MED SURG 2 HESI EXAMINATION SET 2026
SOLVED QUESTIONS GRADED A+
● A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse implement
first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound. Answer: a. obtain a sputum sample
for culture
● An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake. Answer: c. palpate the bladder above the
symphysis pubis
,● An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l. Answer: d. potassium of 2.5 meq/l
● A client with sickle cell anemia develops a fever during the last hour
of administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f. Answer: a.
explain specific reason for urgent notification
● An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalized he receives IV pentamidine
isethionate therapy. In preparing this client for discharge what important
aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
, b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
d. IV pentamine may offer protection to others aids related conditions
such as kaposis sarcoma. Answer: c. it will be necessary to continue
prophylactic doses of IV or aerosol pentamine every month
● A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity. Answer: a. collect a clean catch
specimen
● A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the
clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
c. ask the client if the healthcare provider has given her any information
about the classification of her cancer
d. help the client make plans to begin immediate treatment since her
cancer is likely to spread quickly. Answer: c. ask the client if the
SOLVED QUESTIONS GRADED A+
● A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse implement
first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound. Answer: a. obtain a sputum sample
for culture
● An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake. Answer: c. palpate the bladder above the
symphysis pubis
,● An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l. Answer: d. potassium of 2.5 meq/l
● A client with sickle cell anemia develops a fever during the last hour
of administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f. Answer: a.
explain specific reason for urgent notification
● An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalized he receives IV pentamidine
isethionate therapy. In preparing this client for discharge what important
aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
, b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
d. IV pentamine may offer protection to others aids related conditions
such as kaposis sarcoma. Answer: c. it will be necessary to continue
prophylactic doses of IV or aerosol pentamine every month
● A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity. Answer: a. collect a clean catch
specimen
● A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the
clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
c. ask the client if the healthcare provider has given her any information
about the classification of her cancer
d. help the client make plans to begin immediate treatment since her
cancer is likely to spread quickly. Answer: c. ask the client if the
