HESI NURS EXAMS||MEDICAL SURGICAL
NURSING||WITH VERIFIED ANSWERS
HIGHLIGHT IN BOLD||2026
1. When describing patient education approaches, the nurse educator would explain that
informal teaching is an approach that? a. follows formalized plans b. has standardized
content c. often occurs one-to-one d. addresses group needs
2. A patient expresses a strong interest in returning to their work, family, and hobbies after
having a stroke. Which theory type would the nurse use to develop a plan of care for the
best results of this patient's motivation style? a. field b. biological c. cognitive d.
sociologic
3. The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply) a. an older woman with hypertension b. a
young man with a body mass index of 42 c. a young man who has just consumed six
martinis d. an older man who smokes a pack of cigarettes a day e. a young woman
who is anorexic f. a young woman who is diabetic
4. Which statement made by a nurse represents the need for further education regarding
pain management in older adult clients? a. older adults tend to report pain less often
than younger adults b. older clients usually have more experience with pain than
younger clients c. older adults are at greatest risk for under treated pain d. older clients
have a different pain mechanism and do not feel it as much
5. The nurse is working at a first aid booth for a spring training game on a hot day. A
spectator comes in, reporting that he is not feeling well. Vital signs are temp 104.1 F,
pulse 132 BPM, respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He trips
over his feet as the nurse leads him to a cot. What is the priority action of the nurse? a.
admin tylenol 650 mg orally b. encourage rest, and reassess in 15 minutes c. sponge
the victim with cool water and remove his shirt d. encourage drinking of cool water or
sports drink
6. The client is receiving an IV of 60 mEq of potassium chloride in a 1000 mL solution of
dextrose 5% in 0.45% saline. The client states that the area around the IV site burns.
What intervention does the nurse perform first? a. assess for a blood return b. notify the
physician c. document the finding d. stop the IV infusion
7. A nurse is caring for an older adult client who lives alone. Which economic situation
presents the most serious problem for this client? a. costs of creating a living will b. stock
market fluctuations c. increased provider benefits d. social security as the basis of
income
8. Controlling pain is important to promoting wellness. Unrelieved pain has been associated
with? a. prolonged stress response and a cascade of harmful effects system wide.
b. decreased tumor growth and longevity c. large tidal volumes and decreased lung
capacity d. decreased carbohydrate, protein, and fat destruction
, 9. Which intervention in a client with dehydration induced confusion is most likely to relieve
the confusion? a. increasing the IV flow rate to 250 mL/hr b. applying oxygen by mask
or nasal cannula c. placing the client in a high Fowler's position d. Measuring intake and
output every four hours
10.Which client is at greatest risk for dehydration? a. younger adult client on bedrest b.
older adult client receiving hypotonic IV fluid c. older adult client with cognitive
impairment d. younger adult client receiving hypertonic IV fluid
11.A nurse is caring for several clients. Which client does the nurse assess most carefully
for hyperkalemia? a. client with type 2 diabetes taking an oral anti-diabetic agent b.
client with heart failure using a salt substitute c. client taking a thiazide diuretic for
hypertension d. client taking non-steroidal anti-inflammatory drugs daily
12.An older adult client presents with signs and symptoms related to dig toxicity. Which age
related change may have contributed to this problem? a. decreased renal blood flow b.
increased gastrointestinal motility c. decreased ratio of adipose tissue to lean body mass
d. increased total body water
13.A client is being treated for dehydration. Which statement made by the client indicates
understanding of this condition? a. I will use a salt substitute when making and eating
my meals. b. I must drink a quart of water or other liquid each day. c. I will not drink
liquids after 6 PM so I won't have to get up at night. d. I will weigh myself each
morning before I eat or drink.
14.The nurse notes that the handgrip of the client with hypokalemia has diminished since
the previous assessment one hour ago. Which intervention by the nurse is the priority?
a. assess the client's respiratory rate, rhythm, and depth b. document findings and
monitor the client c. measure the client's pulse and blood pressure d. call the health care
provider
15.The physician orders Lasix (furosemide) 60 mg po every day for your patient. On hand
you have Lasix 40 mg. How many tablets will you give the patient? a. 3 b. 1 c. 1 1/2 d. 2
1/5
16.A client has been taught to restrict dietary sodium. Which food selection by the client
indicates to the nurse that teaching has been effective? a. a grilled cheese sandwich
with tomato soup b. Chinese take-out, including steamed rice c. a chicken leg, one
slice of bread with butter, and steamed carrots d. slices of ham and cheese on whole
grain crackers
17.When a client is assessed, which behavior best indicates that he or she is experiencing
changes associated with acute pain? a. inability to concentrate b. expressed
hopelessness c. psychosocial withdrawal d. anger and hostility
18.A nurse is caring for several clients at risk for overhydration. The nurse assesses the
older client with which finding first? a. Has had diabetes mellitus for 12 years b. Had
abdominal surgery and has a nasogastric tube c. Just received 3 units of packed red
blood cells d. Uses sodium-containing antacids frequently
19.The client with a stroke was admitted to a medical-surgical unit. Which tasks does the
nurse delegate to the unlicensed assistive personnel? a. Assess level of consciousness.
b. Evaluate the pulse oximetry reading. c. Assist the client with meals. d. Complete
the nursing care plan.
NURSING||WITH VERIFIED ANSWERS
HIGHLIGHT IN BOLD||2026
1. When describing patient education approaches, the nurse educator would explain that
informal teaching is an approach that? a. follows formalized plans b. has standardized
content c. often occurs one-to-one d. addresses group needs
2. A patient expresses a strong interest in returning to their work, family, and hobbies after
having a stroke. Which theory type would the nurse use to develop a plan of care for the
best results of this patient's motivation style? a. field b. biological c. cognitive d.
sociologic
3. The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply) a. an older woman with hypertension b. a
young man with a body mass index of 42 c. a young man who has just consumed six
martinis d. an older man who smokes a pack of cigarettes a day e. a young woman
who is anorexic f. a young woman who is diabetic
4. Which statement made by a nurse represents the need for further education regarding
pain management in older adult clients? a. older adults tend to report pain less often
than younger adults b. older clients usually have more experience with pain than
younger clients c. older adults are at greatest risk for under treated pain d. older clients
have a different pain mechanism and do not feel it as much
5. The nurse is working at a first aid booth for a spring training game on a hot day. A
spectator comes in, reporting that he is not feeling well. Vital signs are temp 104.1 F,
pulse 132 BPM, respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He trips
over his feet as the nurse leads him to a cot. What is the priority action of the nurse? a.
admin tylenol 650 mg orally b. encourage rest, and reassess in 15 minutes c. sponge
the victim with cool water and remove his shirt d. encourage drinking of cool water or
sports drink
6. The client is receiving an IV of 60 mEq of potassium chloride in a 1000 mL solution of
dextrose 5% in 0.45% saline. The client states that the area around the IV site burns.
What intervention does the nurse perform first? a. assess for a blood return b. notify the
physician c. document the finding d. stop the IV infusion
7. A nurse is caring for an older adult client who lives alone. Which economic situation
presents the most serious problem for this client? a. costs of creating a living will b. stock
market fluctuations c. increased provider benefits d. social security as the basis of
income
8. Controlling pain is important to promoting wellness. Unrelieved pain has been associated
with? a. prolonged stress response and a cascade of harmful effects system wide.
b. decreased tumor growth and longevity c. large tidal volumes and decreased lung
capacity d. decreased carbohydrate, protein, and fat destruction
, 9. Which intervention in a client with dehydration induced confusion is most likely to relieve
the confusion? a. increasing the IV flow rate to 250 mL/hr b. applying oxygen by mask
or nasal cannula c. placing the client in a high Fowler's position d. Measuring intake and
output every four hours
10.Which client is at greatest risk for dehydration? a. younger adult client on bedrest b.
older adult client receiving hypotonic IV fluid c. older adult client with cognitive
impairment d. younger adult client receiving hypertonic IV fluid
11.A nurse is caring for several clients. Which client does the nurse assess most carefully
for hyperkalemia? a. client with type 2 diabetes taking an oral anti-diabetic agent b.
client with heart failure using a salt substitute c. client taking a thiazide diuretic for
hypertension d. client taking non-steroidal anti-inflammatory drugs daily
12.An older adult client presents with signs and symptoms related to dig toxicity. Which age
related change may have contributed to this problem? a. decreased renal blood flow b.
increased gastrointestinal motility c. decreased ratio of adipose tissue to lean body mass
d. increased total body water
13.A client is being treated for dehydration. Which statement made by the client indicates
understanding of this condition? a. I will use a salt substitute when making and eating
my meals. b. I must drink a quart of water or other liquid each day. c. I will not drink
liquids after 6 PM so I won't have to get up at night. d. I will weigh myself each
morning before I eat or drink.
14.The nurse notes that the handgrip of the client with hypokalemia has diminished since
the previous assessment one hour ago. Which intervention by the nurse is the priority?
a. assess the client's respiratory rate, rhythm, and depth b. document findings and
monitor the client c. measure the client's pulse and blood pressure d. call the health care
provider
15.The physician orders Lasix (furosemide) 60 mg po every day for your patient. On hand
you have Lasix 40 mg. How many tablets will you give the patient? a. 3 b. 1 c. 1 1/2 d. 2
1/5
16.A client has been taught to restrict dietary sodium. Which food selection by the client
indicates to the nurse that teaching has been effective? a. a grilled cheese sandwich
with tomato soup b. Chinese take-out, including steamed rice c. a chicken leg, one
slice of bread with butter, and steamed carrots d. slices of ham and cheese on whole
grain crackers
17.When a client is assessed, which behavior best indicates that he or she is experiencing
changes associated with acute pain? a. inability to concentrate b. expressed
hopelessness c. psychosocial withdrawal d. anger and hostility
18.A nurse is caring for several clients at risk for overhydration. The nurse assesses the
older client with which finding first? a. Has had diabetes mellitus for 12 years b. Had
abdominal surgery and has a nasogastric tube c. Just received 3 units of packed red
blood cells d. Uses sodium-containing antacids frequently
19.The client with a stroke was admitted to a medical-surgical unit. Which tasks does the
nurse delegate to the unlicensed assistive personnel? a. Assess level of consciousness.
b. Evaluate the pulse oximetry reading. c. Assist the client with meals. d. Complete
the nursing care plan.
