HESI MED SURG Form A & B | Questions and Answers | LATEST,
2025/2026
A,.nursing,.manager,.is,.concerned,.about,.the,.number,.of,.infections,.o
n,.the,.hospital,.unit.,.What,.action,.by,.the,.manager,.would,.best,.help?
The,.nursing,.instructor,.explaining,.infection,.tells,.students,.that,.w
hich,.factor,.is,.the,.best,.and,.most,.important,.barrier,.to,.infection?
Intact, . skin, . and, . mucous, . membrane, . ,.Power, . Point, . Slide, . 5, . Igi-p, . 415
Which,.type,.of,.transmission-
based,.precautions,.must,.the,.nurse,.use,.to,.prevent,.the,.transmissi
on,.of,.tuberculosis?
Airborne,. Precautions, . pg,. 419
A,.nurse,.is,.assessing,.patients,.on,.a,.medical-
surgical,.unit.,.Which,.adult,.patient,.does,.the,.nurse,.identify,.as,.being,.
at,.greatest,.risk,.for,.insensible,.water,.loss?
A,.patient,.who,.is,.febrile,.with,.diaphoresis
A,.nurse,.is,.assessing,.a,.patient,.with,.hypokalemia,.and,.notes,.tha
t,.the,.patient’s,.hand-
grip,.strength,.has,.diminished,.since,.the,.previous,.assessment,.
1,.hour,.ago.,.What,.action,.does,.the,.nurse,.take,.FIRST?
Assess,.the,.patient's,.respiratory,.rate,,.rhythm,,.and,.depth,. ,.Fluid,.a
nd,.Electrolyte,.table,.page,.2
Which,.patient,.is,.at,.risk,.for,.hypokalemia?
Patient, . with, . pancreatitis, . who, . has, . continuous, . nasogastric, . suction,
. ,.Fluid, . and, . Electrolyte, . Table, . pg, . 2
1.,.What,.is,.the,.minimum,.amount,.of,.urine,.per,.day,.needed,.to,.exc
rete,.toxic,.products?
400, . to, . 600, . mL, . ,.Slide, . 6, . pg, . 165
A,.patient,.with,.heart,.failure,.asks,,.―Why,.do,.I,.need,.to,.weigh,.myself
,.every,.day?‖,.How,.would,.the,.nurse,.respond?
―Weight,.is,.the,.best,.indication,.that,.you,.are,.gaining,.or,.losing,.fluid.",.pg.,.168
,The,.patient,.who,.has,.undergone,.which,.surgical,.procedure,.is,.
most,.at,.risk,.for,.hypocalcemia?
Parathyroidectomy
A,.nurse,.is,.caring,.for,.a,.patient,.who,.is,.experiencing,.excessive,
.diarrhea.,.The,.patient’s,.arterial,.blood,.gas,.values,.are,.pH,.7.18
,,.PaO2,.98,.mm,.Hg,,.PaCO2,.45,.mm,.Hg,.and
HCO3,.16,. mEq/L.,. Which,. provider,.order,. does,.the,.nurse,.expect,.to,.receive?
Sodium,.Bicarbonate,.100,.mEq,.diluted,.in,.1,.Liter,.of,.D5W,.Power
,.Point,.Slide,.11,.in,.notes,.Igi,.page,.195
The,.nurse,.is,.caring,.for,.a,.patient,.who,.is,.hyperventilating.,.The,.p
atient’s,.arterial,.blood,.gas,.values,.are,.pH,.7.52,,.PaO2,.94mmHg,,.PaC
O2,.31,.mmHg,.and,.HCO3,.26mEq.,.Which,.question,.would,.the,.nurse,
.ask,.when,.developing,.this
patient’s,.plan,.of,.care?
□,.Open, . end
A,.patient,.who,.has,.Clostridioides,.difficile,.with,.severe,.diarrhea,.will,.li
kely,.have,.related,.alteration,.in,.which,.acid,.base,.balance?
, . Metabolic, . Acidosis, . ,.Slide, . 11, . p, . 192
Which,.nursing,.assessment,.nding,.indicates,.a,.worsening,.of,.respir
atory,.acidosis?
Respiratory,.Depression,.pg.,.192
A,.patient,.has,.taken,.antacids,.for,.the,.past,.3,.weeks,.to,.relieve,.hear
t,.burn.,.What,.alteration,.in,.the,.acid,.base,.balance,.with,.the,.nurse,.lik
ely,.nd?
Metabolic,. Alkalosis,. pg.,.196
The,.person,.is,.with,.respiratory,.acidosis,.is,.considered,.full,.compensat
ed,.with,.which,.ABG?
pH, . 7.35, . PaCO2, . is, . 75, . and, . the, . HCO3, . is, . 30, . ,.Slide, . 16, . pg, . 190
,An,.emergency,.department,.nurse,.obtains,.the,.health,.history,.of,.a,
.patient.,.Which,.statement,.by,.the,.patient,.would,.alert,.the,.nurse,.t
o,.the,.occurrence,.of,.heart,.failure?
I, . get, . short, . of, . breath, . when, . I, . climb, . stairs
The,.nurse,.evaluates,.prescriptions,.for,.a,.patient,.with,.chronic,
.heart,.failure.,.Which,.class,.of,.medications,.would,.the,.nurse,.e
xpect,.to,.nd,.on,.the,.patient’s,.medication,.administration,.record,
.to,.decrease,.cardiac,.workload?
Ace,.Inhibitors,.Slides,.17,.and,.23.,.JCHAO,.Core,.Measure
A,.nurse,.prepares,.to,.discharge,.a,.patient,.with,.chronic,.heart,.failur
e,.home,.who,.is,.prescribed,.home,.healthcare,.services.,.Which,.prior
ity,.information,.would,.be,.communicated,.to,.the,.home,.health,.n
urse,.upon,.discharge?
Medication, . reconciliation, . ,. Slides, . 23, . 24, . and, . Igi, . table, . 35-4
A,.nurse,.assesses,.a,.patient,.in,.an,.outpatient,.clinic.,.Which,.state
ment,.alerts,.the,.nurse,.to,.the,.possibility,.of,.left-
,.sided,.heart,.failure?
I,. wake,. up,. at,. night,. short,. of,. breath., . ,.Slide, . 12, . and, . 14,. Igi,. p., . 695
A,.nurse,.assesses,.a,.patient,.admitted,.to,.the,.cardiac,.unit.,.Whic
h,.statement,.by,.the,.patient,.alerts,.the,.nurse,.to,.the,.possibility,.o
f,.right-sided,.heart,.failure?
My,.shoes,.t,.tight,.lately,. ,.Slide,.15,.and,.Igi,.p696
A,.nurse,.admits,.a,.patient,.who,.is,.experiencing,.an,.exacerbation,.o
f,.heart,.failure.,.What,.action,.would,.the,.nurse,.take,.rst?
Assess,.the,.patient’s,.respiratory,.status,. ,.Slides,.13,.and,.14,.Igi,.pg,.
695, . The, . nurse, . performing, . a, . physical, . assessment, . on, . a, . p
atient
with, . known
cardiovascular,.disease,.observes,.ascites,.and,.+3,.pitting,.edema,.to,.
lower,.extremities.,.The,.patient,.reports,.loss,.of,.appetite,.and,.nausea.
,.How,.does,.the,.nurse,.interpret,.these,.ndings?
Right,.Side,.Heart,. Failure
A,.patient,.has,.been,.diagnosed,.with,.hypertension,.but,.does,.not
,.take,.the,.prescribed,.antihypertensive,.medication,.because,.
of,.the,.patient’s,.lack,.of,.symptoms.,.What,.is,.the,.best,.respons
e,.by,.the,.nurse?
, □,.Slides, . 13, . and
2025/2026
A,.nursing,.manager,.is,.concerned,.about,.the,.number,.of,.infections,.o
n,.the,.hospital,.unit.,.What,.action,.by,.the,.manager,.would,.best,.help?
The,.nursing,.instructor,.explaining,.infection,.tells,.students,.that,.w
hich,.factor,.is,.the,.best,.and,.most,.important,.barrier,.to,.infection?
Intact, . skin, . and, . mucous, . membrane, . ,.Power, . Point, . Slide, . 5, . Igi-p, . 415
Which,.type,.of,.transmission-
based,.precautions,.must,.the,.nurse,.use,.to,.prevent,.the,.transmissi
on,.of,.tuberculosis?
Airborne,. Precautions, . pg,. 419
A,.nurse,.is,.assessing,.patients,.on,.a,.medical-
surgical,.unit.,.Which,.adult,.patient,.does,.the,.nurse,.identify,.as,.being,.
at,.greatest,.risk,.for,.insensible,.water,.loss?
A,.patient,.who,.is,.febrile,.with,.diaphoresis
A,.nurse,.is,.assessing,.a,.patient,.with,.hypokalemia,.and,.notes,.tha
t,.the,.patient’s,.hand-
grip,.strength,.has,.diminished,.since,.the,.previous,.assessment,.
1,.hour,.ago.,.What,.action,.does,.the,.nurse,.take,.FIRST?
Assess,.the,.patient's,.respiratory,.rate,,.rhythm,,.and,.depth,. ,.Fluid,.a
nd,.Electrolyte,.table,.page,.2
Which,.patient,.is,.at,.risk,.for,.hypokalemia?
Patient, . with, . pancreatitis, . who, . has, . continuous, . nasogastric, . suction,
. ,.Fluid, . and, . Electrolyte, . Table, . pg, . 2
1.,.What,.is,.the,.minimum,.amount,.of,.urine,.per,.day,.needed,.to,.exc
rete,.toxic,.products?
400, . to, . 600, . mL, . ,.Slide, . 6, . pg, . 165
A,.patient,.with,.heart,.failure,.asks,,.―Why,.do,.I,.need,.to,.weigh,.myself
,.every,.day?‖,.How,.would,.the,.nurse,.respond?
―Weight,.is,.the,.best,.indication,.that,.you,.are,.gaining,.or,.losing,.fluid.",.pg.,.168
,The,.patient,.who,.has,.undergone,.which,.surgical,.procedure,.is,.
most,.at,.risk,.for,.hypocalcemia?
Parathyroidectomy
A,.nurse,.is,.caring,.for,.a,.patient,.who,.is,.experiencing,.excessive,
.diarrhea.,.The,.patient’s,.arterial,.blood,.gas,.values,.are,.pH,.7.18
,,.PaO2,.98,.mm,.Hg,,.PaCO2,.45,.mm,.Hg,.and
HCO3,.16,. mEq/L.,. Which,. provider,.order,. does,.the,.nurse,.expect,.to,.receive?
Sodium,.Bicarbonate,.100,.mEq,.diluted,.in,.1,.Liter,.of,.D5W,.Power
,.Point,.Slide,.11,.in,.notes,.Igi,.page,.195
The,.nurse,.is,.caring,.for,.a,.patient,.who,.is,.hyperventilating.,.The,.p
atient’s,.arterial,.blood,.gas,.values,.are,.pH,.7.52,,.PaO2,.94mmHg,,.PaC
O2,.31,.mmHg,.and,.HCO3,.26mEq.,.Which,.question,.would,.the,.nurse,
.ask,.when,.developing,.this
patient’s,.plan,.of,.care?
□,.Open, . end
A,.patient,.who,.has,.Clostridioides,.difficile,.with,.severe,.diarrhea,.will,.li
kely,.have,.related,.alteration,.in,.which,.acid,.base,.balance?
, . Metabolic, . Acidosis, . ,.Slide, . 11, . p, . 192
Which,.nursing,.assessment,.nding,.indicates,.a,.worsening,.of,.respir
atory,.acidosis?
Respiratory,.Depression,.pg.,.192
A,.patient,.has,.taken,.antacids,.for,.the,.past,.3,.weeks,.to,.relieve,.hear
t,.burn.,.What,.alteration,.in,.the,.acid,.base,.balance,.with,.the,.nurse,.lik
ely,.nd?
Metabolic,. Alkalosis,. pg.,.196
The,.person,.is,.with,.respiratory,.acidosis,.is,.considered,.full,.compensat
ed,.with,.which,.ABG?
pH, . 7.35, . PaCO2, . is, . 75, . and, . the, . HCO3, . is, . 30, . ,.Slide, . 16, . pg, . 190
,An,.emergency,.department,.nurse,.obtains,.the,.health,.history,.of,.a,
.patient.,.Which,.statement,.by,.the,.patient,.would,.alert,.the,.nurse,.t
o,.the,.occurrence,.of,.heart,.failure?
I, . get, . short, . of, . breath, . when, . I, . climb, . stairs
The,.nurse,.evaluates,.prescriptions,.for,.a,.patient,.with,.chronic,
.heart,.failure.,.Which,.class,.of,.medications,.would,.the,.nurse,.e
xpect,.to,.nd,.on,.the,.patient’s,.medication,.administration,.record,
.to,.decrease,.cardiac,.workload?
Ace,.Inhibitors,.Slides,.17,.and,.23.,.JCHAO,.Core,.Measure
A,.nurse,.prepares,.to,.discharge,.a,.patient,.with,.chronic,.heart,.failur
e,.home,.who,.is,.prescribed,.home,.healthcare,.services.,.Which,.prior
ity,.information,.would,.be,.communicated,.to,.the,.home,.health,.n
urse,.upon,.discharge?
Medication, . reconciliation, . ,. Slides, . 23, . 24, . and, . Igi, . table, . 35-4
A,.nurse,.assesses,.a,.patient,.in,.an,.outpatient,.clinic.,.Which,.state
ment,.alerts,.the,.nurse,.to,.the,.possibility,.of,.left-
,.sided,.heart,.failure?
I,. wake,. up,. at,. night,. short,. of,. breath., . ,.Slide, . 12, . and, . 14,. Igi,. p., . 695
A,.nurse,.assesses,.a,.patient,.admitted,.to,.the,.cardiac,.unit.,.Whic
h,.statement,.by,.the,.patient,.alerts,.the,.nurse,.to,.the,.possibility,.o
f,.right-sided,.heart,.failure?
My,.shoes,.t,.tight,.lately,. ,.Slide,.15,.and,.Igi,.p696
A,.nurse,.admits,.a,.patient,.who,.is,.experiencing,.an,.exacerbation,.o
f,.heart,.failure.,.What,.action,.would,.the,.nurse,.take,.rst?
Assess,.the,.patient’s,.respiratory,.status,. ,.Slides,.13,.and,.14,.Igi,.pg,.
695, . The, . nurse, . performing, . a, . physical, . assessment, . on, . a, . p
atient
with, . known
cardiovascular,.disease,.observes,.ascites,.and,.+3,.pitting,.edema,.to,.
lower,.extremities.,.The,.patient,.reports,.loss,.of,.appetite,.and,.nausea.
,.How,.does,.the,.nurse,.interpret,.these,.ndings?
Right,.Side,.Heart,. Failure
A,.patient,.has,.been,.diagnosed,.with,.hypertension,.but,.does,.not
,.take,.the,.prescribed,.antihypertensive,.medication,.because,.
of,.the,.patient’s,.lack,.of,.symptoms.,.What,.is,.the,.best,.respons
e,.by,.the,.nurse?
, □,.Slides, . 13, . and
