BSN 266 HESI
Med Surg Exam
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
Next Gen-style presentation of the questions with expert rationales for a BSN-level
Med-Surg exam.
Each question includes Answer Choices, the Correct Answer, and a detailed Expert
Rationale explaining the reasoning process, suitable for the 2025 HESI Med-Surg
exam standard.
Multiple Choice (Exercise Recommendation for Corticosteroid Clients)
, 1. Which exercise regimen is most appropriate for a female client on long-term
corticosteroids?
A. High-impact aerobics
B. Resistance weightlifting
C. Intense running
D. Walking
Correct Answer: D
Expert Rationale:
Walking promotes bone health and cardiovascular fitness with low risk; corticosteroids increase
osteoporosis risk.
Multiple Choice (Self-monitoring Bleeding)
2. A female client with acquired thrombocytopenia asks how to detect nosebleed severity.
Which response is best?
A. “Count how many tissues become soaked with blood.”
B. “Check color of blood after bleeding.”
C. “Report nosebleed immediately.”
D. “Avoid blowing your nose.”
Correct Answer: A
Expert Rationale:
Tissue saturation conveys bleeding volume and severity. Counting soaked tissues helps quantify blood loss
realistically
Multiple Response (Diet in Long-term Prednisone Therapy)
3. Long-term prednisone therapy requires a diet rich in which nutrients? (Select all that apply.)
- A. Iron
- B. Protein
- C. Sodium
- D. Potassium
- E. Calcium
- F. Vitamin D
Correct Answers: B, D, E, F
Expert Rationale:
Protein supports tissue repair, potassium counters corticosteroid-induced hypokalemia, calcium and vitamin
D reduce corticosteroid-induced osteoporosis. High sodium and iron are not primary focuses here.
Multiple Choice (Platelet Transfusion Contraindications)
4. Platelets should not be administered if:
A. The platelet bag is cold.
B. The patient has a fever.
, C. The platelet bag is cloudy.
D. The platelet bag is less than 1 hour old.
Correct Answer: A
Expert Rationale:
Platelets must be stored at room temperature; cold storage damages them and negates efficacy.
Multiple Choice (Proper Preparation of Platelet Transfusion)
5. Before administering platelets, the nurse should:
A. Shake the bag vigorously.
B. Warm the bag in a microwave.
C. Gently rotate the bag.
D. Transfer to smaller sterile tubing.
Correct Answer: C
Expert Rationale:
Gentle mixing prevents platelet clumping while protecting cell integrity.
Multiple Choice (Demonstration of Preoperative Deep Breathing)
6. Which client statement or demonstration indicates correct deep breathing technique pre-
splenectomy?
A. Takes shallow breaths through the mouth
B. Breathes rapidly 3 times then coughs
C. Takes deep breath through mouth and exhales fast
D. Takes a deep breath through the nose, holds 5 seconds, then exhales slowly through pursed lips
Correct Answer: D
Expert Rationale:
Slow, deep inhalation with breath hold maximizes alveolar ventilation; pursed-lip exhaling controls
expiration and prevents atelectasis.
Multiple Choice (Preoperative Verification - Splenectomy)
7. Immediately before surgery, the nurse must verify that the client:
A. Has emptied the bladder.
B. Has received prophylactic antibiotics.
C. Has vital signs recorded.
D. Has signed consent form again.
Correct Answer: C
Expert Rationale:
Recording baseline vitals immediately pre-op is critical to detect physiologic changes before anesthesia.
Med Surg Exam
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
Next Gen-style presentation of the questions with expert rationales for a BSN-level
Med-Surg exam.
Each question includes Answer Choices, the Correct Answer, and a detailed Expert
Rationale explaining the reasoning process, suitable for the 2025 HESI Med-Surg
exam standard.
Multiple Choice (Exercise Recommendation for Corticosteroid Clients)
, 1. Which exercise regimen is most appropriate for a female client on long-term
corticosteroids?
A. High-impact aerobics
B. Resistance weightlifting
C. Intense running
D. Walking
Correct Answer: D
Expert Rationale:
Walking promotes bone health and cardiovascular fitness with low risk; corticosteroids increase
osteoporosis risk.
Multiple Choice (Self-monitoring Bleeding)
2. A female client with acquired thrombocytopenia asks how to detect nosebleed severity.
Which response is best?
A. “Count how many tissues become soaked with blood.”
B. “Check color of blood after bleeding.”
C. “Report nosebleed immediately.”
D. “Avoid blowing your nose.”
Correct Answer: A
Expert Rationale:
Tissue saturation conveys bleeding volume and severity. Counting soaked tissues helps quantify blood loss
realistically
Multiple Response (Diet in Long-term Prednisone Therapy)
3. Long-term prednisone therapy requires a diet rich in which nutrients? (Select all that apply.)
- A. Iron
- B. Protein
- C. Sodium
- D. Potassium
- E. Calcium
- F. Vitamin D
Correct Answers: B, D, E, F
Expert Rationale:
Protein supports tissue repair, potassium counters corticosteroid-induced hypokalemia, calcium and vitamin
D reduce corticosteroid-induced osteoporosis. High sodium and iron are not primary focuses here.
Multiple Choice (Platelet Transfusion Contraindications)
4. Platelets should not be administered if:
A. The platelet bag is cold.
B. The patient has a fever.
, C. The platelet bag is cloudy.
D. The platelet bag is less than 1 hour old.
Correct Answer: A
Expert Rationale:
Platelets must be stored at room temperature; cold storage damages them and negates efficacy.
Multiple Choice (Proper Preparation of Platelet Transfusion)
5. Before administering platelets, the nurse should:
A. Shake the bag vigorously.
B. Warm the bag in a microwave.
C. Gently rotate the bag.
D. Transfer to smaller sterile tubing.
Correct Answer: C
Expert Rationale:
Gentle mixing prevents platelet clumping while protecting cell integrity.
Multiple Choice (Demonstration of Preoperative Deep Breathing)
6. Which client statement or demonstration indicates correct deep breathing technique pre-
splenectomy?
A. Takes shallow breaths through the mouth
B. Breathes rapidly 3 times then coughs
C. Takes deep breath through mouth and exhales fast
D. Takes a deep breath through the nose, holds 5 seconds, then exhales slowly through pursed lips
Correct Answer: D
Expert Rationale:
Slow, deep inhalation with breath hold maximizes alveolar ventilation; pursed-lip exhaling controls
expiration and prevents atelectasis.
Multiple Choice (Preoperative Verification - Splenectomy)
7. Immediately before surgery, the nurse must verify that the client:
A. Has emptied the bladder.
B. Has received prophylactic antibiotics.
C. Has vital signs recorded.
D. Has signed consent form again.
Correct Answer: C
Expert Rationale:
Recording baseline vitals immediately pre-op is critical to detect physiologic changes before anesthesia.
