MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
Which statement made by a client with chronic pancreatitis indicates
that further education is needed?
I will cut back on smoking cigarettes daily. Correct
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise. Incorrect
I will eat a bland, low-fat, high-protein diet.
Correct answers
To prevent exacerbations of chronic pancreatitis, clients should be
instructed to avoid nicotine entirely. Additional teaching includes
avoiding caffeinated beverages, resting frequently as needed, and
eating a bland diet low fat and high in protein.
How should the nurse position the electrodes for modified chest lead
one (MCL I) telemetry monitoring?
Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line. Correct
Correct answers
,MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
In MCL I monitoring, the positive electrode is placed on the client's mid-
chest to the right of the sternum, and the negative electrode is placed
on the upper left part of the chest. The ground may be placed
anywhere, but is usually placed on the lower left portion of the chest.
In preparing to administer intravenous albumin to a client following
surgery, which are the priority nursing interventions? (Select all that
apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Correct answers
Albumin should be infused within four hours because it does not
contain any preservatives. Any fluid remaining after four hours should
be discarded. A large gauge catheter allows for fast infusion rate, which
may be necessary. Hemodilution may decrease hemoglobin (HgB) and
hematocrit (HCT) levels, so the HgB and HCT levels should be monitored
,MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
while monitoring for bleeding because of the increased blood volume
and blood pressure.
A client who has heart failure is admitted with a serum potassium
level of 2.9 mEq/L (2.9 mmol/L). Which action is most important for
the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Correct
Arrange a consultation with the dietician.
Teach about the side effects of diuretics.
Correct answers
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes
in myocardial irritability and ECG waveform, so it is most important for
the nurse to initiate continuous cardiac monitoring to identify
ventricular ectopy or other life-threatening dysrhythmias. After cardiac
monitoring is initiated, then the potassium chloride should be given so
that the effects of potassium replacement on the cardiac rhythm can be
monitored.
After checking the urinary drainage system for kinks in the tubing, the
nurse determines that a client who has returned from the post-
, MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
anesthesia care has a dark, concentrated urinary output of 54 mL for
the last 2 hours. Which priority nursing action should be
implemented?
Report the findings to the surgeon. Correct
Irrigate the indwelling urinary catheter.
Apply manual pressure to the bladder.
Increase the IV flow rate for 15 minutes. Incorrect
Correct answers
After surgery, an adult who weighs 132 pounds (60 kg) should produce
about 60 mL of urine hourly (1 mL/kg/hour). Dark, concentrated, and
low volume of urine output should be reported to the surgeon.
Two days postoperative, a male client reports aching pain in his left
leg. The nurse assesses redness and warmth on the lower left calf.
Which intervention would be most helpful to this client?
Apply sequential compression devices (SCDs) bilaterally.
Assess for a positive Homan's sign in each leg. Incorrect
Pad all bony prominences on the affected leg.
Advise the client to remain in bed with the leg elevated. Correct
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
Which statement made by a client with chronic pancreatitis indicates
that further education is needed?
I will cut back on smoking cigarettes daily. Correct
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise. Incorrect
I will eat a bland, low-fat, high-protein diet.
Correct answers
To prevent exacerbations of chronic pancreatitis, clients should be
instructed to avoid nicotine entirely. Additional teaching includes
avoiding caffeinated beverages, resting frequently as needed, and
eating a bland diet low fat and high in protein.
How should the nurse position the electrodes for modified chest lead
one (MCL I) telemetry monitoring?
Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line. Correct
Correct answers
,MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
In MCL I monitoring, the positive electrode is placed on the client's mid-
chest to the right of the sternum, and the negative electrode is placed
on the upper left part of the chest. The ground may be placed
anywhere, but is usually placed on the lower left portion of the chest.
In preparing to administer intravenous albumin to a client following
surgery, which are the priority nursing interventions? (Select all that
apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Correct answers
Albumin should be infused within four hours because it does not
contain any preservatives. Any fluid remaining after four hours should
be discarded. A large gauge catheter allows for fast infusion rate, which
may be necessary. Hemodilution may decrease hemoglobin (HgB) and
hematocrit (HCT) levels, so the HgB and HCT levels should be monitored
,MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
while monitoring for bleeding because of the increased blood volume
and blood pressure.
A client who has heart failure is admitted with a serum potassium
level of 2.9 mEq/L (2.9 mmol/L). Which action is most important for
the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Correct
Arrange a consultation with the dietician.
Teach about the side effects of diuretics.
Correct answers
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes
in myocardial irritability and ECG waveform, so it is most important for
the nurse to initiate continuous cardiac monitoring to identify
ventricular ectopy or other life-threatening dysrhythmias. After cardiac
monitoring is initiated, then the potassium chloride should be given so
that the effects of potassium replacement on the cardiac rhythm can be
monitored.
After checking the urinary drainage system for kinks in the tubing, the
nurse determines that a client who has returned from the post-
, MED SURG HESI QUESTIONS AND ANSWERS
NEWEST DOWNLOADED 2025/2026 A COMPLETE
EXAM SOLUTION ALL ANSWERS 100% ACCURATE
BEST GRADED A+ FOR SUCCESS
anesthesia care has a dark, concentrated urinary output of 54 mL for
the last 2 hours. Which priority nursing action should be
implemented?
Report the findings to the surgeon. Correct
Irrigate the indwelling urinary catheter.
Apply manual pressure to the bladder.
Increase the IV flow rate for 15 minutes. Incorrect
Correct answers
After surgery, an adult who weighs 132 pounds (60 kg) should produce
about 60 mL of urine hourly (1 mL/kg/hour). Dark, concentrated, and
low volume of urine output should be reported to the surgeon.
Two days postoperative, a male client reports aching pain in his left
leg. The nurse assesses redness and warmth on the lower left calf.
Which intervention would be most helpful to this client?
Apply sequential compression devices (SCDs) bilaterally.
Assess for a positive Homan's sign in each leg. Incorrect
Pad all bony prominences on the affected leg.
Advise the client to remain in bed with the leg elevated. Correct
