2023 HESI RN MED SURG
ACTUAL EXAM Q&A NGN
,HESI RN MED SURG NEXT GENERATION ACTUAL EXAM 2023
1- A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110
mmol/L or SI), hematocrit of 34% and microcytic and hypochromic red blood cells. Based on
the findings, which dinner selection should the nurse suggest for the patient?
A. Beef steak with steam broccoli and orange slices
B. Cheese pasta and a lettuce and tomato salad
C. Broil white fish with a baked sweet potato
D. Grill shrimp and seasoned rice with asparagus salad.
2- Two hours before a client's scheduled surgery, the nurse is completing the
preoperative checklist. Which information requires the most immediate action by the
nurse?
A. Surgical consent form is not signed
B. Preoperative serum potassium level is 2.8 mEq/L
(2.8mmol/L) C.Preoperative chest x-ray report is not available
D. Client's pulse oximeter reading is 96%
3- The nurse is assessing a client's arteriovenous (AV) fistula. Which finding
provides evidence of its normal function?
A. Ecchymotic area
B. Enlarged vein
C. Pulselessness
D. Redness
4- Following a transurethral resection of the prostate (TURP), a client is discharged
from the hospital with an indwelling urinary catheter. Which instruction is important for
the nurse to include in the discharge teaching plan?
A. Avoid driving a car for 2
weeks B. Drink 3 liters of water
each day
C. Eliminate all spicy foods from your diet
D. Clamp the catheter when taking a shower
5- A client is receiving chemotherapy for treatment of metastatic carcinoma.
When monitoring the client for systemic side effects, which assessment finding
warrants intervention by the nurse?
A. Leukopenia
B. Polycythemia
C. Ascites
D. Nystagmus
6- A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the nurse?
A. Irregular apical pulse
B. Pitting ankle edema
C. Quarter size blood spot on dressing
, D. Purple marks on skin of the abdomen
ACTUAL EXAM Q&A NGN
,HESI RN MED SURG NEXT GENERATION ACTUAL EXAM 2023
1- A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110
mmol/L or SI), hematocrit of 34% and microcytic and hypochromic red blood cells. Based on
the findings, which dinner selection should the nurse suggest for the patient?
A. Beef steak with steam broccoli and orange slices
B. Cheese pasta and a lettuce and tomato salad
C. Broil white fish with a baked sweet potato
D. Grill shrimp and seasoned rice with asparagus salad.
2- Two hours before a client's scheduled surgery, the nurse is completing the
preoperative checklist. Which information requires the most immediate action by the
nurse?
A. Surgical consent form is not signed
B. Preoperative serum potassium level is 2.8 mEq/L
(2.8mmol/L) C.Preoperative chest x-ray report is not available
D. Client's pulse oximeter reading is 96%
3- The nurse is assessing a client's arteriovenous (AV) fistula. Which finding
provides evidence of its normal function?
A. Ecchymotic area
B. Enlarged vein
C. Pulselessness
D. Redness
4- Following a transurethral resection of the prostate (TURP), a client is discharged
from the hospital with an indwelling urinary catheter. Which instruction is important for
the nurse to include in the discharge teaching plan?
A. Avoid driving a car for 2
weeks B. Drink 3 liters of water
each day
C. Eliminate all spicy foods from your diet
D. Clamp the catheter when taking a shower
5- A client is receiving chemotherapy for treatment of metastatic carcinoma.
When monitoring the client for systemic side effects, which assessment finding
warrants intervention by the nurse?
A. Leukopenia
B. Polycythemia
C. Ascites
D. Nystagmus
6- A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the nurse?
A. Irregular apical pulse
B. Pitting ankle edema
C. Quarter size blood spot on dressing
, D. Purple marks on skin of the abdomen
