Med Surg Final HESI Exam 2025–2026 Accurate
Real Exam Questions and Verified Correct
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The nurse reports that a client is at risk for a brain attack (stroke) based on which
assessment finding?
A. Nuchal rigidity
B. Carotid bruit
C. Jugular vein distention
D. Palpable cervical lymph node - answer>>>B. Carotid bruit
The nurse is preparing to administer enoxaparin (Lovenox) 135 mg subcutaneously. The
medication is available in a cartridge labeled 150 mg/ml. How many ml should the nurse
administer? (enter numeric value only. If rounding is required, round to the nearest
tenth.) - answer>>>0.9 ml
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's
finger, the nurse observes that the distal tip of the finger appears reddened and
engorged. What action should the nurse take?
A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger - answer>>>A. Collect the blood sample
A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The
healthcare provider prescribes a nasogastric tube (NGT) to be inserted and placed to
intermittent low wall suction. Which intervention should the nurse implement to facilitate
proper tube placement?
A. Soak nasogastric tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees - answer>>>D. Elevate head of bed 60 to 90
degrees
A young female client with seven children is having frequent morning headaches,
dizziness, and blurred vision. Her blood pressure (BP) is 168/104 mmHg. The client reports
,that her husband recently lost his job and she is not sleeping well. After administering a
STAT dose of an antihypertensive IV medication, which intervention is most important for
the nurse to implement?
A. Measure urine output hourly to assess for rental perfusion
B. Request a prescription for pain medication
C. Use an automated BP machine to monitor for hypotension
D. Provide a quiet environment with low lighting - answer>>>C. Use an automated BP
machine to monitor for hypotension
The wife of a client with Parkinson's disease expresses concern because her husband has
lost so much weight. Which teaching is best for the nurse to provide?
A. Invite friends over regularly to share in meal times
B. Encourage the client to drink clear liquids between meals
C. Coach the client to make an intentional effort to swallow
D. Talk to the healthcare provider about prescribing an appetite stimulant - answer>>>A.
Invite friends over regularly to share in meal times
A client who was discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and recent hemoptysis. The client is drowsy but responds to verbal stimuli. The
nurse programs a blood pressure monitor to take readings every 15 minutes,. Which
assessment should the nurse implement first?
A. Evaluate distal capillary refill for delayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pretibial regions for pitting edema
D. Palpate the abdomen for tenderness and rigidity - answer>>>D. Palpate the abdomen
for tenderness and rigidity
A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention
should the nurse include in the client's postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output - answer>>>D. Monitor urinary stream
for decrease in output
, A fair-skinned female client who is an avid runner is diagnosed with malignant melanoma,
which is located on the lateral surface of the lower leg. After wide margin resection, the
nurse provides discharge teaching. I t is most important for the nurse to emphasize the
need to observe for changes in which characteristic?
A. Elasticity of the skin
B. Appearance of any moles
C. Muscle aches and pains
D. Pigmentation of the skin - answer>>>B. Appearance of any moles
A healthcare worker with no known exposure to tuberculosis has received a Mantoux
tuberculosis skin test. The nurse's assessment of the test after 62 hours indicates 5 mm of
erythema without induration. What is the best initial nursing action? -
answer>>>Document negative results in the client's medical record
The nurse is teaching the importance of an exercise regime that includes walking daily for
a group of clients with asthma, chronic bronchitis, and emphysema at a pulmonary
rehabilitation clinic. Which rationale should the nurse include when motivating the
clients? - answer>>>Daily exercise and walking enhances cardiovascular fitness
The nurse reviews the laboratory results of a client during an annual physical examination
and identifies a positive guaiac test of stool. Which additional serum laboratory test result
should the nurse review?
A. Glucose
B. Platelet count
C. White blood cell count
D. Amylase - answer>>>B. Platelet count
A client with hypothyroidism reports difficulty falling asleep because of feelings of
depression. Which action should the nurse implement? - answer>>>Review most recent
thyroid function test results
An older client arrives at the outpatient eye surgery clinic for a right cataract extraction
and lens implant. During the immediate postoperative period, which intervention should
the nurse implement?
A. Teach a family member to administer eye drops
B. Encourage deep breathing and coughing exercises
C. Provide an eye shield to be worn while sleeping
Real Exam Questions and Verified Correct
Answers JUST RELEASED
The nurse reports that a client is at risk for a brain attack (stroke) based on which
assessment finding?
A. Nuchal rigidity
B. Carotid bruit
C. Jugular vein distention
D. Palpable cervical lymph node - answer>>>B. Carotid bruit
The nurse is preparing to administer enoxaparin (Lovenox) 135 mg subcutaneously. The
medication is available in a cartridge labeled 150 mg/ml. How many ml should the nurse
administer? (enter numeric value only. If rounding is required, round to the nearest
tenth.) - answer>>>0.9 ml
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's
finger, the nurse observes that the distal tip of the finger appears reddened and
engorged. What action should the nurse take?
A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger - answer>>>A. Collect the blood sample
A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The
healthcare provider prescribes a nasogastric tube (NGT) to be inserted and placed to
intermittent low wall suction. Which intervention should the nurse implement to facilitate
proper tube placement?
A. Soak nasogastric tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees - answer>>>D. Elevate head of bed 60 to 90
degrees
A young female client with seven children is having frequent morning headaches,
dizziness, and blurred vision. Her blood pressure (BP) is 168/104 mmHg. The client reports
,that her husband recently lost his job and she is not sleeping well. After administering a
STAT dose of an antihypertensive IV medication, which intervention is most important for
the nurse to implement?
A. Measure urine output hourly to assess for rental perfusion
B. Request a prescription for pain medication
C. Use an automated BP machine to monitor for hypotension
D. Provide a quiet environment with low lighting - answer>>>C. Use an automated BP
machine to monitor for hypotension
The wife of a client with Parkinson's disease expresses concern because her husband has
lost so much weight. Which teaching is best for the nurse to provide?
A. Invite friends over regularly to share in meal times
B. Encourage the client to drink clear liquids between meals
C. Coach the client to make an intentional effort to swallow
D. Talk to the healthcare provider about prescribing an appetite stimulant - answer>>>A.
Invite friends over regularly to share in meal times
A client who was discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and recent hemoptysis. The client is drowsy but responds to verbal stimuli. The
nurse programs a blood pressure monitor to take readings every 15 minutes,. Which
assessment should the nurse implement first?
A. Evaluate distal capillary refill for delayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pretibial regions for pitting edema
D. Palpate the abdomen for tenderness and rigidity - answer>>>D. Palpate the abdomen
for tenderness and rigidity
A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention
should the nurse include in the client's postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output - answer>>>D. Monitor urinary stream
for decrease in output
, A fair-skinned female client who is an avid runner is diagnosed with malignant melanoma,
which is located on the lateral surface of the lower leg. After wide margin resection, the
nurse provides discharge teaching. I t is most important for the nurse to emphasize the
need to observe for changes in which characteristic?
A. Elasticity of the skin
B. Appearance of any moles
C. Muscle aches and pains
D. Pigmentation of the skin - answer>>>B. Appearance of any moles
A healthcare worker with no known exposure to tuberculosis has received a Mantoux
tuberculosis skin test. The nurse's assessment of the test after 62 hours indicates 5 mm of
erythema without induration. What is the best initial nursing action? -
answer>>>Document negative results in the client's medical record
The nurse is teaching the importance of an exercise regime that includes walking daily for
a group of clients with asthma, chronic bronchitis, and emphysema at a pulmonary
rehabilitation clinic. Which rationale should the nurse include when motivating the
clients? - answer>>>Daily exercise and walking enhances cardiovascular fitness
The nurse reviews the laboratory results of a client during an annual physical examination
and identifies a positive guaiac test of stool. Which additional serum laboratory test result
should the nurse review?
A. Glucose
B. Platelet count
C. White blood cell count
D. Amylase - answer>>>B. Platelet count
A client with hypothyroidism reports difficulty falling asleep because of feelings of
depression. Which action should the nurse implement? - answer>>>Review most recent
thyroid function test results
An older client arrives at the outpatient eye surgery clinic for a right cataract extraction
and lens implant. During the immediate postoperative period, which intervention should
the nurse implement?
A. Teach a family member to administer eye drops
B. Encourage deep breathing and coughing exercises
C. Provide an eye shield to be worn while sleeping
