HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
While at a home game, the mother of a 6-year-old is heard screaming, "My child is
having an asthma attack! Can anyone help?" The nurse arrives and finds the child
gasping for breath with circumoral cyanosis. What are the nurse's next actions?
(Select all that apply.)
A.
Yell, "Call 911."
B.
Ask the mother if she has the child's bronchodilator.
C.
Start cardiopulmonary respirations.
D.
Ask the mother if the child is allergic to bee stings.
E.
Stay with the child and mother until the ambulance arrives.
F.
Sit the child straight up in Fowler's position. - correct answer A, B, E, F
Rationale:CPR is not needed at this time as the child is still moving air. An allergy to
bee stings is related to anaphylactic shock, which is not the situation here. The
remaining actions are correct for asthma.
,HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A.
Stress incontinence
B.
Infection
C.
Painless gross hematuria
D.
Peritonitis - correct answer B
Rationale:Infection is the major complication resulting from stasis of urine and
subsequent catheterization. Option A is the involuntary loss of urine through an
intact urethra as a result of a sudden increase in intra-abdominal pressure. Option C is
the most common symptom of bladder cancer. Option D is the most common and
serious complication of peritoneal dialysis.
The client is admitted to an inpatient unit from the Emergency Department with a
swollen, reddened area to the left calf which is warm and painful to the touch. The
results of the remaining tests are pending. What admission prescriptions does the
nurse anticipate from the healthcare provider? (Select all that apply.)
A.
Bed rest
,HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
B.
Elevate the right leg.
C.
Anticoagulant therapy
D.
Massage the area of calf tenderness tid.
E.
Warm moist compress to the area of calf tenderness tid
F.
Place a pillow under the left knee. - correct answer A, C, E
Rationale:The left leg needs to be elevated above the level of the heart, not the right
leg. Massaging the area of tenderness could dislodge the clot and cause a pulmonary
embolism. Avoid the use of the knee gatch or a pillow under the knee as that could
cause stasis in the lower leg. The remaining are recommendations for the client with a
deep vein thrombosis.
Which content about self-care should the nurse include in the teaching plan of a
female client who has genital herpes? (Select all that apply.)
A.
Encourage annual physical and Pap smear.
B.
Take antiviral medication as prescribed.
, HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
C.
Use condoms to avoid transmission to others.
D.
Warm sitz baths may relieve itching.
E.
Use Nystatin suppositories to control itching.
F.
Use a douche with weak vinegar solution to decrease itching. - correct answer A, B, C,
D
Rationale:The nurse should include (A, B, C, and D) in the teaching plan of a female
client with genital herpes. (E) is specific for Candida infections, and option (F) is used
to treat Trichomonas.
The nurse initiates neurologic checks for a client who is at risk for neurologic
compromise. Which manifestation typically provides the first indication of altered
neurologic function?
A.
Change in level of consciousness
B.
Increasing muscular weakness
C.
Changes in pupil size bilaterally
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
While at a home game, the mother of a 6-year-old is heard screaming, "My child is
having an asthma attack! Can anyone help?" The nurse arrives and finds the child
gasping for breath with circumoral cyanosis. What are the nurse's next actions?
(Select all that apply.)
A.
Yell, "Call 911."
B.
Ask the mother if she has the child's bronchodilator.
C.
Start cardiopulmonary respirations.
D.
Ask the mother if the child is allergic to bee stings.
E.
Stay with the child and mother until the ambulance arrives.
F.
Sit the child straight up in Fowler's position. - correct answer A, B, E, F
Rationale:CPR is not needed at this time as the child is still moving air. An allergy to
bee stings is related to anaphylactic shock, which is not the situation here. The
remaining actions are correct for asthma.
,HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A.
Stress incontinence
B.
Infection
C.
Painless gross hematuria
D.
Peritonitis - correct answer B
Rationale:Infection is the major complication resulting from stasis of urine and
subsequent catheterization. Option A is the involuntary loss of urine through an
intact urethra as a result of a sudden increase in intra-abdominal pressure. Option C is
the most common symptom of bladder cancer. Option D is the most common and
serious complication of peritoneal dialysis.
The client is admitted to an inpatient unit from the Emergency Department with a
swollen, reddened area to the left calf which is warm and painful to the touch. The
results of the remaining tests are pending. What admission prescriptions does the
nurse anticipate from the healthcare provider? (Select all that apply.)
A.
Bed rest
,HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
B.
Elevate the right leg.
C.
Anticoagulant therapy
D.
Massage the area of calf tenderness tid.
E.
Warm moist compress to the area of calf tenderness tid
F.
Place a pillow under the left knee. - correct answer A, C, E
Rationale:The left leg needs to be elevated above the level of the heart, not the right
leg. Massaging the area of tenderness could dislodge the clot and cause a pulmonary
embolism. Avoid the use of the knee gatch or a pillow under the knee as that could
cause stasis in the lower leg. The remaining are recommendations for the client with a
deep vein thrombosis.
Which content about self-care should the nurse include in the teaching plan of a
female client who has genital herpes? (Select all that apply.)
A.
Encourage annual physical and Pap smear.
B.
Take antiviral medication as prescribed.
, HESI RN med-surg version a & version b
2024-2025 actual exam each exam
contains 125 questions and correct
detailed answers
C.
Use condoms to avoid transmission to others.
D.
Warm sitz baths may relieve itching.
E.
Use Nystatin suppositories to control itching.
F.
Use a douche with weak vinegar solution to decrease itching. - correct answer A, B, C,
D
Rationale:The nurse should include (A, B, C, and D) in the teaching plan of a female
client with genital herpes. (E) is specific for Candida infections, and option (F) is used
to treat Trichomonas.
The nurse initiates neurologic checks for a client who is at risk for neurologic
compromise. Which manifestation typically provides the first indication of altered
neurologic function?
A.
Change in level of consciousness
B.
Increasing muscular weakness
C.
Changes in pupil size bilaterally
