Comprehensive MedSurg HESI Preparation
with Answer Rationales!! Latest 2026
1. nurse is preparing a client for a bronchoscopy. While obtaining consent, the client complains of thirst
and admits drinking a small amount of orange juice two hours ago. What action should the nurse take?
a. Increase intravenous flow rate
b. Administer an antiemetic
c. Delay procedure for 6 hours
d. Offer the client ice chips - ANSWER💫✔️--c. Delay procedure for 6 hours
A 2 year old boy is having a routine health assessment at the community clinic. Which statement made
by the mother warrants further assessment by the nurse?
a. "He always gets into things around the house so I put latches on the doors."
b. "He refuses to feed himself, but I make him eat his meats and vegetables."
c. He likes to undress himself, and I have to keep putting his shoes back on."
d. "He likes to sit on the potty-chair, and he tells me when he wants to use it." - ANSWER💫✔️--b. "He
refuses to feed himself, but I make him eat his meats and vegetables."
A 24-year-old female client diagnosed with a human papillomavirus infection (HPV) is angry at her ex-
boyfriend and says she is not going to tell him that he is infected. What response is best for the nurse to
provide?
,A) You do not have to tell him because this is not a reportable disease.
B) Because there is no cure for this disease, telling him is of no benefit to him or to you.
C) Even though you are angry, he should be told, so he can take precautions to prevent the spread of
infection.
D) You should tell him, so he can feel as guilty and miserable as you do now, knowing that you have this
disease. - ANSWER💫✔️--Correct Answer(s): C
* Anger is a common emotional reaction when confronted with the diagnosis of a STI, and often lay
blame and project this anger at the sexual partner. Although HPV is not a reportable disease in many
states, all contacts should be informed of the infection, treatment, transmission, and precautions to
minimize infecting others (C). (A and B) provide false information and increase the risk of complications
and transmission. (D) is not therapeutic.
A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The client
expresses concern about the effect of radiation on his ability to have children. What information should
the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy. - ANSWER💫✔️--C) Permanent sterility
occurs in male clients who receive radiation.
* Low sperm count and loss of motility are seen in males with Hodgkin's disease before any therapy.
Radiotherapy often results in permanent aspermia, or sterility (C). (A, B, and D) are inaccurate.
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?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
,D) Chronic use of laxatives. - ANSWER💫✔️--B) Inability to get pregnant.
Rationale: Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of
endometriosis, which is the abnormal displacement of endometrial tissue in the dependent areas of the
pelvic peritoneum. A history of infertility (B) is another common finding associated with endometriosis.
Although (A, C, and D) are common, nonspecific gynecological complaints, the most common complaints
of the client with endometriosis are pain and infertility.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and bilateral
salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this summer.
C) I know I will miss having sexual intercourse with my husband.
D) I have asked my daughter to stay with me next week after I am discharged. - ANSWER💫✔️--Correct
Answer(s): C
* Further teaching is needed in response to the client's misunderstanding of sexuality after a
hysterectomy that is reflected in statement (C). The client's knowledge about reproduction (A), a
positive outlook with plans for the future (B), and her anticipated need for assistance and support
during recovery (D) indicate she understands the present status of her recovery.
A client admitted to the surgical unit with symptoms of a possible intestinal obstruction. When
preparing to insert a nasogastric (NG) tube, which intervention should the nurse implement?
a. assess for a gag reflex
b. elevate the head of the bed 60 to 90 degrees
c. administer a PRN analgesic
d. measure from corner of mouth to angle of jaw - ANSWER💫✔️--b. elevate the head of the bed 60 to 90
degrees
A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is still very
small. Which information supports the explanation that the nurse should provide?
, A) Side effects are less likely if therapy is started early.
B) Collateral circulation increases as the tumor grows.
C) Sensitivity of cancer cells to CT is based on cell cycle rate.
D) The cell count of the tumor reduces by half with each dose. - ANSWER💫✔️--D) The cell count of the
tumor reduces by half with each dose.
Rationale: Initiating chemotherapy while the tumor is small provides a better chance of eradicating all
cancer cells because 50% of cancer cells or tumor cells are killed with each dose. (A, B, and C) vary based
on the type of cancer.
A client brought to the ER who had a heart attack and received CPR. He is getting oxygen via the ambu
bag. The nurse notes that he is cold, diaphoretic and cyanotic. What should the nurse do? -
ANSWER💫✔️--Access breath sounds
A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the healthcare provider?
a. low back pain and hypotension
b. rhinitis and nasal stiffness
c. delayed painful rash with urticaria
d. arthritic joint changes and chronic pain. - ANSWER💫✔️--a. low back pain and hypotension
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which
assessment finding is of most concern to the nurse?
A) White blood count of 10,000 mm3.
B) Serum glucose of 115 mg/dl.
C) Purulent sputum.
D) Excessive hunger. - ANSWER💫✔️--C) Purulent sputum.
with Answer Rationales!! Latest 2026
1. nurse is preparing a client for a bronchoscopy. While obtaining consent, the client complains of thirst
and admits drinking a small amount of orange juice two hours ago. What action should the nurse take?
a. Increase intravenous flow rate
b. Administer an antiemetic
c. Delay procedure for 6 hours
d. Offer the client ice chips - ANSWER💫✔️--c. Delay procedure for 6 hours
A 2 year old boy is having a routine health assessment at the community clinic. Which statement made
by the mother warrants further assessment by the nurse?
a. "He always gets into things around the house so I put latches on the doors."
b. "He refuses to feed himself, but I make him eat his meats and vegetables."
c. He likes to undress himself, and I have to keep putting his shoes back on."
d. "He likes to sit on the potty-chair, and he tells me when he wants to use it." - ANSWER💫✔️--b. "He
refuses to feed himself, but I make him eat his meats and vegetables."
A 24-year-old female client diagnosed with a human papillomavirus infection (HPV) is angry at her ex-
boyfriend and says she is not going to tell him that he is infected. What response is best for the nurse to
provide?
,A) You do not have to tell him because this is not a reportable disease.
B) Because there is no cure for this disease, telling him is of no benefit to him or to you.
C) Even though you are angry, he should be told, so he can take precautions to prevent the spread of
infection.
D) You should tell him, so he can feel as guilty and miserable as you do now, knowing that you have this
disease. - ANSWER💫✔️--Correct Answer(s): C
* Anger is a common emotional reaction when confronted with the diagnosis of a STI, and often lay
blame and project this anger at the sexual partner. Although HPV is not a reportable disease in many
states, all contacts should be informed of the infection, treatment, transmission, and precautions to
minimize infecting others (C). (A and B) provide false information and increase the risk of complications
and transmission. (D) is not therapeutic.
A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The client
expresses concern about the effect of radiation on his ability to have children. What information should
the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy. - ANSWER💫✔️--C) Permanent sterility
occurs in male clients who receive radiation.
* Low sperm count and loss of motility are seen in males with Hodgkin's disease before any therapy.
Radiotherapy often results in permanent aspermia, or sterility (C). (A, B, and D) are inaccurate.
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?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
,D) Chronic use of laxatives. - ANSWER💫✔️--B) Inability to get pregnant.
Rationale: Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of
endometriosis, which is the abnormal displacement of endometrial tissue in the dependent areas of the
pelvic peritoneum. A history of infertility (B) is another common finding associated with endometriosis.
Although (A, C, and D) are common, nonspecific gynecological complaints, the most common complaints
of the client with endometriosis are pain and infertility.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and bilateral
salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this summer.
C) I know I will miss having sexual intercourse with my husband.
D) I have asked my daughter to stay with me next week after I am discharged. - ANSWER💫✔️--Correct
Answer(s): C
* Further teaching is needed in response to the client's misunderstanding of sexuality after a
hysterectomy that is reflected in statement (C). The client's knowledge about reproduction (A), a
positive outlook with plans for the future (B), and her anticipated need for assistance and support
during recovery (D) indicate she understands the present status of her recovery.
A client admitted to the surgical unit with symptoms of a possible intestinal obstruction. When
preparing to insert a nasogastric (NG) tube, which intervention should the nurse implement?
a. assess for a gag reflex
b. elevate the head of the bed 60 to 90 degrees
c. administer a PRN analgesic
d. measure from corner of mouth to angle of jaw - ANSWER💫✔️--b. elevate the head of the bed 60 to 90
degrees
A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is still very
small. Which information supports the explanation that the nurse should provide?
, A) Side effects are less likely if therapy is started early.
B) Collateral circulation increases as the tumor grows.
C) Sensitivity of cancer cells to CT is based on cell cycle rate.
D) The cell count of the tumor reduces by half with each dose. - ANSWER💫✔️--D) The cell count of the
tumor reduces by half with each dose.
Rationale: Initiating chemotherapy while the tumor is small provides a better chance of eradicating all
cancer cells because 50% of cancer cells or tumor cells are killed with each dose. (A, B, and C) vary based
on the type of cancer.
A client brought to the ER who had a heart attack and received CPR. He is getting oxygen via the ambu
bag. The nurse notes that he is cold, diaphoretic and cyanotic. What should the nurse do? -
ANSWER💫✔️--Access breath sounds
A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the healthcare provider?
a. low back pain and hypotension
b. rhinitis and nasal stiffness
c. delayed painful rash with urticaria
d. arthritic joint changes and chronic pain. - ANSWER💫✔️--a. low back pain and hypotension
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which
assessment finding is of most concern to the nurse?
A) White blood count of 10,000 mm3.
B) Serum glucose of 115 mg/dl.
C) Purulent sputum.
D) Excessive hunger. - ANSWER💫✔️--C) Purulent sputum.
