1 / 28
HESI Med Surg 1 Final Exam
(4 Sets of Final Exam’s)
HESI Med Surg 1 Final Exam
Set 1
- A client with a productive cough has obtained a sputum specimen for
culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis ANS B. Observe the color,
consistency,and amount of sputum - A client is brought to the ED 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?
2 / 28
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature ANS A. Breath sounds over bilateral lung fields.
- After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone(SIADH), a client develops pontine myselinolysis. 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 ANS A. Reorient client to his room - 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 informationshould the nurse obtain?
A. What time did he take his last medications?
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? ANS B. Has his weight changed
in thelast several days? - An older adult woman with a long history of chronic obstructive pulmonarydisease (COPD) is admitted with progressive shortness of breath and a persistent cough. She is anxious and is complaining of a dry mouth. Which
3 / 28
intervention should the nurse implement?
4 / 28
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 ANS D. Assist her to an upright position
- A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened tenacious mucous, andthe inability to walk up a flight of stairs without experiencing breathlessnessWhich 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 mediations occur
D.Teach anxiety reduction methods for feelings of suffocation ANS A.
Increase thedaily intake of oral fluids to liquefy secretions - A cardiac catherterization of a client with heart disease indicates the following blockages ANS 95% proximal left anterior descending (LAD), 99%
proximalcircumflex, and ? % proximal right coronary artery (RCA).The client
later asksthe nurse “what does all this mean for me?”What information shouldthe nurseprovide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which
necessitate lifestyle changes.