MED SURG HESI EXAMINATION STUDY
GUIDE 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ After a subtotal gastrectomy, the nasogastric tube drainage will be
what color for about 12 to 24 hours after surgery?
1. Dark brown.
2. Bile green.
3. Bright red.
4. Cloudy white..
Answer: 1. Dark brown
◉ A client has a nasogastric (NG) tube following a subtotal
gastrectomy. The
nurse should:
1. Irrigate the tube with 30 mL of sterile water every hour, if needed.
2. Reposition the tube if it is not draining well.
3. Monitor the client for nausea, vomiting, and abdominal distention.
4. Turn the machine to high suction if the drainage is sluggish on low
suction..
,Answer: 3. Monitor the client for nausea, vomiting, and abdominal
distention.
◉ A client who is recovering from gastric surgery is receiving IV
fluids to be infused at 100 mL/h. The IV tubing delivers 15 gtt/mL.
The nurse should infuse the solution at a flow rate of how many
drops per minute to ensure that the client receives 100 mL/h?
____________ gtt/min..
Answer: 25 gtt/min
To administer IV fluids at 100 mL/h using tubing that has a drip
factor of 15 gtt/mL, the nurse should use the following formula: 100
mL/60 minutes × 15 gtts/1 mL = 25 gtt/min.
◉ Following a gastrectomy, the nurse should position the client in
which of the following positions?
1. Prone.
2. Supine.
3. Low Fowler's.
4. Right or left Sims..
Answer: 3. Low Fowler's
, ◉ After a subtotal gastrectomy, the nurse is developing a plan with
the client to assist the client to gain weight. To help the client meet
nutritional goals at home, the nurse should:
1. Instruct the client to increase the amount eaten at each meal.
2. Encourage the client to eat smaller amounts more frequently.
3. Explain that if vomiting occurs after a meal, nothing more should
be eaten that day.
4. Inform the client that bland foods are typically less nutritional and
should be used minimally..
Answer: 2. Encourage the client to eat smaller amounts more
frequently.
◉ To reduce the risk of dumping syndrome, the nurse should teach
the client to do which of the following?
1. Sit upright for 30 minutes after meals.
2. Drink liquids with meals, avoiding caffeine.
3. Avoid milk and other dairy products.
4. Decrease the carbohydrate content of meals..
Answer: 4. Decrease the carbohydrate content of meals.
◉ A client who is recovering from a subtotal gastrectomy
experiences dumping syndrome. The client asks the nurse, "When
GUIDE 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ After a subtotal gastrectomy, the nasogastric tube drainage will be
what color for about 12 to 24 hours after surgery?
1. Dark brown.
2. Bile green.
3. Bright red.
4. Cloudy white..
Answer: 1. Dark brown
◉ A client has a nasogastric (NG) tube following a subtotal
gastrectomy. The
nurse should:
1. Irrigate the tube with 30 mL of sterile water every hour, if needed.
2. Reposition the tube if it is not draining well.
3. Monitor the client for nausea, vomiting, and abdominal distention.
4. Turn the machine to high suction if the drainage is sluggish on low
suction..
,Answer: 3. Monitor the client for nausea, vomiting, and abdominal
distention.
◉ A client who is recovering from gastric surgery is receiving IV
fluids to be infused at 100 mL/h. The IV tubing delivers 15 gtt/mL.
The nurse should infuse the solution at a flow rate of how many
drops per minute to ensure that the client receives 100 mL/h?
____________ gtt/min..
Answer: 25 gtt/min
To administer IV fluids at 100 mL/h using tubing that has a drip
factor of 15 gtt/mL, the nurse should use the following formula: 100
mL/60 minutes × 15 gtts/1 mL = 25 gtt/min.
◉ Following a gastrectomy, the nurse should position the client in
which of the following positions?
1. Prone.
2. Supine.
3. Low Fowler's.
4. Right or left Sims..
Answer: 3. Low Fowler's
, ◉ After a subtotal gastrectomy, the nurse is developing a plan with
the client to assist the client to gain weight. To help the client meet
nutritional goals at home, the nurse should:
1. Instruct the client to increase the amount eaten at each meal.
2. Encourage the client to eat smaller amounts more frequently.
3. Explain that if vomiting occurs after a meal, nothing more should
be eaten that day.
4. Inform the client that bland foods are typically less nutritional and
should be used minimally..
Answer: 2. Encourage the client to eat smaller amounts more
frequently.
◉ To reduce the risk of dumping syndrome, the nurse should teach
the client to do which of the following?
1. Sit upright for 30 minutes after meals.
2. Drink liquids with meals, avoiding caffeine.
3. Avoid milk and other dairy products.
4. Decrease the carbohydrate content of meals..
Answer: 4. Decrease the carbohydrate content of meals.
◉ A client who is recovering from a subtotal gastrectomy
experiences dumping syndrome. The client asks the nurse, "When
