HESI RN MED SURG EXAM MERGED FROM
2021|2022|2023|2024|2025 Complete Nursing Exam
Mastery, ACTUAL EXAMS.NEXT GEN-ACTUAL EXAM
REVIEW MED SURG EXAM BEST FOR 2025
The nurse discovers that an older adult client with no history of cardiac or renal
disease has an elevated serum magnesium level. To further investigate the cause
of this electrolyte imbalance, which information is most important for the nurse
to obtain from the clients medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily.
D) Ingestion of shellfish or fish oil capsules daily.
Client who underwent an uncomplicated gastric bypass surgery is having
difficulty with diet management. Which dietary instruction is most important for
the nurse to explain to the client?
A) To food slowly and thoroughly before attempting to swallow.
B) Plan volume controlled, evenly space meals throughout the day.
C) Sip fluids Chloe with each meal and between meals.
D) Eliminate or reduce intake a fatty and gas forming foods.
B) Plan volume controlled, evenly space meals throughout the day.
,A client with an acute myocardial infarction is given a thrombolytic medication,
aspirin, and IV heparin in the emergency department. Which finding indicates
the client is having a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation
A) Activated partial thromboplastin (aPTT) time is two times the control value.
An adolescent client who has been treated in the past for a seizure disorder is
admitted to the hospital immediately after admission the client begins to have a
grand mal seizure. Which action should the nurse implement?
A) Place a padded tongue blade between the clients teeth.
B) Observe the client carefully.
C) Obtain assistance in holding the client to prevent injury.
D) Call a rapid response team.
B) Observe the client carefully.
Client with leukemia who is receiving a myelosuppressive chemotherapy has a
platelet count of 25,000. Which intervention is most important for the nurse to
include in the clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance.
B) Assess urine and stool for occult blood.
A client with diabetes insipidus has an average urinary output of 500 ML of
dilute urine every hour for the past four hours. Which laboratory test is most
important for the nurse to monitor?
,A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count.
C) Serum sodium.
The nurse is managing the care of a client with Cushing syndrome. Which
intervention should the nurse delegate to be unlicensed assistive personnel?
SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
C) Assess the client for weakness and fatigue.
D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a prescription for an
electronic stimulator tens unit. After the nurse applies the electrodes and turns
on the power, the client reports feeling a tingling sensation. How should the
nurse respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.
C) Remove electrodes and observe for skin redness.
D) Determine if the sensation feels uncomfortable.
D) Determine if the sensation feels uncomfortable.
Before leaving the room of a confuse client, the nurse notes that a half bow not
was used to attach the clients wrist restraints to the movable portion of the
, clients bed frame. What action should the nurse take before leaving the room?
A) Ensure that the number cannot be quickly released.
B) Ensure that the restraints are snug against the clients risk.
C) Tie the knot with a double turn or square knot.
D) Move the ties so the restraints are secured to the side rails.
A) Ensure that the number cannot be quickly released.
A client is being urgently transported to radiology for a CT scan after a sudden
decrease in level of consciousness. The client is orally intubated and has a left
lateral chest tube of 20 cm section. Which action is most important for the nurse
to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container.
B) Keep the chest tube container below the site of insertion.
The nurse is managing for clients in the ICU who are mechanically ventilated.
After performing a quick visual assessment, the nurse should prioritize care for
the client who is exhibiting which finding?
A) Diminished breath sounds in the right posterior base.
B) Restrained and restless with a slow volume alarm sounding.
C) High-pressure alarm sounds when client is coughing.
D) An audible voice when client is trying to communicate.
B) Restrained and restless with a slow volume alarm sounding.
NGN
????
2021|2022|2023|2024|2025 Complete Nursing Exam
Mastery, ACTUAL EXAMS.NEXT GEN-ACTUAL EXAM
REVIEW MED SURG EXAM BEST FOR 2025
The nurse discovers that an older adult client with no history of cardiac or renal
disease has an elevated serum magnesium level. To further investigate the cause
of this electrolyte imbalance, which information is most important for the nurse
to obtain from the clients medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily.
D) Ingestion of shellfish or fish oil capsules daily.
Client who underwent an uncomplicated gastric bypass surgery is having
difficulty with diet management. Which dietary instruction is most important for
the nurse to explain to the client?
A) To food slowly and thoroughly before attempting to swallow.
B) Plan volume controlled, evenly space meals throughout the day.
C) Sip fluids Chloe with each meal and between meals.
D) Eliminate or reduce intake a fatty and gas forming foods.
B) Plan volume controlled, evenly space meals throughout the day.
,A client with an acute myocardial infarction is given a thrombolytic medication,
aspirin, and IV heparin in the emergency department. Which finding indicates
the client is having a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation
A) Activated partial thromboplastin (aPTT) time is two times the control value.
An adolescent client who has been treated in the past for a seizure disorder is
admitted to the hospital immediately after admission the client begins to have a
grand mal seizure. Which action should the nurse implement?
A) Place a padded tongue blade between the clients teeth.
B) Observe the client carefully.
C) Obtain assistance in holding the client to prevent injury.
D) Call a rapid response team.
B) Observe the client carefully.
Client with leukemia who is receiving a myelosuppressive chemotherapy has a
platelet count of 25,000. Which intervention is most important for the nurse to
include in the clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance.
B) Assess urine and stool for occult blood.
A client with diabetes insipidus has an average urinary output of 500 ML of
dilute urine every hour for the past four hours. Which laboratory test is most
important for the nurse to monitor?
,A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count.
C) Serum sodium.
The nurse is managing the care of a client with Cushing syndrome. Which
intervention should the nurse delegate to be unlicensed assistive personnel?
SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
C) Assess the client for weakness and fatigue.
D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a prescription for an
electronic stimulator tens unit. After the nurse applies the electrodes and turns
on the power, the client reports feeling a tingling sensation. How should the
nurse respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.
C) Remove electrodes and observe for skin redness.
D) Determine if the sensation feels uncomfortable.
D) Determine if the sensation feels uncomfortable.
Before leaving the room of a confuse client, the nurse notes that a half bow not
was used to attach the clients wrist restraints to the movable portion of the
, clients bed frame. What action should the nurse take before leaving the room?
A) Ensure that the number cannot be quickly released.
B) Ensure that the restraints are snug against the clients risk.
C) Tie the knot with a double turn or square knot.
D) Move the ties so the restraints are secured to the side rails.
A) Ensure that the number cannot be quickly released.
A client is being urgently transported to radiology for a CT scan after a sudden
decrease in level of consciousness. The client is orally intubated and has a left
lateral chest tube of 20 cm section. Which action is most important for the nurse
to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container.
B) Keep the chest tube container below the site of insertion.
The nurse is managing for clients in the ICU who are mechanically ventilated.
After performing a quick visual assessment, the nurse should prioritize care for
the client who is exhibiting which finding?
A) Diminished breath sounds in the right posterior base.
B) Restrained and restless with a slow volume alarm sounding.
C) High-pressure alarm sounds when client is coughing.
D) An audible voice when client is trying to communicate.
B) Restrained and restless with a slow volume alarm sounding.
NGN
????
