Med-Surg HESI Test Questions and All
Answer 2025
A .female .client .with .a .nasogastric .tube .attached .to .low .suction .states
.that .she .is .nauseated. .The .nurse .assesses .that .there .has .been .no
.drainage .through .the .nasogastric .tube .in .the .last .2 .hours. .Which
.action .should .the .nurse .take .first? .- .answer-Reposition .the .client .on
.her .side. .The .priority .is .to .determined .if .the .tube .is .functioning
.correctly, .which .would .relieve .the .client's .nausea. .The .least .invasive
.intervention .is .to .reposition .the .client .(B), .should .be .attempted
.first, .followed .by .(A .& .C) .if .these .are .unsuccessful .then .(D).
When .assigning .clients .on .a .medical-surgical .floor .to .a .RN .and .a .LPN,
.it .is .best .for .the .charge .nurse .to .assign .which .client .to .the .LPN?
A. A .child .with .bacterial .meningitis .with .recent .seizures.
B. An .older .adult .client .with .pneumonia .and .viral .meningitis.
C. A .female .client .in .isolation .wiht .meningococcal .meningitis.
D. A .male .client .1 .day .post-op .after .drainage .of .a .brain .abscess. .-
.answer-B. .Is .the .most .stable. .A, .C, .D .have .an .increased .risk .for
.elevated .ICP.
Which .description .of .symptoms .is .characteristic .of .a .client .diagnosed
.with .trigeminal .neuralgia .(tic .douloureux)?
A. Tinnitus, .vertigo, .and .hearing .difficulties.
B. Sudden, .stabbing, .severe .pain .over .the .lip .and .chin.
,C. Unilateral .facial .weakness .and .paralysis.
D. Difficulty .in .talking, .chewing, .and .swallowing. .- .answer-B.
.Trigeminal .neuralgia .is .characterized .by .paroxysms .of .pain, .similar .to
.an .electric .shock, .in .the .area .innervated .by .one .or .more .branches
.of .the .trigeminal .nerve.
A. Characteristic .of .Meniere's
C. Characteristic .of .Bell .palsey
D. Characteristic .of .disorders .of .the .hypoglossal .(12th .cranial .nerve)
Which .abnormal .lab .finding .indicates .that .a .client .with .diabetes
.needs .further .evaluation .for .diabetic .nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated .serum .lipids
D. Ketonuria .- .answer-B. .Microalbuminuria .is .the .earliest .sign .of
.nephropathy .and .indicates .the .need .for .follow-up .evaluation.
.Hyperkalemia .(A) .is .associated .with .end .stage .renal .disease .caused
.by .diabetic .nephropathy. .(C) .may .be .elevated .in .end .stage .renal
.disease. .(D) .may .signal .the .onset .of .DKA.
An .older .male .client .comes .to .the .geriatric .screening .clinic
.complaining .of .pain .in .his .left .calf. .The .nurse .notices .a .reddened .area
.on .the .calf .of .his .right .leg .that .is .warm .to .touch .and .the .nurse
.suspects .that .the .client .may .have .thrombophlebitis. .Which .addition
.assessment .is .most .important .for .the .nurse .to .perform?
,A. Measure .calf .circumference.
B. Auscultate .the .client's .breath .sounds.
C. Observe .for .ecchymosis .and .petechiae.
D. Obtain .the .client's .blood .pressure. .- .answer-B. .Since .the .client .may
.have .a .pulmonary .embolus .secondary .to .the .thrombophlebitis.
A. Would .support .the .nurses .assessment.
C. Least .helpful .since .bruising .is .not .associated .with
.thrombophlebitis.
D. Less .important .then .auscultation.
The .nurse .know .that .a .client .taking .diuretics .must .be .assessed .for .the
.development .of .hypokalemia, .and .that .hypokalemia .will .create
.changes .in .the .client's .normal .ECG .tracing. .Which .ECG .change .would
.be .an .expected .finding .in .the .client .with .hypokalemia?
A. Tall, .spiked .T .waves
B. A .prolonged .QT .interval
C. A .widening .QRS .complex
D. Presence .of .a .U .wave .- .answer-D. .A .U .wave .is .a .positive .deflection
.following .the .T .wave .and .is .often .present .with .hypokalemia. .A, .B, .C
.indicate .hyperkalemia.
, An .older .client .is .admitted .with .a .diagnosis .of .bacterial .pneumonia.
.The .nurse's .assessment .of .the .client .will .most .likely .reveal .which
.S/SX?
A. Leukocytosis .and .febrile.
B. Polycythemia .and .crackles.
C. Pharyngitis .and .sputum .production.
D. Confusion .and .tachycardia. .- .answer-D. .The .onset .of .pneumonia .is
.the .older .may .be .signaled .by .general .deterioration, .confusion,
.increased .heart .rate .or .increased .respiratory .rate.
(A, .B, .C) .are .often .absent .in .the .older .with .bacterial .pneumonia.
The .nurse .observes .ventricular .fibrillation .on .telemetry .and .upon
.entering .the .clients .bathroom .finds .the .client .unconscious .on .the
.floor. .What .intervention .should .the .nurse .implement .first?
A. Administer .an .antidysrhythmic .medication.
B. Start .cardiopulmonary .resuscitation.
C. Defibrillate .the .client .at .200 .joules.
D. Assess .the .client's .pulse .oximetry. .- .answer-B. .Ventricular
.fibrillation .is .a .life-threatening .dysrhythmia .and .CPR .should .be
.started .immediately. .A .& .C .are .appropriate .but .B .is .the .priority. .D
.does .not .address .the .seriousness .of .the .situation.
Answer 2025
A .female .client .with .a .nasogastric .tube .attached .to .low .suction .states
.that .she .is .nauseated. .The .nurse .assesses .that .there .has .been .no
.drainage .through .the .nasogastric .tube .in .the .last .2 .hours. .Which
.action .should .the .nurse .take .first? .- .answer-Reposition .the .client .on
.her .side. .The .priority .is .to .determined .if .the .tube .is .functioning
.correctly, .which .would .relieve .the .client's .nausea. .The .least .invasive
.intervention .is .to .reposition .the .client .(B), .should .be .attempted
.first, .followed .by .(A .& .C) .if .these .are .unsuccessful .then .(D).
When .assigning .clients .on .a .medical-surgical .floor .to .a .RN .and .a .LPN,
.it .is .best .for .the .charge .nurse .to .assign .which .client .to .the .LPN?
A. A .child .with .bacterial .meningitis .with .recent .seizures.
B. An .older .adult .client .with .pneumonia .and .viral .meningitis.
C. A .female .client .in .isolation .wiht .meningococcal .meningitis.
D. A .male .client .1 .day .post-op .after .drainage .of .a .brain .abscess. .-
.answer-B. .Is .the .most .stable. .A, .C, .D .have .an .increased .risk .for
.elevated .ICP.
Which .description .of .symptoms .is .characteristic .of .a .client .diagnosed
.with .trigeminal .neuralgia .(tic .douloureux)?
A. Tinnitus, .vertigo, .and .hearing .difficulties.
B. Sudden, .stabbing, .severe .pain .over .the .lip .and .chin.
,C. Unilateral .facial .weakness .and .paralysis.
D. Difficulty .in .talking, .chewing, .and .swallowing. .- .answer-B.
.Trigeminal .neuralgia .is .characterized .by .paroxysms .of .pain, .similar .to
.an .electric .shock, .in .the .area .innervated .by .one .or .more .branches
.of .the .trigeminal .nerve.
A. Characteristic .of .Meniere's
C. Characteristic .of .Bell .palsey
D. Characteristic .of .disorders .of .the .hypoglossal .(12th .cranial .nerve)
Which .abnormal .lab .finding .indicates .that .a .client .with .diabetes
.needs .further .evaluation .for .diabetic .nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated .serum .lipids
D. Ketonuria .- .answer-B. .Microalbuminuria .is .the .earliest .sign .of
.nephropathy .and .indicates .the .need .for .follow-up .evaluation.
.Hyperkalemia .(A) .is .associated .with .end .stage .renal .disease .caused
.by .diabetic .nephropathy. .(C) .may .be .elevated .in .end .stage .renal
.disease. .(D) .may .signal .the .onset .of .DKA.
An .older .male .client .comes .to .the .geriatric .screening .clinic
.complaining .of .pain .in .his .left .calf. .The .nurse .notices .a .reddened .area
.on .the .calf .of .his .right .leg .that .is .warm .to .touch .and .the .nurse
.suspects .that .the .client .may .have .thrombophlebitis. .Which .addition
.assessment .is .most .important .for .the .nurse .to .perform?
,A. Measure .calf .circumference.
B. Auscultate .the .client's .breath .sounds.
C. Observe .for .ecchymosis .and .petechiae.
D. Obtain .the .client's .blood .pressure. .- .answer-B. .Since .the .client .may
.have .a .pulmonary .embolus .secondary .to .the .thrombophlebitis.
A. Would .support .the .nurses .assessment.
C. Least .helpful .since .bruising .is .not .associated .with
.thrombophlebitis.
D. Less .important .then .auscultation.
The .nurse .know .that .a .client .taking .diuretics .must .be .assessed .for .the
.development .of .hypokalemia, .and .that .hypokalemia .will .create
.changes .in .the .client's .normal .ECG .tracing. .Which .ECG .change .would
.be .an .expected .finding .in .the .client .with .hypokalemia?
A. Tall, .spiked .T .waves
B. A .prolonged .QT .interval
C. A .widening .QRS .complex
D. Presence .of .a .U .wave .- .answer-D. .A .U .wave .is .a .positive .deflection
.following .the .T .wave .and .is .often .present .with .hypokalemia. .A, .B, .C
.indicate .hyperkalemia.
, An .older .client .is .admitted .with .a .diagnosis .of .bacterial .pneumonia.
.The .nurse's .assessment .of .the .client .will .most .likely .reveal .which
.S/SX?
A. Leukocytosis .and .febrile.
B. Polycythemia .and .crackles.
C. Pharyngitis .and .sputum .production.
D. Confusion .and .tachycardia. .- .answer-D. .The .onset .of .pneumonia .is
.the .older .may .be .signaled .by .general .deterioration, .confusion,
.increased .heart .rate .or .increased .respiratory .rate.
(A, .B, .C) .are .often .absent .in .the .older .with .bacterial .pneumonia.
The .nurse .observes .ventricular .fibrillation .on .telemetry .and .upon
.entering .the .clients .bathroom .finds .the .client .unconscious .on .the
.floor. .What .intervention .should .the .nurse .implement .first?
A. Administer .an .antidysrhythmic .medication.
B. Start .cardiopulmonary .resuscitation.
C. Defibrillate .the .client .at .200 .joules.
D. Assess .the .client's .pulse .oximetry. .- .answer-B. .Ventricular
.fibrillation .is .a .life-threatening .dysrhythmia .and .CPR .should .be
.started .immediately. .A .& .C .are .appropriate .but .B .is .the .priority. .D
.does .not .address .the .seriousness .of .the .situation.
