Med-Surg HESI EXAM QUESTIONS AND
ANSWERS GRADED A+ ASSURED SUCCESS
NEW UPDATE 2025/2026 (MULTIPLE CHOICES)
WITH RATIONALES.
Save
Terms in this set (20)
Which intervention should the nurse b. Place a large tourniquet at the client's bedside.
plan to implement when caring for
a client who has just undergone a A large tourniquet should be placed in plain sight
right above-the-knee amputation? at the client's bedside, in the event severe
a. Maintain the residual limb on bleeding occurs. The purpose is to have the
three pillows at all times. tourniquet available to apply to the residual limb
b. Place a large tourniquet at the to control bleeding if hemorrhaging was to
client's bedside. occur.
c. Apply constant, direct pressure
to the residual limb.
d. Do not allow the client to lie in
the prone position.
, The nurse formulates the nursing a. Teach the client techniques of intermittent self-
problem of urinary retention catheterization.
related to sensorimotor deficit for a
client with multiple sclerosis. Which Bladder control is a common problem for clients
nursing intervention should the diagnosed with multiple sclerosis. A client with
nurse implement? urinary retention should receive instructions
a. Teach the client techniques of about self-catheterization to prevent bladder
intermittent self-catheterization. distention.
b. Decrease fluid intake to prevent
over distention of the bladder.
c. Use incontinence briefs to
maintain hygiene with urinary
dribbling.
d. Explain that anticholinergic drugs
will decrease muscle spasticity.
The nurse is initiating the client's c. Draw the trough 5 minutes before and the peak
fourth dose of gentamycin sulfate 30 minutes after the next dose.
IV. The health care provider (HCP)
has prescribed peak and trough Peak drug serum levels are achieved 30 minutes
levels. Which is the most important after the completion of the IV infusion of
action for the nurse to implement gentamicin sulfate. The best time to draw a
next? trough is the closest time to the next prior
a. Draw the peak 15 minutes before administration.
and the trough 15 minutes after the
next dose.
b. Draw the peak one hour before
and one hour after the next dose.
c. Draw the trough 5 minutes before
and the peak 30 minutes after the
next dose.
d. Draw the trough 30 minutes
before and 30 minutes after the
next dose.
ANSWERS GRADED A+ ASSURED SUCCESS
NEW UPDATE 2025/2026 (MULTIPLE CHOICES)
WITH RATIONALES.
Save
Terms in this set (20)
Which intervention should the nurse b. Place a large tourniquet at the client's bedside.
plan to implement when caring for
a client who has just undergone a A large tourniquet should be placed in plain sight
right above-the-knee amputation? at the client's bedside, in the event severe
a. Maintain the residual limb on bleeding occurs. The purpose is to have the
three pillows at all times. tourniquet available to apply to the residual limb
b. Place a large tourniquet at the to control bleeding if hemorrhaging was to
client's bedside. occur.
c. Apply constant, direct pressure
to the residual limb.
d. Do not allow the client to lie in
the prone position.
, The nurse formulates the nursing a. Teach the client techniques of intermittent self-
problem of urinary retention catheterization.
related to sensorimotor deficit for a
client with multiple sclerosis. Which Bladder control is a common problem for clients
nursing intervention should the diagnosed with multiple sclerosis. A client with
nurse implement? urinary retention should receive instructions
a. Teach the client techniques of about self-catheterization to prevent bladder
intermittent self-catheterization. distention.
b. Decrease fluid intake to prevent
over distention of the bladder.
c. Use incontinence briefs to
maintain hygiene with urinary
dribbling.
d. Explain that anticholinergic drugs
will decrease muscle spasticity.
The nurse is initiating the client's c. Draw the trough 5 minutes before and the peak
fourth dose of gentamycin sulfate 30 minutes after the next dose.
IV. The health care provider (HCP)
has prescribed peak and trough Peak drug serum levels are achieved 30 minutes
levels. Which is the most important after the completion of the IV infusion of
action for the nurse to implement gentamicin sulfate. The best time to draw a
next? trough is the closest time to the next prior
a. Draw the peak 15 minutes before administration.
and the trough 15 minutes after the
next dose.
b. Draw the peak one hour before
and one hour after the next dose.
c. Draw the trough 5 minutes before
and the peak 30 minutes after the
next dose.
d. Draw the trough 30 minutes
before and 30 minutes after the
next dose.
