lOMoARcPSD|729 392 2
Med Surg HESI Questions
and Answers Latest 2023
1. A client is admitted to the hospital with symptoms consistent with right hemisphere
stroke. With Neurovascular assessment requires immediate intervention by the nurse?
A. Pupillary changes to ipsilateral dilation
B. Orientation to person and place only.
C. Left Sided Facial dropping and dysphagia
D. Unequal bilateral hand grip strengths
2. Achieve maximum mobility and independence for a client multiple sclerosis (MS).
Which intervention is most important for the nurse to implement?
A. Provide a walker for ambulation
B. Frequently assist client to the bathroom
C. Apply alternating patches over the eyes
D. Teach strengthing exercises
3. The Nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse recommend the client to follow?
A. Limit oral Fluid intake to 500 mL per day
B. Restrict protein intake by including meats and other high protein foods
C. Increase intake of potassium-rich foods such as bananas or cantaloupe
D. Increase intake of high fiber foods, such as bran cereal.
4. The nurse Is caring for a client with herpes zoster who reports painful blisters that
align from the back along the chest curvature to the anterior chest. Which intervention is
the highest priority for the nurse?
A. Place the client on contact precaution
B. Administer antiviral medication
C. Place wet compresses to ruptured vesicles
D. Administer narcotic analgesics
5. A young adult who suffered a severe brain injury in an automobile collision has been
mechanically ventilated for the past three days and has no spontaneous respiratory
effort. After serial electroencephalograms (EEG) reveal no brain activity, the healthcare
provider discusses end-of-life options with family who agree to discontinue life support.
Which intervention should the nurse implement?
A. Ask the family if they wish would remain at bedside during withdrawal
B. Request a living will be placed in the client's medical record
C. Discuss the withdrawal procedure with the family and offer support
D. Turn off the mechanical ventilator and note the time of death
6. Following a transurethral resection of the prostate (TURP), a client is discharged from
the hospital with an indwelling urinary catheter. Which instruction is most important for
the nurse to include in the discharge teaching plan?
A. Eliminate all the spicy food from your diet
B. Drinl 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
7. On the first postoperative day, the nurse finds an older male client disoriented and
trying to climb over the bed railing. Previously he was oriented to person, place, and
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, lOMoARcPSD|729 392 2
time on admission. Which intervention should the nurse implement first?
A. Apply wrist restraints
B. Determine the clients blood pressure
C. Administer a mild sedative
D. Asses the client for pain
8. Acute soft-tissue injuries (I.e. sprains, strains) provide the nurse with a variety of
teaching opportunities. Which instruction should the nurse provide to a client with a soft-
tissue injury?
A. Watch for shortness of breath which may indicate a fat embolus
B. Begin range of motion exercises within the first 24 hours
C. Apply Ice intermittently for the first 24 hours
D. After edema subsides, apply heat continuously
9. A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA),
which resulted in paralysis of his right arm. When the nurse enters the room, he is
struggling to put on a shirt, and he curses at the nurse. What is the best response from
the nurse?
A. “We will give you a class on dressing tomorrow”
B. This unit has a policy against staff harassment
C. Dressing must be a frustrating experience for you”
D. “It is important to dress the right arm first”
10. A client returns to unit following a craniotomy for removal of brain tumor and is
obtunded but arouses to painful stimuli. Which assessment is most important for the
nurse to obtain?
A. Drainage on dressing
B. Last administration of analgesia
C. Body temperature
D. Serial blood pressure and pulse
11. An older client who is agitated, dyspneic, orthopneic, and using accessory muscle to
breathe is admitted for further treatment. Initial assessment indicates beats/minute and
irregular, respirations 36 breaths/minute, blood pressure 168/100 mmHg. Wheezes and
crackles in all lung fields. An hour after the administered mg IV, which assessment
should the nurse obtain to determine the client's response to treatment? (Select all that
apply)
A. Skin
B. Pain scale
C. Lung Sounds
D. Urinary output
E. Oxygen saturation
12. The nurse is caring for an older male client with impaired skin integrity to sheering
forces and pressure that is manifested as a draining stage 3 sacral ulcer. Which
intervention is most important for the nurse to implement?
A. Teach the family how to perform wound care
B. Encourage a diet high in protein
C. Ensure that IV fluids are administered as prescribed
D. Daily Range of motion exercise
Downloaded by jane murage ()
, lOMoARcPSD|729 392 2
13. While planning care for a client with carpal tunnel syndrome. The nurse identifies a
collaborative problem of pain. What is the etiology of this problem?
A. Compression of a nerve
B. Diminished blood flow
C. Ischemic tissue changes
D. Irritation of nerve endings
14. A young adult female visits the clinic for primary dysmenorrhea and tells the nurse
that she started taking a calcium supplement to reduce her menstrual cramps. But I quit
taking calcium because it caused constipation. The client to know what she does to
relive her menstrual cramps. Which action should the nurse implement first to address
the client's concern?
A. Encourage client to increase her dietary intake fiber
B. Question the client about her use of birth control pills
C. Ask her how much calcium she had been taking daily
D. Determine if she takes any over-the-counter analgesics
15. A client with a medical diagnosis of a ruptured cerebral aneurysm exhibits these
symptoms no eye opening, no sound vocalized, and flexion to pain (decorticate
posturing). When calculating the Glasgow Coma Scale score, Which value should the
nurse document for this client?
A. 13
B. 9
C. 3
D. 5
16. A client with acute myelogenic leukemia (AML) is admitted to chemotherapy (CT)
using cytarabine and the antitumor daunorubion . Which measures are most important
for the nurse to implement during the induction stage of chemotherapy?
A. Assessment for graft versus host disease
B. Precautions to prevent infection and bleeding
C. Administration of whole blood product
D. Scheduling of outpatient maintenance therapy
17. To reduce pulmonary complications for a client with Amyotrophic Lateral sclerosis
(ALS). Which intervention should the nurse implement? (Select all that apply)
A. Perform chest physiotherapy
B. Establish a regular bladder routine
C. Initiate passives engage of motion exercises
D. Encourage use of incentive spirometer
E. Teach the client breathing exercises
18. A client with polycystic Kidney is admitted because of an abrupt onset of massive
polyuria. The client is pale, tachycardia and female. Which serum laboratory finding
requires immediate intervention by the nurse?
A. Sodium 184 mEq/L
B. Glucose 110 mg/dL
C. Calcium 9 mg/dL
D. HCO3 25 mEq/L
19. A client tells the nurse, “I just received good news about my tumor, I have a
neoplasm, but it is benign.” How should the nurse respond?
Downloaded by jane murage ()
, lOMoARcPSD|729 392 2
A. Inform the healthcare provider that the client does not understand the test results
B. Ask the client if the diagnostic test indicates any secondary metastasis
C. Reinforce the clients joy and clarify the typical use of the team “neoplasm”
D. Explain to the client the seriousness of having neoplastic disease.
20. The Nurse is assessing a client diagnosed with medical diagnosis of a Bartholin
cyst. Which physical assessment technique should the nurse use to observe the cyst?
A. Listen for bowel sounds in all four quarters of the abdomen
B. Place the client in lithotomy position to perform a pelvic examination
C. Ask the client to lie flat and cough while the nurse visualizes the inguinal area
D. Expose the lesson to a woods lamp and observe for fluorescence
21. The nurse is preparing to administer enoxaparin 90 mg subcutaneously daily to a
client with pulmonary embolism. The pharmacy provides a prefilled syringe labeled,
“Enoxaparin 100 mg/1ML “How many milliliters should the nurse administer?
22. While performing a neurovascular assessment distal to a client's fracture site, the
nurse determines that the client's pulse is present, regular, and full. Which nursing
action should be taken next?
A. Notify the healthcare provider of assessment finding
B. Document the neurovascular assessment as normal
C. Discontinue elevating the client's affected extremity.
D. Asses for color, feeling, discomfort, and movement
23. Magnesium hydroxide, 1.5 ounces P.O is prescribed for a client complaining of
heartburn. After taking the prescribed dose 3 times today, how many mL of magnesium
hydroxide has the client ingested?
24. A client with renal calculus is complaining of severe right flank pain, nausea, and
vomiting. Which nursing problem has the highest priority?
A. Acute pain related to renal calculus
B. Impaired renal function to pain
C. Nutritional deficit related to nausea
D. Risk for aspiration related to vomiting
25. Which Technique should the nurse use when assessing for early signs of
rheumatoid arthritis?
A. Palpate large joints for nodules
B. Palpate the lymph nodes
C. Observe the skin for lesions
D. Observe the clients' fingers
26. A client with cancer develops tumor lysis syndrome (TLS) following chemotherapy.
Wich nursing action has the highest priority in responding to the symptoms of this
syndrome?
A. Identify potential sources of infection
B. Maintain intravenous therapy
C. Instruct the client to take analgesics on a regular schedule.
D. Encourage the client to verbalize anxiety and grief
Downloaded by jane murage ()
Med Surg HESI Questions
and Answers Latest 2023
1. A client is admitted to the hospital with symptoms consistent with right hemisphere
stroke. With Neurovascular assessment requires immediate intervention by the nurse?
A. Pupillary changes to ipsilateral dilation
B. Orientation to person and place only.
C. Left Sided Facial dropping and dysphagia
D. Unequal bilateral hand grip strengths
2. Achieve maximum mobility and independence for a client multiple sclerosis (MS).
Which intervention is most important for the nurse to implement?
A. Provide a walker for ambulation
B. Frequently assist client to the bathroom
C. Apply alternating patches over the eyes
D. Teach strengthing exercises
3. The Nurse is teaching a client with glomerulonephritis about self-care. Which dietary
recommendations should the nurse recommend the client to follow?
A. Limit oral Fluid intake to 500 mL per day
B. Restrict protein intake by including meats and other high protein foods
C. Increase intake of potassium-rich foods such as bananas or cantaloupe
D. Increase intake of high fiber foods, such as bran cereal.
4. The nurse Is caring for a client with herpes zoster who reports painful blisters that
align from the back along the chest curvature to the anterior chest. Which intervention is
the highest priority for the nurse?
A. Place the client on contact precaution
B. Administer antiviral medication
C. Place wet compresses to ruptured vesicles
D. Administer narcotic analgesics
5. A young adult who suffered a severe brain injury in an automobile collision has been
mechanically ventilated for the past three days and has no spontaneous respiratory
effort. After serial electroencephalograms (EEG) reveal no brain activity, the healthcare
provider discusses end-of-life options with family who agree to discontinue life support.
Which intervention should the nurse implement?
A. Ask the family if they wish would remain at bedside during withdrawal
B. Request a living will be placed in the client's medical record
C. Discuss the withdrawal procedure with the family and offer support
D. Turn off the mechanical ventilator and note the time of death
6. Following a transurethral resection of the prostate (TURP), a client is discharged from
the hospital with an indwelling urinary catheter. Which instruction is most important for
the nurse to include in the discharge teaching plan?
A. Eliminate all the spicy food from your diet
B. Drinl 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
7. On the first postoperative day, the nurse finds an older male client disoriented and
trying to climb over the bed railing. Previously he was oriented to person, place, and
Downloaded by jane murage ()
, lOMoARcPSD|729 392 2
time on admission. Which intervention should the nurse implement first?
A. Apply wrist restraints
B. Determine the clients blood pressure
C. Administer a mild sedative
D. Asses the client for pain
8. Acute soft-tissue injuries (I.e. sprains, strains) provide the nurse with a variety of
teaching opportunities. Which instruction should the nurse provide to a client with a soft-
tissue injury?
A. Watch for shortness of breath which may indicate a fat embolus
B. Begin range of motion exercises within the first 24 hours
C. Apply Ice intermittently for the first 24 hours
D. After edema subsides, apply heat continuously
9. A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA),
which resulted in paralysis of his right arm. When the nurse enters the room, he is
struggling to put on a shirt, and he curses at the nurse. What is the best response from
the nurse?
A. “We will give you a class on dressing tomorrow”
B. This unit has a policy against staff harassment
C. Dressing must be a frustrating experience for you”
D. “It is important to dress the right arm first”
10. A client returns to unit following a craniotomy for removal of brain tumor and is
obtunded but arouses to painful stimuli. Which assessment is most important for the
nurse to obtain?
A. Drainage on dressing
B. Last administration of analgesia
C. Body temperature
D. Serial blood pressure and pulse
11. An older client who is agitated, dyspneic, orthopneic, and using accessory muscle to
breathe is admitted for further treatment. Initial assessment indicates beats/minute and
irregular, respirations 36 breaths/minute, blood pressure 168/100 mmHg. Wheezes and
crackles in all lung fields. An hour after the administered mg IV, which assessment
should the nurse obtain to determine the client's response to treatment? (Select all that
apply)
A. Skin
B. Pain scale
C. Lung Sounds
D. Urinary output
E. Oxygen saturation
12. The nurse is caring for an older male client with impaired skin integrity to sheering
forces and pressure that is manifested as a draining stage 3 sacral ulcer. Which
intervention is most important for the nurse to implement?
A. Teach the family how to perform wound care
B. Encourage a diet high in protein
C. Ensure that IV fluids are administered as prescribed
D. Daily Range of motion exercise
Downloaded by jane murage ()
, lOMoARcPSD|729 392 2
13. While planning care for a client with carpal tunnel syndrome. The nurse identifies a
collaborative problem of pain. What is the etiology of this problem?
A. Compression of a nerve
B. Diminished blood flow
C. Ischemic tissue changes
D. Irritation of nerve endings
14. A young adult female visits the clinic for primary dysmenorrhea and tells the nurse
that she started taking a calcium supplement to reduce her menstrual cramps. But I quit
taking calcium because it caused constipation. The client to know what she does to
relive her menstrual cramps. Which action should the nurse implement first to address
the client's concern?
A. Encourage client to increase her dietary intake fiber
B. Question the client about her use of birth control pills
C. Ask her how much calcium she had been taking daily
D. Determine if she takes any over-the-counter analgesics
15. A client with a medical diagnosis of a ruptured cerebral aneurysm exhibits these
symptoms no eye opening, no sound vocalized, and flexion to pain (decorticate
posturing). When calculating the Glasgow Coma Scale score, Which value should the
nurse document for this client?
A. 13
B. 9
C. 3
D. 5
16. A client with acute myelogenic leukemia (AML) is admitted to chemotherapy (CT)
using cytarabine and the antitumor daunorubion . Which measures are most important
for the nurse to implement during the induction stage of chemotherapy?
A. Assessment for graft versus host disease
B. Precautions to prevent infection and bleeding
C. Administration of whole blood product
D. Scheduling of outpatient maintenance therapy
17. To reduce pulmonary complications for a client with Amyotrophic Lateral sclerosis
(ALS). Which intervention should the nurse implement? (Select all that apply)
A. Perform chest physiotherapy
B. Establish a regular bladder routine
C. Initiate passives engage of motion exercises
D. Encourage use of incentive spirometer
E. Teach the client breathing exercises
18. A client with polycystic Kidney is admitted because of an abrupt onset of massive
polyuria. The client is pale, tachycardia and female. Which serum laboratory finding
requires immediate intervention by the nurse?
A. Sodium 184 mEq/L
B. Glucose 110 mg/dL
C. Calcium 9 mg/dL
D. HCO3 25 mEq/L
19. A client tells the nurse, “I just received good news about my tumor, I have a
neoplasm, but it is benign.” How should the nurse respond?
Downloaded by jane murage ()
, lOMoARcPSD|729 392 2
A. Inform the healthcare provider that the client does not understand the test results
B. Ask the client if the diagnostic test indicates any secondary metastasis
C. Reinforce the clients joy and clarify the typical use of the team “neoplasm”
D. Explain to the client the seriousness of having neoplastic disease.
20. The Nurse is assessing a client diagnosed with medical diagnosis of a Bartholin
cyst. Which physical assessment technique should the nurse use to observe the cyst?
A. Listen for bowel sounds in all four quarters of the abdomen
B. Place the client in lithotomy position to perform a pelvic examination
C. Ask the client to lie flat and cough while the nurse visualizes the inguinal area
D. Expose the lesson to a woods lamp and observe for fluorescence
21. The nurse is preparing to administer enoxaparin 90 mg subcutaneously daily to a
client with pulmonary embolism. The pharmacy provides a prefilled syringe labeled,
“Enoxaparin 100 mg/1ML “How many milliliters should the nurse administer?
22. While performing a neurovascular assessment distal to a client's fracture site, the
nurse determines that the client's pulse is present, regular, and full. Which nursing
action should be taken next?
A. Notify the healthcare provider of assessment finding
B. Document the neurovascular assessment as normal
C. Discontinue elevating the client's affected extremity.
D. Asses for color, feeling, discomfort, and movement
23. Magnesium hydroxide, 1.5 ounces P.O is prescribed for a client complaining of
heartburn. After taking the prescribed dose 3 times today, how many mL of magnesium
hydroxide has the client ingested?
24. A client with renal calculus is complaining of severe right flank pain, nausea, and
vomiting. Which nursing problem has the highest priority?
A. Acute pain related to renal calculus
B. Impaired renal function to pain
C. Nutritional deficit related to nausea
D. Risk for aspiration related to vomiting
25. Which Technique should the nurse use when assessing for early signs of
rheumatoid arthritis?
A. Palpate large joints for nodules
B. Palpate the lymph nodes
C. Observe the skin for lesions
D. Observe the clients' fingers
26. A client with cancer develops tumor lysis syndrome (TLS) following chemotherapy.
Wich nursing action has the highest priority in responding to the symptoms of this
syndrome?
A. Identify potential sources of infection
B. Maintain intravenous therapy
C. Instruct the client to take analgesics on a regular schedule.
D. Encourage the client to verbalize anxiety and grief
Downloaded by jane murage ()
