Med-Surg HESI Practice Questions / Comprehensive Practice Questions for Guaranteed Success, 2025/2026

Med-Surg
HESI HESIMEDSURG Practice Questions / Comprehensive Practice Questions f
PRACTICE
Guaranteed
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1. The nurse in the emergency room assesses a B,C,E
client with a head trauma and notes a Glas-
gow Coma Scale (GCS) score of 5. What ac- Rationale: The client should be at least
tions will the nurse take to ensure the client's sitting at a 45 degree angle to avoid as-
safety? (Select all that apply.) piration and increased intracranial pres-
sure. Provide frequent mouth care as the
A. client is unable to do so at this time. The
Place the client in the supine position. remaining actions are appropriate for the
B. client with a GCS score of 5.
Assess airway and suction secretions as
needed.
C.
Change the client's position every 2 hours.
D.
Avoid mouth care, to avoid stimulating a
seizure.
E.
Monitor for drainage from the ears.

2. A client with cirrhosis develops increasing D
pedal edema and ascites. Which dietary
modification is most important for the nurse Rationale: Salt and fluid restrictions are
to teach this client? the first dietary modifications for a client
who is retaining fluid as manifested by
A. edema and ascites. Options A, B, and C
Avoid high-carbohydrate foods. will not affect fluid retention.
B.
Decrease intake of fat-soluble vitamins.
C.
Decrease caloric intake.
D.
Restrict salt and fluid intake.


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3. The clinic nurse is teaching a client with A,B,E,F
osteoarthritis to the knees bilaterally about
self-care. Which teaching points will the Rationale:The maximum daily dose of ac-
etaminophen is 4 g, the instruction in-
nurse include in the client's plan of care? (Se-
lect all that apply.) cludes up to 6 g/per day. The best type of
exercise does not place additional stress
A. on the knee joints, such as biking or
Apply heat packs to your knees as needed for swimming. Apply heat to increase circu-
pain. lation and ice packs to decrease swelling.
B. Support to the knees can take the strain
Support your knees while you are in bed with off of the joint. Getting rest will help with
a pillow or a rolled towel. coping with the pain of the disease. Eat-
C. ing a balanced diet may help with weight
Take 1000 mg of acetaminophen every 4 loss; additional weight places strain on
hours, as needed for pain. the joint.
D.
Walk no less than 3 miles every day.
E.
Get 7 to 8 hours of sleep every night.
F.
Eat a balanced diet, including fish with
Omega-3 fatty acids

4. The nurse is caring for a critically ill client C
with cirrhosis of the liver who has a naso-
gastric tube draining bright red blood. The Rationale:The breakdown of glutamine in
nurse notes that the client's serum hemo- the intestine and the increased activity
globin and hematocrit levels are decreased. of colonic bacteria from the digestion
Which additional change in laboratory data of proteins increase ammonia levels in
should the nurse expect? clients with advanced liver disease, so re-
moval of blood, a protein source, from



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A. the intestine results in a reduced level of
Increased serum albumin level ammonia. Options A, B, and D will not
B. be significantly affected by the removal of
Decreased serum creatinine blood.
C.
Decreased serum ammonia level
D.
Increased liver function test results

5. The nurse is caring for a client who is one B
day post-acute myocardial infarction. The
client is receiving oxygen at 2 L/min via Rationale:Increasing the oxygen flow rate
nasal cannula and has a peripheral saline provides more oxygen to the client's my-
ocardium and may decrease myocardial
lock. The nurse notes that the client is hav-
irritability as manifested by the frequent
ing eight premature ventricular contractions
(PVCs) per minute. Which action should the PVCs. Option A can be delegated and is a
nurse take first? lower priority action than option B. Defib-
rillation may eventually be necessary, but
A. option C is not the immediate treatment
Obtain an IV pump for antiarrhythmic infu- for frequent PVCs. Option D may become
sion. necessary if the client stops breathing but
B. is not indicated at this time.
Increase the client's oxygen flow rate.
C.
Prepare for immediate countershock.
D.
Gather equipment for endotracheal intuba-
tion.

6. Which content about self-care should the A,B,C,D
nurse include in the teaching plan of a female
client who has genital herpes? (Select all that Rationale:The nurse should include (A, B,