HESI MED SURG Form A & B | Questions and Answers 2024/2025
HESI MED SURG Form A & B | Questions and Answers 2024/2025
Updates
A nur sing m a n a g e r is c on c e r n e d about the n u m b e r of infections on
the hospital unit. W h a t ac tion b y the m a n a g e r wo uld be s t help?
A s s e s s staf f me mb e r s ' hand h ygi ene □ This is the best
p r ac t i ce s an s w e r - P o w e r P o i n t ( P P ) S l i d e
7 Igi- P g 418.
T h e n u r sin g instructor e xp la in in g infection tells st u d e n t s that
wh i ch factor is the b es t a n d m o s t imp ort ant barrier to infection?
Intact skin a n d m u c o u s m e m b r a n e P o w e r P o in t S l i d e 5 Igi - p 4 1 5
W h i c h t yp e of t ra n s m i s s i o n - b a s e d p r e c a u t i on s m u s t t h e n u r s e u s e
to p r e v e n t t h e t ra n s m i s s i o n of tuber cu losis ?
Airborne Precautions p g 4 1 9
A n u r se is a s s e s s i n g p atients o n a m ed ica l- su r gical unit. Wh i ch
ad u lt p atient d o e s t h e n u r s e identify a s b e i n g at g r ea t e s t risk for
insensible water loss?
A patient w h o is febrile with d ia p ho re s is
A nu rse is a s s e s s i n g a patient with h yp o k a l e mi a a n d notes that
the patient’s hand-grip strength h a s diminished since the
previous ass ess me nt 1 hour ago. What action does the nurse
take F I R S T ?
A s s e s s the patient's respiratory rate, rh y thm, a n d depth F lu i d
and Electrolyte table p a g e 2
W h i c h patient is at risk for h y p o k a l e m i a ?
Patient with pancreatitis who h a s continuous n asoga str ic suction
F l u i d a nd E l ec t r o l y t e T a b l e p g 2
1 . W h a t is t h e m i n i m u m a m o u n t of u r in e p e r d a y n e e d e d to
excrete toxic products?
4 0 0 to 6 0 0 m L Slide 6 p g 1 6 5
A patient with h ear t failure a s k s , ― W h y d o I n e e d to w e i g h m y s e l f
every day?‖ How would the nurse respond?
― Weight i s t h e b e s t i n d i c a t i o n t h a t y o u a r e g a i n i n g o r l o s i n g f l u i d . " p g . 1 6 8
, HESI MED SURG Form A & B | Questions and Answers 2024/2025
T h e patient wh o h a s u n d e r g o ne which surgical p rocedure is
m o s t at risk for h y p o c a l c e m i a ?
Parathyroidectomy
A n u r s e is c a r i n g for a pat ient w h o is e x p e r i e n c i n g e x c e s s i v e
diarrhea. T h e patient’s arterial blood g a s v alues are p H 7.18,
PaO2 98 m m Hg, PaCO2 45 m m Hg and
H C O 3 1 6 mEq /L. Wh ich provider order d o e s th e nu rse e x p e c t to receive?
S o d i u m B i c a r b o n a t e 1 0 0 m E q d ilu te d in 1 Liter of D 5 W P o w e r
Point Slid e 1 1 in n o te s Igi p a g e 1 9 5
T h e n u r s e is c a r i n g for a pat ient w h o is h yp e rve nt ila t in g. T h e
p a t i e n t ’ s arterial blood g a s v a l u e s a r e p H 7 .52 , P a O 2 9 4 m m H g ,
PaCO2 31 m m H g and H C O 3 26 m Eq . Which question would the
nurse a s k w h e n de velop in g this
patient ’s p l a n of c a r e ?
Y o u a p p e a r a n x i o u s . Wh at i s c a u s i n g y o u r d i s t r e s s ? Open end
q uestion A s k i n g for cla r i c at i o n
A p a t i e n t w h o h a s Cl o s t r i d i o i d e s d i f i c i l e w i t h s e v e r e d i a r r h e a will
likely h a v e related alteration in which acid b a s e b a la nce ?
Metabolic Acidosis Slid e 1 1 p 1 9 2
W h i c h n u r s i n g a s s e s s m e n t n d i n g in d ica t es a w o r s e n i n g of
respiratory acidosis?
Respiratory Depression pg. 192
A pat ient h a s t a k e n a n t a c i d s for t h e p a s t 3 w e e k s to reliev e h e a rt
burn. W h a t alteration in the acid b a s e b a l a n c e with the nu r s e likely
nd?
Metabolic Alkalosis p g . 1 9 6
T h e p e r s o n i s w i t h r e s p i r a t o r y a c i d o s i s i s c o n s i d e r e d full
co m p e n s a t e d with which A B G ?
p H 7 . 3 5 P a C O 2 i s 7 5 a n d t h e H C O 3 is 3 0 Slide 16 p g 1 9 0
, HESI MED SURG Form A & B | Questions and Answers 2024/2025
A n e m e r g e n c y d e p a r t m e n t n u r s e ob t a i n s t h e h ea lt h history of a
patient. Wh i ch s t a t e me n t b y the patient wou ld alert the nu r s e to
t he o c c u r r e n c e of he a rt failure?
I g e t short of breath w h e n I clim b stairs
T h e n u r s e e v a l u a t e s prescript io ns for a pat ient with ch ron ic
he a rt failure. Wh i c h c l a s s of m e d i c a t i o n s wou ld t h e n u r s e
exp ect to n d on the patient’s medication administration record
to d e c r e a s e card ia c workload?
A c e Inhibitors S lides 1 7 a n d 2 3 . J C HA O C o r e M easure
A n u r s e p r ep a r e s to d i sc h a r g e a patient with chr onic h ea rt failure
h o m e w h o is p r es cr ib ed h o m e h ea lt h care ser vice s. W hi c h priority
information would b e c o m m u n i c a t e d to the h o m e health n ur s e
upon discharge?
Medication reconciliation Slid e s 2 3 2 4 a n d Igi table 35 -4
A n u r s e a s s e s s e s a patient in a n outpatient clinic. W h i c h
s t a t e m e n t a l er t s t h e n u r s e t o t h e p o s sib ilit y of left- s i d e d h e a r t
failure?
I w a k e u p a t n i g h t s h o r t of b r e a t h . S l i d e 1 2 a n d 1 4 I gi p . 6 9 5
A n u r s e a s s e s s e s a patient a d m it t e d to th e c ar d i a c unit. W h i c h
s t a t e m e n t b y t h e pat ie nt alerts t h e n u r s e to t he possibility of
right-sided h ea r t failure?
My s h o e s t t i g h t l a t e l y S l i d e 1 5 a n d Igi p 6 9 6
A n u r s e a d m i t s a p a t ie n t w h o is e x p e r i e n c i n g a n e x a c e r b a t i o n of
he a rt failure. Wh a t action wo uld the n ur se t a k e r s t ?
A s s e s s the patient’s respiratory st atu s S l i d e s 1 3 a n d 1 4 Igi p g
695 T he nurse performing a physical a ssess men t on a patient
with k n o wn
car d io va scu la r d is e a s e o b s e r v e s ascit e s a n d + 3 pitting e d e m a to
lower ext remit ies. T h e pat ient repo rts loss of ap p etit e a n d n a u s e a .
H o w d oe s the nu rse interpret t hese nd ings?
Right Side Heart Failure
A patient h a s b ee n diagn o sed with hypertension but d oe s not
t a k e t h e p r es cr ib ed an t ih y p e rt e ns i v e m e d i c a t i o n b e c a u s e of
t he pat ient’s l a c k of s y m p t o m s . W h a t is t h e b e s t r e s p o n s e b y
the nurse?
, HESI MED SURG Form A & B | Questions and Answers 2024/2025
Most p e o p l e wit h h y p e r t e n s i o n d o n o t h a v e s y m p t o m s Slides 13 and
14 pg 722
HESI MED SURG Form A & B | Questions and Answers 2024/2025
Updates
A nur sing m a n a g e r is c on c e r n e d about the n u m b e r of infections on
the hospital unit. W h a t ac tion b y the m a n a g e r wo uld be s t help?
A s s e s s staf f me mb e r s ' hand h ygi ene □ This is the best
p r ac t i ce s an s w e r - P o w e r P o i n t ( P P ) S l i d e
7 Igi- P g 418.
T h e n u r sin g instructor e xp la in in g infection tells st u d e n t s that
wh i ch factor is the b es t a n d m o s t imp ort ant barrier to infection?
Intact skin a n d m u c o u s m e m b r a n e P o w e r P o in t S l i d e 5 Igi - p 4 1 5
W h i c h t yp e of t ra n s m i s s i o n - b a s e d p r e c a u t i on s m u s t t h e n u r s e u s e
to p r e v e n t t h e t ra n s m i s s i o n of tuber cu losis ?
Airborne Precautions p g 4 1 9
A n u r se is a s s e s s i n g p atients o n a m ed ica l- su r gical unit. Wh i ch
ad u lt p atient d o e s t h e n u r s e identify a s b e i n g at g r ea t e s t risk for
insensible water loss?
A patient w h o is febrile with d ia p ho re s is
A nu rse is a s s e s s i n g a patient with h yp o k a l e mi a a n d notes that
the patient’s hand-grip strength h a s diminished since the
previous ass ess me nt 1 hour ago. What action does the nurse
take F I R S T ?
A s s e s s the patient's respiratory rate, rh y thm, a n d depth F lu i d
and Electrolyte table p a g e 2
W h i c h patient is at risk for h y p o k a l e m i a ?
Patient with pancreatitis who h a s continuous n asoga str ic suction
F l u i d a nd E l ec t r o l y t e T a b l e p g 2
1 . W h a t is t h e m i n i m u m a m o u n t of u r in e p e r d a y n e e d e d to
excrete toxic products?
4 0 0 to 6 0 0 m L Slide 6 p g 1 6 5
A patient with h ear t failure a s k s , ― W h y d o I n e e d to w e i g h m y s e l f
every day?‖ How would the nurse respond?
― Weight i s t h e b e s t i n d i c a t i o n t h a t y o u a r e g a i n i n g o r l o s i n g f l u i d . " p g . 1 6 8
, HESI MED SURG Form A & B | Questions and Answers 2024/2025
T h e patient wh o h a s u n d e r g o ne which surgical p rocedure is
m o s t at risk for h y p o c a l c e m i a ?
Parathyroidectomy
A n u r s e is c a r i n g for a pat ient w h o is e x p e r i e n c i n g e x c e s s i v e
diarrhea. T h e patient’s arterial blood g a s v alues are p H 7.18,
PaO2 98 m m Hg, PaCO2 45 m m Hg and
H C O 3 1 6 mEq /L. Wh ich provider order d o e s th e nu rse e x p e c t to receive?
S o d i u m B i c a r b o n a t e 1 0 0 m E q d ilu te d in 1 Liter of D 5 W P o w e r
Point Slid e 1 1 in n o te s Igi p a g e 1 9 5
T h e n u r s e is c a r i n g for a pat ient w h o is h yp e rve nt ila t in g. T h e
p a t i e n t ’ s arterial blood g a s v a l u e s a r e p H 7 .52 , P a O 2 9 4 m m H g ,
PaCO2 31 m m H g and H C O 3 26 m Eq . Which question would the
nurse a s k w h e n de velop in g this
patient ’s p l a n of c a r e ?
Y o u a p p e a r a n x i o u s . Wh at i s c a u s i n g y o u r d i s t r e s s ? Open end
q uestion A s k i n g for cla r i c at i o n
A p a t i e n t w h o h a s Cl o s t r i d i o i d e s d i f i c i l e w i t h s e v e r e d i a r r h e a will
likely h a v e related alteration in which acid b a s e b a la nce ?
Metabolic Acidosis Slid e 1 1 p 1 9 2
W h i c h n u r s i n g a s s e s s m e n t n d i n g in d ica t es a w o r s e n i n g of
respiratory acidosis?
Respiratory Depression pg. 192
A pat ient h a s t a k e n a n t a c i d s for t h e p a s t 3 w e e k s to reliev e h e a rt
burn. W h a t alteration in the acid b a s e b a l a n c e with the nu r s e likely
nd?
Metabolic Alkalosis p g . 1 9 6
T h e p e r s o n i s w i t h r e s p i r a t o r y a c i d o s i s i s c o n s i d e r e d full
co m p e n s a t e d with which A B G ?
p H 7 . 3 5 P a C O 2 i s 7 5 a n d t h e H C O 3 is 3 0 Slide 16 p g 1 9 0
, HESI MED SURG Form A & B | Questions and Answers 2024/2025
A n e m e r g e n c y d e p a r t m e n t n u r s e ob t a i n s t h e h ea lt h history of a
patient. Wh i ch s t a t e me n t b y the patient wou ld alert the nu r s e to
t he o c c u r r e n c e of he a rt failure?
I g e t short of breath w h e n I clim b stairs
T h e n u r s e e v a l u a t e s prescript io ns for a pat ient with ch ron ic
he a rt failure. Wh i c h c l a s s of m e d i c a t i o n s wou ld t h e n u r s e
exp ect to n d on the patient’s medication administration record
to d e c r e a s e card ia c workload?
A c e Inhibitors S lides 1 7 a n d 2 3 . J C HA O C o r e M easure
A n u r s e p r ep a r e s to d i sc h a r g e a patient with chr onic h ea rt failure
h o m e w h o is p r es cr ib ed h o m e h ea lt h care ser vice s. W hi c h priority
information would b e c o m m u n i c a t e d to the h o m e health n ur s e
upon discharge?
Medication reconciliation Slid e s 2 3 2 4 a n d Igi table 35 -4
A n u r s e a s s e s s e s a patient in a n outpatient clinic. W h i c h
s t a t e m e n t a l er t s t h e n u r s e t o t h e p o s sib ilit y of left- s i d e d h e a r t
failure?
I w a k e u p a t n i g h t s h o r t of b r e a t h . S l i d e 1 2 a n d 1 4 I gi p . 6 9 5
A n u r s e a s s e s s e s a patient a d m it t e d to th e c ar d i a c unit. W h i c h
s t a t e m e n t b y t h e pat ie nt alerts t h e n u r s e to t he possibility of
right-sided h ea r t failure?
My s h o e s t t i g h t l a t e l y S l i d e 1 5 a n d Igi p 6 9 6
A n u r s e a d m i t s a p a t ie n t w h o is e x p e r i e n c i n g a n e x a c e r b a t i o n of
he a rt failure. Wh a t action wo uld the n ur se t a k e r s t ?
A s s e s s the patient’s respiratory st atu s S l i d e s 1 3 a n d 1 4 Igi p g
695 T he nurse performing a physical a ssess men t on a patient
with k n o wn
car d io va scu la r d is e a s e o b s e r v e s ascit e s a n d + 3 pitting e d e m a to
lower ext remit ies. T h e pat ient repo rts loss of ap p etit e a n d n a u s e a .
H o w d oe s the nu rse interpret t hese nd ings?
Right Side Heart Failure
A patient h a s b ee n diagn o sed with hypertension but d oe s not
t a k e t h e p r es cr ib ed an t ih y p e rt e ns i v e m e d i c a t i o n b e c a u s e of
t he pat ient’s l a c k of s y m p t o m s . W h a t is t h e b e s t r e s p o n s e b y
the nurse?
, HESI MED SURG Form A & B | Questions and Answers 2024/2025
Most p e o p l e wit h h y p e r t e n s i o n d o n o t h a v e s y m p t o m s Slides 13 and
14 pg 722
