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MED/SURG NCLEX-RN HESI PRACTICE Exam Questions and Answers
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MED/SURG NCLEX-RN HESI PRACTICE Exam Questions and Answers
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MED/SURG NCLEX-RN HESI PRACTICEExam Questions and Answers
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 intervention should the nurse
implement first?
A.Measure the urine specific gravity.
B.Obtain IV fluids for infusion per protocol.
C.Prepare for insertion of a central venous catheter.
D.Auscultate the client's breath sounds. - Correct Answer
✅B
The client is at risk for hypovolemic shock because of the
postoperative status and is exhibiting early signs of shock. A
priority intervention is the initiation of IV fluids (B) to restore
tissue perfusion. (A, C, and D) are all important interventions,
but are of less priority than (B).
During a health fair, a male client with emphysema tells the
nurse that he fatigues easily. Assessment reveals marked
clubbing of the fingernails and an increased anteroposterior
chest diameter. Which instruction is best to provide the
client?
,MED/SURG NCLEX-RN HESI PRACTICE
Exam Questions and Answers
A."Pace your activities and schedule rest periods."
B."Increase the amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine." -
Correct Answer ✅A
Manifestations of emphysema include an increase in AP
diameter (referred to as a barrel chest), nail bed clubbing,
and fatigue. The nurse can provide instructions to promote
energy management, such as pacing activities and
scheduling rest periods (A). (B) may result in a decreased
drive to breathe. The client is not exhibiting any symptoms of
infection, so (C) is not necessary. (D) is less beneficial than
(A).
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?
A.Continuous IV infusion of magnesium
B.One-time infusion of albumin
,MED/SURG NCLEX-RN HESI PRACTICE
Exam Questions and Answers
C.Continuous epidural infusion of morphine
D.Intermittent infusion of IV vancomycin - Correct Answer
✅C
All four of these clients have the potential to have significant
complications. The client with the morphine epidural infusion
(C) is at highest risk for respiratory depression and should be
assessed first. (A) can cause hypotension. The client
receiving (B) is at lowest risk for serious complications.
Although (D) can cause nephrotoxicity and phlebitis, these
problems are not as immediately life threatening as (C).
The nurse is planning care for a client with diabetes mellitus
who has gangrene of the toes to the midfoot. Which goal
should be included in this client's plan of care?
A.Restore skin integrity.
B.Prevent infection.
C.Promote healing.
D.Improve nutrition. - Correct Answer ✅B
The prevention of infection is a priority goal for this client (B).
Gangrene is the result of necrosis (tissue death). If infection
, MED/SURG NCLEX-RN HESI PRACTICE
Exam Questions and Answers
develops, there is insufficient circulation to fight the infection
and the infection can result in osteomyelitis or sepsis.
Because tissue death has already occurred, (A and C) are
unattainable goals. (D) is important but of less priority than
(B).
The nurse is conducting an osteoporosis screening clinic at a
health fair. What information should the nurse provide to
individuals who are at risk for osteoporosis? (Select all that
apply.)
A.Encourage alcohol and smoking cessation.
B.Suggest supplementing diet with vitamin E.
C.Promote regular weight-bearing exercises.
D.Implement a home safety plan to prevent falls.
E.Propose a regular sleep pattern of 8 hours nightly. - Correct
Answer ✅A, C, D
(A, C, and D) are factors that decrease the risk for developing
osteoporosis. Vitamin D and calcium are important
supplements to aid in the decrease of bone loss (B). Regular
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