1
HESI MED SURG EXAM WITH ACTUAL EXAM
QUESTIONS AND ANSWERS
NOTE: THIS STUDY GUIDE IS SPECIFIC TO 2025/26 EXAM
• A male client with diabetes mellitus is transferred from the hospital to a
rehabilitation facility following treatment for a stroke resulting in right
hemiplegia. He tells the nurse that his feet are always uncomfortably cool
at night, preventing him from falling asleep. Which action should the nurse
implement?
A. Provide a warming pad to feet
B. Medicate the client with a prescribed sedative.
C. Use a bed cradle to hold the covers off feet.
D. Place warm blankets next to the clients feet.
D. Place warm blankets next to the clients feet.
• During a home visit, the nurse assesses the skin of a client with eczema who
reports that an exacerbation of symptoms has occurred during the last
week. Which information is most useful in determining the possible cause
of the symptoms?
A. An old friend with eczema came for a visit.
B. Recently received an influenza immunization.
C. A grandson and his new dog recently visited.
D. Corticosteroid cream was applied to eczema.
C. A grandson and his new dog recently visited.
• 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. Irritation of nerve endings
B. Diminished blood flow
C. Ischemic tissue changes
D. Compression of a nerve
,2
D. Compression of a nerve
• The nurse assesses a client being treated for Herpes Zoster (shingles).
Which assessments should the nurse include when evaluating the
effectiveness of treatment? (Select all that apply).
A. Skin integrity
B. Functional ability
C. Heart sounds
D. Pain scale
E. Bowel sounds
A,B,D
A. Skin integrity
B. Functional ability
D. Pain scale
• A male client tells the nurse that he is experiencing burning on urination,
and assessment reveals that he had sexual intercourse four days ago with a
woman he casually met. Which action should the nurse implement?
A. Observe the perineal area for a chancroid-like lesion
B. Obtain a specimen of urethral drainage for culture.
C. Assess for perineal itching, erythema, and excoriation
D. Identify all sexual partners in the last four days.
B. Obtain a specimen of urethral drainage for culture.
• A client with Addison's disease started taking hydrocortisone in a divided
daily dose last week. It is most important for the nurse to monitor which
serum laboratory value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets
,3
B. Glucose
• A client with AIDS has impaired gas exchange from a respiratory infection.
Which assessment finding warrants immediate intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing
D. Pain when swallowing
• An older male client tells the nurse that he is losing sleep because he has to
get up several times at night to go to the bathroom, that he has trouble
starting his urinary stream, and that he does not fell like his bladder is ever
completely empty. Which intervention should the nurse implement?
A. Collect a urine specimen for culture analysis
B. Review the clients fluid intake prior to bedtime
C. Palpate the bladder above the symphysis pubis.
D. Obtain a fingerstick glucose level.
C. Palpate the
• Fluids are restricted to 1500 ml/day for a male client with AKI. He is
frustrated and complaining of constant thirst, and the nurse discovers that
the family is providing the client with additional fluids. What intervention
should the nurse implement?
A. Remove all sources of liquids from the clients room
B. Allow family to give the client a measured amount of ice chips
C. Restrict family visiting until the clients condition is stable
D. Provide the client with oral swabs to moisten his mouth.
D. Provide the client with oral swabs to moisten his mouth
• During a paracentesis, two liters of fluid are removed from the abdomen of
a client with ascites. A drainage bag is placed, and 50 ml of straw colored
fluid drains within the first hour. What action should the nurse implement?
A. Palpate for abdominal distention
, 4
B. Send fluid to the lab for analysis
C. Continue to monitor the fluid output
D. Clamp drainage tube for 5 minutes
C. Continue to monitor the fluid output.
• While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences on the clients fingers that are
reddened. the client reports that the nodes are painful. Which action
should the nurse take?
A. Review the clients dietary intake of high protein foods
B. Notify the HCP of the finding immediately
C.Discuss approaches to chronic pain control with the client
D. Assess the clients radial pulses and capillary refill time.
C. Discuss approaches to chronic pain control with the client.
• A client who took a camping vacation two weeks ago in a country with a
tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the nurse
to report to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera
D. Jaundiced sclera
• Ten hours following thrombolysis for an ST elevation myocardial infarction
(STEMI), a client is receiving a lidocaine infusion for isolated runs of
ventricular tachycardia. Which finding should the nurse document in the
EMR as a therapeutic response to the lidocaine infusion?
A. Stabilization of BP ranges
B. Cessation of chest pain
C. Reduce heart rate
D. Decreased frequency of episodes of VT
HESI MED SURG EXAM WITH ACTUAL EXAM
QUESTIONS AND ANSWERS
NOTE: THIS STUDY GUIDE IS SPECIFIC TO 2025/26 EXAM
• A male client with diabetes mellitus is transferred from the hospital to a
rehabilitation facility following treatment for a stroke resulting in right
hemiplegia. He tells the nurse that his feet are always uncomfortably cool
at night, preventing him from falling asleep. Which action should the nurse
implement?
A. Provide a warming pad to feet
B. Medicate the client with a prescribed sedative.
C. Use a bed cradle to hold the covers off feet.
D. Place warm blankets next to the clients feet.
D. Place warm blankets next to the clients feet.
• During a home visit, the nurse assesses the skin of a client with eczema who
reports that an exacerbation of symptoms has occurred during the last
week. Which information is most useful in determining the possible cause
of the symptoms?
A. An old friend with eczema came for a visit.
B. Recently received an influenza immunization.
C. A grandson and his new dog recently visited.
D. Corticosteroid cream was applied to eczema.
C. A grandson and his new dog recently visited.
• 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. Irritation of nerve endings
B. Diminished blood flow
C. Ischemic tissue changes
D. Compression of a nerve
,2
D. Compression of a nerve
• The nurse assesses a client being treated for Herpes Zoster (shingles).
Which assessments should the nurse include when evaluating the
effectiveness of treatment? (Select all that apply).
A. Skin integrity
B. Functional ability
C. Heart sounds
D. Pain scale
E. Bowel sounds
A,B,D
A. Skin integrity
B. Functional ability
D. Pain scale
• A male client tells the nurse that he is experiencing burning on urination,
and assessment reveals that he had sexual intercourse four days ago with a
woman he casually met. Which action should the nurse implement?
A. Observe the perineal area for a chancroid-like lesion
B. Obtain a specimen of urethral drainage for culture.
C. Assess for perineal itching, erythema, and excoriation
D. Identify all sexual partners in the last four days.
B. Obtain a specimen of urethral drainage for culture.
• A client with Addison's disease started taking hydrocortisone in a divided
daily dose last week. It is most important for the nurse to monitor which
serum laboratory value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets
,3
B. Glucose
• A client with AIDS has impaired gas exchange from a respiratory infection.
Which assessment finding warrants immediate intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing
D. Pain when swallowing
• An older male client tells the nurse that he is losing sleep because he has to
get up several times at night to go to the bathroom, that he has trouble
starting his urinary stream, and that he does not fell like his bladder is ever
completely empty. Which intervention should the nurse implement?
A. Collect a urine specimen for culture analysis
B. Review the clients fluid intake prior to bedtime
C. Palpate the bladder above the symphysis pubis.
D. Obtain a fingerstick glucose level.
C. Palpate the
• Fluids are restricted to 1500 ml/day for a male client with AKI. He is
frustrated and complaining of constant thirst, and the nurse discovers that
the family is providing the client with additional fluids. What intervention
should the nurse implement?
A. Remove all sources of liquids from the clients room
B. Allow family to give the client a measured amount of ice chips
C. Restrict family visiting until the clients condition is stable
D. Provide the client with oral swabs to moisten his mouth.
D. Provide the client with oral swabs to moisten his mouth
• During a paracentesis, two liters of fluid are removed from the abdomen of
a client with ascites. A drainage bag is placed, and 50 ml of straw colored
fluid drains within the first hour. What action should the nurse implement?
A. Palpate for abdominal distention
, 4
B. Send fluid to the lab for analysis
C. Continue to monitor the fluid output
D. Clamp drainage tube for 5 minutes
C. Continue to monitor the fluid output.
• While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences on the clients fingers that are
reddened. the client reports that the nodes are painful. Which action
should the nurse take?
A. Review the clients dietary intake of high protein foods
B. Notify the HCP of the finding immediately
C.Discuss approaches to chronic pain control with the client
D. Assess the clients radial pulses and capillary refill time.
C. Discuss approaches to chronic pain control with the client.
• A client who took a camping vacation two weeks ago in a country with a
tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the nurse
to report to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera
D. Jaundiced sclera
• Ten hours following thrombolysis for an ST elevation myocardial infarction
(STEMI), a client is receiving a lidocaine infusion for isolated runs of
ventricular tachycardia. Which finding should the nurse document in the
EMR as a therapeutic response to the lidocaine infusion?
A. Stabilization of BP ranges
B. Cessation of chest pain
C. Reduce heart rate
D. Decreased frequency of episodes of VT
