HESI MED SURG REAL ACTUAL LATEST EXAM UPDATE
2026 COMPLETE STUDY QUESTIONS WITH VERIFIED
ANSWERS 100% GUARANTEED PASS | RATED A+
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? - Answer>>> reduce the rate of the nitroglycerin infusion
A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which
explanation should be included in preparing this client for this treatment? - Answer>>> describe
radioactive iodine as a tasteless, colorless medication administered by the healthcare provider
Following involvement in a motor vehicle collision, a middle aged adult client is admitted to the
hospital with multiple facial fractures. The clients blood alcohol level is high on admission.
Which PRN prescription should be administer if the clients begins to exhibit signs and symptoms
of delirium tremens (DT s)? - Answer>>> Lorazepam (Ativan) 2mg IM
A female client is being treated for tuberculosis with rifampin (rifadin) Which statement
indicates that futher teaching is needed? - Answer>>> I will take my usual contraceptive for
birth control
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? - Answer>>> Prepare the client to return to the operating room
The nurse is assessing a client who has returned from surgery following a thoracotomy. Which
finding indicates the client is experiencing adequate gas exchange? - Answer>>> The client
demonstrates effective coughing and deep breathing exercises
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? -
Answer>>> Fluid volume excess
,A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should
the nurse instruct the client to take the glucagon? - Answer>>> when recognized signs of severe
hypoglycemia occur
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? - Answer>>> Space the client's care to provide periods of rest
A healthcare worker with no known exposure to tuberculosis has received a Mantoux
tuberculosis skin test. The nurse's assessment of the test after 72 hours indicates 5mm of
erythema without induration. What isthe best initial nursing action? - Answer>>> Review
client's history for possible exposure to TB
The nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse encourage the client to follow? - Answer>>> Restrict protein
intake by limiting meats and other high-protein foods
The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted
with abdominal pain has just had a large black tarry stool. What intervention should the nurse
implement first? - Answer>>> Test the stool for occult blood
Which action is most important for the nurse to implement to reduce the risk for deep vein
thrombosis in a postoperative client? - Answer>>> Advise the client to perform leg exercises
regularly
Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.
What should the nurse tell the family? - Answer>>> Demonstrate the use of Visual Scanning.
A male client with asthma has bronchoconstriction and mucous production due to exercising.
What should the nurse do? - Answer>>> Determine if the client is using an inhaler before
exercising.
Suprapubic prostatectomy. Three-way catheter. Which assessment? - Answer>>> urine leakage
meatus
, A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a
chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent
exudate at the site. What action should the nurse implement? - Answer>>> Schedule an
appointment for the client to the healthcare provider.
The nurse learns in change of shift report that the x-ray report for a newly admitted client
indicates consolidation in the left lower lung. What action should the nurse take? - Answer>>>
Administer a PRN dose of a bronchodilator
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.) - Answer>>> Check his fingerstick
glucose level
Assess his skin temperature and moisture
Measure his pulse and blood pressure
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? - Answer>>> Irregular apical
pulse
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning sensation.
What action should the nurse take? - Answer>>> Continue to monitor the fingers until color
returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar
breath sounds. Vital signs are temperature 101F, heart rate 128 beats/minute, respirations28
breaths/minute, and blood pressure 122/82. Which intervention is most important for the nurse to
implement first - Answer>>> Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants notification of
2026 COMPLETE STUDY QUESTIONS WITH VERIFIED
ANSWERS 100% GUARANTEED PASS | RATED A+
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? - Answer>>> reduce the rate of the nitroglycerin infusion
A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which
explanation should be included in preparing this client for this treatment? - Answer>>> describe
radioactive iodine as a tasteless, colorless medication administered by the healthcare provider
Following involvement in a motor vehicle collision, a middle aged adult client is admitted to the
hospital with multiple facial fractures. The clients blood alcohol level is high on admission.
Which PRN prescription should be administer if the clients begins to exhibit signs and symptoms
of delirium tremens (DT s)? - Answer>>> Lorazepam (Ativan) 2mg IM
A female client is being treated for tuberculosis with rifampin (rifadin) Which statement
indicates that futher teaching is needed? - Answer>>> I will take my usual contraceptive for
birth control
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? - Answer>>> Prepare the client to return to the operating room
The nurse is assessing a client who has returned from surgery following a thoracotomy. Which
finding indicates the client is experiencing adequate gas exchange? - Answer>>> The client
demonstrates effective coughing and deep breathing exercises
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? -
Answer>>> Fluid volume excess
,A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should
the nurse instruct the client to take the glucagon? - Answer>>> when recognized signs of severe
hypoglycemia occur
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? - Answer>>> Space the client's care to provide periods of rest
A healthcare worker with no known exposure to tuberculosis has received a Mantoux
tuberculosis skin test. The nurse's assessment of the test after 72 hours indicates 5mm of
erythema without induration. What isthe best initial nursing action? - Answer>>> Review
client's history for possible exposure to TB
The nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse encourage the client to follow? - Answer>>> Restrict protein
intake by limiting meats and other high-protein foods
The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted
with abdominal pain has just had a large black tarry stool. What intervention should the nurse
implement first? - Answer>>> Test the stool for occult blood
Which action is most important for the nurse to implement to reduce the risk for deep vein
thrombosis in a postoperative client? - Answer>>> Advise the client to perform leg exercises
regularly
Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.
What should the nurse tell the family? - Answer>>> Demonstrate the use of Visual Scanning.
A male client with asthma has bronchoconstriction and mucous production due to exercising.
What should the nurse do? - Answer>>> Determine if the client is using an inhaler before
exercising.
Suprapubic prostatectomy. Three-way catheter. Which assessment? - Answer>>> urine leakage
meatus
, A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a
chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent
exudate at the site. What action should the nurse implement? - Answer>>> Schedule an
appointment for the client to the healthcare provider.
The nurse learns in change of shift report that the x-ray report for a newly admitted client
indicates consolidation in the left lower lung. What action should the nurse take? - Answer>>>
Administer a PRN dose of a bronchodilator
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.) - Answer>>> Check his fingerstick
glucose level
Assess his skin temperature and moisture
Measure his pulse and blood pressure
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? - Answer>>> Irregular apical
pulse
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning sensation.
What action should the nurse take? - Answer>>> Continue to monitor the fingers until color
returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar
breath sounds. Vital signs are temperature 101F, heart rate 128 beats/minute, respirations28
breaths/minute, and blood pressure 122/82. Which intervention is most important for the nurse to
implement first - Answer>>> Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants notification of
