HESI RN MEDSURG
EXAM PACK MERGED
2021/2022 EXAM
PACK ACTUAL EXAM
BEST FOR 2022
EXAM REVIEW
HESI RN MED SURG/ACTUAL EXAM
THIS FILE WAS TESTED APRIL 2022
Answers included
1. An adult client is diagnosed with restlessleg syndrome and isreferred to the sleep clinic.
The healthcare provide...
HESI RN MEDSURG
EXAM PACK MERGED
2021/2022 EXAM
PACK ACTUAL EXAM
BEST FOR 2022
EXAM REVIEW
,HESI RN MED SURG/ACTUAL EXAM
THIS FILE WAS TESTED APRIL 2022
Answers included
,1. An adult client is diagnosed with restless leg syndrome and is referred to the sleep clinic.
The healthcare provider prescribes ferrous sulfate 325 mg pO daily. Which laboratory
values should the nurse monitor?
a. Serum iron and ferritin
b. Platelet count and hematocrit
c. Neutrophils and eosinophils
d. Serum electrolytes
2. The nurse is caring for a client who is newly diagnosed with adrenocortical insufficiency.
The client is experiencing chronic fatigue and weakness. Which intervention should the
nurse implement?
a. Begin education about fluid restriction and ways to incorporate into ongoing therapy
b. Explain that the hormone therapy will be needed for a time until adrenal glands are
stimulated
c. Provide encouragement that symptoms will rapidly improve as hormone therapy is
initiated
d. Advise the client to schedule energy intensive activities for later in the day
3. the nurse is caring for an immobile client after spinal surgery. Which action is most
important for the nurse to take to prevent postoperative complications?
a. Maintain intervascular infusion rate
b. Progress diet slowly from ice chips to clear liquid
c. Apply intermittent pneumatic compression devices
d. Obtain frequent pain level assessments
4. An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis.
What is the priority nursing action?
a. Encourage turning and deep breathing
b. Auscultate for presence of bowel sounds
c. Administer IV antibiotics as prescribed
d. Monitor hemoglobin and hematocrit
5. The nurse is obtaining a health history from a new client who has a history of kidney
stones. Which statement by the client indicates an increased risk for renal calculi?
a. Eats a vegetarian diet with cheese 2 to 3 times a day
b. Experiences additional stress since adopting a child
c. Jogs more frequently than usual daily routine
d. Drinks several bottles of carbonated water daily
6. A client with orthopnea expresses concern about the ability to “get enough air” during a
scheduled thoracentesis. On which information should the nurse’s response be based
on?
a. Extra pillows can be used if needed to elevate the client’s head
b. Orthopnea is frequently caused by a clients uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. A thoracentesis is a brief procedure that has minimal discomfort
7. The nurse is performing the postoperative assessment of a client with an abdominal
aortic aneurysm. Which finding is most important for the nurse to provide in the
preoperative report?
, a. Respirations 20 breaths/minute
b. Diminished peripheral pulses
c. Hypoactive bowel sounds
d. S3 hear sound on auscultation
8. The nurse is providing teaching to a client with type 2 diabetes mellitus about managing
care at home. Which information stated by the client indicates understanding?
a. Avoid seasoning foods with salt and salt-containing spices
b. Keep any wounds covered with an antibiotic ointment
c. Check blood sugar levels every four to six hours every day
d. Soak feet daily in hot water no longer than 10 minutes
9. The home health nurse provides teaching about insulin self-injecting to a client who was
recently diagnosed with diabetes mellitus. When the client begins to perform a return
demonstration of an insulin injection into the abdomen as seen in the video, which
instruction should the nurse provide?
a. Lie down flat for better skin exposure
b. Select a different injection site
c. Keep the skin flat rather than bunched
d. Continue with the insulin injection
10. The nurse is collecting information from a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage the pain, which
assessment data is most important for the nurse to obtain?
a. Color and consistency of feces
b. Eating patterns and dietary intake
c. Level and amount of physical activity
d. Presence and activity of bowel sounds
11. A client with herpes zoster (shingles) on the thorax tells the nurse of having difficulty
sleeping. Which is the probable etiology of this problem?
a. Noctuia
b. Dyspnea
c. Frequent cough
d. Pain
12. The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this medical
diagnosis?
a. Marked loss of weight and appetite over the last 3 or 4 months
b. Upper mid-abdominal pain described as gnawing and burning
c. Frequent use of chewable and liquid antacids for indigestion
d. Severe abdominal cramps and diarrhea after eating spicy foods
13. An obese client with emphysema who smokes at least a pack of cigarettes daily is
admitted after experiencing a sudden increase in dyspnea and activity intolerance.
Oxygen therapy is initiated and is determined that the client will be discharged with
oxygen. Which information is most important for the nurse to emphasize in the
discharge teaching plan?
a. Methods for weight gain
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