HESI - Medical Surgical Nursing Test

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HESI - Medical Surgical Nursing Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient with acute pancreatitis is admitted. What is the priority nursing intervention?✔✔A. Keep the patient NPO

• Encourage a low-fat diet
• Provide oral fluids
• Give high-protein meals

A patient with Cushing’s syndrome is likely to have which finding?

• Hypotension
• Hypoglycemia

✔✔C. Hypertension

• Hyperkalemia

A patient with a mechanical heart valve should limit intake of which food?✔✔A. Spinach

• Apples 1 / 4

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• Milk
• Chicken

A patient with myasthenia gravis is about to eat lunch. What should the nurse do first?✔✔A. Give anticholinesterase medication

• Offer small snacks
• Provide ice water
• Give pain medicine

A patient with Addison’s disease is prescribed hydrocortisone. Which statement shows correct understanding?✔✔A. "I will take my medication at the same time each day."

• "I will stop taking it when I feel better."
• "I will double my dose when stressed."
• "I will avoid all salty foods."

A patient after abdominal surgery has no bowel sounds 48 hours post-op. Which complication is likely?

• Constipation 2 / 4

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✔✔B. Paralytic ileus

• Gastroenteritis
• Peritonitis

A patient receiving chemotherapy has a WBC count of 1,200/mm³. What is the priority action?✔✔A. Implement neutropenic precautions

• Provide a high-fiber diet
• Increase fluid intake
• Encourage fresh fruits and vegetables

A patient with SIADH has a sodium level of 125 mEq/L. Which intervention is most important?✔✔A. Restrict fluid intake

• Increase salt in diet
• Provide hypertonic saline immediately
• Administer furosemide

A patient with hypovolemic shock has been given fluids. Which finding shows improvement?✔✔A. Urine output 40 mL/hr 3 / 4

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• BP 80/50 mmHg
• HR 130 bpm
• Skin cold and clammy

A patient post–thyroidectomy has a respiratory rate of 28 and stridor. What should the nurse do first?

• Provide ice chips
• Elevate the head of bed

✔✔C. Prepare for emergency airway management

• Give pain medication

A patient with pneumonia has increasing confusion. What is the nurse’s priority action?✔✔A. Check oxygen saturation

• Administer antibiotics
• Encourage coughing
• Give acetaminophen

A patient with diabetic ketoacidosis is started on IV insulin. Which lab value requires close monitoring?

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