Med Surg HESI Bundle V1, V2 2018-2021 Bundle 44 pages overall. This Bundle contains the two versions of the HESI MED SURG 2018-2021 exams (each is 55 questions)
Pink means they were on 2018 and 2019
Green means they were on 2020!!!
The ones I remember are at the bottom! Good luck
Hesi Medsurg 2019 version 1
1. A client with a productive cough has obtained a sputum specimen for culture as instructed.
What is the best initial nursing action?
o A. Administer the first dose of prescribed antibiotic therapy
o B. Observe the color, consistency, and amount of sputum.
o C. Encourage the client to consume plenty of warm liquids
o D. Send the specimen to the lab for analysis immediately
Correct answer is B
2. A client is brought to the Emergency Department 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?
A. breath sounds over bilateral lung fields
B. Carotid pulsation during compression
C. deep tendon reflexes
D. Core body temperature
A
3. After a hospitalization of inappropriate antidiuretic hormone (SIADH), a client develops
positive myelinolysis. Which intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. evaluate client’s ability to swallow
D. perform range of motion exercises
A
Different quizlet says: A client who is admitted to the intensive care unit
with syndrome of inappropriate antidiuretic hormone (SIADH) has developed
osmotic demyelination. Which intervention should the nurse implement first?
Evaluate swallow.
Rational: Osmotic demyelination, also known as central pontine
myelinolysis, is nerve damage caused by the destruction of the myelin
sheath covering nerve cells in the brainstem. The most common cause is a
rapid, drastic change in sodium levels when a client is being treated for
hyponatremia, a common occurrence in SIADH.
Difficulty swallowing due to brainstem nerve damage should be
care, but determining the client's risk for aspiration is most important.
4. 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?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?
Correct answer is B
5. 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?
A. administer a prescribed sedative
B. encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position
Correct answer is C
6. 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?
A. increase the daily intake of oral fluids to liquefy secretions
B. avoid crowded enclosed areas to reduce pathogen exposure
C. call the clinic if undesirable side effects of medication occur
D. Teach anxiety reduction methods for feelings of suffocation
A
7. A cardiac catheterization 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?
A. Blood supply to the heart is diminished by atherosclerotic lesions, which
necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid
retention.
C
8. 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.)
0.6 mL
9. What information should the nurse include in the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment
B. Adjust food intake to three full meals per day and no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. avoid participation in any aerobic exercise programs.
Correct answer is C
From the internet: Wear loose-fitting pants, shirts, and other types
of clothing to give yourself ample room to encourage proper digestive
function. These styles may help prevent reflux, too.
With GERD, eating substances that decrease lower esophageal sphincter
pressure causes heartburn. A decrease in the lower esophageal sphincter pressure
allows gastric contents to reflux into the lower end of the esophagus. Foods that
can cause a decrease in esophageal sphincter pressure include fatty foods,
chocolate, caffeinated beverages, peppermint, and alcohol.
Clients with GERD can develop pulmonary symptoms such as coughing,
wheezing, and dyspnea, that are caused by the aspiration of gastric contents.
Bethanechol this is a cholinergic drug that may be used in GERD to
increase lower esophageal sphincter pressure and facilitate gastric emptying.
Cholinergic adverse effects may include urinary urgency, diarrhea, abdominal
cramping, hypotension, and increased salivation
Decrease intake of fat
Bending, especially after eating, can cause GERD. Lifting heavy objects
increases intra-abdominal pressure. Assessing the client's lifting techniques
enables the nurse to evaluate the client's knowledge of factors contributing to
hiatal hernia and how to prevent complications.
10. The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position
should the nurse instruct the client to maintain?
A. left lateral
B. supine, knees flexed
C. dorsal recumbent
D. knee-chest
The correct answer is A
11. A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable
to eat or drink without becoming nausea and vomiting. Which finding should the nurse report
to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
Correct answer is C
Yellow sclerae are an early sign of jaundice, which occurs when the
common bile duct is obstructed. Urine normally is light amber. Circumoral pallor
and black, tarry stools don't occur in common bile duct obstruction; they are
signs of hypoxia and GI bleeding, respectively
A client is evaluated for severe pain in the right upper abdominal quadrant,
which is accompanied by nausea and vomiting. The physician diagnoses acute
cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top
priority?
Acute pain related to biliary spasm
The chief symptom of cholecystitis is abdominal pain or biliary
colic. Typically, the pain is so severe that the client is restless and changes
positions frequently to find relief. Therefore, the nursing diagnosis of Acute
pain related to biliary spasms takes highest priority. Until the acute pain is
relieved, the client can't learn about prevention, may continue to experience
anxiety, and can't address nutritional concerns.
They have clay-colored stools
The nurse is planning care for a client following an incisional
cholecystectomy for cholelithiasis. Which intervention is the highest nursing
priority for this client?
Assisting the client to turn, cough and deep breathe every 2 hours
Assessment should focus on the client's respiratory status. If a
traditional surgical approach is planned, the high abdominal incision
required during surgery may interfere with full respiratory excursion. The
other nursing actions are also important, but are not as high a priority as
ensuring adequate ventilation
The obstruction of bile flow due to cholelithiasis can interfere with the
absorption of Vitamin A (all fat-soluble vitamins A, D, E and K)
12. While caring for a client with Amyotrophic Lateral Sclerosis (ALS), a nurse performs a
neurological assessment every 4 hours. Which assessment finding warrants immediate
intervention by the nurse?
A. inappropriate laughter
B. increasing anxiety
C. weakened cough effort
D. asymmetrical weakness
Correct answer is C
13. 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?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches
Correct answer is B
14. 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?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity
Correct answer is B
The nurse should first place saline-soaked sterile dressings on the open
wound to prevent tissue drying and possible infection. Then the nurse should call
the physician and take the client's vital signs. The dehiscence needs to be
surgically closed, so the nurse should never try to close it.
15. A client with carcinoma of the lung is complaining of weakness and has a serum sodium
level 117 mEq/L. Which nursing problem should the nurse include in this client's plan of
care?
A. Altered urinary elimination
B. Impaired gas exchange
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2021 HESI Med Surg 55 Questions (All Correct Answers)
2021 HESI Med Surg 55 Questions (All Correct Answers) A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What should the nurse do first? Visualize the abdominal area A patient has been taking Kenalog (corticosteroid) with increase redness... Schedule an appointment A patient hd a BDP. What warrants further intervention? Positive gastro occult emesis A patient who has been taking B12 says he's fatigue. What lab to monitor? CBC A pat...
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MED SURG HESI VERSION 1.
MED SURG HESI VERSION 1. 1. The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. An Ankle-Brachial Index of 0.65 suggests moderate arterial vascular disease in a c...
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MED SURG HESI VERSION 2 | GRADED A+
MED SURG HESI VERSION 2 | GRADED A+ 1. The nurse is completing a health assessment of a 42-year-old female with suspected Graves' disease. The nurse should assess this client for: 1. Anorexia. 2. Tachycardia. 3. Weight gain. 4. Cold skin. 2. When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which of the following changes in the menstrual cycle? 1. Dysmenorrhea. 2. Metrorrhagia. 3. Oligomenorrhea. 4. Menorrhagia. 3. A 34-year-old f...
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MED SURG HESI VERSION 2 | GRADED A+
MED SURG HESI VERSION 2 | GRADED A+ 1. The nurse is completing a health assessment of a 42-year-old female with suspected Graves' disease. The nurse should assess this client for: 1. Anorexia. 2. Tachycardia. 3. Weight gain. 4. Cold skin. 2. When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which of the following changes in the menstrual cycle? 1. Dysmenorrhea. 2. Metrorrhagia. 3. Oligomenorrhea. 4. Menorrhagia. 3. A 34-year-old f...
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HESI MED SURG #1 TEST
The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) A.Frequent vital signs. B.Determine if the client is allergic to aspirin. D.Offer fluids of choice. F.Monitor infusion of IV nitroglycerine. In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test results to indicate a decreased serum level of which subs...
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HESI Med Surg Exam 2021, Med-Surg HESI Exam 2021 | 2021 HESI Med Surg 55 Questions Verified and Graded A+ A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What should the nurse do first? Visualize the abdominal area A patient has been taking Kenalog (corticosteroid) with increase redness... Schedule an appointment A patient hd a BDP. What warrants further intervention? Positive gastro occult emesis A patient who has been taking B12 sa...
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MED SURG HESI VERSION 1.
MED SURG HESI VERSION 1.The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. An Ankle-Brachial Index of 0.65 suggests moderate arterial vascular disease in a client w...
HESI RN MED-SURG RN EXAM V1 TO V4 WITH CORRECT SOLUTIONS
HESI RN MED-SURG RN EXAM V1 TO V4 WITH CORRECT SOLUTIONS
Med Surg HESI RN
Version | latest |
Category | HESI |
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Authors | expert |
Pages | 47 |
Language | english |
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