Page 1 of 40
MEDICAL SURGICAL HESI RN EXAM WITH NGN
(2024/2025): 2 Versions, Verified Q&A,
Instant Access
A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on this
finding, the nurse anticipates assisting the physician with which
treatment? ......ANSWER........Perform synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-term
facility that she does not want to be assigned to one particular
resident. She reports that the male client keeps insisting that she
is his daughter and begs her to stay in his room. What is the best
managerial decision? ......ANSWER........Reassign the PN until the
resident can be assessed more completely for reality orientation.
Client census is often used to determine staffing needs. Which
method of obtaining census determination for a particular unit
provides the best formula for determining long-range staffing
patterns? ......ANSWER........Average daily census
The nurse is counseling a healthy 30-year-old female client
regarding osteoporosis prevention. Which activity would be most
beneficial in achieving the client's goal of osteoporosis
prevention? ......ANSWER........Cross-country skiing
Which condition should the nurse anticipate as a potential
problem in a female client with a neurogenic bladder?
......ANSWER........Infection
A client is being discharged following radioactive seed
implantation for prostate cancer. What is the most important
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information that the nurse should provide to this client's family?
......ANSWER........Follow exposure precautions.
In assessing a client with an arteriovenous (AV) shunt who is
scheduled for dialysis today, the nurse notes the absence of a
thrill or bruit at the shunt site. What action should the nurse take?
......ANSWER........Notify the healthcare provider of the findings
immediately.
The nurse notes that the client's drainage has decreased from 50
to 5 mL/hr 12 hours after chest tube insertion for hemothorax.
What is the best initial action for the nurse to take?
......ANSWER........Assess for kinks or dependent loops in the
tubing.
The nurse is assessing a 75-year-old client for symptoms of
hyperglycemia. Which symptom of hyperglycemia is an older
adult most likely to exhibit? ......ANSWER........Infection
Which abnormal laboratory finding indicates that a client with
diabetes needs further evaluation for diabetic nephropathy?
......ANSWER........Microalbuminuria
Which change in laboratory values indicates to the nurse that a
client with rheumatoid arthritis may be experiencing an adverse
effect of methotrexate therapy? ......ANSWER........Decrease in
hemoglobin level
Which consideration is most important when the nurse is assigning
a room for a client being admitted with progressive systemic
sclerosis (scleroderma)? ......ANSWER........Provide a room that can
be kept warm.
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The nurse is reviewing routine medications taken by a client with
chronic angle-closure glaucoma. Which medication prescription
should the nurse question? ......ANSWER........Anticholinergic with a
side effect of pupillary dilation
During the change of shift report, the charge nurse reviews the
infusions being received by clients on the oncology unit. The client
receiving which infusion should be assessed first?
......ANSWER........Continuous epidural infusion of morphine
The nurse assesses a postoperative client whose skin is cool, pale,
and moist. The client is very restless and has scant urine output.
Oxygen is being administered at 2 L/min, and a saline lock is in
place. Which action should the nurse take first?
......ANSWER........Obtain IV fluids for infusion per protocol.
A client with type 2 diabetes takes metformin daily. The client is
scheduled for major surgery requiring general anesthesia the
next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the
perioperative period? ......ANSWER........Regular insulin
subcutaneously per sliding scale
The nurse is preparing a teaching plan for a group of healthy
adults. Which individual is most likely to maintain optimum
health? ......ANSWER........A teacher whose blood glucose levels
average 126 mg/dL daily with oral antidiabetic drugs
A client with hypertension has been receiving ramipril, 5 mg PO,
daily for 2 weeks and is scheduled to receive a dose at 0900.
At 0830, the client's blood pressure is 120/70 mm Hg. Which
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action should the nurse take? ......ANSWER........Administer the
prescribed dose at the scheduled time.
When assigning clients on a medical-surgical floor to an RN and
a PN, it is best for the charge nurse to assign which client to the
PN? ......ANSWER........An older adult client with pneumonia and
viral meningitis
A resident in a long-term care facility is diagnosed with hepatitis
B. Which action should the nurse take with the staff caring for this
client? ......ANSWER........Determine if all employees have had the
hepatitis B vaccine series.
During report, the nurse learns that a client with tumor lysis
syndrome is receiving an IV infusion containing insulin. Which
action should the nurse complete first? ......ANSWER........Monitor
the client's serum potassium and blood glucose levels.
A tornado warning alarm has been activated at the local
hospital. Which action should the charge nurse working on a
surgical unit take first? ......ANSWER........Move clients and visitors
into the hallways and close all doors to clients' rooms.
The nurse is assessing a client with acute pancreatitis. Which
finding requires the most immediate intervention by the nurse?
......ANSWER........The client has a carpal spasm when taking a
blood pressure.
The nurse is preparing a 45-year-old client for discharge from a
cancer center following ileostomy surgery for colon cancer.
Which discharge goal should the nurse include in this client's
MEDICAL SURGICAL HESI RN EXAM WITH NGN
(2024/2025): 2 Versions, Verified Q&A,
Instant Access
A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on this
finding, the nurse anticipates assisting the physician with which
treatment? ......ANSWER........Perform synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-term
facility that she does not want to be assigned to one particular
resident. She reports that the male client keeps insisting that she
is his daughter and begs her to stay in his room. What is the best
managerial decision? ......ANSWER........Reassign the PN until the
resident can be assessed more completely for reality orientation.
Client census is often used to determine staffing needs. Which
method of obtaining census determination for a particular unit
provides the best formula for determining long-range staffing
patterns? ......ANSWER........Average daily census
The nurse is counseling a healthy 30-year-old female client
regarding osteoporosis prevention. Which activity would be most
beneficial in achieving the client's goal of osteoporosis
prevention? ......ANSWER........Cross-country skiing
Which condition should the nurse anticipate as a potential
problem in a female client with a neurogenic bladder?
......ANSWER........Infection
A client is being discharged following radioactive seed
implantation for prostate cancer. What is the most important
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information that the nurse should provide to this client's family?
......ANSWER........Follow exposure precautions.
In assessing a client with an arteriovenous (AV) shunt who is
scheduled for dialysis today, the nurse notes the absence of a
thrill or bruit at the shunt site. What action should the nurse take?
......ANSWER........Notify the healthcare provider of the findings
immediately.
The nurse notes that the client's drainage has decreased from 50
to 5 mL/hr 12 hours after chest tube insertion for hemothorax.
What is the best initial action for the nurse to take?
......ANSWER........Assess for kinks or dependent loops in the
tubing.
The nurse is assessing a 75-year-old client for symptoms of
hyperglycemia. Which symptom of hyperglycemia is an older
adult most likely to exhibit? ......ANSWER........Infection
Which abnormal laboratory finding indicates that a client with
diabetes needs further evaluation for diabetic nephropathy?
......ANSWER........Microalbuminuria
Which change in laboratory values indicates to the nurse that a
client with rheumatoid arthritis may be experiencing an adverse
effect of methotrexate therapy? ......ANSWER........Decrease in
hemoglobin level
Which consideration is most important when the nurse is assigning
a room for a client being admitted with progressive systemic
sclerosis (scleroderma)? ......ANSWER........Provide a room that can
be kept warm.
,Page 3 of 40
The nurse is reviewing routine medications taken by a client with
chronic angle-closure glaucoma. Which medication prescription
should the nurse question? ......ANSWER........Anticholinergic with a
side effect of pupillary dilation
During the change of shift report, the charge nurse reviews the
infusions being received by clients on the oncology unit. The client
receiving which infusion should be assessed first?
......ANSWER........Continuous epidural infusion of morphine
The nurse assesses a postoperative client whose skin is cool, pale,
and moist. The client is very restless and has scant urine output.
Oxygen is being administered at 2 L/min, and a saline lock is in
place. Which action should the nurse take first?
......ANSWER........Obtain IV fluids for infusion per protocol.
A client with type 2 diabetes takes metformin daily. The client is
scheduled for major surgery requiring general anesthesia the
next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the
perioperative period? ......ANSWER........Regular insulin
subcutaneously per sliding scale
The nurse is preparing a teaching plan for a group of healthy
adults. Which individual is most likely to maintain optimum
health? ......ANSWER........A teacher whose blood glucose levels
average 126 mg/dL daily with oral antidiabetic drugs
A client with hypertension has been receiving ramipril, 5 mg PO,
daily for 2 weeks and is scheduled to receive a dose at 0900.
At 0830, the client's blood pressure is 120/70 mm Hg. Which
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action should the nurse take? ......ANSWER........Administer the
prescribed dose at the scheduled time.
When assigning clients on a medical-surgical floor to an RN and
a PN, it is best for the charge nurse to assign which client to the
PN? ......ANSWER........An older adult client with pneumonia and
viral meningitis
A resident in a long-term care facility is diagnosed with hepatitis
B. Which action should the nurse take with the staff caring for this
client? ......ANSWER........Determine if all employees have had the
hepatitis B vaccine series.
During report, the nurse learns that a client with tumor lysis
syndrome is receiving an IV infusion containing insulin. Which
action should the nurse complete first? ......ANSWER........Monitor
the client's serum potassium and blood glucose levels.
A tornado warning alarm has been activated at the local
hospital. Which action should the charge nurse working on a
surgical unit take first? ......ANSWER........Move clients and visitors
into the hallways and close all doors to clients' rooms.
The nurse is assessing a client with acute pancreatitis. Which
finding requires the most immediate intervention by the nurse?
......ANSWER........The client has a carpal spasm when taking a
blood pressure.
The nurse is preparing a 45-year-old client for discharge from a
cancer center following ileostomy surgery for colon cancer.
Which discharge goal should the nurse include in this client's
