem?
A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis - ANSWER A
,After three days of persistent epigastric pain, a female client presents to the clinic.
She has been taking oral antacids without relief. Her vital signs are heart rate 122
beats/min, respirations 16 breaths/minute, oxygen saturation 96%, and blood
pressure 116/70mmHg. The nurse obtains a 12-lead electrocardiogram (ECG).
Which assessment finding is most critical?
A. Irregular pulse rate
B. ST elevation in three leads
C. Complaint of radiating jaw pain
D. Bile colored emesis - ANSWER B
A client's laboratory findings indicate elevations in thyroxine and triiodothyronine
hormones. The nurse suspects that the client may have hyperthyroidism. Which
assessment finding is most often associated with hyperthyroidism?
A. Increased pulse rate
B. Diarrhea stools
C. Atrophied thyroid gland
D. Periorbital edema - ANSWER A
A young adult male client has a diagnosis of epididymitis and a positive culture for
Escherichia coli. Which information should the nurse include in the teaching plan?
A. Avoid penile contact with the rectal area
B. Epididymitis is a pre-cancerous condition
C. Obtain an annual prostate digital exam
D. Surgical intervention is often indicated - ANSWER D
, The drainage in the chest tube of a client with emphysema has changed from
viscous green to clear watery fluid. Which action is best for the nurse to take?
A. Obtain a specimen of the drainage for culture
B. "Milk" the tube to remove any clots
C. Maintain the current IV antibiotic schedule
D. Schedule a portable chest x-ray per PRN protocol - ANSWER C
While planning care for a client with carpal tunnel syndrome, the nurse identifies a
collaborative problem of pain. What is the etiology of this problem?
A. Diminished blood flow
B. Compression of a nerve
C. Irritation of nerve endings
D. Ischemic tissue changes - ANSWER B
A client is being treated for acute kidney injury. On examination, the client has a
weight gain of 4.4 lbs (2kg) in 24 hours and exhibits changes in mental status.
Which intervention should the nurse implement?
A. Monitor daily sodium intake
B. Assess for dependent pitting edema
C. Record usual eating patterns
D. Obtain serum creatine levels daily - ANSWER D
A female client who works as a data entry clerk is concerned as to how her
recent diagnosis of Raynaud's syndrome is going to affect her job performance.
Which instruction should the nurse provide this client? A. Use a space heater to
keep the workplace warm
