2024-25 Med-Surg HESI Practice
Questions
A client diagnosed with stable angina secondary to ischemic heart disease has a
prescription for sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to
follow which instructions if chest pain is not relieved after taking 3 NTG tablets 5 min
apart?
a. drive to the nearest emergency department
b. take another NTG SL tablet and lie down until angina subsides
c. call primary healthcare provider
d. call 911 if pain is unrelieved and chew a tablet of aspirin 325mg - correct answerd.
call 911 if pain is unrelieved and chew a tablet of aspirin 325 mg
A client experiences an ABO incompatibility reaction after multiple blood transfusions.
Which finding should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - correct answera. low back pain and
hypotension
A client is discharged with a prescription for warfarin (Coumadin). What discharge
instructions should the nurse emphasize to the client?
a. take a multi vitamin supplement daily
b. use an astringent for superficial bleeding
c. avoid going barefoot especially outside
d. include large amounts of spinach in the diet - correct answerc. avoid going barefoot,
especially outside
A client subjective data includes dysuria, urgency, and urinary frequency. What action
should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity - correct answera. collect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well
differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells
are benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
, c. ask the client if the healthcare provider has given her any information about the
classification of her cancer
d. help the client make plans to begin immediate treatment since her cancer is likely to
spread quickly - correct answerc. ask the client if the healthcare provider has given her
any information about the classification of her cancer
A client who had a myocardial infarction is admitted to the coronary critical care unit
(CCU) with a nitroglycerin drip infusing. The clients last blood pressure measurements
was 78/36. What action should the nurse implement?
a. obtain blood pressure q5 minutes using duranap machine
b. change the dilution of the nitroglycerin infusion
c. reduce the rate of the nitroglycerin infusion
d. begin dopamine infusion at 5mcg/kg per minute - correct answerc. reduce the rate of
the nitroglycerin infusion
A client who is taking and oral dose of tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
a. toasted wheat bread and jelly
b. cheese and crackers
c. cold cereal with skim milk
d. fruit flavored yogurt - correct answera.toasted wheat bread and jelly
A client who took a camping vacation two weeks ago in a country with a tropical climate
comes to the clinic describing vague symptoms and diarrhea for the past week. Which
finding is most important for the nurse to report?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigue
d. weight loss - correct answera. jaundice sclera
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment
clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take
first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - correct answerc. stop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin
sodium 25,000 unit in 5% dextrose injection 250ml. The prescription indicates the
dosage should be increase 900 units/hr. The nurse should program the infusion pump
to deliver how many ml/hr? - correct answer9 mL/hour
A client with hypertension who has been taking labetalol for two weeks, reports a five
pound (2.2 kg) weight gain. Which follow up assessment is most important for the nurse
to obtain?
Questions
A client diagnosed with stable angina secondary to ischemic heart disease has a
prescription for sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to
follow which instructions if chest pain is not relieved after taking 3 NTG tablets 5 min
apart?
a. drive to the nearest emergency department
b. take another NTG SL tablet and lie down until angina subsides
c. call primary healthcare provider
d. call 911 if pain is unrelieved and chew a tablet of aspirin 325mg - correct answerd.
call 911 if pain is unrelieved and chew a tablet of aspirin 325 mg
A client experiences an ABO incompatibility reaction after multiple blood transfusions.
Which finding should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - correct answera. low back pain and
hypotension
A client is discharged with a prescription for warfarin (Coumadin). What discharge
instructions should the nurse emphasize to the client?
a. take a multi vitamin supplement daily
b. use an astringent for superficial bleeding
c. avoid going barefoot especially outside
d. include large amounts of spinach in the diet - correct answerc. avoid going barefoot,
especially outside
A client subjective data includes dysuria, urgency, and urinary frequency. What action
should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity - correct answera. collect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well
differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells
are benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
, c. ask the client if the healthcare provider has given her any information about the
classification of her cancer
d. help the client make plans to begin immediate treatment since her cancer is likely to
spread quickly - correct answerc. ask the client if the healthcare provider has given her
any information about the classification of her cancer
A client who had a myocardial infarction is admitted to the coronary critical care unit
(CCU) with a nitroglycerin drip infusing. The clients last blood pressure measurements
was 78/36. What action should the nurse implement?
a. obtain blood pressure q5 minutes using duranap machine
b. change the dilution of the nitroglycerin infusion
c. reduce the rate of the nitroglycerin infusion
d. begin dopamine infusion at 5mcg/kg per minute - correct answerc. reduce the rate of
the nitroglycerin infusion
A client who is taking and oral dose of tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
a. toasted wheat bread and jelly
b. cheese and crackers
c. cold cereal with skim milk
d. fruit flavored yogurt - correct answera.toasted wheat bread and jelly
A client who took a camping vacation two weeks ago in a country with a tropical climate
comes to the clinic describing vague symptoms and diarrhea for the past week. Which
finding is most important for the nurse to report?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigue
d. weight loss - correct answera. jaundice sclera
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment
clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take
first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - correct answerc. stop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin
sodium 25,000 unit in 5% dextrose injection 250ml. The prescription indicates the
dosage should be increase 900 units/hr. The nurse should program the infusion pump
to deliver how many ml/hr? - correct answer9 mL/hour
A client with hypertension who has been taking labetalol for two weeks, reports a five
pound (2.2 kg) weight gain. Which follow up assessment is most important for the nurse
to obtain?
