HESI Med Surg Exam | Questions and
Verified Answers| 100% Correct| 2023/ 2024
New Update
Q: The nurse plans to help an 18-year-old developmentally disabled female client ambulate on
the first postoperative day. When the nurse tells her it is time to get out of bed, the client
becomes angry and yells at the nurse, “Get out of here! I’ll get up when I’m ready.” Which
response should the nurse provide?
Answer:
“I’ll be back in 30 minutes to help you get out of bed and walk around the room.”
Q: During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which assessment should the nurse complete first?
Answer:
Monitor the client’s serum potassium and blood glucose.
Q: Twelve hours after chest tube insertion for hemothorax, the nurse notes that the client’s
drainage has decreased from 50 ml/hr to 5 ml/hr. What is the best initial action for the nurse to
take?
Answer:
Assess for kinks or dependent loops in the tubing.
Q: A 55-year-old male client has been admitted to the hospital with a medical diagnosis of
chronic obstructive pulmonary disease (COPD). Which risk factor is the most significant in the
development of this client’s COPD?
Answer:
The client smokes 1 to 2 packs of cigarettes per day.
Q: A client with alcohol-related liver disease is admitted to the unit. Which prescription should
the nurse question as possibly inappropriate for this client?
Answer:
Pentobarbital (Nembutal sodium) 50 mg at bedtime for rest
Q: Which instruction should the nurse teach a female client about the prevention of toxic shock
syndrome?
Answer:
“Change your tampon frequently.”
Q: Which assessment finding in a client with an acute small bowel obstruction requires the
most immediate intervention by the nurse?
Answer:
Fever of 102° F
Q: The nurse is administering a nystatin suspension (Mycostatin) for stomatitis. Which
instruction will the nurse provide to the client when administering this medication?
Answer:
Hold the medication in the mouth for a few minutes before swallowing it.
Q: The nurse initiates neuro checks for a client who is at risk for neurologic compromise.
Which manifestation typically provides the first indication of altered neuro function?
Answer:
Change in level of consciousness
Q: Client census is often used to determine staffing needs. Which method of obtaining census
determination for a particular unit provides the best formula for determining long-range staffing
patterns?
Answer:
Average daily census
Q: The nurse is providing care for a client who has had a cervical cord injury. Following
reduction of the cervical fracture, a halo vest is placed to maintain realignment of the spinal
canal. What intervention is needed to ensure client safety while the halo vest is in place?
Answer:
Ensure that a set of wrenches are kept in close proximity
Q: A client in the emergency department is bleeding profusely from a gunshot wound to the
abdomen. In what position should the nurse immediately place the client to promote maintenance
of the client’s blood pressure above a systolic pressure of 90 mm Hg?
Answer:
Maintain the client in a supine position to reduce diaphragmatic pressure and visualize the
wound
Q: Seconal 0.1 gram PRN at bedtime is prescribed for rest. The scored tablets are labeled grain
1.5 per tablet. How many tablets should the nurse plan to administer?
Answer:
1 tablet