HESI Med Surg 1 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with pneumonia has thick sputum and difficulty coughing. Which intervention should
the nurse encourage?
A. Restrict fluids to prevent overload
✔✔B. Increase oral fluid intake
C. Encourage complete bed rest
D. Provide cold beverages only
A client with heart failure is taking furosemide. Which finding should be reported immediately?
A. Weight loss of 1 lb in 24 hours
✔✔B. Potassium level of 2.8 mEq/L
C. Mild ankle swelling
D. Blood pressure of 110/70 mm Hg
A client with chronic kidney disease has a potassium level of 6.0 mEq/L. What should the nurse
do first?
1
,A. Encourage ambulation
✔✔B. Place the client on a cardiac monitor
C. Increase dietary potassium
D. Administer a multivitamin
A post-op client develops swelling and warmth in the right calf. What is the priority?
A. Massage the calf
B. Apply heat packs
✔✔C. Notify the healthcare provider
D. Encourage leg exercises
A client with new-onset hypertension asks how to help lower blood pressure without medication.
Which statement indicates understanding?
✔✔A. “I will limit my salt intake.”
B. “I will avoid all exercise.”
C. “I will stop medication once my pressure improves.”
D. “I will check my blood pressure once a year.”
2
,A chemotherapy client reports painful mouth sores. Which food choice is best?
A. Fresh citrus fruit
B. Spicy tacos
✔✔C. Mashed potatoes with gravy
D. Raw carrots
A client with COPD has oxygen saturation of 88%. What is the priority action?
A. Place the client in Trendelenburg position
✔✔B. Encourage pursed-lip breathing
C. Give high-carbohydrate snacks
D. Increase oxygen above prescribed flow
A client with cirrhosis is confused and drowsy. Which lab value should the nurse check first?
A. Sodium
✔✔B. Ammonia
C. Calcium
D. Glucose
3
, The nurse is about to give digoxin to a client. Which finding requires holding the medication?
✔✔A. Apical pulse of 54 beats/min
B. Temperature of 98.6°F
C. Blood pressure of 118/72 mm Hg
D. Respirations 18/min
A diabetic client is sweaty and shaky. Which snack should the nurse give first?
A. Peanut butter on toast
B. Slice of cheese
✔✔C. 4 oz orange juice
D. Apple slices
After thyroid surgery, a client has noisy breathing and difficulty talking. What should the nurse
do first?
A. Offer warm fluids
B. Encourage coughing
✔✔C. Notify the healthcare provider immediately
D. Reassure the client
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with pneumonia has thick sputum and difficulty coughing. Which intervention should
the nurse encourage?
A. Restrict fluids to prevent overload
✔✔B. Increase oral fluid intake
C. Encourage complete bed rest
D. Provide cold beverages only
A client with heart failure is taking furosemide. Which finding should be reported immediately?
A. Weight loss of 1 lb in 24 hours
✔✔B. Potassium level of 2.8 mEq/L
C. Mild ankle swelling
D. Blood pressure of 110/70 mm Hg
A client with chronic kidney disease has a potassium level of 6.0 mEq/L. What should the nurse
do first?
1
,A. Encourage ambulation
✔✔B. Place the client on a cardiac monitor
C. Increase dietary potassium
D. Administer a multivitamin
A post-op client develops swelling and warmth in the right calf. What is the priority?
A. Massage the calf
B. Apply heat packs
✔✔C. Notify the healthcare provider
D. Encourage leg exercises
A client with new-onset hypertension asks how to help lower blood pressure without medication.
Which statement indicates understanding?
✔✔A. “I will limit my salt intake.”
B. “I will avoid all exercise.”
C. “I will stop medication once my pressure improves.”
D. “I will check my blood pressure once a year.”
2
,A chemotherapy client reports painful mouth sores. Which food choice is best?
A. Fresh citrus fruit
B. Spicy tacos
✔✔C. Mashed potatoes with gravy
D. Raw carrots
A client with COPD has oxygen saturation of 88%. What is the priority action?
A. Place the client in Trendelenburg position
✔✔B. Encourage pursed-lip breathing
C. Give high-carbohydrate snacks
D. Increase oxygen above prescribed flow
A client with cirrhosis is confused and drowsy. Which lab value should the nurse check first?
A. Sodium
✔✔B. Ammonia
C. Calcium
D. Glucose
3
, The nurse is about to give digoxin to a client. Which finding requires holding the medication?
✔✔A. Apical pulse of 54 beats/min
B. Temperature of 98.6°F
C. Blood pressure of 118/72 mm Hg
D. Respirations 18/min
A diabetic client is sweaty and shaky. Which snack should the nurse give first?
A. Peanut butter on toast
B. Slice of cheese
✔✔C. 4 oz orange juice
D. Apple slices
After thyroid surgery, a client has noisy breathing and difficulty talking. What should the nurse
do first?
A. Offer warm fluids
B. Encourage coughing
✔✔C. Notify the healthcare provider immediately
D. Reassure the client
4
