HESI MED SURG PRACTICE
QUESTIONS 2026 2027 VERIFIED
ANSWERS ACTUAL UPDATED
PRACTICE QUESTIONS HIGH YIELD
STUDY GUIDE MEDICAL SURGICAL
NURSING EXIT EXAM
PREPARATION GRADED A+
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A female client with a nasogastric tube attached to low suction states t
p p p p p p p p p p p p
hat she is nauseated. The nurse assesses that there has been no draina
p p p p p p p p p p p p
ge through the nasogastric tube in the last 2 hours. Which action shoul
p p p p p p p p p p p p
d the nurse take first? - answer-
p p p p p p
Reposition the client on her side. The priority is to determined if the tu
p p p p p p p p p p p p p
be is functioning correctly, which would relieve the client's nausea. The
p p p p p p p p p p
least invasive intervention is to reposition the client (B), should be atte
p p p p p p p p p p p p
mpted first, followed by (A & C) if these are unsuccessful then (D).
p p p p p p p p p p p p
, ,, ,
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
,
When assigning clients on a medicalsurgical floor to a RN and a LPN, it is best
p p p p p p p p p p p p p p p p
for the charge nurse to assign which client to the LPN?
p p p p p p p p p p
A. A child with bacterial meningitis with recent seizures.
p p p p p p p p
B. An older adult client with pneumonia and viral meningitis.
p p p p p p p p p
C. A female client in isolation wiht meningococcal meningitis.
p p p p p p p p
D. A male client 1 day post-op after drainage of a brain abscess. answer-
p p p p p p p p p p p p pp
B. Is the most stable. A, C, D have an increased risk for elevated ICP.
p p p p p p p p p p p p p p
Which description of symptoms is characteristic of a client diagnosed
p p p p p p p p p p
with trigeminal neuralgia (tic douloureux)?
p p p p
A. Tinnitus, vertigo, and hearing difficulties.
p p p p p
B. Sudden, stabbing, severe pain over the lip and chin.
p p p p p p p p p
C. Unilateral facial weakness and paralysis.
p p p p p
D. Difficulty in talking, chewing, and swallowing. - answer-
p p p p p p p p
B. Trigeminal neuralgia is characterized by paroxysms of pain, similar to
p p p p p p p p p p
an electric shock, in the area innervated by one or more branches of th
p p p p p p p p p p p p p p
e trigeminal nerve.
p p
, ,, ,
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
,
A. Characteristic of Meniere's
p p p
C. Characteristic of Bell palsey
p p p p
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
p p p p p p p p p
Which abnormal lab finding indicates that a client with diabetes needs
p p p p p p p p p p p
further evaluation for diabetic nephropathy?
p p p p
A. Hypokalemia
p
B. Microalbuminauria
p
C. Elevated serum lipids
p p p
D. Ketonuria - answer-
p p p
B. Microalbuminuria is the earliest sign of nephropathy and indicates t
p p p p p p p p p p
he need for followup evaluation. Hyperkalemia (A) is associated with end sta
p p p p p p p p p p p
ge renal dise
p p
ase caused by diabetic nephropathy. (C) may be elevated in end stage r
p p p p p p p p p p p p
enal disease. (D) may signal the onset of DKA.
p p p p p p p p
An older male client comes to the geriatric screening clinic complaining
p p p p p p p p p p
of pain in his left calf. The nurse notices a reddened area on the calf of
p p p p p p p p p p p p p p p p p
, ,, ,
, ,
Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
his right leg that is warm to touch and the nurse suspects that the clien
p p p p p p p p p p p p p p
t may have thrombophlebitis. Which addition assessment is most impo
p p p p p p p p p
rtant for the nurse to perform?
p p p p p
A. Measure calf circumference.
p p p
B. Auscultate the client's breath sounds.
p p p p p
C. Observe for ecchymosis and petechiae.
p p p p p
D. Obtain the client's blood pressure. - answer-
p p p p p p p
B. Since the client may have a pulmonary embolus secondary to the thr
p p p p p p p p p p p p
ombophlebitis. p
A. Would support the nurses assessment.
p p p p p
C. Least helpful since bruising is not associated with thrombophlebitis.
p p p p p p p p p
D. Less important then auscultation.
p p p p
The nurse know that a client taking diuretics must be assessed for the d
p p p p p p p p p p p p p
evelopment of hypokalemia, and that hypokalemia will create changes
p p p p p p p p p
in the client's normal ECG tracing. Which ECG change would be an expe
p p p p p p p p p p p p
cted finding in the client with hypokalemia?
p p p p p p
A. Tall, spiked T waves
p p p p
B. A prolonged QT interval
p p p p
, ,, ,
QUESTIONS 2026 2027 VERIFIED
ANSWERS ACTUAL UPDATED
PRACTICE QUESTIONS HIGH YIELD
STUDY GUIDE MEDICAL SURGICAL
NURSING EXIT EXAM
PREPARATION GRADED A+
The Marketplace to Buy and Sell your Study Material
At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for
your school or uni and find the study material you need.
A female client with a nasogastric tube attached to low suction states t
p p p p p p p p p p p p
hat she is nauseated. The nurse assesses that there has been no draina
p p p p p p p p p p p p
ge through the nasogastric tube in the last 2 hours. Which action shoul
p p p p p p p p p p p p
d the nurse take first? - answer-
p p p p p p
Reposition the client on her side. The priority is to determined if the tu
p p p p p p p p p p p p p
be is functioning correctly, which would relieve the client's nausea. The
p p p p p p p p p p
least invasive intervention is to reposition the client (B), should be atte
p p p p p p p p p p p p
mpted first, followed by (A & C) if these are unsuccessful then (D).
p p p p p p p p p p p p
, ,, ,
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
,
When assigning clients on a medicalsurgical floor to a RN and a LPN, it is best
p p p p p p p p p p p p p p p p
for the charge nurse to assign which client to the LPN?
p p p p p p p p p p
A. A child with bacterial meningitis with recent seizures.
p p p p p p p p
B. An older adult client with pneumonia and viral meningitis.
p p p p p p p p p
C. A female client in isolation wiht meningococcal meningitis.
p p p p p p p p
D. A male client 1 day post-op after drainage of a brain abscess. answer-
p p p p p p p p p p p p pp
B. Is the most stable. A, C, D have an increased risk for elevated ICP.
p p p p p p p p p p p p p p
Which description of symptoms is characteristic of a client diagnosed
p p p p p p p p p p
with trigeminal neuralgia (tic douloureux)?
p p p p
A. Tinnitus, vertigo, and hearing difficulties.
p p p p p
B. Sudden, stabbing, severe pain over the lip and chin.
p p p p p p p p p
C. Unilateral facial weakness and paralysis.
p p p p p
D. Difficulty in talking, chewing, and swallowing. - answer-
p p p p p p p p
B. Trigeminal neuralgia is characterized by paroxysms of pain, similar to
p p p p p p p p p p
an electric shock, in the area innervated by one or more branches of th
p p p p p p p p p p p p p p
e trigeminal nerve.
p p
, ,, ,
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
,
A. Characteristic of Meniere's
p p p
C. Characteristic of Bell palsey
p p p p
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
p p p p p p p p p
Which abnormal lab finding indicates that a client with diabetes needs
p p p p p p p p p p p
further evaluation for diabetic nephropathy?
p p p p
A. Hypokalemia
p
B. Microalbuminauria
p
C. Elevated serum lipids
p p p
D. Ketonuria - answer-
p p p
B. Microalbuminuria is the earliest sign of nephropathy and indicates t
p p p p p p p p p p
he need for followup evaluation. Hyperkalemia (A) is associated with end sta
p p p p p p p p p p p
ge renal dise
p p
ase caused by diabetic nephropathy. (C) may be elevated in end stage r
p p p p p p p p p p p p
enal disease. (D) may signal the onset of DKA.
p p p p p p p p
An older male client comes to the geriatric screening clinic complaining
p p p p p p p p p p
of pain in his left calf. The nurse notices a reddened area on the calf of
p p p p p p p p p p p p p p p p p
, ,, ,
, ,
Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
his right leg that is warm to touch and the nurse suspects that the clien
p p p p p p p p p p p p p p
t may have thrombophlebitis. Which addition assessment is most impo
p p p p p p p p p
rtant for the nurse to perform?
p p p p p
A. Measure calf circumference.
p p p
B. Auscultate the client's breath sounds.
p p p p p
C. Observe for ecchymosis and petechiae.
p p p p p
D. Obtain the client's blood pressure. - answer-
p p p p p p p
B. Since the client may have a pulmonary embolus secondary to the thr
p p p p p p p p p p p p
ombophlebitis. p
A. Would support the nurses assessment.
p p p p p
C. Least helpful since bruising is not associated with thrombophlebitis.
p p p p p p p p p
D. Less important then auscultation.
p p p p
The nurse know that a client taking diuretics must be assessed for the d
p p p p p p p p p p p p p
evelopment of hypokalemia, and that hypokalemia will create changes
p p p p p p p p p
in the client's normal ECG tracing. Which ECG change would be an expe
p p p p p p p p p p p p
cted finding in the client with hypokalemia?
p p p p p p
A. Tall, spiked T waves
p p p p
B. A prolonged QT interval
p p p p
, ,, ,
