RN Hesi Med Surg Exam Test Bank With 300 Real
Exam Prep Questions And Correct Answers With
Detailed Rationales/ Hesi RN Med Surg Exam/ RN
Hesi Medical Surgical 2025-2026
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician
with which treatment? - ANSWER Perform synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not
want to be assigned to one particular resident. She reports that the male client keeps
insisting that she is his daughter and begs her to stay in his room. What is the best
managerial decision? - ANSWER Reassign the PN until the resident can be assessed
more completely for reality orientation.
Client census is often used to determine staffing needs. Which method of obtaining
census determination for a particular unit provides the best formula for determining
long-range staffing patterns? - ANSWER Average daily census
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis
prevention. Which activity would be most beneficial in achieving the client's goal of
osteoporosis prevention? - ANSWER Cross-country skiing
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder? - ANSWER Infection
A client is being discharged following radioactive seed implantation for prostate cancer.
What is the most important information that the nurse should provide to this client's
family? - ANSWER Follow exposure precautions.
In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis
today, the nurse notes the absence of a thrill or bruit at the shunt site. What action
should the nurse take? - ANSWER Notify the healthcare provider of the findings
immediately.
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours
after chest tube insertion for hemothorax. What is the best initial action for the nurse to
take? - ANSWER Assess for kinks or dependent loops in the tubing.
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which
symptom of hyperglycemia is an older adult most likely to exhibit? - ANSWER Infection
, Which abnormal laboratory finding indicates that a client with diabetes needs further
evaluation for diabetic nephropathy? - ANSWER Microalbuminuria
Which change in laboratory values indicates to the nurse that a client with rheumatoid
arthritis may be experiencing an adverse effect of methotrexate therapy? - ANSWER
Decrease in hemoglobin level
Which consideration is most important when the nurse is assigning a room for a client
being admitted with progressive systemic sclerosis (scleroderma)? - ANSWER Provide
a room that can be kept warm.
The nurse is reviewing routine medications taken by a client with chronic angle-closure
glaucoma. Which medication prescription should the nurse question? - ANSWER
Anticholinergic with a side effect of pupillary dilation
During the change of shift report, the charge nurse reviews the infusions being received
by clients on the oncology unit. The client receiving which infusion should be assessed
first? - ANSWER Continuous epidural infusion of morphine
The nurse assesses a postoperative client whose skin is cool, pale, and moist. The
client is very restless and has scant urine output. Oxygen is being administered at 2
L/min, and a saline lock is in place. Which action should the nurse take first? -
ANSWER Obtain IV fluids for infusion per protocol.
A client with type 2 diabetes takes metformin daily. The client is scheduled for major
surgery requiring general anesthesia the next day. The nurse anticipates which
approach to manage the client's diabetes best while the client is NPO during the
perioperative period? - ANSWER Regular insulin subcutaneously per sliding scale
The nurse is preparing a teaching plan for a group of healthy adults. Which individual is
most likely to maintain optimum health? - ANSWER A teacher whose blood glucose
levels average 126 mg/dL daily with oral antidiabetic drugs
A client with hypertension has been receiving ramipril, 5 mg PO, daily for 2 weeks and
is scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70
mm Hg. Which action should the nurse take? - ANSWER Administer the prescribed
dose at the scheduled time.
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the
charge nurse to assign which client to the PN? - ANSWER A female client in isolation
with meningococcal meningitis
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should
the nurse take with the staff caring for this client? - ANSWER Determine if all
employees have had the hepatitis B vaccine series.
Exam Prep Questions And Correct Answers With
Detailed Rationales/ Hesi RN Med Surg Exam/ RN
Hesi Medical Surgical 2025-2026
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician
with which treatment? - ANSWER Perform synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not
want to be assigned to one particular resident. She reports that the male client keeps
insisting that she is his daughter and begs her to stay in his room. What is the best
managerial decision? - ANSWER Reassign the PN until the resident can be assessed
more completely for reality orientation.
Client census is often used to determine staffing needs. Which method of obtaining
census determination for a particular unit provides the best formula for determining
long-range staffing patterns? - ANSWER Average daily census
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis
prevention. Which activity would be most beneficial in achieving the client's goal of
osteoporosis prevention? - ANSWER Cross-country skiing
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder? - ANSWER Infection
A client is being discharged following radioactive seed implantation for prostate cancer.
What is the most important information that the nurse should provide to this client's
family? - ANSWER Follow exposure precautions.
In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis
today, the nurse notes the absence of a thrill or bruit at the shunt site. What action
should the nurse take? - ANSWER Notify the healthcare provider of the findings
immediately.
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours
after chest tube insertion for hemothorax. What is the best initial action for the nurse to
take? - ANSWER Assess for kinks or dependent loops in the tubing.
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which
symptom of hyperglycemia is an older adult most likely to exhibit? - ANSWER Infection
, Which abnormal laboratory finding indicates that a client with diabetes needs further
evaluation for diabetic nephropathy? - ANSWER Microalbuminuria
Which change in laboratory values indicates to the nurse that a client with rheumatoid
arthritis may be experiencing an adverse effect of methotrexate therapy? - ANSWER
Decrease in hemoglobin level
Which consideration is most important when the nurse is assigning a room for a client
being admitted with progressive systemic sclerosis (scleroderma)? - ANSWER Provide
a room that can be kept warm.
The nurse is reviewing routine medications taken by a client with chronic angle-closure
glaucoma. Which medication prescription should the nurse question? - ANSWER
Anticholinergic with a side effect of pupillary dilation
During the change of shift report, the charge nurse reviews the infusions being received
by clients on the oncology unit. The client receiving which infusion should be assessed
first? - ANSWER Continuous epidural infusion of morphine
The nurse assesses a postoperative client whose skin is cool, pale, and moist. The
client is very restless and has scant urine output. Oxygen is being administered at 2
L/min, and a saline lock is in place. Which action should the nurse take first? -
ANSWER Obtain IV fluids for infusion per protocol.
A client with type 2 diabetes takes metformin daily. The client is scheduled for major
surgery requiring general anesthesia the next day. The nurse anticipates which
approach to manage the client's diabetes best while the client is NPO during the
perioperative period? - ANSWER Regular insulin subcutaneously per sliding scale
The nurse is preparing a teaching plan for a group of healthy adults. Which individual is
most likely to maintain optimum health? - ANSWER A teacher whose blood glucose
levels average 126 mg/dL daily with oral antidiabetic drugs
A client with hypertension has been receiving ramipril, 5 mg PO, daily for 2 weeks and
is scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70
mm Hg. Which action should the nurse take? - ANSWER Administer the prescribed
dose at the scheduled time.
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the
charge nurse to assign which client to the PN? - ANSWER A female client in isolation
with meningococcal meningitis
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should
the nurse take with the staff caring for this client? - ANSWER Determine if all
employees have had the hepatitis B vaccine series.
