HESI PN MED SURG EXAM 2026 FINAL
PAPER SCRIPT FULL QUESTIONS AND
ANSWERS WITH NGN STYLE CLINICAL
SCENARIOS EXPERT VERIFIED GRADED A+
⩥ A 48-year-old client with endometrial cancer is being discharged after
a total hysterectomy and bilateral salpingo-oophorectomy. Which client
statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this summer.
C) I know I will miss having sexual intercourse with my husband.
D) I have asked my daughter to stay with me next week after I am
discharged.
Answer: Correct Answer(s): C
* Further teaching is needed in response to the client's misunderstanding
of sexuality after a hysterectomy that is reflected in statement (C). The
client's knowledge about reproduction (A), a positive outlook with plans
for the future (B), and her anticipated need for assistance and support
during recovery (D) indicate she understands the present status of her
recovery.
,⩥ A client with a fractured right radius reports severe, diffuse pain that
has not responded to the prescribed analgesics. The pain is greater with
passive movement of the limb than with active movement by the client.
The nurse recognizes that the client is most likely exhibiting symptoms
of which condition?
A) Acute compartment syndrome.
B) Fat embolism syndrome.
C) Venous thromboembolism.
D) Aseptic ischemic necrosis.
Answer: Correct Answer(s): A
* These signs are specific indications of Acute Compartment Syndrome
(A), and should be treated as an emergency situation. The signs do not
indicate (B, C, or D).
⩥ A client who had abdominal surgery two days ago has prescriptions
for intravenous morphine sulfate 4 mg every 2 hours and a clear liquid
diet. The client complains of feeling distended and has sharp, cramping
gas pains. What nursing intervention should be implemented?
A) Obtain a prescription for a laxative.
B) Withhold all oral fluid and food.
C) Assist the client to ambulate in the hall.
,D) Administer the prescribed morphine sulfate..
Answer: Correct Answer(s): C
* Postoperative abdominal distention is caused by decreased peristalsis
as a result of handling the intestine during surgery, limited dietary intake
before and after surgery, and anesthetic and analgesic agents. Peristalsis
is stimulated and distention minimized by implementing early and
frequent ambulation (C). Based on the client's status, laxatives (A) or
withholding dietary progression (B) are not indicated at this time.
Although pain management should be implemented (D), another
analgesic prescription may be needed because morphine reduces
intestinal motility and contributes to the client's gas pains.
⩥ The nurse is caring for a male client who had an inguinal
herniorrhaphy 3 hours ago. The nurse determines the client's lower
abdomen is distended and assesses dullness to percussion. What is the
priority nursing action?
A) Assessment of the client's vital signs.
B) Document the finding as the only action.
C) Determine the time the client last voided.
D) Insert a rectal tube for the passage of flatus..
Answer: Correct Answer(s): C
, * Swelling at the surgical site in the immediate postoperative period can
impact the bladder and prostate area causing the client to experience
difficulty voiding due to pressure on the urethra. To provide additional
data supporting bladder distention, the last time the client voided (C)
should be determined next. Documentation (B) should be made, but the
client's distended bladder requires additional intervention. (A and D) are
not priority actions based on the client's abdominal findings.
⩥ A client who is receiving a whole blood transfusion develops chills,
fever, and a headache 30 minutes after the transfusion is started. The
nurse should recognize these symptoms as characteristic of what
reaction?
A) A mild allergic reaction.
B) A febrile transfusion reaction.
C) An anaphylactic transfusion reaction.
D) An acute hemolytic transfusion reaction..
Answer: Correct Answer(s): B
* Symptoms of a febrile reaction (B) include sudden chills, fever,
headache, flushing and muscle pain. An allergic reaction (A) is the
response of histamine release which is characterized by flushing, itching,
and urticaria. An anaphylactic reaction (C) exhibits an exaggerated
allergic response that progresses to shock and possible cardiac arrest. An
acute hemolytic reaction (D) presents with fever and chills, but is
hallmarked by the onset of low back pain, tachycardia, tachypnea,
PAPER SCRIPT FULL QUESTIONS AND
ANSWERS WITH NGN STYLE CLINICAL
SCENARIOS EXPERT VERIFIED GRADED A+
⩥ A 48-year-old client with endometrial cancer is being discharged after
a total hysterectomy and bilateral salpingo-oophorectomy. Which client
statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this summer.
C) I know I will miss having sexual intercourse with my husband.
D) I have asked my daughter to stay with me next week after I am
discharged.
Answer: Correct Answer(s): C
* Further teaching is needed in response to the client's misunderstanding
of sexuality after a hysterectomy that is reflected in statement (C). The
client's knowledge about reproduction (A), a positive outlook with plans
for the future (B), and her anticipated need for assistance and support
during recovery (D) indicate she understands the present status of her
recovery.
,⩥ A client with a fractured right radius reports severe, diffuse pain that
has not responded to the prescribed analgesics. The pain is greater with
passive movement of the limb than with active movement by the client.
The nurse recognizes that the client is most likely exhibiting symptoms
of which condition?
A) Acute compartment syndrome.
B) Fat embolism syndrome.
C) Venous thromboembolism.
D) Aseptic ischemic necrosis.
Answer: Correct Answer(s): A
* These signs are specific indications of Acute Compartment Syndrome
(A), and should be treated as an emergency situation. The signs do not
indicate (B, C, or D).
⩥ A client who had abdominal surgery two days ago has prescriptions
for intravenous morphine sulfate 4 mg every 2 hours and a clear liquid
diet. The client complains of feeling distended and has sharp, cramping
gas pains. What nursing intervention should be implemented?
A) Obtain a prescription for a laxative.
B) Withhold all oral fluid and food.
C) Assist the client to ambulate in the hall.
,D) Administer the prescribed morphine sulfate..
Answer: Correct Answer(s): C
* Postoperative abdominal distention is caused by decreased peristalsis
as a result of handling the intestine during surgery, limited dietary intake
before and after surgery, and anesthetic and analgesic agents. Peristalsis
is stimulated and distention minimized by implementing early and
frequent ambulation (C). Based on the client's status, laxatives (A) or
withholding dietary progression (B) are not indicated at this time.
Although pain management should be implemented (D), another
analgesic prescription may be needed because morphine reduces
intestinal motility and contributes to the client's gas pains.
⩥ The nurse is caring for a male client who had an inguinal
herniorrhaphy 3 hours ago. The nurse determines the client's lower
abdomen is distended and assesses dullness to percussion. What is the
priority nursing action?
A) Assessment of the client's vital signs.
B) Document the finding as the only action.
C) Determine the time the client last voided.
D) Insert a rectal tube for the passage of flatus..
Answer: Correct Answer(s): C
, * Swelling at the surgical site in the immediate postoperative period can
impact the bladder and prostate area causing the client to experience
difficulty voiding due to pressure on the urethra. To provide additional
data supporting bladder distention, the last time the client voided (C)
should be determined next. Documentation (B) should be made, but the
client's distended bladder requires additional intervention. (A and D) are
not priority actions based on the client's abdominal findings.
⩥ A client who is receiving a whole blood transfusion develops chills,
fever, and a headache 30 minutes after the transfusion is started. The
nurse should recognize these symptoms as characteristic of what
reaction?
A) A mild allergic reaction.
B) A febrile transfusion reaction.
C) An anaphylactic transfusion reaction.
D) An acute hemolytic transfusion reaction..
Answer: Correct Answer(s): B
* Symptoms of a febrile reaction (B) include sudden chills, fever,
headache, flushing and muscle pain. An allergic reaction (A) is the
response of histamine release which is characterized by flushing, itching,
and urticaria. An anaphylactic reaction (C) exhibits an exaggerated
allergic response that progresses to shock and possible cardiac arrest. An
acute hemolytic reaction (D) presents with fever and chills, but is
hallmarked by the onset of low back pain, tachycardia, tachypnea,
