HESI Med Surg 1 Final Exam Prep
HESI MED SURG 1 FINAL EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED
A+||BRAND NEW VERSION!!
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Correct Answer-C. Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - Correct Answer-C. Weakened cough effort
1|Page
, HESI Med Surg 1 Final Exam Prep
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft graft to promote burn healing. Which information should the
nurse provide this client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches - Correct Answer-B. The
xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and eviscerates. The nurse moistens an available sterile dressing and places it over
the wound. What intervention should the nurse implement next?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity - Correct Answer-B. Prepare
the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117 mEq/L. Which nursing problem should the nurse include in
this client's plan of care?
A. Altered urinary elimination
2|Page
, HESI Med Surg 1 Final Exam Prep
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output - Correct Answer-C. Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After ruling
out substance withdrawal, the healthcare provider suspects hyperthyroidism and
admits her for further testing. Which action should the nurse implement?
A. Begin preparing client for thyroidectomy procedure
B. Space the client's care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blankets to prevent heat loss - Correct Answer-B. Space the
client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran cereal
B. Restrict protein intake by limiting meats and other high-protein foods
C. Limit oral fluid intake to 500 ml per day
D. Increase intake of potassium-rich foods such as bananas or cantaloupe - Correct
Answer-B. Restrict protein intake by limiting meats and other high-protein foods
3|Page
, HESI Med Surg 1 Final Exam Prep
An overweight, young adult made who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement? (Select
all that apply.)
A. Check his fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin - Correct Answer-A. Check his
fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the
nurse?
A. Irregular apical pulse
B. Purple marks on the skin of the abdomen
C. Quarter size blood spot on dressing
D. Pitting ankle edema - Correct Answer-A. Irregular apical pulse
4|Page
HESI MED SURG 1 FINAL EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED
A+||BRAND NEW VERSION!!
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Correct Answer-C. Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - Correct Answer-C. Weakened cough effort
1|Page
, HESI Med Surg 1 Final Exam Prep
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft graft to promote burn healing. Which information should the
nurse provide this client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches - Correct Answer-B. The
xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and eviscerates. The nurse moistens an available sterile dressing and places it over
the wound. What intervention should the nurse implement next?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity - Correct Answer-B. Prepare
the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117 mEq/L. Which nursing problem should the nurse include in
this client's plan of care?
A. Altered urinary elimination
2|Page
, HESI Med Surg 1 Final Exam Prep
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output - Correct Answer-C. Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After ruling
out substance withdrawal, the healthcare provider suspects hyperthyroidism and
admits her for further testing. Which action should the nurse implement?
A. Begin preparing client for thyroidectomy procedure
B. Space the client's care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blankets to prevent heat loss - Correct Answer-B. Space the
client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran cereal
B. Restrict protein intake by limiting meats and other high-protein foods
C. Limit oral fluid intake to 500 ml per day
D. Increase intake of potassium-rich foods such as bananas or cantaloupe - Correct
Answer-B. Restrict protein intake by limiting meats and other high-protein foods
3|Page
, HESI Med Surg 1 Final Exam Prep
An overweight, young adult made who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement? (Select
all that apply.)
A. Check his fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin - Correct Answer-A. Check his
fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the
nurse?
A. Irregular apical pulse
B. Purple marks on the skin of the abdomen
C. Quarter size blood spot on dressing
D. Pitting ankle edema - Correct Answer-A. Irregular apical pulse
4|Page
