ATI RN MED SURG HESI EXAM
QUESTIONS 2025-2026 WITH All Answers
Verified Correctly
What instruction should the nurse include in the discharge teaching plan of a client who
had a cataract extraction today? - Light housekeeping is permitted but avoid heavy
lifting
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? - Obtain a sputum sample for culture
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? - palpate the bladder above the symphysis
pubis
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? -
potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of 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? - explain
specific reason for urgent notification
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? - It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action
should the nurse implement next? - collect a clean catch specimen
A mclient mtells mthe mnurse mthat mher mbiopsy mresults mindicate mthat mthe mcancer mcells mare
mwell mdifferentiated mHow mshould mthe mnurse mrespond? m- mask mthe mclient min mthe
,mhealthcare mprovider mhas mgiving mher many minformation mabout mthe mclassification mof mher
mcancer m
m
A mclient mwith ma mchronic mkidney mdisease mis mtreated mon mhemodialysis. mDuring mthe m1
mtreatment m
m
clients mblood mpressure mdrops mfrom m150/90 mto m80/30 mWhich maction mshould mthe mnurse
mtake
m
first? m- mstop mdialysis
mtreatment
m
A mclient mwith mdeep mvain mthrombosis m(DVT) mis mreceiving ma mcontinues minfusion mof
mheparin msodium m25,000 munit min m5% mdextrose minjection m250ml. mThe mprescription
mindicates mthe mdosage mshould mbe mincrease m900 munits/hr. mThe mnurse mshould mprogram
mthe minfusion mpump mto mdeliver mhow mmany mml/hr? m- m9 m
m
The mnurse mis mobtaining mthe madmission mhistory mfor ma mclient mwith msuspected mpeptic
mulcer mdisease m(PUD). mWhich msubjective mdata mreported mby mthe mclient msupports mthis
mdiagnosis? m- mupper mmid mabdominal mgnawing mand mburning mpain m
m
The mnurse mis mproviding mpreoperative meducation mfor ma mjewish mclient mschedule mto
mreceive ma mxenograft mgraft mto mpromote mburn mhealing. mWhich minformation mshould mthe
mnurse mprovide mthis mclient? m- mthe mxenograft mis mtaken mfrom mnonhuman msources m
m
A mclient mwho mtook ma mcamping mvacation mtwo mweeks mago min ma mcountry mwith ma mtropical
mclimate mcomes mto mthe mclinic mdescribing mvague msymptoms mand mdiarrhea mfor mthe mpast
mweek. mWhich mfinding mis mmost mimportant mfor mthe mnurse mto mreport? m- mjaundice msclera m
m
During ma mhome mvisit mthe mnurse massesses mthe mskin mof ma mclient mwith meczema mwho
mreports m
m
than man mexacerbation mof msymptoms mhas moccurred mduring mthe mlast mweek.
mWhich
m
information mis mmost museful min mdetermining mthe mpossible mcause mof mthe
msymptoms? m- ma
m
grandson mand mhis mnew mdog mrecently
mvisited
m
m
When mexplaining mdietary mguidelines mto ma mclient mwith macute mglomerulonephritis
m(AGN)
which minstruction mshould mthe mnurse minclude min mthe mdietary mteaching m- mrestrict msodium
mintake
m
A mmale mclient mwho mis m24hr mpost moperative mfor man mexploratory mlaparoctomy mcomplains
mthat mhe mis mstarving mbecause mhe mhas mhad mno mreal mfood msince mbefore msurgery. mPrior mto
madvancing mhis mdiet mwhich mintervention mshould mthe mnurse mimplememt? m- mAuscultate
mbowel msound min mall mfour mquadrants m
m
A mclient mdiagnose mwith mstable mangina msecondary mto mischemic mheart mdisease mhas ma
mprescription mfor msublingual m(SL) mnitroglycerin m(NTG). mThe mnurse mshould mtell mthe mclient
, mto mfollow mwhich minstructions mif mchest mpain mis mnot mrelieved mafter mtaking m3 mNTG mtables
m5 mmin mapart m- mcall m911 mpain mis munrelieved mand mchew ma mtablet mof maspirin m325mg m
m
After mtaking morlistat m(Xenical) mfor mone mweek ma mfemela mclient mtells mthe mhome mhealth
mnurse mthat mshe mis mexperiencing mincreasingly mfrequent moily mstools mand mflatus. mWhat
maction mshould mthe mnurse mtake? m- mask mthe mclient mto mdescribe mher mdietary mintake
mhistory mfor mthe mlast mseveral mdays m
m
m
Two mdays mafter man mabscess mof mthe mchin mwas mdrained mthe mclient mreturns mto mthe
mclinic mwith
fever mchills mand ma mmaculopapular mrash mwith mpruritis. mThe mclient mhas mtaken man moral
mantibiotic m
and mcleansed mthe mwound mtoday mwith mprovide miodine m(Betadine) msolution. mWhich
mintervention mshould mthe mnurse mimplement mfirst? m- massess mairway mpatency mand moxygen
msaturation m
m
A mclient mexperiences man mABO mincompatibility mreaction mafter mmultiple mblood
mtransfusions. mWhich mfinding mshould mthe mnurse mreport mimmediately mto mthe mhealth mcare
mprovider? m- mlow mback mpain mand mhypotension m
m
1.A myoung madult mmale mwho mhas mhad mtype m2 mdiabetes mmellitus m(DM) mis madmitted mto
mthe mintensive mcare munit mwith mhyperglycemic mnonketotic msyndrome m(HHNS). mA msliding
mscale mprotocol mfor man misotonic mIV msolution mwith mregular minsulin mis mprescribed mbased
mon mthe mresults mof ma mcontinuous mblood mglucose mmonitoring mdevice mthat mis mattached mto
mthe mclient's mcentral mvenous mcatheter. mWhen mthe mclient's mrespirations mbecome mlabored
mand mhis mlungs msound mindicate mcrackles mwhat maction mshould mthe mnurse mtake? m-
mdecrease minfusion mrate mto maddress mfluid moverload m
m
When mpreparing mto mapply ma mfentanyl m(Duragesic) mtransdermal mpatch mthe mnurse mnotes
mthat mthe mpreviously mapplied mpatch mis mintact mon mthe mclient's mupper mback mand mthe mclient
mdenies mpain. mWhat maction mshould mthe mnurse mtake? m- mApply ma mnew mpatch min ma
mdifferent mlocation mafter mremoving mthe moriginal mpatch m
m
A mclient mwho mhad ma mmyocardial minfarction mis madmitted mto mthe mcoronary mcritical mcare
munit m(CCU) mwith ma mnitroglycerin mdrip minfusing. mThe mclients mlast mblood mpressure
mmeasurements mwas m78/36.What maction mshould mthe mnurse mimplement? m- mreduce mthe
mrate mof mthe mnitroglycerin minfusion m
m
An madolescent mis madmitted mto mthe mhospital mbecause mof ma msuicide mattempt mwith man
moverdose m
m
of macetaminophen m(Tylenol). mWhich mblood mvalues mare mmost mimportant mfor mthe
,m
mnurse mto
monitor mduring mthe mfirst m72 mhours mfollowing mingestion mof mthis moverdose? m- mLDH
mOR mLD
m
SGOT mOR mALT, mSGPT mOR
mAST
m
QUESTIONS 2025-2026 WITH All Answers
Verified Correctly
What instruction should the nurse include in the discharge teaching plan of a client who
had a cataract extraction today? - Light housekeeping is permitted but avoid heavy
lifting
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? - Obtain a sputum sample for culture
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? - palpate the bladder above the symphysis
pubis
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? -
potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of 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? - explain
specific reason for urgent notification
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? - It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action
should the nurse implement next? - collect a clean catch specimen
A mclient mtells mthe mnurse mthat mher mbiopsy mresults mindicate mthat mthe mcancer mcells mare
mwell mdifferentiated mHow mshould mthe mnurse mrespond? m- mask mthe mclient min mthe
,mhealthcare mprovider mhas mgiving mher many minformation mabout mthe mclassification mof mher
mcancer m
m
A mclient mwith ma mchronic mkidney mdisease mis mtreated mon mhemodialysis. mDuring mthe m1
mtreatment m
m
clients mblood mpressure mdrops mfrom m150/90 mto m80/30 mWhich maction mshould mthe mnurse
mtake
m
first? m- mstop mdialysis
mtreatment
m
A mclient mwith mdeep mvain mthrombosis m(DVT) mis mreceiving ma mcontinues minfusion mof
mheparin msodium m25,000 munit min m5% mdextrose minjection m250ml. mThe mprescription
mindicates mthe mdosage mshould mbe mincrease m900 munits/hr. mThe mnurse mshould mprogram
mthe minfusion mpump mto mdeliver mhow mmany mml/hr? m- m9 m
m
The mnurse mis mobtaining mthe madmission mhistory mfor ma mclient mwith msuspected mpeptic
mulcer mdisease m(PUD). mWhich msubjective mdata mreported mby mthe mclient msupports mthis
mdiagnosis? m- mupper mmid mabdominal mgnawing mand mburning mpain m
m
The mnurse mis mproviding mpreoperative meducation mfor ma mjewish mclient mschedule mto
mreceive ma mxenograft mgraft mto mpromote mburn mhealing. mWhich minformation mshould mthe
mnurse mprovide mthis mclient? m- mthe mxenograft mis mtaken mfrom mnonhuman msources m
m
A mclient mwho mtook ma mcamping mvacation mtwo mweeks mago min ma mcountry mwith ma mtropical
mclimate mcomes mto mthe mclinic mdescribing mvague msymptoms mand mdiarrhea mfor mthe mpast
mweek. mWhich mfinding mis mmost mimportant mfor mthe mnurse mto mreport? m- mjaundice msclera m
m
During ma mhome mvisit mthe mnurse massesses mthe mskin mof ma mclient mwith meczema mwho
mreports m
m
than man mexacerbation mof msymptoms mhas moccurred mduring mthe mlast mweek.
mWhich
m
information mis mmost museful min mdetermining mthe mpossible mcause mof mthe
msymptoms? m- ma
m
grandson mand mhis mnew mdog mrecently
mvisited
m
m
When mexplaining mdietary mguidelines mto ma mclient mwith macute mglomerulonephritis
m(AGN)
which minstruction mshould mthe mnurse minclude min mthe mdietary mteaching m- mrestrict msodium
mintake
m
A mmale mclient mwho mis m24hr mpost moperative mfor man mexploratory mlaparoctomy mcomplains
mthat mhe mis mstarving mbecause mhe mhas mhad mno mreal mfood msince mbefore msurgery. mPrior mto
madvancing mhis mdiet mwhich mintervention mshould mthe mnurse mimplememt? m- mAuscultate
mbowel msound min mall mfour mquadrants m
m
A mclient mdiagnose mwith mstable mangina msecondary mto mischemic mheart mdisease mhas ma
mprescription mfor msublingual m(SL) mnitroglycerin m(NTG). mThe mnurse mshould mtell mthe mclient
, mto mfollow mwhich minstructions mif mchest mpain mis mnot mrelieved mafter mtaking m3 mNTG mtables
m5 mmin mapart m- mcall m911 mpain mis munrelieved mand mchew ma mtablet mof maspirin m325mg m
m
After mtaking morlistat m(Xenical) mfor mone mweek ma mfemela mclient mtells mthe mhome mhealth
mnurse mthat mshe mis mexperiencing mincreasingly mfrequent moily mstools mand mflatus. mWhat
maction mshould mthe mnurse mtake? m- mask mthe mclient mto mdescribe mher mdietary mintake
mhistory mfor mthe mlast mseveral mdays m
m
m
Two mdays mafter man mabscess mof mthe mchin mwas mdrained mthe mclient mreturns mto mthe
mclinic mwith
fever mchills mand ma mmaculopapular mrash mwith mpruritis. mThe mclient mhas mtaken man moral
mantibiotic m
and mcleansed mthe mwound mtoday mwith mprovide miodine m(Betadine) msolution. mWhich
mintervention mshould mthe mnurse mimplement mfirst? m- massess mairway mpatency mand moxygen
msaturation m
m
A mclient mexperiences man mABO mincompatibility mreaction mafter mmultiple mblood
mtransfusions. mWhich mfinding mshould mthe mnurse mreport mimmediately mto mthe mhealth mcare
mprovider? m- mlow mback mpain mand mhypotension m
m
1.A myoung madult mmale mwho mhas mhad mtype m2 mdiabetes mmellitus m(DM) mis madmitted mto
mthe mintensive mcare munit mwith mhyperglycemic mnonketotic msyndrome m(HHNS). mA msliding
mscale mprotocol mfor man misotonic mIV msolution mwith mregular minsulin mis mprescribed mbased
mon mthe mresults mof ma mcontinuous mblood mglucose mmonitoring mdevice mthat mis mattached mto
mthe mclient's mcentral mvenous mcatheter. mWhen mthe mclient's mrespirations mbecome mlabored
mand mhis mlungs msound mindicate mcrackles mwhat maction mshould mthe mnurse mtake? m-
mdecrease minfusion mrate mto maddress mfluid moverload m
m
When mpreparing mto mapply ma mfentanyl m(Duragesic) mtransdermal mpatch mthe mnurse mnotes
mthat mthe mpreviously mapplied mpatch mis mintact mon mthe mclient's mupper mback mand mthe mclient
mdenies mpain. mWhat maction mshould mthe mnurse mtake? m- mApply ma mnew mpatch min ma
mdifferent mlocation mafter mremoving mthe moriginal mpatch m
m
A mclient mwho mhad ma mmyocardial minfarction mis madmitted mto mthe mcoronary mcritical mcare
munit m(CCU) mwith ma mnitroglycerin mdrip minfusing. mThe mclients mlast mblood mpressure
mmeasurements mwas m78/36.What maction mshould mthe mnurse mimplement? m- mreduce mthe
mrate mof mthe mnitroglycerin minfusion m
m
An madolescent mis madmitted mto mthe mhospital mbecause mof ma msuicide mattempt mwith man
moverdose m
m
of macetaminophen m(Tylenol). mWhich mblood mvalues mare mmost mimportant mfor mthe
,m
mnurse mto
monitor mduring mthe mfirst m72 mhours mfollowing mingestion mof mthis moverdose? m- mLDH
mOR mLD
m
SGOT mOR mALT, mSGPT mOR
mAST
m
