HESI Medical-Surgical Nursing Exam
HESI MEDICAL-SURGICAL NURSING EXAM NEWEST 2025
COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A 40-year-old female client has a history of smoking. Which finding should the
nurse identify as a risk factor for myocardia infarction?
A: Oral contraceptives.
B: Senile osteopenia.
C: Levothyroxine therapy.
D: Pernicious anemia.
A: Oral contraceptives.
Women older than 35 years old who smoke and take oral contraceptives have an
increased risk of myocardial infarction or stroke.
A client has been told that there is cataract formation over both eyes. Which
finding should the nurse expect when assessing the client?
A: Decreased color perception.
B: Presence of floaters.
C: Loss of central vision.
D: Reduced peripheral vision.
A: Decreased color perception.
Decreased color perception occurs with cataract formation. Cataract formation
is also associated with blurred vision and a global loss of vision so gradual that
the client may not be aware of it.
Which assessment finding should most concern the nurse who is monitoring a
client two hours after a thoracentesis?
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, HESI Medical-Surgical Nursing Exam
A: New onset of coughing.
B: Low resting heart rate.
C: Distended neck veins.
D: Decreased shallow respirations.
A: New onset of coughing.
A pneumothorax (partial or complete lung collapse) is the potential
complication of a thoracentesis. Manifestations of a pneumothorax include new
onset of a nagging cough, tachycardia, and an increased shallow respiration rate.
While caring for a client who has esophageal varices, which nursing intervention is
most important for the registered nurse (RN) to implement?
A: Monitor infusing IV fluids and any replacement blood products.
B: Prepare for esophagogastroduodenoscopy (EGD).
C: Maintain the client on strict bedrest.
D: Insert a nasogastric tube (NGT) for intermittent suction.
A: Monitor infusing IV fluids and any replacement blood products
(Maintaining hemodynamic stability in a client with esophageal varices can
precipitate a life-threatening crisis if esophageal varies leak or rupture and can
result in hemorrhage. The priority is assessing and monitoring infusions of IV
fluids and any replacement blood products.)
The registered nurse (RN) is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding
indicates to the RN that the client is stabilizing?
A: Urine output of 40 mL/hour.
B: Apical pulse 100 and blood pressure 76/42.
C: Urine specific gravity 1.001.
D: Tented skin on dorsal surface of hands.
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, HESI Medical-Surgical Nursing Exam
A: Urine output of 40 mL/hour.
A decrease in urinary output is a sign of dehydration. When the urine output
returns to a normal range, 40 mL/hour, the client's kidneys are perfusing
adequately and indicates the client's status is stablizing
After a liver biopsy is performed at the bedside, the registered nurse (RN) is
assigned the care of the client. Which nursing intervention is most important for
the RN to implement?
A: Position client on left side with pillow placed under the costal margin.
B: Assist the client with voiding immediately after the procedure.
C: Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
D: Ambulate client 3 times in first hour with pillow held at abdomen.
C: Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
Vital signs should be checked every 10 to 20 minutes to assess for bleeding after
biopsy of the liver, which is highly vascular. The client should be positioned on
the right side with a pillow or sandbag under the costal margin and supporting
the biopsy site. The client should be maintained on bedrest for several hours to
decrease the risk of bleeding from the biopsy site.
The registered nurse (RN) is caring for a client with aplastic anemia who is
hospitalized for weight loss and generalized weakness. Laboratory values show a
white blood count (WBC) of 2,500/mm 3 and a platelet count of 160,000/mm 3.
Which intervention is the primary focus in the client's plan of care for the RN to
implement?
A: Assist with frequent ambulation.
B: Encourage visitors to visit.
C: Maintain strict protective precautions.
D: Avoid peripheral injections.
C: Maintain strict protective precautions.
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, HESI Medical-Surgical Nursing Exam
The client should be under strict protective transmission precautions because
the WBC values are low and normal WBC levels are 4,000-10,000/mm3, so the
client is an increased high risk for infection.
The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance tests (OGTT). Which laboratory result should the RN assess as a normal
value for the two hour postprandial result?
A: 140 mg/dl.
B: 160 mg/dl.
C: 180 mg/dl.
D: 200 mg/dl.
A: 140 mg/dl.
The two hour postprandial level should be less 140 mg/dl for a young adult
client.
The registered nurse (RN) is caring for an older client who recently experienced a
fractured pelvis from a fall. Which assessment finding is most important for the
RN to report the healthcare provider?
A: Lower back pain.
B: Headache of 7 on scale 1 to 10.
C: Blood pressure of 140/98.
D: Dyspnea.
D: Dyspnea.
A client with a large bone fracture is at risk for intramedullary fat leaking into
the blood stream and becoming embolic. Dyspnea is an indication of fat
embolism to the lungs and should be reported to the healthcare provider
immediately.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking
a combination drug regimen. The client complains about taking "so many pills."
4|Page
HESI MEDICAL-SURGICAL NURSING EXAM NEWEST 2025
COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A 40-year-old female client has a history of smoking. Which finding should the
nurse identify as a risk factor for myocardia infarction?
A: Oral contraceptives.
B: Senile osteopenia.
C: Levothyroxine therapy.
D: Pernicious anemia.
A: Oral contraceptives.
Women older than 35 years old who smoke and take oral contraceptives have an
increased risk of myocardial infarction or stroke.
A client has been told that there is cataract formation over both eyes. Which
finding should the nurse expect when assessing the client?
A: Decreased color perception.
B: Presence of floaters.
C: Loss of central vision.
D: Reduced peripheral vision.
A: Decreased color perception.
Decreased color perception occurs with cataract formation. Cataract formation
is also associated with blurred vision and a global loss of vision so gradual that
the client may not be aware of it.
Which assessment finding should most concern the nurse who is monitoring a
client two hours after a thoracentesis?
1|Page
, HESI Medical-Surgical Nursing Exam
A: New onset of coughing.
B: Low resting heart rate.
C: Distended neck veins.
D: Decreased shallow respirations.
A: New onset of coughing.
A pneumothorax (partial or complete lung collapse) is the potential
complication of a thoracentesis. Manifestations of a pneumothorax include new
onset of a nagging cough, tachycardia, and an increased shallow respiration rate.
While caring for a client who has esophageal varices, which nursing intervention is
most important for the registered nurse (RN) to implement?
A: Monitor infusing IV fluids and any replacement blood products.
B: Prepare for esophagogastroduodenoscopy (EGD).
C: Maintain the client on strict bedrest.
D: Insert a nasogastric tube (NGT) for intermittent suction.
A: Monitor infusing IV fluids and any replacement blood products
(Maintaining hemodynamic stability in a client with esophageal varices can
precipitate a life-threatening crisis if esophageal varies leak or rupture and can
result in hemorrhage. The priority is assessing and monitoring infusions of IV
fluids and any replacement blood products.)
The registered nurse (RN) is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding
indicates to the RN that the client is stabilizing?
A: Urine output of 40 mL/hour.
B: Apical pulse 100 and blood pressure 76/42.
C: Urine specific gravity 1.001.
D: Tented skin on dorsal surface of hands.
2|Page
, HESI Medical-Surgical Nursing Exam
A: Urine output of 40 mL/hour.
A decrease in urinary output is a sign of dehydration. When the urine output
returns to a normal range, 40 mL/hour, the client's kidneys are perfusing
adequately and indicates the client's status is stablizing
After a liver biopsy is performed at the bedside, the registered nurse (RN) is
assigned the care of the client. Which nursing intervention is most important for
the RN to implement?
A: Position client on left side with pillow placed under the costal margin.
B: Assist the client with voiding immediately after the procedure.
C: Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
D: Ambulate client 3 times in first hour with pillow held at abdomen.
C: Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
Vital signs should be checked every 10 to 20 minutes to assess for bleeding after
biopsy of the liver, which is highly vascular. The client should be positioned on
the right side with a pillow or sandbag under the costal margin and supporting
the biopsy site. The client should be maintained on bedrest for several hours to
decrease the risk of bleeding from the biopsy site.
The registered nurse (RN) is caring for a client with aplastic anemia who is
hospitalized for weight loss and generalized weakness. Laboratory values show a
white blood count (WBC) of 2,500/mm 3 and a platelet count of 160,000/mm 3.
Which intervention is the primary focus in the client's plan of care for the RN to
implement?
A: Assist with frequent ambulation.
B: Encourage visitors to visit.
C: Maintain strict protective precautions.
D: Avoid peripheral injections.
C: Maintain strict protective precautions.
3|Page
, HESI Medical-Surgical Nursing Exam
The client should be under strict protective transmission precautions because
the WBC values are low and normal WBC levels are 4,000-10,000/mm3, so the
client is an increased high risk for infection.
The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance tests (OGTT). Which laboratory result should the RN assess as a normal
value for the two hour postprandial result?
A: 140 mg/dl.
B: 160 mg/dl.
C: 180 mg/dl.
D: 200 mg/dl.
A: 140 mg/dl.
The two hour postprandial level should be less 140 mg/dl for a young adult
client.
The registered nurse (RN) is caring for an older client who recently experienced a
fractured pelvis from a fall. Which assessment finding is most important for the
RN to report the healthcare provider?
A: Lower back pain.
B: Headache of 7 on scale 1 to 10.
C: Blood pressure of 140/98.
D: Dyspnea.
D: Dyspnea.
A client with a large bone fracture is at risk for intramedullary fat leaking into
the blood stream and becoming embolic. Dyspnea is an indication of fat
embolism to the lungs and should be reported to the healthcare provider
immediately.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking
a combination drug regimen. The client complains about taking "so many pills."
4|Page
