Med Surg Final HESI Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with hyperthyroidism. Which symptom should the nurse expect?
A. Weight gain
B. Bradycardia
✔✔C. Heat intolerance
D. Constipation
A client receiving total parenteral nutrition (TPN) suddenly develops shortness of breath. What
should the nurse do first?
A. Call the provider
✔✔B. Clamp the TPN line and place the client on their left side
C. Flush the line with saline
D. Check blood glucose
Which lab result is expected in a client with chronic kidney disease?
A. Low BUN
1
,B. Low creatinine
✔✔C. High potassium
D. Low phosphate
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle
changes. Which statement indicates correct understanding?
A. “I can lie down right after meals.”
✔✔B. “I will avoid spicy foods and caffeine.”
C. “I should eat a large meal at night.”
D. “I can wear tight belts to improve digestion.”
A client post-abdominal surgery is encouraged to use an incentive spirometer. What is the main
purpose?
A. Promote appetite
✔✔B. Prevent atelectasis
C. Reduce pain
D. Increase bowel movement
2
,Which sign is associated with hypomagnesemia?
A. Hyporeflexia
B. Bradycardia
✔✔C. Tremors and increased reflexes
D. Flushed skin
A nurse is caring for a client with a new ileostomy. Which stool characteristic should the nurse
expect?
A. Formed brown stool
B. Semi-formed stool
✔✔C. Liquid stool
D. Clay-colored stool
A client with liver failure is at risk for bleeding. Which lab value supports this finding?
A. Low glucose
✔✔B. Prolonged prothrombin time (PT)
C. Low ammonia
D. High albumin
3
, Which position is best for a client with increased intracranial pressure?
A. Supine with legs elevated
B. Flat in bed
✔✔C. Head of bed elevated 30 degrees
D. Trendelenburg position
A nurse is caring for a client with a blood glucose of 40 mg/dL who is alert and able to swallow.
What is the best action?
A. Administer glucagon IM
✔✔B. Give 4 ounces of orange juice
C. Notify the provider immediately
D. Start IV dextrose
Which lab result is most concerning for a client receiving chemotherapy?
A. Hemoglobin 11 g/dL
✔✔B. WBC 2,000/mm³
C. Platelets 180,000/mm³
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with hyperthyroidism. Which symptom should the nurse expect?
A. Weight gain
B. Bradycardia
✔✔C. Heat intolerance
D. Constipation
A client receiving total parenteral nutrition (TPN) suddenly develops shortness of breath. What
should the nurse do first?
A. Call the provider
✔✔B. Clamp the TPN line and place the client on their left side
C. Flush the line with saline
D. Check blood glucose
Which lab result is expected in a client with chronic kidney disease?
A. Low BUN
1
,B. Low creatinine
✔✔C. High potassium
D. Low phosphate
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle
changes. Which statement indicates correct understanding?
A. “I can lie down right after meals.”
✔✔B. “I will avoid spicy foods and caffeine.”
C. “I should eat a large meal at night.”
D. “I can wear tight belts to improve digestion.”
A client post-abdominal surgery is encouraged to use an incentive spirometer. What is the main
purpose?
A. Promote appetite
✔✔B. Prevent atelectasis
C. Reduce pain
D. Increase bowel movement
2
,Which sign is associated with hypomagnesemia?
A. Hyporeflexia
B. Bradycardia
✔✔C. Tremors and increased reflexes
D. Flushed skin
A nurse is caring for a client with a new ileostomy. Which stool characteristic should the nurse
expect?
A. Formed brown stool
B. Semi-formed stool
✔✔C. Liquid stool
D. Clay-colored stool
A client with liver failure is at risk for bleeding. Which lab value supports this finding?
A. Low glucose
✔✔B. Prolonged prothrombin time (PT)
C. Low ammonia
D. High albumin
3
, Which position is best for a client with increased intracranial pressure?
A. Supine with legs elevated
B. Flat in bed
✔✔C. Head of bed elevated 30 degrees
D. Trendelenburg position
A nurse is caring for a client with a blood glucose of 40 mg/dL who is alert and able to swallow.
What is the best action?
A. Administer glucagon IM
✔✔B. Give 4 ounces of orange juice
C. Notify the provider immediately
D. Start IV dextrose
Which lab result is most concerning for a client receiving chemotherapy?
A. Hemoglobin 11 g/dL
✔✔B. WBC 2,000/mm³
C. Platelets 180,000/mm³
4
