HESI MEDSURGE LATEST UPDATE
V1,V2,V3(2022 UPDATE 2021-2018)
Guaiac Occult Test.
1. What lab is most important?
(correct answers)Platelet Count
2. Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate
intervention?
(correct answers)Positive Gastro Occult
3. A patient with Parkinson's. "Freezes." Pretends there is a crack on the floor and Carefully lifts leg
and steps over.
(correct answers)Confirm that this is the correct and effective technique.
4. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes in
to ventricular Tachycardia. What should the nurse do?
(correct answers)Administer Adenosine over 1-2 seconds IV
5. Heart failure acute exacerbation. How to Reduce Cardiac Workload?
(correct answers)Bedside Commode
6. External Fixation Device- What should the nurse do first?
(correct answers)Assess for peripheral pulse at the foot
7. COPD patient is experience shortness of breath.
(correct answers)Pursed Lip Breathing
8. Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.
What should the nurse tell the family?
(correct answers)Demonstrate the use of Visual Scanning.
9. A male client with asthma has bronchoconstriction and mucous production due to exercising.
What should the nurse do?
(correct answers)Determine if the client is using an inhaler before exercising.
10. A client with liver abscess and drainage of abscess. Which lab value?
(correct answers)White blood Cell Count
11. Suprapubic prostatectomy. Three-way catheter. Which assessment?
(correct answers)Urine Leaking meatus
12. A client with ulcerative colitis. UAP report what finding?
(correct answers)Stool with fatty streaks
13. Flank pain and acute pyelonephritis. Priority nursing action.
(correct answers)Administer IV antibiotics.
14. Long-standing pulmonary infection. Assess for hypoxia. Select All That Apply.
(correct answers)Breathing patterns, Check mentation, color of skin and nailbeds
, 15. Traction applied, but client is frustrated because client keeps calling nurse for help with
repositioning.
(correct answers)Use a trapeze bar.
16. Multiple Sclerosis and urinary retention.
(correct answers)Self-Catheterization
17. Client works as a data desk job with Raynaud's syndrome. What to do to prevent wrist injury?
(correct answers)Space Heater
18. C.K.D. Lab to report.
(correct answers)Potassium 6.5
19. Client withy Gullian Barre is not blinking.
(correct answers)Administer Lubricant
20. Taking prednisone PO 5mg. What symptom?
(correct answers)Rapid Weight Gain.
21. Succinylcholine. High Temperature.
(correct answers)Ice Pack axillary
22. The nurse drops a sterile package of supplies on the floor in the operating room (OR) suite. The
... impervious wrapper. Which action should the nurse implement?
(correct answers)Open contents to sterile field package intact.
23. Client with Acute Glomerulonephritis.
(correct answers)Restrict Sodium.
24. Client ask about biopsy results from cancer cells well differentiated. What response?
(correct answers)Ask Healthcare provider to gather more information.
25. Right cataract and lens implant. Which intervention should the nurse first?
(correct answers)Provide an eye shield to be worn while sleeping.
26. The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted
with abdominal pain has just had a large black tarry stool. What intervention should the nurse
implement first?
(correct answers)Test the stool for occult blood.
27. Which action is most important for the nurse to implement to reduce the risk for deep vein
thrombosis in a postoperative client?
(correct answers)Advise the client to perform leg exercises regularly.
28. The nurse is preparing a client for a bronchoscopy. While obtaining consent, the client
complains of thirst and admits to drinking a small amount of orange juice two hours ago. What
action should the nurse take?
(correct answers)Delay procedure for 6 hours.
29. A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a
chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent
exudate at the site. What action should the nurse implement?
(correct answers)Schedule an appointment for the client to the healthcare provider.
30. The nurse learns in change of shift report that the x-ray report for a newly admitted client
indicates consolidation in the left lower lung. What action should the nurse take?
(correct answers)Administer a PRN dose of a bronchodilator.
V1,V2,V3(2022 UPDATE 2021-2018)
Guaiac Occult Test.
1. What lab is most important?
(correct answers)Platelet Count
2. Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate
intervention?
(correct answers)Positive Gastro Occult
3. A patient with Parkinson's. "Freezes." Pretends there is a crack on the floor and Carefully lifts leg
and steps over.
(correct answers)Confirm that this is the correct and effective technique.
4. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes in
to ventricular Tachycardia. What should the nurse do?
(correct answers)Administer Adenosine over 1-2 seconds IV
5. Heart failure acute exacerbation. How to Reduce Cardiac Workload?
(correct answers)Bedside Commode
6. External Fixation Device- What should the nurse do first?
(correct answers)Assess for peripheral pulse at the foot
7. COPD patient is experience shortness of breath.
(correct answers)Pursed Lip Breathing
8. Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.
What should the nurse tell the family?
(correct answers)Demonstrate the use of Visual Scanning.
9. A male client with asthma has bronchoconstriction and mucous production due to exercising.
What should the nurse do?
(correct answers)Determine if the client is using an inhaler before exercising.
10. A client with liver abscess and drainage of abscess. Which lab value?
(correct answers)White blood Cell Count
11. Suprapubic prostatectomy. Three-way catheter. Which assessment?
(correct answers)Urine Leaking meatus
12. A client with ulcerative colitis. UAP report what finding?
(correct answers)Stool with fatty streaks
13. Flank pain and acute pyelonephritis. Priority nursing action.
(correct answers)Administer IV antibiotics.
14. Long-standing pulmonary infection. Assess for hypoxia. Select All That Apply.
(correct answers)Breathing patterns, Check mentation, color of skin and nailbeds
, 15. Traction applied, but client is frustrated because client keeps calling nurse for help with
repositioning.
(correct answers)Use a trapeze bar.
16. Multiple Sclerosis and urinary retention.
(correct answers)Self-Catheterization
17. Client works as a data desk job with Raynaud's syndrome. What to do to prevent wrist injury?
(correct answers)Space Heater
18. C.K.D. Lab to report.
(correct answers)Potassium 6.5
19. Client withy Gullian Barre is not blinking.
(correct answers)Administer Lubricant
20. Taking prednisone PO 5mg. What symptom?
(correct answers)Rapid Weight Gain.
21. Succinylcholine. High Temperature.
(correct answers)Ice Pack axillary
22. The nurse drops a sterile package of supplies on the floor in the operating room (OR) suite. The
... impervious wrapper. Which action should the nurse implement?
(correct answers)Open contents to sterile field package intact.
23. Client with Acute Glomerulonephritis.
(correct answers)Restrict Sodium.
24. Client ask about biopsy results from cancer cells well differentiated. What response?
(correct answers)Ask Healthcare provider to gather more information.
25. Right cataract and lens implant. Which intervention should the nurse first?
(correct answers)Provide an eye shield to be worn while sleeping.
26. The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted
with abdominal pain has just had a large black tarry stool. What intervention should the nurse
implement first?
(correct answers)Test the stool for occult blood.
27. Which action is most important for the nurse to implement to reduce the risk for deep vein
thrombosis in a postoperative client?
(correct answers)Advise the client to perform leg exercises regularly.
28. The nurse is preparing a client for a bronchoscopy. While obtaining consent, the client
complains of thirst and admits to drinking a small amount of orange juice two hours ago. What
action should the nurse take?
(correct answers)Delay procedure for 6 hours.
29. A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a
chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent
exudate at the site. What action should the nurse implement?
(correct answers)Schedule an appointment for the client to the healthcare provider.
30. The nurse learns in change of shift report that the x-ray report for a newly admitted client
indicates consolidation in the left lower lung. What action should the nurse take?
(correct answers)Administer a PRN dose of a bronchodilator.
