2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
2024 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As
Included (A+)
Guaranteed A+
TEST 1
Multiple Choice
Identify the letter of the choice that best completes the statement or answers the
question.
1.
31. The mother of a 9-month-old who was diagnosed with respiratory syncytial
virus (RSV) yesterday calls the clinic to inquire if it will be all right to take her
infant to the first birthday party of a friend's child the following day. What
response should the nurse provide this mother?
a. The child can be around other children but should wear a mask at all times.
b. The child will no longer be contagious, no need to take any further
precautions.
c. Make sure there are no children under the age of 6 months
around the infected child.
d. Do not expose other children. RSV is very contagious even
without direct oral contact.
32. A client from a nursing home is admitted with urinary sepsis and has a single-
lumen,
peripherally-inserted central catheter (PICC). Four medications are prescribed
for 9:00 a.m. and the nurse is running behind schedule. Which medication
should the nurse administer first?
a. Piperacillin/tazobactam (Zosyn) in 100 ml D5W, IV over 30 minutes q8 hours.
b. Vancomycin (Vancocin) 1 gm in 250 ml D5W, IV over 90 minutes q12 hours.
c. Pantoprazole (Protonix) 40 mg PO daily
d. Enoxaparin (Lovenox) 40 mg subq q24 hours.
33. Which action should the nurse implement to reduce the risk of vesicant
extravasation in the client who is receiving intravenous chemotherapy?
a. Administer an antiemetic before starting the chemotherapy.
b. Instruct the client to drink plenty of fluids during the treatment.
c. Keep the head of the bed elevated until the treatment is completed.
d. Monitor the client's intravenous site hourly during the treatment.
1
,2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
34. An elderly male client reports to the clinic nurse that he is experiencing
increasing nocturia with difficulty initiating his urine stream. He reports a
weak urine flow and frequent dribbling after voiding. Which nursing action
should be implemented?
a. Obtain a urine specimen for culture and sensitivity.
b. Encourage the client to schedule a digital rectal exam.
c. Advise the client to maintain a voiding diary for one week.
d. Instruct the client in effective techniques to cleanse the glans penis.
35. The nurse is performing an admission physical assessment of a newborn
who is small for gestational age (SGA). Which finding should the nurse report
immediately to the pediatric healthcare provider?
a. Heel stick glucose of 65 mg/dl.
b. Head circumference of 35 cm (14 inches).
c. Widened, tense, bulging fontanel.
d. High-pitched shrill cry.
36. Which client's laboratory value requires immediate intervention by a nurse?
a. A client with GI bleeding who is receiving a blood
transfusion and has a hemoglobin of 7 grams.
b. A client with pancreatitis who has a fasting glucose of 190
mg/dl today and had 160 mg/dl yesterday.
c. A client with hepatitis who is jaundiced and has a bilirubin
level that is 4 times the normal value.
d. A client with cancer who has an absolute count of neutrophils
< 500 today and had 2,000 yesterday.
37. In planning the turning schedule for a bedfast client, it is most important
for the nurse to consider what assessment finding?
a. 4+ pitting edema of both lower extremities.
b. A Braden risk assessment scale rating score of ten.
c. Warm, dry skin with a fever of 100° F.
d. Hypoactive bowel sounds with infrequent bowel movements.
38. The healthcare provider prescribes naproxen (Naprosyn) 500 mg PO twice a
day for a client with osteoarthritis. During a follow-up visit one month later,
the client tells the nurse, "The pills don't seem to be working. They are not
helping the pain at all." Which factor should influence the nurse's response?
a. Noncompliance is probably affecting optimum medication effectiveness.
b. Drug dosage is inadequate and needs to be increased to four times a day.
c. The drug needs 4 to 6 weeks to reach therapeutic levels in the bloodstream.
d. NSAID response is variable and another NSAID may be more effective.
39. A nurse is interested in studying the incidence of infant death in a particular
2
,2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
city and wants to compare that city's rate to the state's rate. What state
resource is most likely to provide this information?
a. Disease registry.
b. Department of Health.
c. Bureau of Vital Statistics.
d. Census data.
3
, 2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
40. A 60-year-old male client is admitted to the hospital with the complaint of
right knee pain for the past week. His right knee and calf are warm and
edematous. He has a history of diabetes and arthritis. Which neurological
assessment action should the nurse perform for this client?
a. Glasgow coma scale.
b. Pulses, paresthesia, paralysis distal to the right knee.
c. Pulses, paresthesia, paralysis proximal to the right knee.
d. Optic nerve using an ophthalmoscope.
41. A highly successful businessman presents to the community mental health
center complaining of sleeplessness and anxiety over his financial status.
What action should the nurse take to assist this client in diminishing his
anxiety?
a. Encourage him to initiate daily rituals.
b. Reinforce the reality of his financial situation.
c. Direct him to drink a glass of red wine at bedtime.
d. Teach him to limit sugar and caffeine intake.
42. What physical assessment data should the nurse consider a normal finding for
a primigravida client who is 12 hours postpartum?
a. Soft, spongy fundus.
b. Saturating two perineal pads per hour.
c. Pulse rate of 56 BPM.
d. Unilateral lower leg pain.
43. The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which statement
should the nurse provide?
a. "It will help you function better in the community."
b. "The medication will help you think more clearly."
c. "You will be able to cope with your symptoms."
d. "It will improve your grooming and hygiene."
44. A male client is admitted to the neurological unit. He has just sustained a C-5
spinal cord injury. Which assessment finding of this client warrants immediate
intervention by the nurse?
a. Is unable to feel sensation in the arms and hands.
b. Has flaccid upper and lower extremities.
c. Blood pressure is 110/70 and the apical pulse is 68.
d. Respirations are shallow, labored, and 14 breaths/minute.
45. A male infant born at 30-weeks gestation at an outlying hospital is being
prepared for transport to a Level IV neonatal facility. His respirations are
90/min, and his heart rate is 150 beats per minute. Which drug is the transport
team most likely to administer to this infant?
4
2024 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As
Included (A+)
Guaranteed A+
TEST 1
Multiple Choice
Identify the letter of the choice that best completes the statement or answers the
question.
1.
31. The mother of a 9-month-old who was diagnosed with respiratory syncytial
virus (RSV) yesterday calls the clinic to inquire if it will be all right to take her
infant to the first birthday party of a friend's child the following day. What
response should the nurse provide this mother?
a. The child can be around other children but should wear a mask at all times.
b. The child will no longer be contagious, no need to take any further
precautions.
c. Make sure there are no children under the age of 6 months
around the infected child.
d. Do not expose other children. RSV is very contagious even
without direct oral contact.
32. A client from a nursing home is admitted with urinary sepsis and has a single-
lumen,
peripherally-inserted central catheter (PICC). Four medications are prescribed
for 9:00 a.m. and the nurse is running behind schedule. Which medication
should the nurse administer first?
a. Piperacillin/tazobactam (Zosyn) in 100 ml D5W, IV over 30 minutes q8 hours.
b. Vancomycin (Vancocin) 1 gm in 250 ml D5W, IV over 90 minutes q12 hours.
c. Pantoprazole (Protonix) 40 mg PO daily
d. Enoxaparin (Lovenox) 40 mg subq q24 hours.
33. Which action should the nurse implement to reduce the risk of vesicant
extravasation in the client who is receiving intravenous chemotherapy?
a. Administer an antiemetic before starting the chemotherapy.
b. Instruct the client to drink plenty of fluids during the treatment.
c. Keep the head of the bed elevated until the treatment is completed.
d. Monitor the client's intravenous site hourly during the treatment.
1
,2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
34. An elderly male client reports to the clinic nurse that he is experiencing
increasing nocturia with difficulty initiating his urine stream. He reports a
weak urine flow and frequent dribbling after voiding. Which nursing action
should be implemented?
a. Obtain a urine specimen for culture and sensitivity.
b. Encourage the client to schedule a digital rectal exam.
c. Advise the client to maintain a voiding diary for one week.
d. Instruct the client in effective techniques to cleanse the glans penis.
35. The nurse is performing an admission physical assessment of a newborn
who is small for gestational age (SGA). Which finding should the nurse report
immediately to the pediatric healthcare provider?
a. Heel stick glucose of 65 mg/dl.
b. Head circumference of 35 cm (14 inches).
c. Widened, tense, bulging fontanel.
d. High-pitched shrill cry.
36. Which client's laboratory value requires immediate intervention by a nurse?
a. A client with GI bleeding who is receiving a blood
transfusion and has a hemoglobin of 7 grams.
b. A client with pancreatitis who has a fasting glucose of 190
mg/dl today and had 160 mg/dl yesterday.
c. A client with hepatitis who is jaundiced and has a bilirubin
level that is 4 times the normal value.
d. A client with cancer who has an absolute count of neutrophils
< 500 today and had 2,000 yesterday.
37. In planning the turning schedule for a bedfast client, it is most important
for the nurse to consider what assessment finding?
a. 4+ pitting edema of both lower extremities.
b. A Braden risk assessment scale rating score of ten.
c. Warm, dry skin with a fever of 100° F.
d. Hypoactive bowel sounds with infrequent bowel movements.
38. The healthcare provider prescribes naproxen (Naprosyn) 500 mg PO twice a
day for a client with osteoarthritis. During a follow-up visit one month later,
the client tells the nurse, "The pills don't seem to be working. They are not
helping the pain at all." Which factor should influence the nurse's response?
a. Noncompliance is probably affecting optimum medication effectiveness.
b. Drug dosage is inadequate and needs to be increased to four times a day.
c. The drug needs 4 to 6 weeks to reach therapeutic levels in the bloodstream.
d. NSAID response is variable and another NSAID may be more effective.
39. A nurse is interested in studying the incidence of infant death in a particular
2
,2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
city and wants to compare that city's rate to the state's rate. What state
resource is most likely to provide this information?
a. Disease registry.
b. Department of Health.
c. Bureau of Vital Statistics.
d. Census data.
3
, 2022 HESI Med-Surg RN Custom Exam (for Med Surg II Class) Pics & Q&As Included (A+)
40. A 60-year-old male client is admitted to the hospital with the complaint of
right knee pain for the past week. His right knee and calf are warm and
edematous. He has a history of diabetes and arthritis. Which neurological
assessment action should the nurse perform for this client?
a. Glasgow coma scale.
b. Pulses, paresthesia, paralysis distal to the right knee.
c. Pulses, paresthesia, paralysis proximal to the right knee.
d. Optic nerve using an ophthalmoscope.
41. A highly successful businessman presents to the community mental health
center complaining of sleeplessness and anxiety over his financial status.
What action should the nurse take to assist this client in diminishing his
anxiety?
a. Encourage him to initiate daily rituals.
b. Reinforce the reality of his financial situation.
c. Direct him to drink a glass of red wine at bedtime.
d. Teach him to limit sugar and caffeine intake.
42. What physical assessment data should the nurse consider a normal finding for
a primigravida client who is 12 hours postpartum?
a. Soft, spongy fundus.
b. Saturating two perineal pads per hour.
c. Pulse rate of 56 BPM.
d. Unilateral lower leg pain.
43. The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which statement
should the nurse provide?
a. "It will help you function better in the community."
b. "The medication will help you think more clearly."
c. "You will be able to cope with your symptoms."
d. "It will improve your grooming and hygiene."
44. A male client is admitted to the neurological unit. He has just sustained a C-5
spinal cord injury. Which assessment finding of this client warrants immediate
intervention by the nurse?
a. Is unable to feel sensation in the arms and hands.
b. Has flaccid upper and lower extremities.
c. Blood pressure is 110/70 and the apical pulse is 68.
d. Respirations are shallow, labored, and 14 breaths/minute.
45. A male infant born at 30-weeks gestation at an outlying hospital is being
prepared for transport to a Level IV neonatal facility. His respirations are
90/min, and his heart rate is 150 beats per minute. Which drug is the transport
team most likely to administer to this infant?
4
