HESI MED SURG FULL ACTUAL EXAM
2025/2026 UPDATED VERSION 1
(COMPLETE & ACCURATE) WITH
VERIFIED Q&A –ALL CORRECT
,1. What instruction should the nurse include in the discharge teaching plan of a client
who had a cataract extraction today?
a. Sexual
Light housekeeping is permitted but avoid heavy lifting activities
may be resumed upon return home b.
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being diagnose with
influenza. He is short of breath, febrile, and coughing green colored sputum. Which
intervention should the nurse
Obtain a sputum sample for culture implement first? a.
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep because he has to get up
several times at night to go to the bathroom that he has trouble starting his urinary
stream and that he does not feel like his bladder is ever completely empty. Which
intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are
initiated. Which serum laboratory value warrants the most immediate intervention
by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour of
,administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
a. explain specific reason for urgent notification
, b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis carinil pneumonia (PCP)
secondary to aids. While hospitalize he receives IV pentamidine isethionate therapy.
In preparing this client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated c.
It will be necessary to continue prophylactic doses of IV or
d. aerosol pentamine every month Iv
pentamine may offer protection to others aids related conditions such as
kaposis sarcoma
7. A client subjective data includes dysuria, urgency, and urinary frequency.
What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that the cancer cells are well
differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients
cancer cells are benign
b. explain that these tissue cells often respond more effectively to radiation than
to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help
the client make plans to begin inmediate treatment since her cancer is likely
to spread quickly
9. A client with a chronic kidney disease is treated on hemodialysis. During the 1
treatment clients blood pressure drops from 150/90 to 80/30 Which action should
the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet c.
d. stop dialysis treatment administer 5%albumin IV
10. A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin
sodium 25,000 unit in 5% dextrose injection 250ml. The prescription indicates the
dosage should be increase 900 units/hr. The nurse should program the infusion pump
to deliver how many ml/hr? =9
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