HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
The nurse knows that lab values sometimes vary for the older client. Which data would
the nurse expect to find when reviewing laboratory values of an 80-year-old male?
A - Increased WBC, decreased RBC
B - Increased serum bilirubin, slightly increased liver enzymes
C - Increased protein in the urine, slightly increased serum glucose levels
D - Decreased serum sodium, an increased urine specific gravity ANS: C
QUIZ: A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30
pounds overweight is diagnosed with having a gastric ulcer. Which content is most
important for the nurse to include in the discharge teaching for this client?
A - Information about smoking cessation
B - Diet instructions for a low-residue diet
C - Instructions on a weight-loss program
D - The importance of increasing milk in the diet ANS: A
QUIZ: A client receiving cholestyramine for hyperlipidemia should be evaluated for
which vitamin deficiency?
A-K
B - B12
C - B6
D - C ANS: A
QUIZ: A client is admitted for further testing to confirm sarcoidosis. Which diagnostic
test provides definitive information that the nurse should report to the healthcare
provider?
A - Lung tissue biopsy
B - Positive blood cultures
C - MRI
D - CT of the thorax ANS: A
QUIZ: A client has been taking oral corticosteroids for the past 5 days because of
seasonal allergies. Which assessment finding is of most concern to the nurse?
A - White blood count of 10,000 mm3
B - Serum glucose of 115 mg/dl
C - Purulent sputum
D - Excessive hunger ANS: C
,HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
QUIZ: An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices that
his tongue is somewhat cracked and his eyeballs are sunken into his head. Which
nursing intervention is indicated?
A - Help the client to determine ways to increase his fluid intake
B - Obtain an appointment for the client to see an ear, nose, and throat specialist
C - Schedule an appointment with an allergist to determine if the client is allergic to the
cat
D - Encourage the client to slightly increase his use of oxygen at night and to always
use humidified oxygen ANS: A
QUIZ: A client with diabetes mellitus is experiencing polyphagia. Which outcome
statement is the priority for this client?
A - Fluid and electrolyte balance
B - Prevention of water toxicity
C - Reduced glucose in the urine
D - Adequate cellular nourishment ANS: D
QUIZ: What types of medications should the nurse expect to administer to a client
during an acute respiratory distress (ARDS) episode?
A - Vasodilators and hormones
B - Analgesics and sedatives
C - Anticoagulants and expectorants
D - Bronchodilators and steroids ANS: D
QUIZ: A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A - Avoid high carbohydrate foods
B - Decrease intake of fat soluble vitamins
C - Decrease caloric intake
D - Restrict salt and fluid intake ANS: D
QUIZ: A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which information
should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective treatment
B - Calcium loss from bones can be slowed by increasing calcium intake and exercise
C - Estrogen replacement therapy should be started to prevent the progression
osteoporosis
,HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
D - Low-dose corticosteroid treatment effectively halts the course of osteoporosis ANS:
B
QUIZ: The nurse is taking a history of a newly diagnosed Type 2 diabetic who is
beginning treatment. Which subjective information is most important for the nurse to
note?
A - A history of obesity
B - An allergy to sulfa drugs
C - Cessation of smoking three years ago
D - Numbness in the soles of the feet ANS: B
QUIZ: A client taking a thiazide diuretic for the past six months has a serum potassium
level of 3. The nurse anticipates which change in prescription for the client?
A - The dosage of the diuretic will be decreased
B - The diuretic will be discontinued
C - A potassium supplement will be prescribed
D - The dosage of the diuretic will be increased ANS: C
QUIZ: While working in the emergency room, the nurse is exposed to a client with
active tuberculosis. When should the nurse plan to obtain a tuberculin skin test?
A - Immediately after the exposure
B - Within one week of the exposure
C - Four to six weeks after the exposure
D - Three months after the exposure ANS: C
QUIZ: Which intervention should the nurse implement for a female client diagnosed
with pelvic relaxation disorder?
A - Describe proper administration of vaginal suppositories and cream
B - Encourage the client to perform Kegel exercises 10 times daily
C - Explain the importance of using condoms when having sexual intercourse
D - Discuss the importance of keeping a diary of daily temperature and menstrual cycle
events ANS: B
QUIZ: The nurse is assessing a client's laboratory values following administration of
chemotherapy. Which lab value leads the nurse to suspect that the client is
experiencing tumor lysis syndrome (TLS)?
A - Serum PTT of 10 seconds
B - Serum calcium of 5 mg/dL
C - Oxygen saturation of 90%
D - Hemoglobin of 10 g/dL ANS: B
, HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
QUIZ: A female client taking oral contraceptives reports to the nurse that she is
experiencing calf pain. Which action should the nurse implement?
A - Determine if the client has also experienced breast tenderness and weight gain
B - Encourage the client to begin a regular, daily program of walking and exercise
C - Advise the client to notify the healthcare provider for immediate medical attention
D - Tell the client to stop taking the medication for a week to see if symptoms subside
ANS: C
QUIZ: Which assessment finding by the nurse during a client's clinical breast
examination requires follow-up?
A - Newly retracted nipple
B - A thickened area where the skin folds under the breast
C - Whitish nipple discharge
D - Tender lumpiness noted bilaterally throughout the breasts ANS: A
QUIZ: The nurse is assessing a client who has a history of Parkinson's disease for the
past 5 years. Which symptoms would this client most likely exhibit?
A - Loss of short-term memory, facial tics and grimaces, and constant writhing
movements
B - Shuffling gait, masklike facial expression, and tremors of the head
C - Extreme muscular weakness, easy fatigability, and ptosis
D - Numbness of the extremities, loss of balance, and visual disturbances ANS: B
QUIZ: Which finding should the nurse identify as an indication of carbon monoxide
poisoning in a client who experienced a burn injury during a house fire?
A - Pulse oximetry reading of 80%
B - Expiratory stridor and nasal flaring
C - Cherry red color to the mucous membranes
D - Presence of carbonaceous particles in sputum ANS: C
QUIZ: The nurse is preparing an adult client for an upper gastrointestinal (UGI) series.
Which information should the nurse include in the teaching plan?
A - The x-ray procedure may last for several hours
B - NG tube is inserted to instill the barium
C - Enemas are given to empty the bowel after the procedure
D - Nothing by mouth is allowed for 6 to 8 hours before the study ANS: D
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
The nurse knows that lab values sometimes vary for the older client. Which data would
the nurse expect to find when reviewing laboratory values of an 80-year-old male?
A - Increased WBC, decreased RBC
B - Increased serum bilirubin, slightly increased liver enzymes
C - Increased protein in the urine, slightly increased serum glucose levels
D - Decreased serum sodium, an increased urine specific gravity ANS: C
QUIZ: A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30
pounds overweight is diagnosed with having a gastric ulcer. Which content is most
important for the nurse to include in the discharge teaching for this client?
A - Information about smoking cessation
B - Diet instructions for a low-residue diet
C - Instructions on a weight-loss program
D - The importance of increasing milk in the diet ANS: A
QUIZ: A client receiving cholestyramine for hyperlipidemia should be evaluated for
which vitamin deficiency?
A-K
B - B12
C - B6
D - C ANS: A
QUIZ: A client is admitted for further testing to confirm sarcoidosis. Which diagnostic
test provides definitive information that the nurse should report to the healthcare
provider?
A - Lung tissue biopsy
B - Positive blood cultures
C - MRI
D - CT of the thorax ANS: A
QUIZ: A client has been taking oral corticosteroids for the past 5 days because of
seasonal allergies. Which assessment finding is of most concern to the nurse?
A - White blood count of 10,000 mm3
B - Serum glucose of 115 mg/dl
C - Purulent sputum
D - Excessive hunger ANS: C
,HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
QUIZ: An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices that
his tongue is somewhat cracked and his eyeballs are sunken into his head. Which
nursing intervention is indicated?
A - Help the client to determine ways to increase his fluid intake
B - Obtain an appointment for the client to see an ear, nose, and throat specialist
C - Schedule an appointment with an allergist to determine if the client is allergic to the
cat
D - Encourage the client to slightly increase his use of oxygen at night and to always
use humidified oxygen ANS: A
QUIZ: A client with diabetes mellitus is experiencing polyphagia. Which outcome
statement is the priority for this client?
A - Fluid and electrolyte balance
B - Prevention of water toxicity
C - Reduced glucose in the urine
D - Adequate cellular nourishment ANS: D
QUIZ: What types of medications should the nurse expect to administer to a client
during an acute respiratory distress (ARDS) episode?
A - Vasodilators and hormones
B - Analgesics and sedatives
C - Anticoagulants and expectorants
D - Bronchodilators and steroids ANS: D
QUIZ: A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A - Avoid high carbohydrate foods
B - Decrease intake of fat soluble vitamins
C - Decrease caloric intake
D - Restrict salt and fluid intake ANS: D
QUIZ: A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which information
should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective treatment
B - Calcium loss from bones can be slowed by increasing calcium intake and exercise
C - Estrogen replacement therapy should be started to prevent the progression
osteoporosis
,HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
D - Low-dose corticosteroid treatment effectively halts the course of osteoporosis ANS:
B
QUIZ: The nurse is taking a history of a newly diagnosed Type 2 diabetic who is
beginning treatment. Which subjective information is most important for the nurse to
note?
A - A history of obesity
B - An allergy to sulfa drugs
C - Cessation of smoking three years ago
D - Numbness in the soles of the feet ANS: B
QUIZ: A client taking a thiazide diuretic for the past six months has a serum potassium
level of 3. The nurse anticipates which change in prescription for the client?
A - The dosage of the diuretic will be decreased
B - The diuretic will be discontinued
C - A potassium supplement will be prescribed
D - The dosage of the diuretic will be increased ANS: C
QUIZ: While working in the emergency room, the nurse is exposed to a client with
active tuberculosis. When should the nurse plan to obtain a tuberculin skin test?
A - Immediately after the exposure
B - Within one week of the exposure
C - Four to six weeks after the exposure
D - Three months after the exposure ANS: C
QUIZ: Which intervention should the nurse implement for a female client diagnosed
with pelvic relaxation disorder?
A - Describe proper administration of vaginal suppositories and cream
B - Encourage the client to perform Kegel exercises 10 times daily
C - Explain the importance of using condoms when having sexual intercourse
D - Discuss the importance of keeping a diary of daily temperature and menstrual cycle
events ANS: B
QUIZ: The nurse is assessing a client's laboratory values following administration of
chemotherapy. Which lab value leads the nurse to suspect that the client is
experiencing tumor lysis syndrome (TLS)?
A - Serum PTT of 10 seconds
B - Serum calcium of 5 mg/dL
C - Oxygen saturation of 90%
D - Hemoglobin of 10 g/dL ANS: B
, HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
QUIZ: A female client taking oral contraceptives reports to the nurse that she is
experiencing calf pain. Which action should the nurse implement?
A - Determine if the client has also experienced breast tenderness and weight gain
B - Encourage the client to begin a regular, daily program of walking and exercise
C - Advise the client to notify the healthcare provider for immediate medical attention
D - Tell the client to stop taking the medication for a week to see if symptoms subside
ANS: C
QUIZ: Which assessment finding by the nurse during a client's clinical breast
examination requires follow-up?
A - Newly retracted nipple
B - A thickened area where the skin folds under the breast
C - Whitish nipple discharge
D - Tender lumpiness noted bilaterally throughout the breasts ANS: A
QUIZ: The nurse is assessing a client who has a history of Parkinson's disease for the
past 5 years. Which symptoms would this client most likely exhibit?
A - Loss of short-term memory, facial tics and grimaces, and constant writhing
movements
B - Shuffling gait, masklike facial expression, and tremors of the head
C - Extreme muscular weakness, easy fatigability, and ptosis
D - Numbness of the extremities, loss of balance, and visual disturbances ANS: B
QUIZ: Which finding should the nurse identify as an indication of carbon monoxide
poisoning in a client who experienced a burn injury during a house fire?
A - Pulse oximetry reading of 80%
B - Expiratory stridor and nasal flaring
C - Cherry red color to the mucous membranes
D - Presence of carbonaceous particles in sputum ANS: C
QUIZ: The nurse is preparing an adult client for an upper gastrointestinal (UGI) series.
Which information should the nurse include in the teaching plan?
A - The x-ray procedure may last for several hours
B - NG tube is inserted to instill the barium
C - Enemas are given to empty the bowel after the procedure
D - Nothing by mouth is allowed for 6 to 8 hours before the study ANS: D
