HESI Med Surg Questions and
Answers A+ Graded (2025)
Heart .failure .acute .exacerbation. .How .to .Reduce .Cardiac .Workload? .- .CORRECT
.ANSWER-Bedside .Commode
The .nurse .learns .in .change .of .shift .report .that .the .x-ray .report .for .a .newly
.admitted .client .indicates .consolidation .in .the .left .lower .lung. .What .action .should
.the .nurse .take? .- .CORRECT .ANSWER-Administer .a .PRN .dose .of .a
.bronchodilator.
Carpel .Tunnel .Syndrome .patho? .- .CORRECT .ANSWER-Compression .of .median
.nerve
*intervention .for .pain .and .tingling .that .worsens .at .night .is .to .wear .brace .on .both
.hands .OR .shaking .hands .
*associated .with .activities .requiring .continuous .wrist .movement .
*women .are .more .likely .to .develop .this
*s/s .: .weakness, .pain, .numbness, .impaired .sensation .of .median .nerve,
.clumsiness .in .fine . hand .movements .
*positive .Tinel's .sign .and .Phalen's .sign
A .patient .is .having .a .seizure .is .assisted .to .the .floor. .Which .is .priority? .-
.CORRECT .ANSWER-monitor .for .apnea
Discharge .teaching .after .TURP? .- .CORRECT .ANSWER-Drink .3 .L .of .water
*TURP .= .several .small .incisions .are .made .into .prostate .gland .to .expand .urethra
.and .improve .urine .flow
*s/s .of .TURP .syndrome .: .n/v, .confusion, .bradycardia, .and .hypertension
*TURP .syndrome .is .due .to .hyponatremia .from .prolonged .bladder .irrigation
*bleeding .and .clots .are .complications .!!!!
*MUST .stop .taking .anticoagulants .several .days .before .surgery .
*BPH .meds .are .stopped .after .the .procedure
*REPORT .FRESH .BLOOD .IN .URINE
What .to .avoid .with .Raynaud's? .- .CORRECT .ANSWER-Avoid .caffeine
, *can .use .space .heater
What .to .report .with .a .Bronchoscopy? .- .CORRECT .ANSWER-bloody .sputum
.(chocolate-brown .color)
*used .to .view .airway .structures .and .obtain .tissue .samples .---- .used .to .diagnose
.pulmonary .diseases
*MUST .HAVE .SIGNED .CONSENT
*NPO .8 .hours .before .!!!!!!
*remove .dentures
*give .sedatives .as .ordered
*NPO .after .until .gag .reflex .returns .
*complications .include: .bronchospasm .or .bronchial .perforation. .(facial .or .neck
.crepitus, .dysrhythmias, .hemorrhage, .hypoxemia, .and .pneumothorax), .fever,
.infection, .aspiration, .hypotension, .and .cardiac .arrest .
*monitor .vitals .every .15 .min .for .2 .hours .after
*small .amount .of .blood .is .expected .
*NPO .until .gag .reflex .returns
Patient .with .diabetes .forgot .what .to .do .when .feeling .cold .and .clammy. .What .is
.priority? .- .CORRECT .ANSWER-check .blood .glucose .level
A .client .has .a .positive .guaic .stool. .What .lab .to .review? .- .CORRECT .ANSWER-
Platelets
A .client .has .40% .of .burns. .Which .fluid .is .needed .during .the .acute .phase? .-
.CORRECT .ANSWER-Latated .Ringers
How .to .tell .if .AV .fistula .was .effective? .- .CORRECT .ANSWER-vein .engorgement
*never .measure .BP, .insert .IV, .or .venipuncture .in .extremity .with .AV .fistula .or
.graft .---- .prevents .infection .and .clotting
* .^^ .be .sure .to .hang .a .sign ./ .label .arm .with .band .with .this .info
*complication: .thrombosis .---- .give .tPA
Postop .care .for .patient .with .abdominal .pain, .fever, .n/v .after .gastric .surgery? .-
.CORRECT .ANSWER-NG .tube
*continue .monitoring .for .n/v, .feeling .full/bloated, .increasing .shortness .of .breath,
.increase .in .abdominal .girth .---- .these .indicate .excess .fluids .and .gases .aren't
.being .removed .properly .
*too .much .suction .can .pull .gastric .mucosa .into .drainage .openings .
*use .LOW .suction .unless .indicated .otherwise .
*coffee-ground .material .in .tube .= .TEST .FOR .BLOOD
Patient .with .CVA .is .having .trouble .with .independent .self-care. .What .should
.nurse .tell .the .patient? .- .CORRECT .ANSWER-Place .mirror .in .room .and .watch
.yourself .as .you .get .dressed
Answers A+ Graded (2025)
Heart .failure .acute .exacerbation. .How .to .Reduce .Cardiac .Workload? .- .CORRECT
.ANSWER-Bedside .Commode
The .nurse .learns .in .change .of .shift .report .that .the .x-ray .report .for .a .newly
.admitted .client .indicates .consolidation .in .the .left .lower .lung. .What .action .should
.the .nurse .take? .- .CORRECT .ANSWER-Administer .a .PRN .dose .of .a
.bronchodilator.
Carpel .Tunnel .Syndrome .patho? .- .CORRECT .ANSWER-Compression .of .median
.nerve
*intervention .for .pain .and .tingling .that .worsens .at .night .is .to .wear .brace .on .both
.hands .OR .shaking .hands .
*associated .with .activities .requiring .continuous .wrist .movement .
*women .are .more .likely .to .develop .this
*s/s .: .weakness, .pain, .numbness, .impaired .sensation .of .median .nerve,
.clumsiness .in .fine . hand .movements .
*positive .Tinel's .sign .and .Phalen's .sign
A .patient .is .having .a .seizure .is .assisted .to .the .floor. .Which .is .priority? .-
.CORRECT .ANSWER-monitor .for .apnea
Discharge .teaching .after .TURP? .- .CORRECT .ANSWER-Drink .3 .L .of .water
*TURP .= .several .small .incisions .are .made .into .prostate .gland .to .expand .urethra
.and .improve .urine .flow
*s/s .of .TURP .syndrome .: .n/v, .confusion, .bradycardia, .and .hypertension
*TURP .syndrome .is .due .to .hyponatremia .from .prolonged .bladder .irrigation
*bleeding .and .clots .are .complications .!!!!
*MUST .stop .taking .anticoagulants .several .days .before .surgery .
*BPH .meds .are .stopped .after .the .procedure
*REPORT .FRESH .BLOOD .IN .URINE
What .to .avoid .with .Raynaud's? .- .CORRECT .ANSWER-Avoid .caffeine
, *can .use .space .heater
What .to .report .with .a .Bronchoscopy? .- .CORRECT .ANSWER-bloody .sputum
.(chocolate-brown .color)
*used .to .view .airway .structures .and .obtain .tissue .samples .---- .used .to .diagnose
.pulmonary .diseases
*MUST .HAVE .SIGNED .CONSENT
*NPO .8 .hours .before .!!!!!!
*remove .dentures
*give .sedatives .as .ordered
*NPO .after .until .gag .reflex .returns .
*complications .include: .bronchospasm .or .bronchial .perforation. .(facial .or .neck
.crepitus, .dysrhythmias, .hemorrhage, .hypoxemia, .and .pneumothorax), .fever,
.infection, .aspiration, .hypotension, .and .cardiac .arrest .
*monitor .vitals .every .15 .min .for .2 .hours .after
*small .amount .of .blood .is .expected .
*NPO .until .gag .reflex .returns
Patient .with .diabetes .forgot .what .to .do .when .feeling .cold .and .clammy. .What .is
.priority? .- .CORRECT .ANSWER-check .blood .glucose .level
A .client .has .a .positive .guaic .stool. .What .lab .to .review? .- .CORRECT .ANSWER-
Platelets
A .client .has .40% .of .burns. .Which .fluid .is .needed .during .the .acute .phase? .-
.CORRECT .ANSWER-Latated .Ringers
How .to .tell .if .AV .fistula .was .effective? .- .CORRECT .ANSWER-vein .engorgement
*never .measure .BP, .insert .IV, .or .venipuncture .in .extremity .with .AV .fistula .or
.graft .---- .prevents .infection .and .clotting
* .^^ .be .sure .to .hang .a .sign ./ .label .arm .with .band .with .this .info
*complication: .thrombosis .---- .give .tPA
Postop .care .for .patient .with .abdominal .pain, .fever, .n/v .after .gastric .surgery? .-
.CORRECT .ANSWER-NG .tube
*continue .monitoring .for .n/v, .feeling .full/bloated, .increasing .shortness .of .breath,
.increase .in .abdominal .girth .---- .these .indicate .excess .fluids .and .gases .aren't
.being .removed .properly .
*too .much .suction .can .pull .gastric .mucosa .into .drainage .openings .
*use .LOW .suction .unless .indicated .otherwise .
*coffee-ground .material .in .tube .= .TEST .FOR .BLOOD
Patient .with .CVA .is .having .trouble .with .independent .self-care. .What .should
.nurse .tell .the .patient? .- .CORRECT .ANSWER-Place .mirror .in .room .and .watch
.yourself .as .you .get .dressed
