1
Med Surg HESI Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient with COPD has a PaCO₂ of 58 mmHg. Which ABG interpretation is correct?
- Respiratory alkalosis
- Metabolic acidosis
- Metabolic alkalosis
✔✔B. Respiratory acidosis
A patient with chest pain is diagnosed with an acute myocardial infarction. Which medication should be given first?✔✔A. Aspirin
- Atorvastatin
- Nitroglycerin
- Morphine
A patient with cirrhosis develops confusion and asterixis. Which laboratory value is most important to monitor? 1 / 4
2
- Sodium
- Potassium
- Calcium
✔✔C. Ammonia
A patient with hypothyroidism is starting levothyroxine therapy. Which teaching is essential?
- Take with milk to prevent stomach upset
- Take at bedtime for better absorption
- Take with a high-fiber breakfast
✔✔C. Take in the morning on an empty stomach
A patient with a gastric ulcer is prescribed sucralfate. What is the best time to administer this medication?
- After meals
- With meals
- At bedtime only
- / 4
✔✔B. 1 hour before meals
3
A patient with bacterial meningitis is admitted. Which type of isolation is required?✔✔A. Droplet precautions
- Airborne precautions
- Contact precautions
- Reverse isolation
A patient with hyperthyroidism has bulging eyes. What is the most important nursing intervention?
- Encourage more protein intake
- Massage the eyes twice daily
- Apply warm compresses every hour
✔✔C. Protect eyes from injury and dryness
A patient with chronic kidney disease reports muscle weakness and ECG shows peaked T waves.Which electrolyte imbalance is most likely?
- Hypokalemia
- Hypernatremia
✔✔C. Hyperkalemia 3 / 4
4
- Hypocalcemia
A patient receiving IV furosemide is at risk for which complication?✔✔A. Hypokalemia
- Hyperkalemia
- Hypernatremia
- Hypercalcemia
A patient with Guillain-Barré syndrome develops shortness of breath. What is the priority action?
- Increase IV fluids
- Reposition the patient
- Administer pain medication
✔✔B. Prepare for possible intubation
A patient with a DVT is receiving heparin. Which lab value is used to monitor therapeutic effectiveness?
A. INR
✔✔B. aPTT
- / 4