HESI RN Med-Surge Practice Exam
QUESTIONS WITH CORRECT
ANSWERS GRADED A+2025 REAl
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?
The dosage of the diuretic will be decreased.
The diuretic will be discontinued.
A potassium supplement will be prescribed.
The dosage of the diuretic will be increased.
A potassium supplement will be prescribed
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry
unit. What initial medication should the nurse anticipate administering to the
client?
Xylocaine.
Procainamide.
Phenytoin.
Digoxin.
Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be
evaluated for what vitamin deficiency?
K.
,B12.
B6.
C.
K
A client who is receiving chemotherapy asks the nurse, "Why is so much of
my hair falling out each day?" Which response by the nurse best explains the
reason for alopecia?
Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant."
"Alopecia is a common side effect you will experience during long-term steroid
therapy."
"Your hair will grow back completely after your course of chemotherapy is
completed."
"The chemotherapy causes permanent alterations in your hair follicles that
lead to hair loss."
Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant
The nurse is preparing a teaching plan for a client who is newly diagnosed
with type 1 diabetes mellitus. Which clinical cues should the nurse describe
when teaching the client about hypoglycemia?
Sweating, trembling, tachycardia.
Polyuria, polydipsia, polyphagia.
Nausea, vomiting, anorexia.
Fruity breath, tachypnea, chest pain.
Sweating, trembling, tachycardia
An adult client who is hospitalized after surgery reports sudden onset of chest
pain and dyspnea. the client appears anxious, restless, and mildly cyanotic.
the nurse should further assess the client for which condition?
Pulmonary embolism.
Heart failure.
,Tuberculosis.
Bronchitis.
Pulmonary embolism
which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (select all that apply)
Quality of the pain.
Signs of inflammation.
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint
Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
Joint pain is worse in the morning and involves symmetric joints.
Joint pain is better in the morning and worsens throughout the day.
Joint pain is consistent throughout the day and is relieved by pain medication.
Joint pain is worse during the day and involves unilateral joints.
Joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss.
, Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication. Incorrect
Peripheral cyanosis.
Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders.
Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
I will cut back on smoking cigarettes daily.
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise.
I will eat a bland, low-fat, high-protein diet.
I will cut back on smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply)
Remove the diaphragm immediately after intercourse.
Wash the diaphragm with an alcohol solution.
Use the diaphragm to prevent conception during the menstrual cycle.
Do not leave the diaphragm in place longer than 8 hours after intercourse.
Replace the old diaphragm every 3 months.
QUESTIONS WITH CORRECT
ANSWERS GRADED A+2025 REAl
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?
The dosage of the diuretic will be decreased.
The diuretic will be discontinued.
A potassium supplement will be prescribed.
The dosage of the diuretic will be increased.
A potassium supplement will be prescribed
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry
unit. What initial medication should the nurse anticipate administering to the
client?
Xylocaine.
Procainamide.
Phenytoin.
Digoxin.
Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be
evaluated for what vitamin deficiency?
K.
,B12.
B6.
C.
K
A client who is receiving chemotherapy asks the nurse, "Why is so much of
my hair falling out each day?" Which response by the nurse best explains the
reason for alopecia?
Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant."
"Alopecia is a common side effect you will experience during long-term steroid
therapy."
"Your hair will grow back completely after your course of chemotherapy is
completed."
"The chemotherapy causes permanent alterations in your hair follicles that
lead to hair loss."
Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant
The nurse is preparing a teaching plan for a client who is newly diagnosed
with type 1 diabetes mellitus. Which clinical cues should the nurse describe
when teaching the client about hypoglycemia?
Sweating, trembling, tachycardia.
Polyuria, polydipsia, polyphagia.
Nausea, vomiting, anorexia.
Fruity breath, tachypnea, chest pain.
Sweating, trembling, tachycardia
An adult client who is hospitalized after surgery reports sudden onset of chest
pain and dyspnea. the client appears anxious, restless, and mildly cyanotic.
the nurse should further assess the client for which condition?
Pulmonary embolism.
Heart failure.
,Tuberculosis.
Bronchitis.
Pulmonary embolism
which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (select all that apply)
Quality of the pain.
Signs of inflammation.
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint
Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
Joint pain is worse in the morning and involves symmetric joints.
Joint pain is better in the morning and worsens throughout the day.
Joint pain is consistent throughout the day and is relieved by pain medication.
Joint pain is worse during the day and involves unilateral joints.
Joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss.
, Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication. Incorrect
Peripheral cyanosis.
Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders.
Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
I will cut back on smoking cigarettes daily.
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise.
I will eat a bland, low-fat, high-protein diet.
I will cut back on smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply)
Remove the diaphragm immediately after intercourse.
Wash the diaphragm with an alcohol solution.
Use the diaphragm to prevent conception during the menstrual cycle.
Do not leave the diaphragm in place longer than 8 hours after intercourse.
Replace the old diaphragm every 3 months.
