HESI RN MED SURG EXAM PREP
HESI RN MED SURG EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 125 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) DETAILED RATIONALE|ALREADY
GRADED A+||BRAND NEW VERSION!!
A 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 nasogastric tube 5 cm.
D.
Administer an intravenous antiemetic as prescribed. - Correct Answer-B
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 is conducting an osteoporosis screening clinic at a health fair. What
information should the nurse provide to individuals who are at risk for
osteoporosis? (Select all that apply.)
1|Page
, HESI RN MED SURG EXAM PREP
A.
Encourage alcohol and smoking cessation.
B.
Suggest supplementing diet with vitamin E.
C.
Promote regular weight-bearing exercises.
D.
Implement a home safety plan to prevent falls.
E.
Propose a regular sleep pattern of 8 hours nightly. - Correct Answer-A, C, D
Rationale:Options A, C, and D are factors that decrease the risk for developing
osteoporosis. Vitamin D and calcium are important supplements to aid in the
decrease of bone loss. Regular sleep patterns are important to overall health but
are not identified with a decreasing risk for osteoporosis.
Which nursing action would be appropriate for a client who is newly diagnosed
with Cushing syndrome?
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium.
C.
Encourage adequate rest between activities.
D.
2|Page
, HESI RN MED SURG EXAM PREP
Offer the client a sodium-enriched menu. - Correct Answer-A
Rationale:Cushing syndrome results from a hypersecretion of glucocorticoids in the
adrenal cortex. Clients with Cushing syndrome often develop diabetes mellitus.
Monitoring of serum glucose levels assesses for increased blood glucose levels so
that treatment can begin early. A common finding in Cushing syndrome is
generalized edema. Although potassium is needed, it is generally obtained from
food intake, not by offering potassium-enhanced fluids. Fatigue is usually not an
overwhelming factor in Cushing syndrome, so an emphasis on the need for rest is
not indicated. A low-calorie, low-carbohydrate, low-sodium diet is not
recommended.
A 58-year-old client who has no health problems asks the nurse about receiving
the pneumococcal vaccine. Which statement given by the nurse would offer the
client accurate information about this vaccine?
A.
The vaccine is given annually before the flu season to those older than 50 years.
B.
The immunization is administered once to older adults or those at risk for illness.
C.
The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5
years. - Correct Answer-B
Rationale:It is usually recommended that persons older than 65 years and those
with a history of chronic illness should receive the vaccine once in their lifetime.
Some recommend receiving the vaccine at 50 years of age. The influenza vaccine is
3|Page
, HESI RN MED SURG EXAM PREP
given once a year. Although the vaccine might be given to a person traveling
overseas, that is not the main rationale for administering the vaccine. The vaccine
is usually given once in a lifetime, but with immunosuppressed clients or clients
with a history of pneumonia, revaccination is sometimes required.
A client is admitted to the hospital with severe lower left abdominal pain, nausea,
vomiting, fever, and chills. Which nursing action has the highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. - Correct Answer-A
Rationale:A client is showing signs of acute severe diverticulitis and is at risk for
peritonitis and intestinal obstruction. The nurse should make the client NPO to
reduce risk of intestinal rupture. Options B, C, and D are important but are less of a
priority than option A, which is implemented to prevent a severe complication.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
4|Page
HESI RN MED SURG EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 125 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) DETAILED RATIONALE|ALREADY
GRADED A+||BRAND NEW VERSION!!
A 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 nasogastric tube 5 cm.
D.
Administer an intravenous antiemetic as prescribed. - Correct Answer-B
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 is conducting an osteoporosis screening clinic at a health fair. What
information should the nurse provide to individuals who are at risk for
osteoporosis? (Select all that apply.)
1|Page
, HESI RN MED SURG EXAM PREP
A.
Encourage alcohol and smoking cessation.
B.
Suggest supplementing diet with vitamin E.
C.
Promote regular weight-bearing exercises.
D.
Implement a home safety plan to prevent falls.
E.
Propose a regular sleep pattern of 8 hours nightly. - Correct Answer-A, C, D
Rationale:Options A, C, and D are factors that decrease the risk for developing
osteoporosis. Vitamin D and calcium are important supplements to aid in the
decrease of bone loss. Regular sleep patterns are important to overall health but
are not identified with a decreasing risk for osteoporosis.
Which nursing action would be appropriate for a client who is newly diagnosed
with Cushing syndrome?
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium.
C.
Encourage adequate rest between activities.
D.
2|Page
, HESI RN MED SURG EXAM PREP
Offer the client a sodium-enriched menu. - Correct Answer-A
Rationale:Cushing syndrome results from a hypersecretion of glucocorticoids in the
adrenal cortex. Clients with Cushing syndrome often develop diabetes mellitus.
Monitoring of serum glucose levels assesses for increased blood glucose levels so
that treatment can begin early. A common finding in Cushing syndrome is
generalized edema. Although potassium is needed, it is generally obtained from
food intake, not by offering potassium-enhanced fluids. Fatigue is usually not an
overwhelming factor in Cushing syndrome, so an emphasis on the need for rest is
not indicated. A low-calorie, low-carbohydrate, low-sodium diet is not
recommended.
A 58-year-old client who has no health problems asks the nurse about receiving
the pneumococcal vaccine. Which statement given by the nurse would offer the
client accurate information about this vaccine?
A.
The vaccine is given annually before the flu season to those older than 50 years.
B.
The immunization is administered once to older adults or those at risk for illness.
C.
The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5
years. - Correct Answer-B
Rationale:It is usually recommended that persons older than 65 years and those
with a history of chronic illness should receive the vaccine once in their lifetime.
Some recommend receiving the vaccine at 50 years of age. The influenza vaccine is
3|Page
, HESI RN MED SURG EXAM PREP
given once a year. Although the vaccine might be given to a person traveling
overseas, that is not the main rationale for administering the vaccine. The vaccine
is usually given once in a lifetime, but with immunosuppressed clients or clients
with a history of pneumonia, revaccination is sometimes required.
A client is admitted to the hospital with severe lower left abdominal pain, nausea,
vomiting, fever, and chills. Which nursing action has the highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. - Correct Answer-A
Rationale:A client is showing signs of acute severe diverticulitis and is at risk for
peritonitis and intestinal obstruction. The nurse should make the client NPO to
reduce risk of intestinal rupture. Options B, C, and D are important but are less of a
priority than option A, which is implemented to prevent a severe complication.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
4|Page
