NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
1Before leaving the room of a confused client, the nurse notes that a half bow
knot was used to attach the client’s wrist restraints to the movable portion of
the client’s bed frame. What action should the nurse take before leaving the
room.
a. Tie the knot with a double turn or square knot
b. Ensure that the restraints are snug against the client’s wrists.
c. Ensure that the knot can be quickly released.
d. Move the ties so the restraints are secured to the side rails.
2The nurse is teaching the parent of a child newly diagnosed with a latex
allergy. Which information by the parents indicates a need for further
teaching?
a. robber free toys, such as wooden building blocks, are good choices for the
child.
b. Only foiled balloons will be used for the child’s birthday party.
c. a diet of healthy fruits, such as bananas and kiwis, are best for the child.
d. an epinephrine auto-injector will be on hand to treat allergic reactions.
3 a child is diagnosed with acquired aplastic anemia. The nurse knows
that this child has the best prognosis with which treatment regimen?
a. blood transfusion
b. chemotherapy
c. bone marrow transplantation
d. immunosuppressive therapy
5A client with bladder cancer had surgical placement of a ureteroileostomy (beal
conduit) yesterday. Which postoperative assessment finding should the nurse
report to the HCP immediately.
a. red edematous stomach appearance
, NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
b. liquid brown drainage from stoma
c. stoma output of 40ml in the last hour
d. mucous strings floating in the drainage.
6The nurse requests a meal tray for a client who follows Mormon beliefs and who
is on a clear liquid diet following abdominal surgery. Which menu items should
the nurse request to this client? (Select all that apply)
a. apple juice
b. black coffee
c. orange juice
d. hot chocolate
e. chicken broth
7 An adult who has recurrent episodes of depression tells the nurse that the
prescribed antidepressant needs to be discontinued because the client is
feeling better after taking the medication for the past couple of weeks and does
not like the side effects. Which response is best for the nurse to provide.
a. Remind the client that feeling better is the therapeutic effect of the
medication.
b. Inform the client that gradual tapering must be used to discontinue the
medication.
c. Tell the client to discuss the medication side effects with the HCP.
d. Tell the client that the medication side effects will most likely dissipate over
time.
8The nurse is preparing to send a client to the cardiac catheterization lab for an
angioplasty. Which client report is most important for the nurse to explore
further prior to the procedure?
a. Experiences facial swelling after eating crab
b. Reports left chest wall pain prior to the admission
c. Verbalizes a fear of being in a confined space
d. Drank a glass of water
,NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
Q 10. The healthcare provider prescribes ceftazidime 1 gram every 8 hours. The
label on the 1-gram vial reads, ‘’reconstitute with 100 ml sterile water’’ This
dilution provides a concentration of how many mg/ml (enter numeric value only)
10mg/ml
Q 11 When teaching a group of school-aged children how to reduce the
risk for Lyme disease, which instruction should the camp nurse include?
A) Wash hands frequently
B) Avoid drinking lake water
C) Wear long sleeves and pants
D) Do not share personal products.
Q 12 A client with arthritis has been receiving treatment with naproxen and
now reports ongoing stomach pain, increasing weakness, and fatigue. Which
laboratory test should the nurse monitor?
A) Serum calcium
B) Hemoglobi
C) n
Erythrocyte sedimentation rate
D) Osmolality.
Q 13 An older woman who was recently diagnosed with end stage metastatic
breast cancer is admitted because she is experiencing shortness of breath and
confusion. The client refuses to eat and continuously asks to go home. Arterial
blood gases indicate hypoxia.
Which intervention is most important for the nurse to implement?
A) Offer sips of favorite beverages
B) Prepare for emergent oral intubation
C) Initiate comfort measures
D) Clarify end of life desires. Correct Answer
15. A client with chronic obstructive pulmonary disease (COPD) is experiencing
worsening dyspnea and low oxygen levels. Vitals signs are temperature 99.6
F(37.5 C) heart rate 98 beat, respirations 28 breaths/minute, blood pressure
140/82 mmHg and oxygen saturation 88% ,which action should the nurse
implement?
A) Place the client in a forward-leaning position.
B) Prepare client for endotracheal intubation
C) Apply a non-rebreather mask at 100% oxygen
D) Obtain a sputum sample for culture and sensitivity
Q 16 A client with a history of upper respiratory symptoms is admitted with
chest tightness, a productive cough, and difficulty breathing. The client arterial
blood gasses (ABGS) indicate respiratory acidosis. An increase in laboratory tests
support this finding.
A) PaO2
, NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
B) PaCO2
WITH ANSWERS 2022 UPDATE
1Before leaving the room of a confused client, the nurse notes that a half bow
knot was used to attach the client’s wrist restraints to the movable portion of
the client’s bed frame. What action should the nurse take before leaving the
room.
a. Tie the knot with a double turn or square knot
b. Ensure that the restraints are snug against the client’s wrists.
c. Ensure that the knot can be quickly released.
d. Move the ties so the restraints are secured to the side rails.
2The nurse is teaching the parent of a child newly diagnosed with a latex
allergy. Which information by the parents indicates a need for further
teaching?
a. robber free toys, such as wooden building blocks, are good choices for the
child.
b. Only foiled balloons will be used for the child’s birthday party.
c. a diet of healthy fruits, such as bananas and kiwis, are best for the child.
d. an epinephrine auto-injector will be on hand to treat allergic reactions.
3 a child is diagnosed with acquired aplastic anemia. The nurse knows
that this child has the best prognosis with which treatment regimen?
a. blood transfusion
b. chemotherapy
c. bone marrow transplantation
d. immunosuppressive therapy
5A client with bladder cancer had surgical placement of a ureteroileostomy (beal
conduit) yesterday. Which postoperative assessment finding should the nurse
report to the HCP immediately.
a. red edematous stomach appearance
, NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
b. liquid brown drainage from stoma
c. stoma output of 40ml in the last hour
d. mucous strings floating in the drainage.
6The nurse requests a meal tray for a client who follows Mormon beliefs and who
is on a clear liquid diet following abdominal surgery. Which menu items should
the nurse request to this client? (Select all that apply)
a. apple juice
b. black coffee
c. orange juice
d. hot chocolate
e. chicken broth
7 An adult who has recurrent episodes of depression tells the nurse that the
prescribed antidepressant needs to be discontinued because the client is
feeling better after taking the medication for the past couple of weeks and does
not like the side effects. Which response is best for the nurse to provide.
a. Remind the client that feeling better is the therapeutic effect of the
medication.
b. Inform the client that gradual tapering must be used to discontinue the
medication.
c. Tell the client to discuss the medication side effects with the HCP.
d. Tell the client that the medication side effects will most likely dissipate over
time.
8The nurse is preparing to send a client to the cardiac catheterization lab for an
angioplasty. Which client report is most important for the nurse to explore
further prior to the procedure?
a. Experiences facial swelling after eating crab
b. Reports left chest wall pain prior to the admission
c. Verbalizes a fear of being in a confined space
d. Drank a glass of water
,NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
Q 10. The healthcare provider prescribes ceftazidime 1 gram every 8 hours. The
label on the 1-gram vial reads, ‘’reconstitute with 100 ml sterile water’’ This
dilution provides a concentration of how many mg/ml (enter numeric value only)
10mg/ml
Q 11 When teaching a group of school-aged children how to reduce the
risk for Lyme disease, which instruction should the camp nurse include?
A) Wash hands frequently
B) Avoid drinking lake water
C) Wear long sleeves and pants
D) Do not share personal products.
Q 12 A client with arthritis has been receiving treatment with naproxen and
now reports ongoing stomach pain, increasing weakness, and fatigue. Which
laboratory test should the nurse monitor?
A) Serum calcium
B) Hemoglobi
C) n
Erythrocyte sedimentation rate
D) Osmolality.
Q 13 An older woman who was recently diagnosed with end stage metastatic
breast cancer is admitted because she is experiencing shortness of breath and
confusion. The client refuses to eat and continuously asks to go home. Arterial
blood gases indicate hypoxia.
Which intervention is most important for the nurse to implement?
A) Offer sips of favorite beverages
B) Prepare for emergent oral intubation
C) Initiate comfort measures
D) Clarify end of life desires. Correct Answer
15. A client with chronic obstructive pulmonary disease (COPD) is experiencing
worsening dyspnea and low oxygen levels. Vitals signs are temperature 99.6
F(37.5 C) heart rate 98 beat, respirations 28 breaths/minute, blood pressure
140/82 mmHg and oxygen saturation 88% ,which action should the nurse
implement?
A) Place the client in a forward-leaning position.
B) Prepare client for endotracheal intubation
C) Apply a non-rebreather mask at 100% oxygen
D) Obtain a sputum sample for culture and sensitivity
Q 16 A client with a history of upper respiratory symptoms is admitted with
chest tightness, a productive cough, and difficulty breathing. The client arterial
blood gasses (ABGS) indicate respiratory acidosis. An increase in laboratory tests
support this finding.
A) PaO2
, NURS HESI MEDSURG EXAM BEST QUESTIONS
WITH ANSWERS 2022 UPDATE
B) PaCO2
