HESI RN MED SURG EXAM PACK-EXAM MEREGED FROM 2019/2020/2021 ACTUAL EXAMs BEST FOR 2022 NEXT GEN ACTUAL EXAM REVIEW MED SURG EXAM PACK

HESI RN MED SURG EXAM

PACK-EXAM MEREGED FROM

2019/2020/2021 ACTUAL

EXAMs

BEST FOR 2022 NEXT GEN

ACTUAL EXAM REVIEW

 MED SURG EXAM PACK

HESI RN MED SURG

1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the

best initial nursing action?

Answer: Administer the first dose of prescribed antibiotic therapy

2. A client is brought to the Emergency Department by ambulation in cardiac arrest with cardiopulmonary

resuscitation (CPR) in progress. The client is intubated and 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?

Answer: deep tendon reflexes.

3. After hospitalization for Syndrome of Inappropriate Antidiuretic hormone (SIADH), a client develops

myelinolysis. Which intervention should the nurse implement first?

Answer: Reorient client to hisroom.

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?

Answer: Has his weight changed in the last several days?

5. An older adult woman with a long history of 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?

Answer: Apply a high‐flow venturi mask.

6. A client with a history of asthma and bronchitis arrives at the clinic with SOB, productive cough with

thickened, tenacious mucous, and the inability to walk up flight of stairs without experiencing

breathlessness. Which action is most important for the nurse to instruct the client about self‐care?

Answer: Increase the daily intake of oral fluids to liquefy secretions.

7. A cardiac catheterization of a client with heart disease indicates the following blockages: 95% LAD, 99%

proximal circumflex, and 95% proximal RCA. The client later asks the nurse “what does all that mean for

me?”

Answer: Three main arteries have major blockage with only 1 to 5% of the blood flow getting through to

the heart muscle.

8. A client who weighs 175 pounds is receiving an 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, round to nearest tenth.)

Answer: 1.3 mL

after calculations: the calculator will show 1.272727272727273, but you must round to the nearest tenth.

So, the answer is 1.3 mL.

9. What information should the nurse include in the teaching plan of a client diagnosed with

gastroesophageal reflux disease (GERD)?

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Answer: minimize symptoms by wearing loose, comfortable clothing.

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?

Answer: Left Lateral.

11. A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink

without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare

provider?

Answer: Yellow Sclera

12. While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neurological

assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?

Answer: Increasing anxiety.

13. The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to

promote burn healing. Which information should the nurse provide this client?

Answer: The xenograft is taken from nonhuman sources.

14. A male client who had colon surgery 3 days ago is anxious and request assistance to reposition. The

wound dehiscences and eviscerates. The nurse moistens an available sterile dressing and palaces it over

the wound. Which intervention should the nurse implement next?

answer: prepare the client to return to the operating room.

15. A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117

mEq/L. Which nursing problem should the nurse include in this client’s plan of care?

answer: fluid volume excess

16.A female client enters the clinic and insists on being seen. She is weak, nervous, and reports a racing heart

beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the healthcare provider

suspects hyperthyroidism. Which action should the nurse implement?

answer:space the client’s care to provide periods of rest

17. The nurse is teaching a client with glomerulonephritis about self‐care. Which dietary recommendations

should the nurse encourage the client to follow?

answer: restrict intake by limiting meats and other high‐protein foods.

18. An overweight, young adult male who has recently diagnosed with type diabetes mellitus is admitted for a

hernia repair. He tells the nurse he is feeling very weak and jittery. Which actions should the nurse

implement? (select all that apply).

☒Assess hisskin temperature and moisture.

☒Document anxiety on the surgical checklist.

☒Administer a PRN dose of regular insulin

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19. A client with Cushing’ssyndrome isrecovering from an elective laparoscopic procedure. Which

assessment finding warrants immediate intervention by the nurse?

answer: irregular apical pulse

20. An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her fingers.

After warming her hands, the fingers turn red and the client reports a burning sensation. What action

should the nurse take?

answer:secure a pulse oximeter to monitor the client’s oxygen saturation.

21. A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture. His right

foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar breath sounds. Vital

signs are temperature 101° F, heart rate 128 beats/minute, respirations 28 breaths/minute, and blood

pressure 122/82, which intervention is most important for the nurse to implement first?

Answer: assess lower extremity circulation.

22.The nurse is completing the preoperative assessment of a client who is scheduled for a laparoscopic

cholecystectomy under general anesthesia. Which finding warrants notification ofthe healthcare provider

prior to proceeding with the scheduled procedure?

answer: the client’s blood pressure is 184/88 mm Hg.

23. A client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which

additional finding warrants the most immediate action by the nurse?

answer: hematocrit of 30%

24. Following surgical repair of the bladder, a female client is being discharged from the hospital to home

with an indwelling urinary catheter. Which instruction is most important for the nurse to provide to this

client?

answer: keep the drainage bag lower than the level of the bladder

25. Which client has the highest risk for developing skin cancer?

answer: a 65‐year‐old fairskinned male who is a construction worker.

26. When caring for a client with nephrotic syndrome, which assessment is most important for the nurse to

obtain?

answer: level of consciousness