HESI: LEVEL 2 (MEDSURGE)
, Hesi: level 2 (MedSurge)
1. A female client with possible acute renal failure (ARF) is admitted to the hospital
and mannitol (Osmitrol) is prescribed as a fluid challenge. Prior to carrying out
this prescription, what intervention should the nurse implement?
• No specific nursing action is required
• Instruct the client to empty the bladder
• Collect a clean catch urine specimen
• Obtain vital signs and breath sounds
2. The nurse positions a male client for a lumbar puncture by placing him in the
side-lying position with his knees flexed and pulled toward his trunk. What action
should the nurse implement next?
• Call another nurse to assist the healthcare provider
• Provide a small pillow for the client to curl around
• Instruct the client to perform a Valsalva maneuver
• Support the client’s head bent forward to the chest
3. When teaching a client with osteoporosis to increase weight-bearing exercise,
how should the nurse explain the purpose of this activity?
• Strengthen leg muscles
• Promote venous return
• Increase bone strength
• Restore range of motion
4. A male tells the clinic nurse that he is experiencing burning on urination, and
assessment that he had sexual intercourse four days ago with a woman he casually
met. Which action should the nurse implement?
• Observe the perineal area for a chancroid-like lesion
• Obtain a specimen of urethral drainage for culture
• Identify all sexual partners in the last four days
• Assess for perineal itching, erythemia, and excoriation
, Hesi: level 2 (MedSurge)
1. A female client with possible acute renal failure (ARF) is admitted to the hospital
and mannitol (Osmitrol) is prescribed as a fluid challenge. Prior to carrying out
this prescription, what intervention should the nurse implement?
• No specific nursing action is required
• Instruct the client to empty the bladder
• Collect a clean catch urine specimen
• Obtain vital signs and breath sounds
2. The nurse positions a male client for a lumbar puncture by placing him in the
side-lying position with his knees flexed and pulled toward his trunk. What action
should the nurse implement next?
• Call another nurse to assist the healthcare provider
• Provide a small pillow for the client to curl around
• Instruct the client to perform a Valsalva maneuver
• Support the client’s head bent forward to the chest
3. When teaching a client with osteoporosis to increase weight-bearing exercise,
how should the nurse explain the purpose of this activity?
• Strengthen leg muscles
• Promote venous return
• Increase bone strength
• Restore range of motion
4. A male tells the clinic nurse that he is experiencing burning on urination, and
assessment that he had sexual intercourse four days ago with a woman he casually
met. Which action should the nurse implement?
• Observe the perineal area for a chancroid-like lesion
• Obtain a specimen of urethral drainage for culture
• Identify all sexual partners in the last four days
• Assess for perineal itching, erythemia, and excoriation
