Medical Surgical PN V1-V7 |PN HESI Exit 2026/2027 Medical-Surgical Mastery Study Guide - Last-Minute Essential Summary Guide

Medical Surgical PN V1-V7 |PN HESI Exit 2026/2027 Medical-
Surgical Mastery Study Guide - Last-Minute Essential
Summary Guide


SECTION A: MULTIPLE CHOICE



### 1. A client with chest pain arrives. What is the FIRST action?



A. Administer morphine

B. Apply oxygen

C. Obtain ECG

D. Start IV



✅ **Answer: B** (Airway/breathing priority)



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### 2. Which lab confirms myocardial infarction?



A. WBC

B. Troponin

C. Hemoglobin

D. Platelets



✅ **Answer: B**

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### 3. A patient with COPD is receiving oxygen. What is the priority?



A. Maintain high oxygen flow

B. Keep O2 at 1–2 L/min

C. Stop oxygen

D. Give oxygen PRN



✅ **Answer: B**



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### 4. Which finding indicates LEFT-sided heart failure?



A. Leg edema

B. Ascites

C. Crackles

D. JVD



✅ **Answer: C**



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### 5. A nurse suspects stroke. What is the priority?

, A. Give aspirin

B. Check blood sugar

C. CT scan

D. Start IV fluids



✅ **Answer: C**



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### 6. Which is a sign of increased ICP?



A. Tachycardia

B. Hypotension

C. Bradycardia

D. Fever



✅ **Answer: C**



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### 7. A patient is in ventricular fibrillation. What is the priority?



A. CPR

B. Defibrillation

C. Oxygen

D. IV fluids