HESI RN MED SURG/ACTUAL EXAM
THIS FILE WAS TESTED APRIL 2022
Answers included
, 1. An adult client is diagnosed with restless leg syndrome and is referred to the sleep clinic.
The healthcare provider prescribes ferrous sulfate 325 mg pO daily. Which laboratory
values should the nurse monitor?
a. Serum iron and ferritin
b. Platelet count and hematocrit
c. Neutrophils and eosinophils
d. Serum electrolytes
2. The nurse is caring for a client who is newly diagnosed with adrenocortical insufficiency.
The client is experiencing chronic fatigue and weakness. Which intervention should the
nurse implement?
a. Begin education about fluid restriction and ways to incorporate into ongoing therapy
b. Explain that the hormone therapy will be needed for a time until adrenal glands are
stimulated
c. Provide encouragement that symptoms will rapidly improve as hormone therapy is
initiated
d. Advise the client to schedule energy intensive activities for later in the day
3. the nurse is caring for an immobile client after spinal surgery. Which action is most
important for the nurse to take to prevent postoperative complications?
a. Maintain intervascular infusion rate
b. Progress diet slowly from ice chips to clear liquid
c. Apply intermittent pneumatic compression devices
d. Obtain frequent pain level assessments
4. An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
What is the priority nursing action?
a. Encourage turning and deep breathing
b. Auscultate for presence of bowel sounds
c. Administer IV antibiotics as prescribed
d. Monitor hemoglobin and hematocrit
5. The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi?
a. Eats a vegetarian diet with cheese 2 to 3 times a day
b. Experiences additional stress since adopting a child
c. Jogs more frequently than usual daily routine
d. Drinks several bottles of carbonated water daily
6. A client with orthopnea expresses concern about the ability to “get enough air” during a
scheduled thoracentesis. On which information should the nurse’s response be based
on?
a. Extra pillows can be used if needed to elevate the client’s head
b. Orthopnea is frequently caused by a clients uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. A thoracentesis is a brief procedure that has minimal discomfort
7. The nurse is performing the postoperative assessment of a client with an abdominal
aortic aneurysm. Which finding is most important for the nurse to provide in the
preoperative report?
THIS FILE WAS TESTED APRIL 2022
Answers included
, 1. An adult client is diagnosed with restless leg syndrome and is referred to the sleep clinic.
The healthcare provider prescribes ferrous sulfate 325 mg pO daily. Which laboratory
values should the nurse monitor?
a. Serum iron and ferritin
b. Platelet count and hematocrit
c. Neutrophils and eosinophils
d. Serum electrolytes
2. The nurse is caring for a client who is newly diagnosed with adrenocortical insufficiency.
The client is experiencing chronic fatigue and weakness. Which intervention should the
nurse implement?
a. Begin education about fluid restriction and ways to incorporate into ongoing therapy
b. Explain that the hormone therapy will be needed for a time until adrenal glands are
stimulated
c. Provide encouragement that symptoms will rapidly improve as hormone therapy is
initiated
d. Advise the client to schedule energy intensive activities for later in the day
3. the nurse is caring for an immobile client after spinal surgery. Which action is most
important for the nurse to take to prevent postoperative complications?
a. Maintain intervascular infusion rate
b. Progress diet slowly from ice chips to clear liquid
c. Apply intermittent pneumatic compression devices
d. Obtain frequent pain level assessments
4. An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
What is the priority nursing action?
a. Encourage turning and deep breathing
b. Auscultate for presence of bowel sounds
c. Administer IV antibiotics as prescribed
d. Monitor hemoglobin and hematocrit
5. The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi?
a. Eats a vegetarian diet with cheese 2 to 3 times a day
b. Experiences additional stress since adopting a child
c. Jogs more frequently than usual daily routine
d. Drinks several bottles of carbonated water daily
6. A client with orthopnea expresses concern about the ability to “get enough air” during a
scheduled thoracentesis. On which information should the nurse’s response be based
on?
a. Extra pillows can be used if needed to elevate the client’s head
b. Orthopnea is frequently caused by a clients uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. A thoracentesis is a brief procedure that has minimal discomfort
7. The nurse is performing the postoperative assessment of a client with an abdominal
aortic aneurysm. Which finding is most important for the nurse to provide in the
preoperative report?
