Page 1 of 89
MED - SURGE HESI EXAM 1 & 2 (2 VERSIONS)
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED/ ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
1. A tornado warning alarm has been activated at the local hospital. Which
actionshould the charge nurse working on a surgical unit implement
first?
A. Instruct the nursing staff to close all
window blinds and curtains in clients'
rooms.
B. Move clients and visitors into the
hallways andclose all doors to clients'
rooms.
C. Visually confirm the location of the
tornado bychecking the windows on the
unit.
D. Assist all visitors with evacuation down the
stairsin a calm and orderly manner.
Rationale:
In the event of a tornado, all persons should be moved into the
hallways, away from windows, to prevent flying debris from causing
injury. Although option A may help decrease the amount of flying debris,
it is not safe to leave clients in rooms with closed blinds; option B is a
higher priority at this time. Hospital staffshould stay away from
windows to avoid injury and should focus on client
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evacuation into hallways rather than option C. Option D is not the first
action thatshould be taken.
2. When educating a client after a total laryngectomy, which instruction
would bemost important for the nurse to include in the discharge
teaching?
A. Recommend that the client carry
suctionequipment at all times.
B. Instruct the client to have writing
materials withhim at all times.
C. Tell the client to carry a medical alert
card thatexplains his condition.
D. Caution the client not to travel outside the
UnitedStates alone.
Rationale:
Neck breathers carry a medical alert card that notifies health care
personnel of the need to use mouth to stoma breathing in the event of a
cardiac arrest in this client.Mouth to mouth resuscitation will not
establish a patent airway. Options A and D are not necessary. There are
many alternative means of communication for clientswho have had a
laryngectomy; dependence on writing messages is probably the least
effective.
3. The nurse is assessing a male client with acute pancreatitis.
Which finding requires the most immediate intervention by the nurse?
A. The client's amylase level is three times
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higherthan the normal level.
B. While the nurse is taking the client's
bloodpressure, he has a carpal
spasm.
C. On a 1 to 10 scale, the client tells the nurse
thathis epigastric pain is at 7.
D. The client states that he will continue to
drinkalcohol after going home.
Rationale:
A positive Trousseau sign indicates hypocalcemia and always requires
further assessment and intervention, regardless of the cause (40% to 75%
of those with acute pancreatitis experience hypocalcemia, which can have
serious, systemic effects). A key diagnostic finding of pancreatitis is
serum amylase and lipase levels that are two to five times higher than the
normal value. Severe boring pain is an expected symptom for this
diagnosis, but dealing with the hypocalcemia is a priority over
administering an analgesic. Long-term planning and teaching do not have
the same immediate importance as a positive Trousseau sign.
4. The nurse is preparing a 45-year-old client for discharge from a
cancer centerfollowing ileostomy surgery for colon cancer. Which
discharge goal should the nurse include in this client's discharge plan?
A. Reduce the daily intake of animal fat to
10% ofthe diet within 6 weeks.
B. Exhibit regular, soft-formed stool within 1 month.
C. Demonstrate the irrigation procedure
correctly within 1 week.
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D. Attend an ostomy support group within 2 weeks.
Rationale:
Attending a support group will be beneficial to the client and should be
encouragedbecause adaptation to the ostomy can be difficult. This goal is
attainable and is measurable. Option A is not specifically related to
ileostomy care. The client with an ileostomy will not be able to accomplish
option B. Option C is not necessary.
MED - SURGE HESI EXAM 1 & 2 (2 VERSIONS)
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED/ ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
1. A tornado warning alarm has been activated at the local hospital. Which
actionshould the charge nurse working on a surgical unit implement
first?
A. Instruct the nursing staff to close all
window blinds and curtains in clients'
rooms.
B. Move clients and visitors into the
hallways andclose all doors to clients'
rooms.
C. Visually confirm the location of the
tornado bychecking the windows on the
unit.
D. Assist all visitors with evacuation down the
stairsin a calm and orderly manner.
Rationale:
In the event of a tornado, all persons should be moved into the
hallways, away from windows, to prevent flying debris from causing
injury. Although option A may help decrease the amount of flying debris,
it is not safe to leave clients in rooms with closed blinds; option B is a
higher priority at this time. Hospital staffshould stay away from
windows to avoid injury and should focus on client
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evacuation into hallways rather than option C. Option D is not the first
action thatshould be taken.
2. When educating a client after a total laryngectomy, which instruction
would bemost important for the nurse to include in the discharge
teaching?
A. Recommend that the client carry
suctionequipment at all times.
B. Instruct the client to have writing
materials withhim at all times.
C. Tell the client to carry a medical alert
card thatexplains his condition.
D. Caution the client not to travel outside the
UnitedStates alone.
Rationale:
Neck breathers carry a medical alert card that notifies health care
personnel of the need to use mouth to stoma breathing in the event of a
cardiac arrest in this client.Mouth to mouth resuscitation will not
establish a patent airway. Options A and D are not necessary. There are
many alternative means of communication for clientswho have had a
laryngectomy; dependence on writing messages is probably the least
effective.
3. The nurse is assessing a male client with acute pancreatitis.
Which finding requires the most immediate intervention by the nurse?
A. The client's amylase level is three times
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higherthan the normal level.
B. While the nurse is taking the client's
bloodpressure, he has a carpal
spasm.
C. On a 1 to 10 scale, the client tells the nurse
thathis epigastric pain is at 7.
D. The client states that he will continue to
drinkalcohol after going home.
Rationale:
A positive Trousseau sign indicates hypocalcemia and always requires
further assessment and intervention, regardless of the cause (40% to 75%
of those with acute pancreatitis experience hypocalcemia, which can have
serious, systemic effects). A key diagnostic finding of pancreatitis is
serum amylase and lipase levels that are two to five times higher than the
normal value. Severe boring pain is an expected symptom for this
diagnosis, but dealing with the hypocalcemia is a priority over
administering an analgesic. Long-term planning and teaching do not have
the same immediate importance as a positive Trousseau sign.
4. The nurse is preparing a 45-year-old client for discharge from a
cancer centerfollowing ileostomy surgery for colon cancer. Which
discharge goal should the nurse include in this client's discharge plan?
A. Reduce the daily intake of animal fat to
10% ofthe diet within 6 weeks.
B. Exhibit regular, soft-formed stool within 1 month.
C. Demonstrate the irrigation procedure
correctly within 1 week.
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D. Attend an ostomy support group within 2 weeks.
Rationale:
Attending a support group will be beneficial to the client and should be
encouragedbecause adaptation to the ostomy can be difficult. This goal is
attainable and is measurable. Option A is not specifically related to
ileostomy care. The client with an ileostomy will not be able to accomplish
option B. Option C is not necessary.
