2023 HESI MED SURG LATEST VERSIONS 1,2,3,4 & 5 EACH VERSION WITH 55 QUESTIONS AND CORRECT ANSWERS/MED SURG HESI EXIT LATEST VERSIONS 1-5 QUESTIONS AND CORRECT ANSWERS|AGRADE

2023 HESI MED SURG LATEST VERSIONS 1,2,3,4 & 5 EACH VERSION WITH 55 QUESTIONS AND CORRECT ANSWERS/MED SURG HESI EXIT LATEST VERSIONS 1-5 QUESTIONS AND CORRECT ANSWERS|AGRADE VERSION 1 1. Following long-term administration of warfarin sodium to a client with a medical diagnosis of deep vein thrombosis, the nurse should expect which treatment? a. The hemoglobin will be greater than 10 g/dl b. The hematocrit will be less than 35% d. The PTT will be 1.5 times the normal 2. A client who has been taking finasteride, an enzyme (5 alpha reductase) inhibitor used to shrink the prostate gland, is admitted because of continuing benign prostate prostatic hypertrophy (BPH) symptoms when planning care. Which nursing problem should the nurse address first? a. Chronic pain c. Risk for infection d. Disturbed sleep pattern 3. An older client has been diagnosed with chronic venous insufficiency. To prevent venous return, which action should the nurse encourage the client to a. Wear cotton socks and enclosed toe shoes whenever outside b. Drink 8 to 10 ounces of water a day c. Sit at the side of the bed for 15 minutes before standing d. Lie down in bed 2 times a day b. Urinary retention c. The PT will be 1.5 times the normal lOMoARcPSD| Downloaded by John Kabiru () 4. When caring for a client with a full thickness burn covering 40% of the body, the nurse observes pertinent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client’s laboratory values? a. Hematocrit b. Platelet count d. Blood pH level 5. An older client arrives at the outpatient eye surgery clinic for a right cataract extraction and implant. During the immediate postoperative period, which intervention should the nurse implement a. Provide an eye shield to be worn while sleeping b. Obtain vital signs every 2 hours during hospitalization c. White blood cell (WBC) count lOMoARcPSD| Downloaded by John Kabiru () c. Encourage deep breathing and coughing exercises d. Teach a family member to administer eye drops 6. After several days of coughing and taking acetaminophen to treat temperatures of 101 F (38. 3 C), a client with DI is admitted to the hospital with an upper respiratory infection. Several hours after admission, the client reports having a severe headache and freezing dizzy. Which intervention should the nurse implement first? a. Reassess vital signs b. Obtain sputum for culture c. Obtain a fingerstick glucose d. Administer an antipyretic 7.a client takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory values should the nurse review? a. Serum electrolytes b. Complete blood count c. Liver enzymes d. Platelet count 8. The nurse is caring for a client post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signs: heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement? a. Administer IV fluid bolus as prescribed by the healthcare provider b. Medicate for pain and monitor vital signs according to protocol c. Encourage the client to splint the incision with a pillow to cough and deep breathe d. Apply oxygen at 10 L via non-rebreather mask and monitor pulse oximeter 9. A client who was involved in a motor vehicle collision is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fraction (ORIF). The nurse determines that the client’s distal pulses are diminished in the left foot. Which interventions should the nurse implement? (SATA) a. Offer ice chips and oral clear liquids e. Administer oral antispasmodics and narcotics analgesics 10. A nurse is caring for a client with Diabetes Insipidus (DI). which data warrants the most immediate intervention by the nurse? b c d. Evaluate the application of the splint to the left leg . Monitor left leg for pain, pallor, paresthesia, paralysis, pressure . Verify pedal pulses using a doppler pulse device lOMoARcPSD| Downloaded by John Kabiru () c. d. b. Pain relief can be provided by shrinking tumors that press against spinal nerves a. Dry skin with inelastic turgor b. Apical rate of 110 beats per minute c. Polyuria and excessive thirst 11. The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review? t b. Red blood cell count c. Hemoglobin levels white blood cell count 12. A male client is admitted to the emergency department with vomiting of dark brown, foulsmelling emesis. He reports he had a surgical repair of a recurrent inguinal hernia one week ago and complains of intense abdominal pain. After assessing that his bowel sounds are hyperactive, which prescription should the nurse implement first 13. A client is admitted to the hospital for shortness of breath and chest pain after an episode of syncope. Which laboratory finding is most important for the nurse to report to the healthcare provider? a. Hematocrit b. Blood glucose c. Oxygen saturation 14. A client is hospitalized after experiencing a myocardial infarction (MI) to reduce cardiac workload, which intervention should the nurse include in the client’s plan of care? a. Teach to sleep in a side-lying position b. Encourage active range of motion exercises d. Assist with ambulation in the hallway 15. The healthcare provider prescribes radiation therapy (RT) for a client with terminal metastatic who is experiencing increased pain due to spinal compression. The client asks the nurse why radiation therapy is prescribed. Which mechanism supports the use of RT in the client’s metastatic cancer? a. Implementation of all possible treatments offers clients the best chance of survival Evidence indicates that RT can prolong life in clients with metastatic cancers RT is an alternative to surgery that affects tumor growth and eradicates cancer • Insert a nasogastric tube (NGT) and attach to low intermittent suction a. Platelet coun d. Serum sodium of 185 mEq/L d. Troponin I c. Provide a bedside commode for toileting lOMoARcPSD| Downloaded by John Kabiru () 16. The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a PUVA treatment. Which assessment finding indicates that the client has been overexposed to the treatment? a. Brown, rough, greasy, wart-like papules on the face b. Thick skin plagues topped by silvery white scales c. Requires sunglasses because sunlight hurts eyes d. Tenderness upon palpation and generalized erythema 17. An older client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessments would the nurse to determine if the patient with type 2 DM is experiencing long-term complications? (SATA) e. Signs of respiratory tract infection 18. A client with a history of chronic obstructive disease (COPD) is admitted with pneumonia. Vital signs include oxygen saturation 89% temperature 100.5 F ( C) heart rate 120 beats/minute, respirations 28 breaths/minute and blood pressure 170/90mmHg. Which finding warrants immediate intervention by the nurse? a. Shortness of breath on exertion b. Coarse breath sounds d. Yellow expectorated sputum 19. The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the best initial nursing action? b. Measure the client’s intake and output c. Administer a PRN dose of an antispasmodic agent d. Provide additional oral fluid intake 20. The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon? a. The fecal matter is brown and has a solid consistency b. There are no bowel sounds in the left lower quadrant d. The stoma has streaks of bright red blood b. d. Serum creatinine and blood urea nitrogen (BUN) c. Sensation in feet and legends Skin condition of lower extremities a. visual acuity c. Bilateral diffuse wheezing a. Increase the flow of the bladder irrigation c. The stoma mucosa is purple in color lOMoARcPSD| Downloaded by John Kabiru () 21. The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for the healthcare provider? a. Skull radiography b. Computerized tomography (CT) scan c. Magnetic resonance imaging (MRI) d. Lumbar puncture 22. A young adult male client has a leg cast following an open reduction for fractured tibia. He is in skeletal traction with 10 lbs of weight. Approximately two hours after returning to the unit, he reports severe pain in the affected extremity, and the nurse observes that the limb is blue and blunched. Which action should the nurse promote first? a. Release the traction and notify the healthcare provider b. Administer PRN pain medication routinely as prescribed d. Record the observations and check the imb every 15 minutes. 23. A client is receiving combination chemotherapy for treatment of metastatic carcinoma. When monitoring the client for systemic, side effects which assessment findings warrants intervention by the nurse? a. Polycythemia c. Ascites d. nystagmus 24. The nurse is planning care for an older adult male who experienced a cerebrovascular accident several weeks ago. Because of expressive aphasia, the client often becomes frustrated with the nursing staff. Which intervention should the nurse implement? a. Encourage client’s use of picture charts b. Ask the client simple questions c. Teach the client use of basic sign language d. Speak slowly to the client 25. The nurse has determined that a client with trigeminal neuralgia has the nursing problem, “imbalanced nutrition, less than body requirements”. Which cause contributing to the problem? a. Altered taste sensation b. Nausea c. Fatigue c. Notify the healthcare provider of the assessment findings b. Leukopenia lOMoARcPSD| Downloaded by John Kabiru () d. Pain when eating 26. A client with Cushing’s syndrome is recovering from an elective laparoscopic procedure. Which assessment finding warrants immediate intervention by the nurse? b. Purple marks on skin of the abdomen c. Pitting ankle edema d. Quarter size blood spot on dressing 27. The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition? a. Has everyone at home already had varicella? b. Do you have any dry patches on your feet and hands? c. Do your family members share combs and brushes? d. Have the antifungal creams been effective? 28. The healthcare provider prescribed D5W 1800 mL IV to infuse in 24 hours. The IV administration set delivers 60 microdroplets. The nurs should program the 29. A client with COPD arrives at the emergency department reporting of shortness of breath upon exertion and weakness. The client the nurse of normally receiving dialysis three times a week but missed the last treatment. The client’s serum potassium is 4.8 mEq/L and creatinine os 1.4 , accompanied with a blood pressure of 200/120 mmHg. The client has salt crystals present on the skin. Which finding is most important for the nurse to bring to the attention of the healthcare provider? a. Potassium level b. Blood pressure c. Uremic frost d. Creatinine results