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Med-Surg HESI Review
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Medical-Surgical Nursing
Practice Questions &
Exam Preparation
, Med-Surg HESI Review Questions Medical-Surgical Nursing Practice Questions & Exam Preparation
Med-Surg HESI Review Questions
Study online at https://quizlet.com/_4qt0jl
1. A client with hypertension has been receiving Administer the prescribed dose
ramipril (Altace), 5 mg PO, daily for 2 weeks and is at the scheduled time
scheduled to receive a dose at 0900. At 0830, the
client's blood pressure is 120/70 mm Hg. Which Rationale: The client's blood
action should the nurse take? pressure is within normal lim-
its, indicating that the ramipril,
an antihypertensive, is having the
desired effect and should be ad-
ministered
2. Which instruction should the nurse teach a female "Change your tampon frequent-
client about the prevention of toxic shock syn- ly"
drome?
Rationale: Certain strains of
A. "Get immunization against HPV Staphylococcus aureus produce a
B. "Change your tampon frequently" toxin that can enter the blood-
C. "Empty your bladder after intercourse" stream through the vaginal mu-
D. "Obtain a yearly flu vaccination cosa. Changing the tampon fre-
quently reduces the exposure to
these toxins, which are the pri-
mary cause of toxic shock syn-
drome. Option A helps prevent
cervical cancer, not toxic shock
syndrome. Option C can lessen
the incidence of urinary tract in-
fection. Option D can help pre-
vent some individuals from con-
tracting the flu and pneumonia,
but no relationship to toxic shock
syndrome has been proven.
3.
6/16/2026
, Med-Surg HESI Review Questions Medical-Surgical Nursing Practice Questions & Exam Preparation
Med-Surg HESI Review Questions
Study online at https://quizlet.com/_4qt0jl
The home health nurse is assessing a male client Document the presence of these
being treated for Parkinson disease with car- assessment findings.
bidopa-levodopa. The nurse observes that he
does not demonstrate any apparent emotion Rationale: A masklike expression
when speaking and rarely blinks. Which interven- and infrequent blinking are com-
tion should the nurse implement? mon clinical features of parkin-
sonism. The nurse should docu-
A. Perform a complete cranial nerve assessment ment these expected findings.
B. Instruct the client that he may be experiencing Signs of toxicity of levodopa-car-
medication toxicity bidopa include: dyskinesia, hal-
C. Document the presence of these assessment lucinations, and psychosis
findings
D. Advise the client to seek immediate medical
evaluation
4. A female client with a nasogastric tube attached Reposition the client on her side
to low suction states that she is nauseated. The
nurse assesses that there has been no drainage Rationale: The immediate priority
through the nasogastric tube in the last 2 hours. is to determine if the tube is func-
Which action should the nurse take first? tioning correctly, which would
then relieve the client's nausea.
A. Irrigate the nasogastric tube with sterile normal The least invasive intervention,
saline repositioning the client, should
B. Reposition the client on her side be attempted first, followed by
C. Advance the nasgastric tube 5cm options A and C, unless either of
D. Administer an intravenous antiemetic as pre- these interventions is contraindi-
scribed cated. If these measures are un-
successful, the client may require
option D.
5. The nurse teaches a client with type 2 diabetes Salmon, Broccoli, and Banana
nutritional strategies to decrease obesity. Which
Rationale: Provides fresh fruits,
6/16/2026
, Med-Surg HESI Review Questions Medical-Surgical Nursing Practice Questions & Exam Preparation
Med-Surg HESI Review Questions
Study online at https://quizlet.com/_4qt0jl
food items chosen by the client indicate under- lean meats and fish, vegetables,
standing of the teaching? (Select all that apply.) whole grains, and low-fat dairy
products.
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana
6. Which condition should the nurse anticipate as a Infection
potential problem in a female client with a neuro-
genic bladder? B. Infection is the major com-
plication resulting from stasis of
A. Stress incontinence urine and subsequent catheteri-
B. Infection zation. Option A is the involuntary
C. Painless gross hematuria loss of urine through an intact
D. Peritonitis urethra as a result of a sudden
increase in intraabdominal pres-
sure. Option C is the most com-
mon symptom of bladder cancer.
Option D is the most common
and serious complication of peri-
toneal dialysis.
7. A client on telemetry has a pattern of uncontrolled Perform synchronized cardiover-
atrial fibrillation with a rapid ventricular response. sion
Based on this finding, the nurse anticipates assist-
ing the physician with which treatment? Rationale: With uncontrolled atri-
al fibrillation, the treatment of
A. Administer lidocaine, 75mg IV push choice is synchronized cardiover-
B. Perform synchronized cardioversion sion to convert the cardiac rhythm
C. Defibrillate the client as soon as possible back to normal sinus rhythm. Op-
D. Administer atropine, 0.4mg IV push tion A is a medication used for
6/16/2026