HESI MEDSURG EXAM 2022 ACTUAL EXAM - Complete- Questions and answers

HESI MEDSURG EXAM 2022 ACTUAL

EXAM

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

hesi medsurg 2022

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