MED SURG HESI V2: EXAM, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
A client with Addison's disease taking hydrocortisone in a divided
daily dose last week. It is most important for the nurse to monitor
which serum lab value?
A. Osmolarity
B. glucose
C. Albumin
D. Platelets - CORRECT ANSWERS- glucose
A client with AIDS has impaired gas exchange from a respiratory
infection. Which assessment finding warrants immediate
intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing - CORRECT ANSWERS- Pain when
swallowing
An older male client tells the nurse he is losing sleep because he
has to get up several times at night to go bathroom, that he has
trouble starting his urinary stream and he doesn't feel like his
bladder is empty. Which interventions?
,A. collect a urine specimen for culture analysis
B. Review the clients fluid intake prior to bedtime
C. Palpate the bladder above the symphysis pubis
D. obtain a fingerstick glucose level - CORRECT ANSWERS-
Palpate the bladder above the symphysis pubis
Fluids are restricted to 1500 ml/day for a male client with AKI. He
is frustrated and complaining of constant thirst, and the nurse
discovers that the family is providing the client with additional
fluids. What intervention should the nurse implement?
A. Remove all sources of liquids from the clients room
B. Allow family to give the client a measured amount of ice chips
C. Restrict family visiting until the clients condition is stable
D. Provide the client with oral swabs to moisten his mouth. -
CORRECT ANSWERS- Provide the client with oral swabs to
moisten his mouth.
During a paracentesis, 2L of fluid are removed from the abdomen
of a client with ascites. A drainage bag is placed and 50mL of
straw colored fluid drains within 1st hr. What action to take?
A. Palpate for abdominal distention
B. Send fluid to the lab for analysis
C. Continue to monitor the fluid output
D. Clamp drainage tube for 5 mins - CORRECT ANSWERS-
Continue to monitor the fluid output
, While assessing a client with degenerative joint disease, the nurse
observes Heberden's nodes, large prominences on the clients
finger that are reddened. The client reports the nodes are painful.
Which action should nurse take?
A. Review the clients dietary intake of high protein foods
B. Notify the HCP of the finding immediately
C. Discuss approaches to chronic pain control with the client
D. Assess the clients radial pulses and capillary refill time -
CORRECT ANSWERS- Discuss approaches to chronic pain control
with the client
A client who took a camping vacation 2 weeks ago in a country
with tropical climate comes to the clinic describing vague
symptoms and diarrhea for the past week. which finding is most
important for the nurse to report to the HCP.
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - CORRECT ANSWERS- Jaundiced sclera
Ten hours following thrombolysis for an ST elevation myocardial
infarction (STEMI) a client is receiving a lidocaine infusion for
isolated runs of ventricular tachycardia. Which findings should the
nurse document in the EMR as therapeutic response to the
lidocaine?
A. Stabilization of BP ranges
WITH CORRECT/ACCURATE ANSWERS
A client with Addison's disease taking hydrocortisone in a divided
daily dose last week. It is most important for the nurse to monitor
which serum lab value?
A. Osmolarity
B. glucose
C. Albumin
D. Platelets - CORRECT ANSWERS- glucose
A client with AIDS has impaired gas exchange from a respiratory
infection. Which assessment finding warrants immediate
intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing - CORRECT ANSWERS- Pain when
swallowing
An older male client tells the nurse he is losing sleep because he
has to get up several times at night to go bathroom, that he has
trouble starting his urinary stream and he doesn't feel like his
bladder is empty. Which interventions?
,A. collect a urine specimen for culture analysis
B. Review the clients fluid intake prior to bedtime
C. Palpate the bladder above the symphysis pubis
D. obtain a fingerstick glucose level - CORRECT ANSWERS-
Palpate the bladder above the symphysis pubis
Fluids are restricted to 1500 ml/day for a male client with AKI. He
is frustrated and complaining of constant thirst, and the nurse
discovers that the family is providing the client with additional
fluids. What intervention should the nurse implement?
A. Remove all sources of liquids from the clients room
B. Allow family to give the client a measured amount of ice chips
C. Restrict family visiting until the clients condition is stable
D. Provide the client with oral swabs to moisten his mouth. -
CORRECT ANSWERS- Provide the client with oral swabs to
moisten his mouth.
During a paracentesis, 2L of fluid are removed from the abdomen
of a client with ascites. A drainage bag is placed and 50mL of
straw colored fluid drains within 1st hr. What action to take?
A. Palpate for abdominal distention
B. Send fluid to the lab for analysis
C. Continue to monitor the fluid output
D. Clamp drainage tube for 5 mins - CORRECT ANSWERS-
Continue to monitor the fluid output
, While assessing a client with degenerative joint disease, the nurse
observes Heberden's nodes, large prominences on the clients
finger that are reddened. The client reports the nodes are painful.
Which action should nurse take?
A. Review the clients dietary intake of high protein foods
B. Notify the HCP of the finding immediately
C. Discuss approaches to chronic pain control with the client
D. Assess the clients radial pulses and capillary refill time -
CORRECT ANSWERS- Discuss approaches to chronic pain control
with the client
A client who took a camping vacation 2 weeks ago in a country
with tropical climate comes to the clinic describing vague
symptoms and diarrhea for the past week. which finding is most
important for the nurse to report to the HCP.
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - CORRECT ANSWERS- Jaundiced sclera
Ten hours following thrombolysis for an ST elevation myocardial
infarction (STEMI) a client is receiving a lidocaine infusion for
isolated runs of ventricular tachycardia. Which findings should the
nurse document in the EMR as therapeutic response to the
lidocaine?
A. Stabilization of BP ranges
