2025 HESI MED SURG EXAM | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS | NEWEST
EXAM | GRADED A+ | VERIFIED ANSWERS (JUST
RELEASED)
Which method elicits the most accurate information during a physical
assessment of an older client? - (ANSWER)Use reliable assessment tools for older
adults
A client who has just tested positive for HIV does not appear to hear what the
nurse is saying during post-test counseling. Which information should the nurse
offer to facilitate the client's adjustment to HIV infection? - (ANSWER)Discuss
retesting to verify the results, which will ensure continuing contact and give the
patient support and hope, as well as time to cope
The nurse is caring for a client with HIV who develops Mycobacterium avium
complex. What is the most significant desired outcome for this patient? -
(ANSWER)Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting syndrome so
adequate nutrition and return to pre-illness weight is priority
A client who had abdominal surgery two days ago has prescriptions for IV
morphine sulfate 4 mg every 2 hours and clear liquid diet. Client complains of
feeling distended and has sharp, cramping gas pains. What nursing intervention
should be implemented? - (ANSWER)Assist the client to ambulate in the hall
,A client with Meniere's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing intervention
should the nurse implement? - (ANSWER)Turn off the television and darken the
room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns to the unit after
a bronchoscopy. What nursing interventions should be implemented in the
immediate post-procedural period? - (ANSWER)NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized and
bronchoscope is coated with lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place who is
breathing spontaneously. To evaluate if the client can tolerate cuff deflation to
promote speaking and swallowing, what action should the nurse implement? -
(ANSWER)Observe the client for coughing colored sputum after drinking a small
amount of colored water
What assessment finding should the nurse identify that indicates a client with an
acute asthma exacerbation is beginning to improve after treatment? -
(ANSWER)Wheezing becomes louder as airways (that were initially so restricted
wheezing was absent) successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain and the
diagnosis is sickle cell crisis. What is the most important nursing action to
implement? - (ANSWER)Evaluate the effectiveness of narcotic analgesics because
pain management is priority for patient during sickle cell crisis
,The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving
chemotherapy. Lab results reveal platelet count of 10,000/mL. What action
should the nurse implement? - (ANSWER)Check stools for occult blood because
platelets less than 100,000/mL are indicative of thrombocytopenia (a common
side effect of chemotherapy)
A client is admitted for complaints of chest pain and aching for the past 4 days.
The results for serum creatinine kinase-MB (CK-MB) and troponin levels are
obtained. What rationale should the nurse use to evaluate lab findings? -
(ANSWER)Myocardial damage that occurred several days early is best validated by
serum troponin levels.
**CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this device will help him. How should the nurse explain the action of a
synchronous pacemaker? - (ANSWER)An electrical stimulus is discharged when
no ventricular response is sensed.
Synchronous - impulse generated on demand or as needed according to patient
intrinsic rhythm
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant.
What information is best for the nurse to provide? - (ANSWER)Smoking can
decrease quantity and quality of sperm
The first semen analysis should be repeated to confirm sperm counts
, Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching plan? -
(ANSWER)Report inflammation of the incision site or affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for midazolam
(Versed) IV. The nurse determines that the surgical consent form needs to be
signed by the client. Which action should the nurse implement? -
(ANSWER)Withhold the drug until the client validates understanding of the
surgical procedure and signs the consent form.
The HCP should explain procedure to client before arriving to the preoperative
area
A client with acute osteomyelitis has undergone surgical debridement of the
diseased bone and asks the nurse how long will antibiotics have to be
administered. Which information should the nurse communicate? -
(ANSWER)Parenteral antibiotics for 4-8 weeks then oral antibiotics for 4-8 weeks.
The nurse is preparing an adult client for an upper GI series. Which information
should the nurse include in the teaching plan? - (ANSWER)Nothing by mouth is
allowed for 6-8 hours before the study
The nurse is caring for a client scheduled to undergo insertion of a percutaneous
endoscopic gastrostomy (PEG) tube. The client asked the nurse to explain how a
CORRECT ANSWERS WITH EXPLANATIONS | NEWEST
EXAM | GRADED A+ | VERIFIED ANSWERS (JUST
RELEASED)
Which method elicits the most accurate information during a physical
assessment of an older client? - (ANSWER)Use reliable assessment tools for older
adults
A client who has just tested positive for HIV does not appear to hear what the
nurse is saying during post-test counseling. Which information should the nurse
offer to facilitate the client's adjustment to HIV infection? - (ANSWER)Discuss
retesting to verify the results, which will ensure continuing contact and give the
patient support and hope, as well as time to cope
The nurse is caring for a client with HIV who develops Mycobacterium avium
complex. What is the most significant desired outcome for this patient? -
(ANSWER)Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting syndrome so
adequate nutrition and return to pre-illness weight is priority
A client who had abdominal surgery two days ago has prescriptions for IV
morphine sulfate 4 mg every 2 hours and clear liquid diet. Client complains of
feeling distended and has sharp, cramping gas pains. What nursing intervention
should be implemented? - (ANSWER)Assist the client to ambulate in the hall
,A client with Meniere's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing intervention
should the nurse implement? - (ANSWER)Turn off the television and darken the
room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns to the unit after
a bronchoscopy. What nursing interventions should be implemented in the
immediate post-procedural period? - (ANSWER)NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized and
bronchoscope is coated with lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place who is
breathing spontaneously. To evaluate if the client can tolerate cuff deflation to
promote speaking and swallowing, what action should the nurse implement? -
(ANSWER)Observe the client for coughing colored sputum after drinking a small
amount of colored water
What assessment finding should the nurse identify that indicates a client with an
acute asthma exacerbation is beginning to improve after treatment? -
(ANSWER)Wheezing becomes louder as airways (that were initially so restricted
wheezing was absent) successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain and the
diagnosis is sickle cell crisis. What is the most important nursing action to
implement? - (ANSWER)Evaluate the effectiveness of narcotic analgesics because
pain management is priority for patient during sickle cell crisis
,The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving
chemotherapy. Lab results reveal platelet count of 10,000/mL. What action
should the nurse implement? - (ANSWER)Check stools for occult blood because
platelets less than 100,000/mL are indicative of thrombocytopenia (a common
side effect of chemotherapy)
A client is admitted for complaints of chest pain and aching for the past 4 days.
The results for serum creatinine kinase-MB (CK-MB) and troponin levels are
obtained. What rationale should the nurse use to evaluate lab findings? -
(ANSWER)Myocardial damage that occurred several days early is best validated by
serum troponin levels.
**CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this device will help him. How should the nurse explain the action of a
synchronous pacemaker? - (ANSWER)An electrical stimulus is discharged when
no ventricular response is sensed.
Synchronous - impulse generated on demand or as needed according to patient
intrinsic rhythm
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant.
What information is best for the nurse to provide? - (ANSWER)Smoking can
decrease quantity and quality of sperm
The first semen analysis should be repeated to confirm sperm counts
, Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching plan? -
(ANSWER)Report inflammation of the incision site or affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for midazolam
(Versed) IV. The nurse determines that the surgical consent form needs to be
signed by the client. Which action should the nurse implement? -
(ANSWER)Withhold the drug until the client validates understanding of the
surgical procedure and signs the consent form.
The HCP should explain procedure to client before arriving to the preoperative
area
A client with acute osteomyelitis has undergone surgical debridement of the
diseased bone and asks the nurse how long will antibiotics have to be
administered. Which information should the nurse communicate? -
(ANSWER)Parenteral antibiotics for 4-8 weeks then oral antibiotics for 4-8 weeks.
The nurse is preparing an adult client for an upper GI series. Which information
should the nurse include in the teaching plan? - (ANSWER)Nothing by mouth is
allowed for 6-8 hours before the study
The nurse is caring for a client scheduled to undergo insertion of a percutaneous
endoscopic gastrostomy (PEG) tube. The client asked the nurse to explain how a
