Med Surg RN HESI latest update 2024/25 Med Surg HESI Practice Questions & Answers
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Course
Med surg
Institution
Med Surg
comprehensive assessment of a nursing student's medical-surgical nursing knowledge and clinical judgment, which is essential for providing high-quality patient care. best study guide
Med Surg RN HESI latest update 2024/25 Med Surg HESI
Practice Questions & Answers
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What is the best initial nursing action? - correct answer ✔ Observe
the color, consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and is receiving 100%
oxygen per self-inflating (ambu) bag. The nurse determines that the client is
cyanotic, cold, and diaphoretic. Which assessment is most important for the nurse
to obtain? - correct answer ✔ Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? - correct answer ✔ Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that he cannot put
his shoes on because they are too tight. Which additional information should the
nurse obtain? - correct answer ✔ Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary
disease (COPD) is admitted with progressive shortness of breath and a persistent
cough. She is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement? - correct answer ✔ Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, productive cough with thickened tenacious mucous, and the inability to
walk up a flight of stairs without experiencing breathlessness. Which action is
most important for the nurse to instruct the client about self-care? - correct
answer ✔ Increase the daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and ? % proximal right coronary artery (RCA). The client later asks the nurse "what
does all this mean for me?" What information should the nurse provide? - correct
answer ✔ Three main arteries have major blockages, with only 1 to 5% of blood
flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg.
The heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml
should the nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest tenth.) -
correct answer ✔ 0.6 ml
,Med Surg RN HESI latest update 2024/25 Med Surg HESI
Practice Questions & Answers
What information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)? - correct answer ✔
Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which
position should the nurse instruct the client to maintain? - correct answer ✔ left
lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider. - correct answer ✔ Yellow
sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse? - correct answer ✔ Weakened
cough effort
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft graft to promote burn healing. Which information should the
nurse provide this client? - correct answer ✔ The xenograft is taken from
nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and eviscerates. The nurse moistens an available sterile dressing and places it
over the wound. What intervention should the nurse implement next? - correct
answer ✔ Prepare the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117 mEq/L. Which nursing problem should the nurse include in
this client's plan of care? - correct answer ✔ Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After ruling
out substance withdrawal, the healthcare provider suspects hyperthyroidism and
admits her for further testing. Which action should the nurse implement? -
correct answer ✔ Space the client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse encourage the client to follow? -
correct answer ✔ Restrict protein intake by limiting meats and other high-protein
foods
, Med Surg RN HESI latest update 2024/25 Med Surg HESI
Practice Questions & Answers
An overweight, young adult made who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement? (Select
all that apply.) - correct answer ✔ Check his fingerstick glucose level.
Assess his skin temperature and moisture.
Measure his pulse and blood pressure.
A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the
nurse? - correct answer ✔ Irregular apical pulse
An adult woman with primary Raynaud phenomenon develops pallor and then
cyanosis of her fingers. After warming her hands, the fingers turn red and the
client reports a burning sensation. What action should the nurse take? - correct
answer ✔ Continue to monitor the fingers until color returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right
hip fracture. His right foot is cool, with palpable pedal pulses. Lungs are coarse
with diminished bibasilar breath sounds. Vital signs are temperature 101F, heart
rate 128 beats/minute, respirations 28 breaths/minute, and blood pressure
122/82. Which intervention is most important for the nurse to implement first? -
correct answer ✔ Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled
for a laparoscopic cholecystectomy under general anesthesia. Which finding
warrants notification of the healthcare provider prior to proceeding with the
scheduled procedure? - correct answer ✔ The client's blood pressure reading is
184/88 mm Hg
Following surgical repair of the bladder, a female client is being discharged from
the hospital to home with an indwelling urinary catheter. Which instruction is
most important for the nurse to provide to this client? - correct answer ✔ Keep
the drainage bag lower than the level of the bladder
A client who has a history of hypothyroidism was initially admitted with lethargy
and confusion. Which additional finding warrants the most immediate action by
the nurse? - correct answer ✔ Further decline in level of consciousness
Which client has the highest risk for developing skin cancer? - correct answer ✔ A
65 year-old fair-skinned male who is a construction worker
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