Med-Surg HESI Practice Questions / Comprehensive
Study Guide – Expert Strategies, Review of Key
Quizzes, and Practice Questions for Guaranteed
Success, 2025/2026
A 73 year old patient with end stage cancer is in the hospital for pain control and
rates pain at a "12" on the numeric rating scale of 0 to 10. What is the appropriate
method of pain control for this patient?
A. Alternate acetaminophen & ibuprofen
B. Only give PO medications on a scheduled basis
C. Alternate IV & IM medications
D. Wait for patient to request medication each time - ...(ANSWERS)....Alternate IV
& IM medications
What physical assessment findings would a nurse expect to find in a client with
COPD? - ...(ANSWERS)....Dyspnea
Barrel chest
Tripod position
Pursed-lip breathing
What is the priority nursing intervention in helping a patient expectorate thick
lung secretions?
A. Humidify the oxygen as able
B. Administer cough suppressant Q24HR
,C. Teach patient to splint the affected area
D. Increase fluid intake to 3L/Day if tolerated - ...(ANSWERS)....Increase fluid
intake to 3L/day if tolerated
Risk factors for hypertension - ...(ANSWERS)....*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stress
What interventions do you plan to include w/ a pt who has renal calculi? -
...(ANSWERS)....Decrease calcium (milk, cheese, tofood)
Want them to get up and ambulate to get those stones down
Increase water/fluid intake
Strain urine
What are dietary considerations for renal calculi? - ...(ANSWERS)....Increase
water/fluid intake
Decrease calcium
Limit coffee, tea, & cola
A patient is admitted to the ER with amyotrophic lateral sclerosis. Which nursing
assessment warrants immediate intervention?
, A. Muscle spasms
B. Severe constipation
C. Weak cough
D. Slow urine stream - ...(ANSWERS)....C. Weak cough
Indicators of nephrotic syndrome - ...(ANSWERS)....massive protein in urine
hypoalbunemia (low protein in the blood)
hyperlipidemia
edema (anasarca; in ankles in feet)
Weight gain
make sure to do daily weights
monitor edema in lower legs and in abdomen (ascites occurs commonly w/
nephrotic syndrome)
A patient is admitted to the ER with expressive aphasia. To further assess the
patient, the nurse should include which of the following techniques:
A. Speak slower to communicate
B. Speak louder to communicate
C. Use picture charts to communicate
D. Type on computer screen to communicate - ...(ANSWERS)....C. Use picture
charts to communicate (they can point out what they are trying to say)
Study Guide – Expert Strategies, Review of Key
Quizzes, and Practice Questions for Guaranteed
Success, 2025/2026
A 73 year old patient with end stage cancer is in the hospital for pain control and
rates pain at a "12" on the numeric rating scale of 0 to 10. What is the appropriate
method of pain control for this patient?
A. Alternate acetaminophen & ibuprofen
B. Only give PO medications on a scheduled basis
C. Alternate IV & IM medications
D. Wait for patient to request medication each time - ...(ANSWERS)....Alternate IV
& IM medications
What physical assessment findings would a nurse expect to find in a client with
COPD? - ...(ANSWERS)....Dyspnea
Barrel chest
Tripod position
Pursed-lip breathing
What is the priority nursing intervention in helping a patient expectorate thick
lung secretions?
A. Humidify the oxygen as able
B. Administer cough suppressant Q24HR
,C. Teach patient to splint the affected area
D. Increase fluid intake to 3L/Day if tolerated - ...(ANSWERS)....Increase fluid
intake to 3L/day if tolerated
Risk factors for hypertension - ...(ANSWERS)....*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stress
What interventions do you plan to include w/ a pt who has renal calculi? -
...(ANSWERS)....Decrease calcium (milk, cheese, tofood)
Want them to get up and ambulate to get those stones down
Increase water/fluid intake
Strain urine
What are dietary considerations for renal calculi? - ...(ANSWERS)....Increase
water/fluid intake
Decrease calcium
Limit coffee, tea, & cola
A patient is admitted to the ER with amyotrophic lateral sclerosis. Which nursing
assessment warrants immediate intervention?
, A. Muscle spasms
B. Severe constipation
C. Weak cough
D. Slow urine stream - ...(ANSWERS)....C. Weak cough
Indicators of nephrotic syndrome - ...(ANSWERS)....massive protein in urine
hypoalbunemia (low protein in the blood)
hyperlipidemia
edema (anasarca; in ankles in feet)
Weight gain
make sure to do daily weights
monitor edema in lower legs and in abdomen (ascites occurs commonly w/
nephrotic syndrome)
A patient is admitted to the ER with expressive aphasia. To further assess the
patient, the nurse should include which of the following techniques:
A. Speak slower to communicate
B. Speak louder to communicate
C. Use picture charts to communicate
D. Type on computer screen to communicate - ...(ANSWERS)....C. Use picture
charts to communicate (they can point out what they are trying to say)
