HESI MEDICAL SURGICAL NURSING
LATEST TEST EXAM 2026/2027 ALL STUDY
QUESTIONS WITH VERIFIED SOLUTIONS
GUARANTEED PASS | RATED A+
,HESI MEDICAL SURGICAL NURSING LATEST TEST EXAM
2026/2027 ALL STUDY QUESTIONS WITH VERIFIED
SOLUTIONS GUARANTEED PASS | RATED A+
The nurse is caring for a client who has experienced a stroke. Which nursing intervention for
nutrition does the nurse implement to prevent complications from cranial nerve IX impairment?
A) Place the client in high Fowler's position.
B) Verbalize the placement of food on the client's plate.
C) Order a clear liquid diet for the client.
D) Turn the client's plate around halfway through the meal. - Answer>>> A
Cranial nerve IX, the glossopharyngeal nerve, controls the gag reflex. Clients with impairment of
this nerve are at great risk for aspiration. The client should be in high Fowler's position and
should drink thickened liquids if swallowing difficulties are present. The client would not have
vision problems. Turning the plate around would not prevent a complication, nor would limiting
the client's diet to clear liquids.
The patient's laboratory report today indicates severe hypokalemia, and the nurse has notified the
physician. Nursing assessment indicates that heart rhythm is regular. What is the most important
nursing intervention for this patient now?
A) Examine sacral area and patient's heels for skin breakdown due to potential edema.
B) Establish seizure precautions due to potential muscle twitching, cramps, and seizures.
C) Institute fall precautions due to potential postural hypotension and weak leg muscles.
D) Raise bed side rails due to potential decreased level of consciousness and confusion. -
Answer>>> C
,Hypokalemia can cause postural hypotension and bilateral muscle weakness, especially in the
lower extremities. Both of these increase the risk of falls. Hypokalemia does not cause edema,
decreased level of consciousness, or seizures.
The nurse assesses a client with pneumonia and notes decreased lung sounds on the left side and
decreased lung expansion. What is the nurse's best action?
A) Increase oxygen flow to 10 L/min.
B) Perform an arterial blood gas analysis.
C) Have the client cough and deep breathe.
D) Check oxygen saturation and notify the health care provider. - Answer>>> D
Decreased lung sounds and decreased lung expansion could indicate the development of a
complication such as empyema or pus in the pleural space. The nurse should check the client's
oxygen saturation and notify the provider. Infection can also move into the bloodstream and
result in sepsis, so quick treatment is needed.
The nurse is working at a first aid booth for a spring training game on a hot day. A spectator
comes in, reporting that he is not feeling well. Vital signs are temp 104.1 F, pulse 132 BPM,
respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He trips over his feet as the nurse
leads him to a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink - Answer>>> C
, The spectator shows signs of heat stroke, which is a medical emergency. The spectator should be
transported to the ED ASAP. The nurs should take actions to lower his body temp in teh
meantime by removing his shirt and sponging his body with cool water. Lowering body temp by
drinking cool fluids or taking acetaminophen is not as effective in an emergency situation. The
client needs to be cooled quickly and is a priority for treatment
A client receiving intravenous chemotherapy asks the nurse the reason for wearing a mask,
gloves, and gown while administering drugs to the client. What is the nurse's best response?
A) "I am preventing the spread of infection from you to me or any other client here."
B) "The clothing protects me from accidentally absorbing these drugs."
C) "The policy is for any nurse giving these drugs to wear a gown, gloves, and mask."
D) "These coverings protect you from getting an infection from me." - Answer>>> B
Most chemotherapy drugs are absorbed through the skin and mucous membranes. As a result,
health care workers who prepare or give these drugs, especially nurses and pharmacists, are at
risk for absorbing them. Even at low doses, chronic exposure to chemotherapy drugs can affect
health. The Oncology Nursing Society and the Occupational Safety and Health Administration
(OSHA) have specific guidelines for using caution and wearing protective clothing whenever
preparing, giving, or disposing of chemotherapy drugs.
The client is receiving an IV of 60 mEq of potassium chloride ina 1000 mL solution of dextrose
5% in 0.45% saline. The client states that the area around the IV site burns. What intervention
does the nurse perform first?
a. assess for a blood return
b. notify the physician
LATEST TEST EXAM 2026/2027 ALL STUDY
QUESTIONS WITH VERIFIED SOLUTIONS
GUARANTEED PASS | RATED A+
,HESI MEDICAL SURGICAL NURSING LATEST TEST EXAM
2026/2027 ALL STUDY QUESTIONS WITH VERIFIED
SOLUTIONS GUARANTEED PASS | RATED A+
The nurse is caring for a client who has experienced a stroke. Which nursing intervention for
nutrition does the nurse implement to prevent complications from cranial nerve IX impairment?
A) Place the client in high Fowler's position.
B) Verbalize the placement of food on the client's plate.
C) Order a clear liquid diet for the client.
D) Turn the client's plate around halfway through the meal. - Answer>>> A
Cranial nerve IX, the glossopharyngeal nerve, controls the gag reflex. Clients with impairment of
this nerve are at great risk for aspiration. The client should be in high Fowler's position and
should drink thickened liquids if swallowing difficulties are present. The client would not have
vision problems. Turning the plate around would not prevent a complication, nor would limiting
the client's diet to clear liquids.
The patient's laboratory report today indicates severe hypokalemia, and the nurse has notified the
physician. Nursing assessment indicates that heart rhythm is regular. What is the most important
nursing intervention for this patient now?
A) Examine sacral area and patient's heels for skin breakdown due to potential edema.
B) Establish seizure precautions due to potential muscle twitching, cramps, and seizures.
C) Institute fall precautions due to potential postural hypotension and weak leg muscles.
D) Raise bed side rails due to potential decreased level of consciousness and confusion. -
Answer>>> C
,Hypokalemia can cause postural hypotension and bilateral muscle weakness, especially in the
lower extremities. Both of these increase the risk of falls. Hypokalemia does not cause edema,
decreased level of consciousness, or seizures.
The nurse assesses a client with pneumonia and notes decreased lung sounds on the left side and
decreased lung expansion. What is the nurse's best action?
A) Increase oxygen flow to 10 L/min.
B) Perform an arterial blood gas analysis.
C) Have the client cough and deep breathe.
D) Check oxygen saturation and notify the health care provider. - Answer>>> D
Decreased lung sounds and decreased lung expansion could indicate the development of a
complication such as empyema or pus in the pleural space. The nurse should check the client's
oxygen saturation and notify the provider. Infection can also move into the bloodstream and
result in sepsis, so quick treatment is needed.
The nurse is working at a first aid booth for a spring training game on a hot day. A spectator
comes in, reporting that he is not feeling well. Vital signs are temp 104.1 F, pulse 132 BPM,
respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He trips over his feet as the nurse
leads him to a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink - Answer>>> C
, The spectator shows signs of heat stroke, which is a medical emergency. The spectator should be
transported to the ED ASAP. The nurs should take actions to lower his body temp in teh
meantime by removing his shirt and sponging his body with cool water. Lowering body temp by
drinking cool fluids or taking acetaminophen is not as effective in an emergency situation. The
client needs to be cooled quickly and is a priority for treatment
A client receiving intravenous chemotherapy asks the nurse the reason for wearing a mask,
gloves, and gown while administering drugs to the client. What is the nurse's best response?
A) "I am preventing the spread of infection from you to me or any other client here."
B) "The clothing protects me from accidentally absorbing these drugs."
C) "The policy is for any nurse giving these drugs to wear a gown, gloves, and mask."
D) "These coverings protect you from getting an infection from me." - Answer>>> B
Most chemotherapy drugs are absorbed through the skin and mucous membranes. As a result,
health care workers who prepare or give these drugs, especially nurses and pharmacists, are at
risk for absorbing them. Even at low doses, chronic exposure to chemotherapy drugs can affect
health. The Oncology Nursing Society and the Occupational Safety and Health Administration
(OSHA) have specific guidelines for using caution and wearing protective clothing whenever
preparing, giving, or disposing of chemotherapy drugs.
The client is receiving an IV of 60 mEq of potassium chloride ina 1000 mL solution of dextrose
5% in 0.45% saline. The client states that the area around the IV site burns. What intervention
does the nurse perform first?
a. assess for a blood return
b. notify the physician
