BSN 266 HESI
Med Surg Exam
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ Next Gen-style presentation of the questions with
expert rationales for a BSN-level Med-Surg exam.
❖ Each question includes Answer Choices, the Correct Answer, and a
detailed Expert Rationale explaining the reasoning process, suitable
for the 2025 HESI Med-Surg exam standard.
,### Question 1
Three weeks post-MI, a client reports his wife moved to a separate
bedroom and states, “I guess we will never have sex again.” What is
the nurse’s best response?
Answer Choices:
A. “Sexual activity has similar cardiac workload as climbing two flights of
stairs and can be resumed like other activities.”
B. “You should avoid sexual activity for at least six months.”
C. “This is a common fear; I will notify the physician.”
D. “Your wife should attend cardiac rehab for education.”
Correct Answer: A. “Sexual activity has similar cardiac workload as
climbing two flights of stairs and can be resumed like other activities.”
Expert Rationale:
Sexual activity, in stable patients post-MI, generally exerts a moderate
cardiac workload comparable to mild exercise and can be safely resumed
after risk stratification and recovery.
### Question 2
A client asks how a Percutaneous Endoscopic Gastrostomy (PEG) tube
differs from a standard Gastrostomy Tube (GT). The nurse’s best
explanation is:
Answer Choices:
,A. “The main difference is the method of insertion.”
B. “PEG tubes are used only for long-term feeding.”
C. “GT tubes can be placed at the bedside whereas PEG requires surgery.”
D. “PEG tubes deliver only liquid nutrition.”
Correct Answer: A. “The main difference is the method of insertion.”
Expert Rationale:
A PEG tube is placed endoscopically through the abdominal wall (minimally
invasive), whereas a standard gastrostomy tube may require surgical
placement.
### Question 3
The nurse explains to a client with lung cancer that pleurodesis is
performed to achieve which expected outcome?
Answer Choices:
A. Prevent the formation of pleural effusion fluid
B. Improve lung expansion after surgery
C. Facilitate tumor shrinkage in pleural space
D. Promote healing of lung tissue
Correct Answer: A. Prevent the formation of pleural effusion fluid
Expert Rationale:
, Pleurodesis involves instilling an irritant into the pleural space to cause
inflammation and fibrosis, obliterating the space and preventing
reaccumulation of pleural effusion, which commonly occurs in lung cancer
patients.
---
### Question 4
The nurse obtains a client's history of right mastectomy and radiation
for breast cancer 10 years ago. Which current health problem should
the nurse consider as a consequence of radiation therapy?
Answer Choices:
A. Pathologic fracture of two ribs on the right chest
B. Lymphedema of the right arm
C. Chronic cough and shortness of breath
D. Recurrence of breast cancer
Correct Answer: A. Pathologic fracture of two ribs on the right chest
Expert Rationale:
Radiation therapy can weaken bone structure, leading to pathological
fractures years post-treatment, especially in ribs overlying the radiation
field.
Med Surg Exam
(NGN-Style Presentation & Case Scenarios)
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ Next Gen-style presentation of the questions with
expert rationales for a BSN-level Med-Surg exam.
❖ Each question includes Answer Choices, the Correct Answer, and a
detailed Expert Rationale explaining the reasoning process, suitable
for the 2025 HESI Med-Surg exam standard.
,### Question 1
Three weeks post-MI, a client reports his wife moved to a separate
bedroom and states, “I guess we will never have sex again.” What is
the nurse’s best response?
Answer Choices:
A. “Sexual activity has similar cardiac workload as climbing two flights of
stairs and can be resumed like other activities.”
B. “You should avoid sexual activity for at least six months.”
C. “This is a common fear; I will notify the physician.”
D. “Your wife should attend cardiac rehab for education.”
Correct Answer: A. “Sexual activity has similar cardiac workload as
climbing two flights of stairs and can be resumed like other activities.”
Expert Rationale:
Sexual activity, in stable patients post-MI, generally exerts a moderate
cardiac workload comparable to mild exercise and can be safely resumed
after risk stratification and recovery.
### Question 2
A client asks how a Percutaneous Endoscopic Gastrostomy (PEG) tube
differs from a standard Gastrostomy Tube (GT). The nurse’s best
explanation is:
Answer Choices:
,A. “The main difference is the method of insertion.”
B. “PEG tubes are used only for long-term feeding.”
C. “GT tubes can be placed at the bedside whereas PEG requires surgery.”
D. “PEG tubes deliver only liquid nutrition.”
Correct Answer: A. “The main difference is the method of insertion.”
Expert Rationale:
A PEG tube is placed endoscopically through the abdominal wall (minimally
invasive), whereas a standard gastrostomy tube may require surgical
placement.
### Question 3
The nurse explains to a client with lung cancer that pleurodesis is
performed to achieve which expected outcome?
Answer Choices:
A. Prevent the formation of pleural effusion fluid
B. Improve lung expansion after surgery
C. Facilitate tumor shrinkage in pleural space
D. Promote healing of lung tissue
Correct Answer: A. Prevent the formation of pleural effusion fluid
Expert Rationale:
, Pleurodesis involves instilling an irritant into the pleural space to cause
inflammation and fibrosis, obliterating the space and preventing
reaccumulation of pleural effusion, which commonly occurs in lung cancer
patients.
---
### Question 4
The nurse obtains a client's history of right mastectomy and radiation
for breast cancer 10 years ago. Which current health problem should
the nurse consider as a consequence of radiation therapy?
Answer Choices:
A. Pathologic fracture of two ribs on the right chest
B. Lymphedema of the right arm
C. Chronic cough and shortness of breath
D. Recurrence of breast cancer
Correct Answer: A. Pathologic fracture of two ribs on the right chest
Expert Rationale:
Radiation therapy can weaken bone structure, leading to pathological
fractures years post-treatment, especially in ribs overlying the radiation
field.
