MEDICAL SURGICAL HESI V2 - 2026/2027 ACTUAL EXAM QUESTIONS AND ANSWERS

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MEDICAL SURGICAL HESI V2 -

2026/2027 ACTUAL EXAM QUESTIONS

AND ANSWERS

Nursing Practice Questions

• The nurse is providing preoperative education for a Jewish client scheduled to receive a

xenograft to promote burn healing. Which information should the provider give this client?

• Grafting increase the risk for bacterial infections
• The xenograft is taken from a non-human source.
• Grafts are later removed by a debriding procedure
• As the burns heals, the graft permanently

Correct Answer: B. The xenograft is taken from a non-human source.

• While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a

neurological assessment every 4 hours. Which assessment finding warrants immediate intervention by the nurse?

• Inappropriate laughter
• Increasing anxiety
• Weakened cough effort
• Asymmetrical weakness

Correct Answer: D. Asymmetrical weakness

• A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable

to eat or drink without becoming nauseous and vomiting. Which finding should the nurse report to the healthcare provider?

• Belching
• Amber urine

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• Yellow sclera
• Flatulence

Correct Answer: C. Yellow sclera

• The nurse is caring for a client with a lower left lobe pulmonary abscess. What position

should the nurse instruct the client to maintain?

• Left lateral
• Supine, knees flexed.
• Dorsal recumbent
• Knee-chest

Correct Answer: A. Left lateral

• A cardiac catherization of a client with heart disease indicates the following blockages:

95% proximal left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery (RCA). The client later asks the nurse "What does all of that mean for me?" What information should the nurse provide?

Correct Answer: Three main arteries have major blockages, with only 1-5% of the

blood flow getting through to the heart muscles

• A client with a history of asthma and bronchitis arrives at the clinic with shortness of

breath, productive cough with thickening mucous and the inability to walk up a flight of stairs without experiencing breathlessness. Which action is most important for the nurse to instruct the client about self care?

• Increase the daily intake of oral fluids to liquify secretions
• Avoid crowded enclosed areas to reduce pathogens exposure
• Call the clinic if undesirable side effects or medications

Correct Answer: A. Increase the daily intake of oral fluids to liquify secretions

• An older adult woman with a long history of COPD is admitted with progressive

shortness of breath and a persistent cough, is anxious, and is complaining of dry mouth.Which intervention should the nurse implement?

• Administer a prescribed sedative
• Encourage client to drink water

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• Apply a high flow Venturi mask
• Assist her to an upright position

Correct Answer: D. Assist her to an upright position

• A male client with heart failure calls the clinic and reports that he cannot put his shoes

on because they are too tight. Which additional information should the nurse obtain?

• What time did he take his medication?
• Has his weight changed in the last several days?
• Is he still able to tighten his belt buckle?
• How many hours did he sleep last night?

Correct Answer: B. Has his weight changed in the last several days?

• After hospitalization for SIADH, a client develops pontine myelinolysis. Which

intervention should the nurse implement first?

• Reorient client to room
• Place a patch on one eye
• Evaluate clients ability to swallow
• Perform range of motion exercises

Correct Answer: A. Reorient client to room

• What information should the nurse include in the teaching plan of a client diagnosed

with GERD?

• Sleep without pillows
• Adjust food intake to three full meals per day with no snacks
• Minimize symptoms by wearing loose comfortable clothing
• Avoid participation in any aerobic exercise program

Correct Answer: C. Minimize symptoms by wearing loose comfortable clothing

• A male client who had colon surgery 3 days ago is anxious and requesting assistance to

reposition. While the nurse is turning him, the wound dehiscences and ulcerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next?

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• Bring additional sterile dressing supplies to the room.
• Prepare the client to return to the OR
• Obtain a sample of the drainage to send to the lab
• Auscultate the abdomen for bowel sounds

Correct Answer: A. Bring additional sterile dressing supplies to the room.

• A client with carcinoma of the lung is complaining of weakness and has a serum

sodium level of 117 mEq/L. Which nursing problem should the nurse include in the clients plan of care?

• Altered urinary elimination
• Impaired gas exchange
• Fluid volume excess
• Decreased cardiac output

Correct Answer: C. Fluid volume excess

• A female client enters the clinic and insists on being seen. She is weak, nervous and

reports a racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the MD suspects hyperthyroidism and admits her for testing. Which action should the nurse do?

• Begin preparing the client for thyroidectomy procedure
• Space the clients care to provide periods of rest
• Assess the client for hyperactive bowel sounds
• Provide warm blanket to prevent heat loss

Correct Answer: C. Assess the client for hyperactive bowel sounds

• The nurse is teaching a client with glomerulonephritis about self care. Which dietary

recommendations should the nurse encourage the client to follow?

• Increase intake of high-fiber foods, such as bran cereal.
• Restrict protein intake by limiting meals and other high-protein foods
• Limit oral fluid intake of 500 ml/day
• Increase intake of potassium rich foods such as bananas and cantaloupe