1|Page
Med-Surg HESI Exam Questions And Answers Practice
Questions With Solutions Newest Complete Questions And
Correct Detailed Answers| Already Graded A+ (Multiple
Choices) With Rationales.
Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation?
a. Maintain the residual limb on three pillows at all times.
b. Place a large tourniquet at the client's bedside.
c. Apply constant, direct pressure to the residual limb.
d. Do not allow the client to lie in the prone position. - ANSWER-b. Place a large tourniquet at
the client's bedside.
A large tourniquet should be placed in plain sight at the client's bedside, in the event severe
bleeding occurs. The purpose is to have the tourniquet available to apply to the residual limb to
control bleeding if hemorrhaging was to occur.
The nurse formulates the nursing problem of urinary retention related to sensorimotor deficit for
a client with multiple sclerosis. Which nursing intervention should the nurse implement?
a. Teach the client techniques of intermittent self-catheterization.
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. - ANSWER-a. Teach the
client techniques of intermittent self-catheterization.
Bladder control is a common problem for clients diagnosed with multiple sclerosis. A client with
urinary retention should receive instructions about self-catheterization to prevent bladder
distention.
, 2|Page
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care provider
(HCP) has prescribed peak and trough levels. Which is the most important action for the nurse to
implement next?
a. Draw the peak 15 minutes before 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. - ANSWER-c. Draw
the trough 5 minutes before and the peak 30 minutes after the next dose.
Peak drug serum levels are achieved 30 minutes after the completion of the IV infusion of
gentamicin sulfate. The best time to draw a trough is the closest time to the next prior
administration.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
a. Sodium.
b. Antidiuretic hormone.
c. Potassium.
d. Glucose. - ANSWER-c. Potassium.
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of
potassium (hypokalemia). Hypertension, along with the hypokalemia are the most prominent and
universal signs for this condition. If both of these findings are present, there is a 50% likelihood
the client will be diagnosed with hyperaldosteronism.
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
a. Stay out of direct sunlight.
b. Restrict intake of high protein foods.
c. Schedule extra rest periods.
Med-Surg HESI Exam Questions And Answers Practice
Questions With Solutions Newest Complete Questions And
Correct Detailed Answers| Already Graded A+ (Multiple
Choices) With Rationales.
Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation?
a. Maintain the residual limb on three pillows at all times.
b. Place a large tourniquet at the client's bedside.
c. Apply constant, direct pressure to the residual limb.
d. Do not allow the client to lie in the prone position. - ANSWER-b. Place a large tourniquet at
the client's bedside.
A large tourniquet should be placed in plain sight at the client's bedside, in the event severe
bleeding occurs. The purpose is to have the tourniquet available to apply to the residual limb to
control bleeding if hemorrhaging was to occur.
The nurse formulates the nursing problem of urinary retention related to sensorimotor deficit for
a client with multiple sclerosis. Which nursing intervention should the nurse implement?
a. Teach the client techniques of intermittent self-catheterization.
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. - ANSWER-a. Teach the
client techniques of intermittent self-catheterization.
Bladder control is a common problem for clients diagnosed with multiple sclerosis. A client with
urinary retention should receive instructions about self-catheterization to prevent bladder
distention.
, 2|Page
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care provider
(HCP) has prescribed peak and trough levels. Which is the most important action for the nurse to
implement next?
a. Draw the peak 15 minutes before 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. - ANSWER-c. Draw
the trough 5 minutes before and the peak 30 minutes after the next dose.
Peak drug serum levels are achieved 30 minutes after the completion of the IV infusion of
gentamicin sulfate. The best time to draw a trough is the closest time to the next prior
administration.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
a. Sodium.
b. Antidiuretic hormone.
c. Potassium.
d. Glucose. - ANSWER-c. Potassium.
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of
potassium (hypokalemia). Hypertension, along with the hypokalemia are the most prominent and
universal signs for this condition. If both of these findings are present, there is a 50% likelihood
the client will be diagnosed with hyperaldosteronism.
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
a. Stay out of direct sunlight.
b. Restrict intake of high protein foods.
c. Schedule extra rest periods.
