MED SURG HESI
VERSION 5
Medical-Surgical Nursing
HESI Exit Exam Preparation
Total Questions: 51
Study Guide with Answers
MED SURG HESI VERSION 5 | Nursing Exam Preparation
,MED SURG HESI — VERSION 5 Page 1
Question 1
What instruction should the nurse include in the discharge teaching plan of a client who had a
cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
ANSWER: b. Light housekeeping is permitted but avoid heavy lifting
Question 2
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is
short of breath, febrile, and coughing green colored sputum. Which intervention should the
nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
ANSWER: a. Obtain a sputum sample for culture
Question 3
An elder male client tells the nurse that he is losing sleep because he has to get up several
times at night to go to the bathroom, that he has trouble starting his urinary stream, and that he
does not feel like his bladder is ever completely empty. Which intervention should the nurse
implement?
a. Collect a urine specimen for culture analysis
b. Obtain a fingerstick blood glucose level
c. Palpate the bladder above the symphysis pubis
d. Review the client fluid intake
ANSWER: c. Palpate the bladder above the symphysis pubis
, MED SURG HESI — VERSION 5 Page 2
Question 4
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI).
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum
laboratory value warrants the most immediate intervention by the nurse?
a. Blood pH of 7.30
b. Glucose of 350 mg/dl
c. White blood cell count of 15,000/mm³
d. Potassium of 2.5 mEq/L
ANSWER: d. Potassium of 2.5 mEq/L
Question 5
An adult male client is admitted for Pneumocystis carinii pneumonia (PCP) secondary to AIDS.
While hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for
discharge, what important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV/aerosol pentamidine is being used
b. IV pentamidine will be given until oral pentamidine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamidine every month
d. IV pentamidine may offer protection to other AIDS-related conditions such as Kaposi's
sarcoma
ANSWER: c. It will be necessary to continue prophylactic doses of IV or aerosol pentamidine
every month
Question 6
A client's subjective data includes dysuria, urgency, and urinary frequency. What action should
the nurse implement next?
a. Collect a clean catch specimen
b. Palpate the suprapubic region
c. Instruct to wipe from front to back
d. Inquire about recent sexual activity
ANSWER: a. Collect a clean catch specimen
VERSION 5
Medical-Surgical Nursing
HESI Exit Exam Preparation
Total Questions: 51
Study Guide with Answers
MED SURG HESI VERSION 5 | Nursing Exam Preparation
,MED SURG HESI — VERSION 5 Page 1
Question 1
What instruction should the nurse include in the discharge teaching plan of a client who had a
cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
ANSWER: b. Light housekeeping is permitted but avoid heavy lifting
Question 2
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is
short of breath, febrile, and coughing green colored sputum. Which intervention should the
nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
ANSWER: a. Obtain a sputum sample for culture
Question 3
An elder male client tells the nurse that he is losing sleep because he has to get up several
times at night to go to the bathroom, that he has trouble starting his urinary stream, and that he
does not feel like his bladder is ever completely empty. Which intervention should the nurse
implement?
a. Collect a urine specimen for culture analysis
b. Obtain a fingerstick blood glucose level
c. Palpate the bladder above the symphysis pubis
d. Review the client fluid intake
ANSWER: c. Palpate the bladder above the symphysis pubis
, MED SURG HESI — VERSION 5 Page 2
Question 4
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI).
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum
laboratory value warrants the most immediate intervention by the nurse?
a. Blood pH of 7.30
b. Glucose of 350 mg/dl
c. White blood cell count of 15,000/mm³
d. Potassium of 2.5 mEq/L
ANSWER: d. Potassium of 2.5 mEq/L
Question 5
An adult male client is admitted for Pneumocystis carinii pneumonia (PCP) secondary to AIDS.
While hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for
discharge, what important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV/aerosol pentamidine is being used
b. IV pentamidine will be given until oral pentamidine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamidine every month
d. IV pentamidine may offer protection to other AIDS-related conditions such as Kaposi's
sarcoma
ANSWER: c. It will be necessary to continue prophylactic doses of IV or aerosol pentamidine
every month
Question 6
A client's subjective data includes dysuria, urgency, and urinary frequency. What action should
the nurse implement next?
a. Collect a clean catch specimen
b. Palpate the suprapubic region
c. Instruct to wipe from front to back
d. Inquire about recent sexual activity
ANSWER: a. Collect a clean catch specimen
