Med surg HESI Exam Test Questions with Answers Graded A+
A nurse caring for a client with diabetes insipidus (DI).
Which data warrants the most immediate intervention by Serum sodium of 185mEq/L (185 mmol/L)
the nurse?
The nurse is obtaining the admission history for a client
Upper mid-abdominal pain described as gnawing and
with suspected peptic ulcer (PUD). Which subjective data
burning
reported by the client supports this medical diagnosis?
The nurse assesses a client who is newly diagnosed with
hyperthyroidism and observes that the clients eyeballs are
protuberant, causing a wide-eyed appearance and eye Obtain a prescription for artificial drops
discomfort. Based on this finding, which action should the
nurse include in this clients plan of care?
To reduce the risk for pulmonary complication for a client Perform chest physiotherapy
with amyotrophic lateral sclerosis (ALS). Which interven- Teach the client breathing exercises
tions should the nurse implement? SATA Encourage use of incentive spirometer
A client is hospitalized with heart failure (HF). Which in-
tervention should the nurse implement to improve venti- Place the client in high Fowler position
lation and reduce venous return?
A client who was involved in a motor vehicle collision is
admitted with a fractured left femur which is immobilized Verify pedal pulses using a Doppler pulse device
using a fracture traction splint in preparation for an open Evaluate the application of the splint to the left leg
reduction internal fixation (ORIF). The nurse determines Monitor left leg for pain, pallor, paresthesia, paralysis
that the client's distal pulses are diminished in the left foot. pressure
Which interventions should the nurse implement? SATA
The healthcare provider prescribes diagnostic test for a
client whose chest x-ray indicates pneumonia. Which di-
Sputum culture and sensitivity
agnostic test should the nurse review for implementation
in the most therapeutic treatment of pneumonia?
A client with the history of asthma and bronchitis arrives at
the clinic with shortness of breath productive cough with
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,Med surg HESI Exam Test Questions with Answers Graded A+
thickened tenacious mucous and the inability to walk up a
flight of stairs without experiencing breathlessness which
Increase the daily intake of oral fluids to liquefy secretions
action is most important for the nurse to instruct the client
about self care
The home health nurse provides teaching about insulin
self injection to a client who was recently diagnosed with
diabetes mellitus. When the client begins to perform a
Continue with the insulin injection
return demonstration of an insulin injection into the ab-
domen as seen in the video which instruction should the
nurse provide?
The nurse observes an increase number of blood clots in
the drainage tubing of a client with continuous bladder ir-
Increase the flow of the bladder irrigation
rigation following a transurethral resection of the prostate
(turp) What is the best initial nursing action?
Four days following an abdominal aortic aneurysm repair
the client is exhibiting edema of both lower extremities
Assess pulses with a vascular Doppler
and pedal pulses are not palpable. Which action should
the nurse implement first?
A client arrives to the medical surgical unit four hours after
a transurethral resection of the prostate. A triple lumen
catheter for continuous bladder irrigation with normal
Monitoring catheter drainage
saline is infusing and the nurse observes dark pink tinged
outflow with blood clots in the tubing and collection bag.
Which action should the nurse take?
The nurse is planning care for an older adult client who ex-
perienced a cerebrovascular Accident several weeks ago.
The client has expressive aphasia and often becomes frus- Encourage clients use of pitcher chart
trated with the nursing statt. Which intervention should
the nurse implement?
2/9
A nurse caring for a client with diabetes insipidus (DI).
Which data warrants the most immediate intervention by Serum sodium of 185mEq/L (185 mmol/L)
the nurse?
The nurse is obtaining the admission history for a client
Upper mid-abdominal pain described as gnawing and
with suspected peptic ulcer (PUD). Which subjective data
burning
reported by the client supports this medical diagnosis?
The nurse assesses a client who is newly diagnosed with
hyperthyroidism and observes that the clients eyeballs are
protuberant, causing a wide-eyed appearance and eye Obtain a prescription for artificial drops
discomfort. Based on this finding, which action should the
nurse include in this clients plan of care?
To reduce the risk for pulmonary complication for a client Perform chest physiotherapy
with amyotrophic lateral sclerosis (ALS). Which interven- Teach the client breathing exercises
tions should the nurse implement? SATA Encourage use of incentive spirometer
A client is hospitalized with heart failure (HF). Which in-
tervention should the nurse implement to improve venti- Place the client in high Fowler position
lation and reduce venous return?
A client who was involved in a motor vehicle collision is
admitted with a fractured left femur which is immobilized Verify pedal pulses using a Doppler pulse device
using a fracture traction splint in preparation for an open Evaluate the application of the splint to the left leg
reduction internal fixation (ORIF). The nurse determines Monitor left leg for pain, pallor, paresthesia, paralysis
that the client's distal pulses are diminished in the left foot. pressure
Which interventions should the nurse implement? SATA
The healthcare provider prescribes diagnostic test for a
client whose chest x-ray indicates pneumonia. Which di-
Sputum culture and sensitivity
agnostic test should the nurse review for implementation
in the most therapeutic treatment of pneumonia?
A client with the history of asthma and bronchitis arrives at
the clinic with shortness of breath productive cough with
1/9
,Med surg HESI Exam Test Questions with Answers Graded A+
thickened tenacious mucous and the inability to walk up a
flight of stairs without experiencing breathlessness which
Increase the daily intake of oral fluids to liquefy secretions
action is most important for the nurse to instruct the client
about self care
The home health nurse provides teaching about insulin
self injection to a client who was recently diagnosed with
diabetes mellitus. When the client begins to perform a
Continue with the insulin injection
return demonstration of an insulin injection into the ab-
domen as seen in the video which instruction should the
nurse provide?
The nurse observes an increase number of blood clots in
the drainage tubing of a client with continuous bladder ir-
Increase the flow of the bladder irrigation
rigation following a transurethral resection of the prostate
(turp) What is the best initial nursing action?
Four days following an abdominal aortic aneurysm repair
the client is exhibiting edema of both lower extremities
Assess pulses with a vascular Doppler
and pedal pulses are not palpable. Which action should
the nurse implement first?
A client arrives to the medical surgical unit four hours after
a transurethral resection of the prostate. A triple lumen
catheter for continuous bladder irrigation with normal
Monitoring catheter drainage
saline is infusing and the nurse observes dark pink tinged
outflow with blood clots in the tubing and collection bag.
Which action should the nurse take?
The nurse is planning care for an older adult client who ex-
perienced a cerebrovascular Accident several weeks ago.
The client has expressive aphasia and often becomes frus- Encourage clients use of pitcher chart
trated with the nursing statt. Which intervention should
the nurse implement?
2/9
