Page 1 of 38
HESI RN MED-SURGE PRACTICE EXAM QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
When providing discharge teaching for a client with osteoporosis, the nurse
should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety.
Elimination of hazards to home safety
A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most
effective to assist the client?
Losing weight.
Decreasing caffeine intake.
Avoiding large meals.
Raising the head of the bed on blocks.
Raising the head of the bed on blocks
An older adult female client is brought to the clinic by her daughter for a flu
shot. She has lost significant weight since the last visit. She has poor personal
hygiene and inadequate clothing for the weather. the client states that she
lives alone and denies problems or concerns. Which action should the nurse
implement?
, Page 2 of 38
Notify social services immediately of suspected elderly abuse.
Discuss the need for mental health counseling with the daughter.
Explain to the client that she needs to take better care of herself.
Collect further data to determine whether self-neglect is occurring
Collect further data to determine whether self-neglect is occuring
The nurse is assisting a client out of bed for the first time after surgery. Which
action should the nurse do first?
Place a chair at a right angle to the bedside.
Encourage deep breathing prior to standing.
Help the client to sit and dangle legs on the side of the bed.
Allow the client to sit with the bed in a high Fowler's position
Allow the client to sit with the bed in a high Fowler's position
After checking the urinary drainage system for kinks in the tubing, the nurse
determines that a client who has returned from the post-anesthesia care has a
dark, concentrated urinary output of 54 ml for the last 2 hours. What priority
nursing action should be implemented?
Report the findings to the surgeon.
Irrigate the indwelling urinary catheter.
Apply manual pressure to the bladder.
Increase the IV flow rate for 15 minutes
Report the findings to the surgeon
A client who is fully awake after a gastroscopy asks the nurse for something to
drink. After confirming that liquids are allowed, which assessment action
should the nurse consider a priority?
Listen to bilateral lung and bowel sounds.
Obtain the client's pulse and blood pressure.
Assist the client to the bathroom to void.
Check the client's gag and swallow reflexes
Check the client's gag and swallow reflexes
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During an interview with a client planning elective surgery, the client asks the
nurse, "What is the advantage of having a preferred provider organization
insurance plan?" Which response is best for the nurse to provide?
Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO plan.
An individual may select healthcare providers from outside of the PPO
network.
An individual can become a member of a PPO without belonging to a group.
An individual may select healthcare providers from outside of the PPO network
The nurse is providing dietary instructions to a 69 year old client who is at
high risk for development of coronary heart disease (CHD). Which information
should the nurse include?
Limit dietary selection of cholesterol to 300 mg per day.
Increase intake of soluble fiber to 10 to 25 grams per day.
Decrease plant stanols and sterols to less than 2 grams/day.
Ensure saturated fat is less than 30% of total caloric intake.
Increase intake of soluble fiber to 10 to 25 grams per day
A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech.
Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Evaluate his blood pressure, pulse, and respiratory status
A client who is sexually active with several partners requests an intrauterine
device (IUD) as a contraceptive method. Which information should the nurse
provide?
Using an IUD offers no protection against sexually transmitted diseases (STD),
which increase the risk for pelvic inflammatory disease (PID).
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Getting pregnant while using an IUD is common and is not the best
contraceptive choice.
Relying on an IUD may be a safer choice for monogamous partners, but a
barrier method provides a better option in preventing STD transmission.
Selecting a contraceptive device should consider choosing a successful
method used in the past.
Using an IUD offers no protection against sexually transmitted disease (STD), which
increase the risk for pelvic inflammatory disease (PID).
A female client requests information about using the calendar method of
contraception. Which assessment is most important for the nurse to obtain?
Amount of weight gain or weight loss during the previous year.
An accurate menstrual cycle diary for the past 6 to 12 months.
Skin pigmentation and hair texture for evidence of hormonal changes.
Previous birth-control methods and beliefs about the calendar method.
An accurate menstrual cycle diary for the past 6 to 12 months
A 32 year old female client complains of severe abdominal pain each month
before her menstrual period, painful intercourse, and painful defecation. Which
additional history should the nurse obtain that is consistent with the client's
complaints?
Frequent urinary tract infections.
Inability to get pregnant.
Premenstrual syndrome.
Chronic use of laxatives.
Inability to get pregnant
A 20 year old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
HESI RN MED-SURGE PRACTICE EXAM QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
When providing discharge teaching for a client with osteoporosis, the nurse
should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety.
Elimination of hazards to home safety
A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most
effective to assist the client?
Losing weight.
Decreasing caffeine intake.
Avoiding large meals.
Raising the head of the bed on blocks.
Raising the head of the bed on blocks
An older adult female client is brought to the clinic by her daughter for a flu
shot. She has lost significant weight since the last visit. She has poor personal
hygiene and inadequate clothing for the weather. the client states that she
lives alone and denies problems or concerns. Which action should the nurse
implement?
, Page 2 of 38
Notify social services immediately of suspected elderly abuse.
Discuss the need for mental health counseling with the daughter.
Explain to the client that she needs to take better care of herself.
Collect further data to determine whether self-neglect is occurring
Collect further data to determine whether self-neglect is occuring
The nurse is assisting a client out of bed for the first time after surgery. Which
action should the nurse do first?
Place a chair at a right angle to the bedside.
Encourage deep breathing prior to standing.
Help the client to sit and dangle legs on the side of the bed.
Allow the client to sit with the bed in a high Fowler's position
Allow the client to sit with the bed in a high Fowler's position
After checking the urinary drainage system for kinks in the tubing, the nurse
determines that a client who has returned from the post-anesthesia care has a
dark, concentrated urinary output of 54 ml for the last 2 hours. What priority
nursing action should be implemented?
Report the findings to the surgeon.
Irrigate the indwelling urinary catheter.
Apply manual pressure to the bladder.
Increase the IV flow rate for 15 minutes
Report the findings to the surgeon
A client who is fully awake after a gastroscopy asks the nurse for something to
drink. After confirming that liquids are allowed, which assessment action
should the nurse consider a priority?
Listen to bilateral lung and bowel sounds.
Obtain the client's pulse and blood pressure.
Assist the client to the bathroom to void.
Check the client's gag and swallow reflexes
Check the client's gag and swallow reflexes
, Page 3 of 38
During an interview with a client planning elective surgery, the client asks the
nurse, "What is the advantage of having a preferred provider organization
insurance plan?" Which response is best for the nurse to provide?
Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO plan.
An individual may select healthcare providers from outside of the PPO
network.
An individual can become a member of a PPO without belonging to a group.
An individual may select healthcare providers from outside of the PPO network
The nurse is providing dietary instructions to a 69 year old client who is at
high risk for development of coronary heart disease (CHD). Which information
should the nurse include?
Limit dietary selection of cholesterol to 300 mg per day.
Increase intake of soluble fiber to 10 to 25 grams per day.
Decrease plant stanols and sterols to less than 2 grams/day.
Ensure saturated fat is less than 30% of total caloric intake.
Increase intake of soluble fiber to 10 to 25 grams per day
A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech.
Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Evaluate his blood pressure, pulse, and respiratory status
A client who is sexually active with several partners requests an intrauterine
device (IUD) as a contraceptive method. Which information should the nurse
provide?
Using an IUD offers no protection against sexually transmitted diseases (STD),
which increase the risk for pelvic inflammatory disease (PID).
, Page 4 of 38
Getting pregnant while using an IUD is common and is not the best
contraceptive choice.
Relying on an IUD may be a safer choice for monogamous partners, but a
barrier method provides a better option in preventing STD transmission.
Selecting a contraceptive device should consider choosing a successful
method used in the past.
Using an IUD offers no protection against sexually transmitted disease (STD), which
increase the risk for pelvic inflammatory disease (PID).
A female client requests information about using the calendar method of
contraception. Which assessment is most important for the nurse to obtain?
Amount of weight gain or weight loss during the previous year.
An accurate menstrual cycle diary for the past 6 to 12 months.
Skin pigmentation and hair texture for evidence of hormonal changes.
Previous birth-control methods and beliefs about the calendar method.
An accurate menstrual cycle diary for the past 6 to 12 months
A 32 year old female client complains of severe abdominal pain each month
before her menstrual period, painful intercourse, and painful defecation. Which
additional history should the nurse obtain that is consistent with the client's
complaints?
Frequent urinary tract infections.
Inability to get pregnant.
Premenstrual syndrome.
Chronic use of laxatives.
Inability to get pregnant
A 20 year old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
