Med-Surg HESI Practice Questions And
Answers(2024-2025)
Aoclientodiagnosedowithostableoanginaosecondaryotooischemicoheartodiseaseohasoaoprescri
ptionoforosublingualo(SL)onitroglycerino(NTG).oTheonurseoshouldotellotheoclientotoofollowowh
ichoinstructionsoifochestopainoisonotorelievedoafterotakingo3oNTGotabletso5ominoapart?
a.odriveotootheonearestoemergencyodepartment
b.otakeoanotheroNTGoSLotabletoandolieodownountiloanginaosubsides
c.ocalloprimaryohealthcareoprovider
d.ocallo911oifopainoisounrelievedoandochewoaotabletoofoaspirino325mgo-
oCORRECTooANSWER-
d.ocallo911oifopainoisounrelievedoandochewoaotabletoofoaspirino325omg
AoclientoexperiencesoanoABOoincompatibilityoreactionoafteromultipleobloodotransfusions.o
Whichofindingoshouldotheonurseoreportoimmediatelyotootheohealthocareoprovider?
a.olowobackopainoandohypotension
b.orhinitisoandonasalostuffiness
c.odelayedopainfulorashowithourticarial
d.oarthriticojointochangesoandochronicopaino-oCORRECTooANSWER-
a.olowobackopainoandohypotension
Aoclientoisodischargedowithoaoprescriptionoforowarfarino(Coumadin).oWhatodischargeoinstru
ctionsoshouldotheonurseoemphasizeotootheoclient?
a.otakeoaomultiovitaminosupplementodaily
b.ouseoanoastringentoforosuperficialobleeding
c.oavoidogoingobarefootoespeciallyooutside
d.oincludeolargeoamountsoofospinachoinotheodieto-oCORRECTooANSWER-
c.oavoidogoingobarefoot,oespeciallyooutside
Aoclientosubjectiveodataoincludesodysuria,ourgency,oandourinaryofrequency.oWhatoactionos
houldotheonurseoimplementonext?
a.ocollectoaocleanocatchospecimen
b.opalpateotheosuprapubicoregion
c.oinstructotoowipeofromofrontotooback
d.oinquireoaboutorecentosexualoactivityo-oCORRECTooANSWER-
a.ocollectoaocleanocatchospecimen
Aoclientotellsotheonurseothatoherobiopsyoresultsoindicateothatotheocancerocellsoareowellodiffer
entiatedoHowoshouldotheonurseorespond?
a.oofferotheoclientoreassuranceothatothisoinformationoindicatesothatotheoclientsocancerocellso
areobenign
, b.oexplainothatotheseotissueocellsooftenorespondomoreoeffectivelyotooradiationothanotooche
motherapy
c.oaskotheoclientoifotheohealthcareoproviderohasogivenoheroanyoinformationoaboutotheoclassi
ficationoofoherocancer
d.ohelpotheoclientomakeoplansotoobeginoimmediateotreatmentosinceoherocanceroisolikelyotoos
preadoquicklyo-oCORRECTooANSWER-
c.oaskotheoclientoifotheohealthcareoproviderohasogivenoheroanyoinformationoaboutotheoclassi
ficationoofoherocancer
Aoclientowhoohadoaomyocardialoinfarctionoisoadmittedotootheocoronaryocriticalocareounito(CC
U)owithoaonitroglycerinodripoinfusing.oTheoclientsolastobloodopressureomeasurementsowaso
78/36.oWhatoactionoshouldotheonurseoimplement?
a.oobtainobloodopressureoq5ominutesousingoduranapomachine
b.ochangeotheodilutionoofotheonitroglycerinoinfusion
c.oreduceotheorateoofotheonitroglycerinoinfusion
d.obeginodopamineoinfusionoato5mcg/kgoperominuteo-oCORRECTooANSWER-
c.oreduceotheorateoofotheonitroglycerinoinfusion
Aoclientowhooisotakingoandooralodoseoofotetracyclineocomplainsoofogastrointestinaloupset.o
Whatosnackoshouldotheonurseoinstructotheoclientotootakeowithotheotetracycline?
a.otoastedowheatobreadoandojelly
b.ocheeseoandocrackers
c.ocoldocerealowithoskimomilk
d.ofruitoflavoredoyogurto-oCORRECTooANSWER-a.toastedowheatobreadoandojelly
Aoclientowhootookoaocampingovacationotwooweeksoagooinoaocountryowithoaotropicaloclimateo
comesotootheoclinicodescribingovagueosymptomsoandodiarrheaoforotheopastoweek.oWhichofi
ndingoisomostoimportantoforotheonurseotooreport?
a.ojaundiceosclera
b.ointestinalocramping
c.oweaknessoandofatigue
d.oweightolosso-oCORRECTooANSWER-a.ojaundiceosclera
Aoclientowithoaochronicokidneyodiseaseoisotreatedoonohemodialysis.oDuringotheo1otreatment
oclientsobloodopressureodropsofromo150/90otoo80/30oWhichoactionoshouldotheonurseotakeofi
rst?
a.omonitorobpoq45ominutes
b.olowerotheoheadoofotheochairoandoelevateofeet
c.ostopodialysisotreatment
d.oadministero5%oalbuminoIVo-oCORRECTooANSWER-c.ostopodialysisotreatment
Aoclientowithodeepovainothrombosiso(DVT)oisoreceivingoaocontinuesoinfusionoofoheparinoso
diumo25,000ounitoino5%odextroseoinjectiono250ml.oTheoprescriptionoindicatesotheodosageo
shouldobeoincreaseo900ounits/hr.oTheonurseoshouldoprogramotheoinfusionopumpotoodelivero
howomanyoml/hr?o-oCORRECTooANSWER-9omL/hour
Answers(2024-2025)
Aoclientodiagnosedowithostableoanginaosecondaryotooischemicoheartodiseaseohasoaoprescri
ptionoforosublingualo(SL)onitroglycerino(NTG).oTheonurseoshouldotellotheoclientotoofollowowh
ichoinstructionsoifochestopainoisonotorelievedoafterotakingo3oNTGotabletso5ominoapart?
a.odriveotootheonearestoemergencyodepartment
b.otakeoanotheroNTGoSLotabletoandolieodownountiloanginaosubsides
c.ocalloprimaryohealthcareoprovider
d.ocallo911oifopainoisounrelievedoandochewoaotabletoofoaspirino325mgo-
oCORRECTooANSWER-
d.ocallo911oifopainoisounrelievedoandochewoaotabletoofoaspirino325omg
AoclientoexperiencesoanoABOoincompatibilityoreactionoafteromultipleobloodotransfusions.o
Whichofindingoshouldotheonurseoreportoimmediatelyotootheohealthocareoprovider?
a.olowobackopainoandohypotension
b.orhinitisoandonasalostuffiness
c.odelayedopainfulorashowithourticarial
d.oarthriticojointochangesoandochronicopaino-oCORRECTooANSWER-
a.olowobackopainoandohypotension
Aoclientoisodischargedowithoaoprescriptionoforowarfarino(Coumadin).oWhatodischargeoinstru
ctionsoshouldotheonurseoemphasizeotootheoclient?
a.otakeoaomultiovitaminosupplementodaily
b.ouseoanoastringentoforosuperficialobleeding
c.oavoidogoingobarefootoespeciallyooutside
d.oincludeolargeoamountsoofospinachoinotheodieto-oCORRECTooANSWER-
c.oavoidogoingobarefoot,oespeciallyooutside
Aoclientosubjectiveodataoincludesodysuria,ourgency,oandourinaryofrequency.oWhatoactionos
houldotheonurseoimplementonext?
a.ocollectoaocleanocatchospecimen
b.opalpateotheosuprapubicoregion
c.oinstructotoowipeofromofrontotooback
d.oinquireoaboutorecentosexualoactivityo-oCORRECTooANSWER-
a.ocollectoaocleanocatchospecimen
Aoclientotellsotheonurseothatoherobiopsyoresultsoindicateothatotheocancerocellsoareowellodiffer
entiatedoHowoshouldotheonurseorespond?
a.oofferotheoclientoreassuranceothatothisoinformationoindicatesothatotheoclientsocancerocellso
areobenign
, b.oexplainothatotheseotissueocellsooftenorespondomoreoeffectivelyotooradiationothanotooche
motherapy
c.oaskotheoclientoifotheohealthcareoproviderohasogivenoheroanyoinformationoaboutotheoclassi
ficationoofoherocancer
d.ohelpotheoclientomakeoplansotoobeginoimmediateotreatmentosinceoherocanceroisolikelyotoos
preadoquicklyo-oCORRECTooANSWER-
c.oaskotheoclientoifotheohealthcareoproviderohasogivenoheroanyoinformationoaboutotheoclassi
ficationoofoherocancer
Aoclientowhoohadoaomyocardialoinfarctionoisoadmittedotootheocoronaryocriticalocareounito(CC
U)owithoaonitroglycerinodripoinfusing.oTheoclientsolastobloodopressureomeasurementsowaso
78/36.oWhatoactionoshouldotheonurseoimplement?
a.oobtainobloodopressureoq5ominutesousingoduranapomachine
b.ochangeotheodilutionoofotheonitroglycerinoinfusion
c.oreduceotheorateoofotheonitroglycerinoinfusion
d.obeginodopamineoinfusionoato5mcg/kgoperominuteo-oCORRECTooANSWER-
c.oreduceotheorateoofotheonitroglycerinoinfusion
Aoclientowhooisotakingoandooralodoseoofotetracyclineocomplainsoofogastrointestinaloupset.o
Whatosnackoshouldotheonurseoinstructotheoclientotootakeowithotheotetracycline?
a.otoastedowheatobreadoandojelly
b.ocheeseoandocrackers
c.ocoldocerealowithoskimomilk
d.ofruitoflavoredoyogurto-oCORRECTooANSWER-a.toastedowheatobreadoandojelly
Aoclientowhootookoaocampingovacationotwooweeksoagooinoaocountryowithoaotropicaloclimateo
comesotootheoclinicodescribingovagueosymptomsoandodiarrheaoforotheopastoweek.oWhichofi
ndingoisomostoimportantoforotheonurseotooreport?
a.ojaundiceosclera
b.ointestinalocramping
c.oweaknessoandofatigue
d.oweightolosso-oCORRECTooANSWER-a.ojaundiceosclera
Aoclientowithoaochronicokidneyodiseaseoisotreatedoonohemodialysis.oDuringotheo1otreatment
oclientsobloodopressureodropsofromo150/90otoo80/30oWhichoactionoshouldotheonurseotakeofi
rst?
a.omonitorobpoq45ominutes
b.olowerotheoheadoofotheochairoandoelevateofeet
c.ostopodialysisotreatment
d.oadministero5%oalbuminoIVo-oCORRECTooANSWER-c.ostopodialysisotreatment
Aoclientowithodeepovainothrombosiso(DVT)oisoreceivingoaocontinuesoinfusionoofoheparinoso
diumo25,000ounitoino5%odextroseoinjectiono250ml.oTheoprescriptionoindicatesotheodosageo
shouldobeoincreaseo900ounits/hr.oTheonurseoshouldoprogramotheoinfusionopumpotoodelivero
howomanyoml/hr?o-oCORRECTooANSWER-9omL/hour