HESI MED SURG 55 QUESTIONS
PREPARATION SCRIPT 2026
COMPREHENSIVE Q&A DETAILED
RATIONALES ALREADY PASSED
◉ Which instruction should the nurse teach a female client about the
prevention of toxic shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination Answer: "Change your tampon
frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that
can enter the bloodstream through the vaginal mucosa. Changing the
tampon frequently reduces the exposure to these toxins, which are the
primary cause of toxic shock syndrome. Option A helps prevent cervical
cancer, not toxic shock syndrome. Option C can lessen the incidence of
urinary tract infection. Option D can help prevent some individuals from
contracting the flu and pneumonia, but no relationship to toxic shock
syndrome has been proven.
◉ The home health nurse is assessing a male client being treated for
Parkinson disease with carbidopa-levodopa. The nurse observes that he
,does not demonstrate any apparent emotion when speaking and rarely
blinks. Which intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation Answer:
Document the presence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common
clinical features of parkinsonism. The nurse should document these
expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia,
hallucinations, and psychosis
◉ A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last 2 hours. Which action should the
nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed Answer:
Reposition the client on her side
, Rationale: The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the client's nausea. The
least invasive intervention, repositioning the client, should be attempted
first, followed by options A and C, unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may
require option D.
◉ The nurse teaches a client with type 2 diabetes nutritional strategies to
decrease obesity. Which food items chosen by the client indicate
understanding of the teaching? (Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana Answer: Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole
grains, and low-fat dairy products.
◉ Which condition should the nurse anticipate as a potential problem in
a female client with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
PREPARATION SCRIPT 2026
COMPREHENSIVE Q&A DETAILED
RATIONALES ALREADY PASSED
◉ Which instruction should the nurse teach a female client about the
prevention of toxic shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination Answer: "Change your tampon
frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that
can enter the bloodstream through the vaginal mucosa. Changing the
tampon frequently reduces the exposure to these toxins, which are the
primary cause of toxic shock syndrome. Option A helps prevent cervical
cancer, not toxic shock syndrome. Option C can lessen the incidence of
urinary tract infection. Option D can help prevent some individuals from
contracting the flu and pneumonia, but no relationship to toxic shock
syndrome has been proven.
◉ The home health nurse is assessing a male client being treated for
Parkinson disease with carbidopa-levodopa. The nurse observes that he
,does not demonstrate any apparent emotion when speaking and rarely
blinks. Which intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation Answer:
Document the presence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common
clinical features of parkinsonism. The nurse should document these
expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia,
hallucinations, and psychosis
◉ A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last 2 hours. Which action should the
nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed Answer:
Reposition the client on her side
, Rationale: The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the client's nausea. The
least invasive intervention, repositioning the client, should be attempted
first, followed by options A and C, unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may
require option D.
◉ The nurse teaches a client with type 2 diabetes nutritional strategies to
decrease obesity. Which food items chosen by the client indicate
understanding of the teaching? (Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana Answer: Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole
grains, and low-fat dairy products.
◉ Which condition should the nurse anticipate as a potential problem in
a female client with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
