MED SURG RN HESI EXAM WITH QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2024/2025
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What is the best initial nursing action? -
CORRECT ANSWER Observe the color, consistency, and amount of
sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is intubated
and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which
assessment is most important for the nurse to obtain? - CORRECT
ANSWER Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? - CORRECT ANSWER
Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? - CORRECT ANSWER Has his
weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
,breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement? - CORRECT
ANSWER Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened tenacious mucous,
and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct
the client about self-care? - CORRECT ANSWER Increase the daily
intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD),
99% proximal circumflex, and ? % proximal right coronary artery
(RCA). The client later asks the nurse "what does all this mean for me?"
What information should the nurse provide? - CORRECT ANSWER
Three main arteries have major blockages, with only 1 to 5% of blood
flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin
80 units/kg. The heparin is available in a 2 ml vial, labeled 10,000
units/ml. How many ml should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest
tenth.) - CORRECT ANSWER 0.6 ml
What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)? -
,CORRECT ANSWER Minimize symptoms by wearing loose,
comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess.
Which position should the nurse instruct the client to maintain? -
CORRECT ANSWER left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseated and
vomiting. Which finding should the nurse report to the healthcare
provider. - CORRECT ANSWER Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse? -
CORRECT ANSWER Weakened cough effort
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client? - CORRECT
ANSWER The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next? - CORRECT ANSWER Prepare the client
to return to the operating room
, A client with carcinoma of the lung is complaining of weakness and has
a serum sodium level of 117 mEq/L. Which nursing problem should the
nurse include in this client's plan of care? - CORRECT ANSWER
Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak,
nervous, and reports a racing heart beat and recent weight loss of 15
pounds. After ruling out substance withdrawal, the healthcare provider
suspects hyperthyroidism and admits her for further testing. Which
action should the nurse implement? - CORRECT ANSWER Space the
client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care.
Which dietary recommendations should the nurse encourage the client to
follow? - CORRECT ANSWER Restrict protein intake by limiting
meats and other high-protein foods
An overweight, young adult made who was recently diagnosed with type
2 diabetes mellitus is admitted for a hernia repair. He tells the nurse that
he is feeling very weak and jittery. Which actions should the nurse
implement? (Select all that apply.) - CORRECT ANSWER Check his
fingerstick glucose level.
Assess his skin temperature and moisture.
Measure his pulse and blood pressure.
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2024/2025
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What is the best initial nursing action? -
CORRECT ANSWER Observe the color, consistency, and amount of
sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is intubated
and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which
assessment is most important for the nurse to obtain? - CORRECT
ANSWER Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? - CORRECT ANSWER
Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? - CORRECT ANSWER Has his
weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
,breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement? - CORRECT
ANSWER Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened tenacious mucous,
and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct
the client about self-care? - CORRECT ANSWER Increase the daily
intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD),
99% proximal circumflex, and ? % proximal right coronary artery
(RCA). The client later asks the nurse "what does all this mean for me?"
What information should the nurse provide? - CORRECT ANSWER
Three main arteries have major blockages, with only 1 to 5% of blood
flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin
80 units/kg. The heparin is available in a 2 ml vial, labeled 10,000
units/ml. How many ml should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest
tenth.) - CORRECT ANSWER 0.6 ml
What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)? -
,CORRECT ANSWER Minimize symptoms by wearing loose,
comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess.
Which position should the nurse instruct the client to maintain? -
CORRECT ANSWER left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without becoming nauseated and
vomiting. Which finding should the nurse report to the healthcare
provider. - CORRECT ANSWER Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse? -
CORRECT ANSWER Weakened cough effort
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client? - CORRECT
ANSWER The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next? - CORRECT ANSWER Prepare the client
to return to the operating room
, A client with carcinoma of the lung is complaining of weakness and has
a serum sodium level of 117 mEq/L. Which nursing problem should the
nurse include in this client's plan of care? - CORRECT ANSWER
Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak,
nervous, and reports a racing heart beat and recent weight loss of 15
pounds. After ruling out substance withdrawal, the healthcare provider
suspects hyperthyroidism and admits her for further testing. Which
action should the nurse implement? - CORRECT ANSWER Space the
client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care.
Which dietary recommendations should the nurse encourage the client to
follow? - CORRECT ANSWER Restrict protein intake by limiting
meats and other high-protein foods
An overweight, young adult made who was recently diagnosed with type
2 diabetes mellitus is admitted for a hernia repair. He tells the nurse that
he is feeling very weak and jittery. Which actions should the nurse
implement? (Select all that apply.) - CORRECT ANSWER Check his
fingerstick glucose level.
Assess his skin temperature and moisture.
Measure his pulse and blood pressure.
