Med Surg HESI - Review & Revision Guide
Complete Question & Answer Bank | Font Size 12pt
1. A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. which of the
following neurological deficits should the nurse expect to find when assessing the
client?
Answer: visual spatial deficits left hemianopsia one-sided neglect
2. A home health nurse is providing teaching to a client who has a stage 1 pressure
injury on the greater trochanter of his left hip. Which of the following instructions
should the nurse include in the teaching?
Answer: Change position every hour.
3. A nurse and an assistive personnel are caring for a client who has bacterial
meningitis. the nurse should give the AP which of the following instructions?
Answer: wear a mask.
4. A nurse at an urgent care clinic is caring for a client who is experiencing an
anaphylactic reaction. After ensuring a patent airway, which of the following nursing
interventions is the priority?
Answer: Applying oxygen via face mask
5. A nurse has received change-of-shift report for a group of clients. which of the
following clients should the nurse assess first?
Answer: a client who had a myocardial infarction (MI) 4 days ago and is asking for a
PRN sublingual nitroglycerin tablet.
6. A nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. to help reduce the risk for migraine headaches,
which of the following foods should the nurse recommend the client avoid?
Answer: aged cheese
,7. A nurse in a provider's office assessing a client who has hypertension and takes
propranolol. which of the following findings should indicate to the nurse that a client
is experiencing an adverse reaction to this medication?
Answer: report of a night cough
8. A nurse in a provider's office is assessing a client who has migraine headaches
and is taking feverfew to prevent headaches. the nurse should identify that which of
the following client medications interact with feverfew?
Answer: naproxen
9. A nurse in a provider's office is caring for a client who requests sildenafil to treat
erectile dysfunction. which of the following statements should the nurse take?
Answer: "you will not be able to use sildenafil if you are taking nitroglycerin."
10. A nurse in an acute care facility is caring for a client who is at risk for seizures.
which of the following precautions should the nurse implement?
Answer: ensure that the client has a patent IV.
11. A nurse in an emergency department is assessing a client who has a detached
retina. which of the following should the nurse expect the client to report?
Answer: "it's like a curtain closed over my eye."
12. A nurse in an emergency department is assessing an older adult client who has
a fractured wrist following a fall. During the assessment, the client states, "Last
week I crashed my car because my vision suddenly became blurry." Which of the
following actions is the nurse's priority?
Answer: Check the client's neurologic status.
, 13. A nurse in an emergency department is caring for a client who has full-thickness
burns over 20% of their total body surface area. after ensuring a patent airway and
administering oxygen, which of the following items should the nurse prepare to
administer first?
Answer: IV fluids
14. A nurse in an emergency department is caring for a client who is experiencing a
thyroid storm. which of the following manifestations should the nurse expect?
Answer: Fever hypertension tachycardia
15. A nurse in an emergency department is caring for a client who reports visiting
and diarrhea for the past 3 days. which of the following findings should indicate to
the nurse that the client is experiencing fluid volume deficit?
Answer: heart rate 110/min
16. A nurse in an emergency department is reviewing the providers prescriptions for
a client who sustained a rattlesnake bite to the lower leg. which of the following
prescriptions should the nurse expect?
Answer: administer an opioid analgesic to the client.
17. A nurse in an ICU is assessing a client who has a traumatic brain injury. which of
the following findings should the nurse identify as a component of Cushing's triad?
Answer: bradycardia
18. A nurse is administering packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction?
Answer: Low back pain and apprehension
19. A nurse is admitting a client who has active tuberculosis. Which of the following
types of transmission precautions should the nurse initiate?
Answer: Airborne
Complete Question & Answer Bank | Font Size 12pt
1. A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. which of the
following neurological deficits should the nurse expect to find when assessing the
client?
Answer: visual spatial deficits left hemianopsia one-sided neglect
2. A home health nurse is providing teaching to a client who has a stage 1 pressure
injury on the greater trochanter of his left hip. Which of the following instructions
should the nurse include in the teaching?
Answer: Change position every hour.
3. A nurse and an assistive personnel are caring for a client who has bacterial
meningitis. the nurse should give the AP which of the following instructions?
Answer: wear a mask.
4. A nurse at an urgent care clinic is caring for a client who is experiencing an
anaphylactic reaction. After ensuring a patent airway, which of the following nursing
interventions is the priority?
Answer: Applying oxygen via face mask
5. A nurse has received change-of-shift report for a group of clients. which of the
following clients should the nurse assess first?
Answer: a client who had a myocardial infarction (MI) 4 days ago and is asking for a
PRN sublingual nitroglycerin tablet.
6. A nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. to help reduce the risk for migraine headaches,
which of the following foods should the nurse recommend the client avoid?
Answer: aged cheese
,7. A nurse in a provider's office assessing a client who has hypertension and takes
propranolol. which of the following findings should indicate to the nurse that a client
is experiencing an adverse reaction to this medication?
Answer: report of a night cough
8. A nurse in a provider's office is assessing a client who has migraine headaches
and is taking feverfew to prevent headaches. the nurse should identify that which of
the following client medications interact with feverfew?
Answer: naproxen
9. A nurse in a provider's office is caring for a client who requests sildenafil to treat
erectile dysfunction. which of the following statements should the nurse take?
Answer: "you will not be able to use sildenafil if you are taking nitroglycerin."
10. A nurse in an acute care facility is caring for a client who is at risk for seizures.
which of the following precautions should the nurse implement?
Answer: ensure that the client has a patent IV.
11. A nurse in an emergency department is assessing a client who has a detached
retina. which of the following should the nurse expect the client to report?
Answer: "it's like a curtain closed over my eye."
12. A nurse in an emergency department is assessing an older adult client who has
a fractured wrist following a fall. During the assessment, the client states, "Last
week I crashed my car because my vision suddenly became blurry." Which of the
following actions is the nurse's priority?
Answer: Check the client's neurologic status.
, 13. A nurse in an emergency department is caring for a client who has full-thickness
burns over 20% of their total body surface area. after ensuring a patent airway and
administering oxygen, which of the following items should the nurse prepare to
administer first?
Answer: IV fluids
14. A nurse in an emergency department is caring for a client who is experiencing a
thyroid storm. which of the following manifestations should the nurse expect?
Answer: Fever hypertension tachycardia
15. A nurse in an emergency department is caring for a client who reports visiting
and diarrhea for the past 3 days. which of the following findings should indicate to
the nurse that the client is experiencing fluid volume deficit?
Answer: heart rate 110/min
16. A nurse in an emergency department is reviewing the providers prescriptions for
a client who sustained a rattlesnake bite to the lower leg. which of the following
prescriptions should the nurse expect?
Answer: administer an opioid analgesic to the client.
17. A nurse in an ICU is assessing a client who has a traumatic brain injury. which of
the following findings should the nurse identify as a component of Cushing's triad?
Answer: bradycardia
18. A nurse is administering packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction?
Answer: Low back pain and apprehension
19. A nurse is admitting a client who has active tuberculosis. Which of the following
types of transmission precautions should the nurse initiate?
Answer: Airborne
