HESI RN MED SURG EXAM PACK-EXAM MERGED
FROM 2021|2022|2023|2024 ACTUAL
EXAMS.NEXT GEN-ACTUAL EXAM REVIEW MED
SURG EXAM PACK BEST FOR 2024/2025
An adult client who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should
further assess the client for which condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis. - ✔✔ANSW✔✔..Pulmonary embolism
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic
encephalopathy. Which finding would the nurse consider an indication of progressive
hepatic encephalopathy?
An increase in abdominal girth.
Hypertension and a bounding pulse.
Decreased bowel sounds.
Difficulty in handwriting. - ✔✔ANSW✔✔..Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important
for the nurse to ask the client?
"What dose of medication are you taking?"
"Are you eating foods rich in potassium?"
"Have you lost weight recently?"
"At what time do you take your medication?" - ✔✔ANSW✔✔..At what time do you take
your medication
A client taking a thiazide diuretic for the past six months has a serum potassium level of
3. The nurse anticipates which change in prescription for the client?
The dosage of the diuretic will be decreased.
The diuretic will be discontinued.
,A potassium supplement will be prescribed.
The dosage of the diuretic will be increased. - ✔✔ANSW✔✔..A potassium supplement
will be prescribed
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What
initial medication should the nurse anticipate administering to the client?
Xylocaine.
Procainamide.
Phenytoin.
Digoxin. - ✔✔ANSW✔✔..Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for
what vitamin deficiency?
K.
B12.
B6.
C. - ✔✔ANSW✔✔..K
A client who is receiving chemotherapy asks the nurse, "Why is so much of my hair
falling out each day?" Which response by the nurse best explains the reason for
alopecia?
Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant."
"Alopecia is a common side effect you will experience during long-term steroid therapy."
"Your hair will grow back completely after your course of chemotherapy is completed."
"The chemotherapy causes permanent alterations in your hair follicles that lead to hair
loss." - ✔✔ANSW✔✔..Chemotherapy affects the cells of the body that grow rapidly,
both normal and malignant
The nurse is preparing a teaching plan for a client who is newly diagnosed with type 1
diabetes mellitus. Which clinical cues should the nurse describe when teaching the
client about hypoglycemia?
Sweating, trembling, tachycardia.
Polyuria, polydipsia, polyphagia.
Nausea, vomiting, anorexia.
Fruity breath, tachypnea, chest pain. - ✔✔ANSW✔✔..Sweating, trembling, tachycardia
A female client taking oral contraceptives reports to the nurse that she is experiencing
calf pain. What action should the nurse implement?
Determine if the client has also experienced breast tenderness and weight gain.
Encourage the client to begin a regular, daily program of walking and exercise.
, Advise the client to notify the healthcare provider for immediate medical attention.
Tell the client to stop taking the medication for a week to see if symptoms subside. -
✔✔ANSW✔✔..Advise the client to notify the HCP for immediate medication attention
The HCP prescribes aluminum and magnesium hydroxide, 1 tablet PO PRN, for a client
with chronic kidney disease (CKD) who is complaining of indigestion. which intervention
should the nurse implement?
Administer 30 minutes before eating.
Evaluate the effectiveness 1 hour after administration.
Instruct the client to swallow the tablet whole.
Question the healthcare provider's prescription. - ✔✔ANSW✔✔..Question the HCP's
prescription
A client has been taking oral corticosteroids for the past five days because of seasonal
allergies. Which assessment finding is of most concern to the nurse?
White blood count of 10,000 mm3.
Serum glucose of 115 mg/dl.
Purulent sputum.
Excessive hunger. - ✔✔ANSW✔✔..Purulent sputum
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
Schedule extra rest periods.
Go to the emergency room immediately. - ✔✔ANSW✔✔..Schedule extra rest periods
The nurse is assessing a client with bacterial meningitis. Which assessment finding
indicates the client may have developed septic emboli?
Cyanosis of the fingertips.
Bradycardia and bradypnea.
Presence of S3 and S4 heart sounds.
3+ pitting edema of the lower extremities. - ✔✔ANSW✔✔..Cyanosis of the fingertips
A 58 year old client, who has no health problems, asks the nurse about the Pneumovax
vaccine. The nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of
chronic illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to
areas of infection.
FROM 2021|2022|2023|2024 ACTUAL
EXAMS.NEXT GEN-ACTUAL EXAM REVIEW MED
SURG EXAM PACK BEST FOR 2024/2025
An adult client who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should
further assess the client for which condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis. - ✔✔ANSW✔✔..Pulmonary embolism
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic
encephalopathy. Which finding would the nurse consider an indication of progressive
hepatic encephalopathy?
An increase in abdominal girth.
Hypertension and a bounding pulse.
Decreased bowel sounds.
Difficulty in handwriting. - ✔✔ANSW✔✔..Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important
for the nurse to ask the client?
"What dose of medication are you taking?"
"Are you eating foods rich in potassium?"
"Have you lost weight recently?"
"At what time do you take your medication?" - ✔✔ANSW✔✔..At what time do you take
your medication
A client taking a thiazide diuretic for the past six months has a serum potassium level of
3. The nurse anticipates which change in prescription for the client?
The dosage of the diuretic will be decreased.
The diuretic will be discontinued.
,A potassium supplement will be prescribed.
The dosage of the diuretic will be increased. - ✔✔ANSW✔✔..A potassium supplement
will be prescribed
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What
initial medication should the nurse anticipate administering to the client?
Xylocaine.
Procainamide.
Phenytoin.
Digoxin. - ✔✔ANSW✔✔..Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for
what vitamin deficiency?
K.
B12.
B6.
C. - ✔✔ANSW✔✔..K
A client who is receiving chemotherapy asks the nurse, "Why is so much of my hair
falling out each day?" Which response by the nurse best explains the reason for
alopecia?
Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant."
"Alopecia is a common side effect you will experience during long-term steroid therapy."
"Your hair will grow back completely after your course of chemotherapy is completed."
"The chemotherapy causes permanent alterations in your hair follicles that lead to hair
loss." - ✔✔ANSW✔✔..Chemotherapy affects the cells of the body that grow rapidly,
both normal and malignant
The nurse is preparing a teaching plan for a client who is newly diagnosed with type 1
diabetes mellitus. Which clinical cues should the nurse describe when teaching the
client about hypoglycemia?
Sweating, trembling, tachycardia.
Polyuria, polydipsia, polyphagia.
Nausea, vomiting, anorexia.
Fruity breath, tachypnea, chest pain. - ✔✔ANSW✔✔..Sweating, trembling, tachycardia
A female client taking oral contraceptives reports to the nurse that she is experiencing
calf pain. What action should the nurse implement?
Determine if the client has also experienced breast tenderness and weight gain.
Encourage the client to begin a regular, daily program of walking and exercise.
, Advise the client to notify the healthcare provider for immediate medical attention.
Tell the client to stop taking the medication for a week to see if symptoms subside. -
✔✔ANSW✔✔..Advise the client to notify the HCP for immediate medication attention
The HCP prescribes aluminum and magnesium hydroxide, 1 tablet PO PRN, for a client
with chronic kidney disease (CKD) who is complaining of indigestion. which intervention
should the nurse implement?
Administer 30 minutes before eating.
Evaluate the effectiveness 1 hour after administration.
Instruct the client to swallow the tablet whole.
Question the healthcare provider's prescription. - ✔✔ANSW✔✔..Question the HCP's
prescription
A client has been taking oral corticosteroids for the past five days because of seasonal
allergies. Which assessment finding is of most concern to the nurse?
White blood count of 10,000 mm3.
Serum glucose of 115 mg/dl.
Purulent sputum.
Excessive hunger. - ✔✔ANSW✔✔..Purulent sputum
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
Schedule extra rest periods.
Go to the emergency room immediately. - ✔✔ANSW✔✔..Schedule extra rest periods
The nurse is assessing a client with bacterial meningitis. Which assessment finding
indicates the client may have developed septic emboli?
Cyanosis of the fingertips.
Bradycardia and bradypnea.
Presence of S3 and S4 heart sounds.
3+ pitting edema of the lower extremities. - ✔✔ANSW✔✔..Cyanosis of the fingertips
A 58 year old client, who has no health problems, asks the nurse about the Pneumovax
vaccine. The nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of
chronic illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to
areas of infection.
