HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
1. What instruction should the nurse include in the discharge teaching plan
of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being diagnose
with influenza. He is short of breath, febrile, and coughing green colored
sputum. Which intervention should the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary
tract infection (UTI) Prescriptions for intravenous antibiotics and insulin
infusion are initiated. Which serum laboratory value warrants the most
immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour of
TestBankWorld.org
,HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the SBAR communication process?
a. explain specific reason for urgent notification
TestBankWorld.org
,HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalize he receives IV pentamidine
isethionate therapy. In preparing this client for discharge what important
aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
d. Iv pentamine may offer protection to others aids related conditions
such as kaposis sarcoma
7. A client subjective data includes dysuria, urgency, and urinary frequency.
What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the
clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help the client make plans to begin inmediate treatment since her
cancer is likely to spread quickly
9. A client with a chronic kidney disease is treated on hemodialysis. During
the 1 treatment clients blood pressure drops from 150/90 to 80/30
Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5%albumin IV
TestBankWorld.org
, HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
10. A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many
ml/hr?
=9
11. The nurse is 0btaining the admissi0n hist0ry f0r a client with suspected
peptic ulcer disease (PUD). Which subjective data rep 0rted by the client
supp0rts this diagn0sis?
a. upper mid abd0minal gnawing and burning pain
b. severe abd0minal cramps and diarrhea after eating spicy f00ds
c. marked l0ss 0f weight and appetite 0ver the last few m0nths
d. use 0f chewable and liquid antacids f0r indigesti0n
12. The nurse is pr0viding pre0perative educati0n f0r a jewish client
schedule t0 receive a xen0graft graft t0 pr0m0te burn healing. Which
inf0rmati0n sh0uld the nurse pr0vide this client?
a. the xen0graft is taken fr0m n0nhuman s0urces
b. grafting increases the risk f0r bacterial infecti0n
c. as the burn heals the graft permanently attaches
d. grafts are later rem0ved by debriding pr0cedure
13. A client wh0 t00k a camping vacati0n tw0 weeks ag0 in a c0untry with a
tr0pical climate c0mes t0 the clinic describing vague sympt0ms and
diarrhea f0r the past week. Which finding is m0st imp0rtant f0r the nurse t0
rep0rt?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigue
d. weight l0ss
14. During a h0me visit the nurse assesses the skin 0f a client with eczema
wh0 rep0rts than an exacerbati0n 0f sympt0ms has 0ccurred during the
last week. Which inf0rmati0n is m0st useful in determining the p0ssible
cause 0f the sympt0ms?
a. an 0ld friend with eczema came f0r visit
b. recently received an influenza immunizati0n
c. c0rtic0ster0id cream was applied t0 eczema
d. a grands0n and his new d0g recently visited
TestBankWorld.org
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
1. What instruction should the nurse include in the discharge teaching plan
of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being diagnose
with influenza. He is short of breath, febrile, and coughing green colored
sputum. Which intervention should the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary
tract infection (UTI) Prescriptions for intravenous antibiotics and insulin
infusion are initiated. Which serum laboratory value warrants the most
immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour of
TestBankWorld.org
,HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the SBAR communication process?
a. explain specific reason for urgent notification
TestBankWorld.org
,HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalize he receives IV pentamidine
isethionate therapy. In preparing this client for discharge what important
aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
d. Iv pentamine may offer protection to others aids related conditions
such as kaposis sarcoma
7. A client subjective data includes dysuria, urgency, and urinary frequency.
What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the
clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help the client make plans to begin inmediate treatment since her
cancer is likely to spread quickly
9. A client with a chronic kidney disease is treated on hemodialysis. During
the 1 treatment clients blood pressure drops from 150/90 to 80/30
Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5%albumin IV
TestBankWorld.org
, HESI RN Med-Surg Exam (20 Exam Sets, 1500+ Q & A, Newest-2022) / RN HESI Med-Surg Exam / Med-
Surg HESI RN Exam / Med-Surg RN HESI Exam / HESI RN Med Surg Exam / RN HESI Med Surg Exam /
Med Surg HESI RN Exam |Complete Document for HESI Exam |
10. A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many
ml/hr?
=9
11. The nurse is 0btaining the admissi0n hist0ry f0r a client with suspected
peptic ulcer disease (PUD). Which subjective data rep 0rted by the client
supp0rts this diagn0sis?
a. upper mid abd0minal gnawing and burning pain
b. severe abd0minal cramps and diarrhea after eating spicy f00ds
c. marked l0ss 0f weight and appetite 0ver the last few m0nths
d. use 0f chewable and liquid antacids f0r indigesti0n
12. The nurse is pr0viding pre0perative educati0n f0r a jewish client
schedule t0 receive a xen0graft graft t0 pr0m0te burn healing. Which
inf0rmati0n sh0uld the nurse pr0vide this client?
a. the xen0graft is taken fr0m n0nhuman s0urces
b. grafting increases the risk f0r bacterial infecti0n
c. as the burn heals the graft permanently attaches
d. grafts are later rem0ved by debriding pr0cedure
13. A client wh0 t00k a camping vacati0n tw0 weeks ag0 in a c0untry with a
tr0pical climate c0mes t0 the clinic describing vague sympt0ms and
diarrhea f0r the past week. Which finding is m0st imp0rtant f0r the nurse t0
rep0rt?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigue
d. weight l0ss
14. During a h0me visit the nurse assesses the skin 0f a client with eczema
wh0 rep0rts than an exacerbati0n 0f sympt0ms has 0ccurred during the
last week. Which inf0rmati0n is m0st useful in determining the p0ssible
cause 0f the sympt0ms?
a. an 0ld friend with eczema came f0r visit
b. recently received an influenza immunizati0n
c. c0rtic0ster0id cream was applied t0 eczema
d. a grands0n and his new d0g recently visited
TestBankWorld.org
