MEDSURG HESI Questions with Detailed Verified
Answers
Two hours before a client's scheduled surgery, the nurse is completing the
preoperative checklist. Which information requires the most immediate action by the
nurse?
A. Surgical consent form is not signed
B. Preoperative serum potassium level is 2.8 mEq/L (2.8mmol/L)
C.Preoperative chest x-ray report is not available
D. Client's pulse oximeter reading is 96% Ans: B
One hour after major abdominal surgery, a client in the post anesthesia care unit
(PACU) has a blood pressure (BP) of 136/80 mmHg. Fifteen minutes later it is 114/72
mmHg. Which action should the nurse take first?
A. Increase frequency of BP assessments
B. Review the client's baseline BP trends
C. Check the abdominal surgical dressing
D. Encourage the client to breathe deeply Ans: C
The nurse is assessing a client's arteriovenous (AV) fistula. Which finding provides
evidence of its normal function?
A. Ecchymotic area
,B. Enlarged vein
C. Pulselessness
D. Redness Ans: B
Which instruction should the nurse include in the discharge teaching for a client who
has gastroesophageal reflux?
A. Encourage the client to lie down and rest after meals
B. Remind the client to avoid high-fiber foods
C. Teach the client to elevate the head of the bed on blocks
D. Instruct the client to use antacids only as a last resort Ans: C
Following a transurethral resection of the prostate (TURP), a client is discharged from
the hospital with an indwelling urinary catheter. Which instruction is important for the
nurse to include in the discharge teaching plan?
A. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
C. Eliminate all spicy foods from your diet
D. Clamp the catheter when taking a shower Ans: B
A client with chronic cirrhosis has esophageal varies. It is most important for the nurse
to monitor the client for the onset of which problem?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis Ans: A
After three days of persistent epigastric pain, a female client presents to the clinic. She
has been taking oral antacids without relief. Her vital signs are heart rate 122
beats/min, respirations 16 breaths/minute, oxygen saturation 96%, and blood pressure
116/70mmHg. The nurse obtains a 12-lead electrocardiogram (ECG). Which
assessment finding is most critical?
A. Irregular pulse rate
B. ST elevation in three leads
C. Complaint of radiating jaw pain
D. Bile colored emesis Ans: B
A client's laboratory findings indicate elevations in thyroxine and triiodothyronine
hormones. The nurse suspects that the client may have hyperthyroidism. Which
assessment finding is most often associated with hyperthyroidism?
A. Increased pulse rate
B. Diarrhea stools
C. Atrophied thyroid gland
© Get it right 2025 Getaway - Stuvia US All rights reserved
Answers
Two hours before a client's scheduled surgery, the nurse is completing the
preoperative checklist. Which information requires the most immediate action by the
nurse?
A. Surgical consent form is not signed
B. Preoperative serum potassium level is 2.8 mEq/L (2.8mmol/L)
C.Preoperative chest x-ray report is not available
D. Client's pulse oximeter reading is 96% Ans: B
One hour after major abdominal surgery, a client in the post anesthesia care unit
(PACU) has a blood pressure (BP) of 136/80 mmHg. Fifteen minutes later it is 114/72
mmHg. Which action should the nurse take first?
A. Increase frequency of BP assessments
B. Review the client's baseline BP trends
C. Check the abdominal surgical dressing
D. Encourage the client to breathe deeply Ans: C
The nurse is assessing a client's arteriovenous (AV) fistula. Which finding provides
evidence of its normal function?
A. Ecchymotic area
,B. Enlarged vein
C. Pulselessness
D. Redness Ans: B
Which instruction should the nurse include in the discharge teaching for a client who
has gastroesophageal reflux?
A. Encourage the client to lie down and rest after meals
B. Remind the client to avoid high-fiber foods
C. Teach the client to elevate the head of the bed on blocks
D. Instruct the client to use antacids only as a last resort Ans: C
Following a transurethral resection of the prostate (TURP), a client is discharged from
the hospital with an indwelling urinary catheter. Which instruction is important for the
nurse to include in the discharge teaching plan?
A. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
C. Eliminate all spicy foods from your diet
D. Clamp the catheter when taking a shower Ans: B
A client with chronic cirrhosis has esophageal varies. It is most important for the nurse
to monitor the client for the onset of which problem?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis Ans: A
After three days of persistent epigastric pain, a female client presents to the clinic. She
has been taking oral antacids without relief. Her vital signs are heart rate 122
beats/min, respirations 16 breaths/minute, oxygen saturation 96%, and blood pressure
116/70mmHg. The nurse obtains a 12-lead electrocardiogram (ECG). Which
assessment finding is most critical?
A. Irregular pulse rate
B. ST elevation in three leads
C. Complaint of radiating jaw pain
D. Bile colored emesis Ans: B
A client's laboratory findings indicate elevations in thyroxine and triiodothyronine
hormones. The nurse suspects that the client may have hyperthyroidism. Which
assessment finding is most often associated with hyperthyroidism?
A. Increased pulse rate
B. Diarrhea stools
C. Atrophied thyroid gland
© Get it right 2025 Getaway - Stuvia US All rights reserved
