HESI RN Med Surg Exam | Questions and
Verified Answers| 100% Correct| 2023/ 2024
New Update
Q: 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
Q: 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
Q: 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:
Weakened cough effort
Q: 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?
Answer:
The xenograft is taken from nonhuman sources
Q: 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?
Answer:
Prepare the client to return to the operating room
Q: 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
Q: 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 and admits her for further testing. Which action
should the nurse implement?
Answer:
Space the client’s care to provide periods of rest
Q: The nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse encourage the client to follow?
Answer:
Restrict protein intake by limiting meats and other high-protein foods
Q: An overweight, young adult made who was recently diagnosed with type 2 diabetes mellitus
is admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which
actions should the nurse implement? (Select all that apply.)
Answer:
Check his fingerstick glucose level.
Assess his skin temperature and moisture.
Measure his pulse and blood pressure.
Q: A client with Cushing’s syndrome is recovering from an elective laparoscopic procedure.
Which assessment finding warrants immediate intervention by the nurse?
Answer:
Irregular apical pulse
Q: 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:
Continue to monitor the fingers until color returns to normal
Q: 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 101F, 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:
Administer PRN oral antipyretic
Q: The nurse is completing the preoperative assessment of a client who is scheduled for a
laparoscopic cholecystectomy under general anesthesia. Which finding warrants notification of
the healthcare provider prior to proceeding with the scheduled procedure?