MEDICAL SURGERY HESI VOLUME 1 EXAM, 2056-2026
WITH CLEAR QUESTIONS AND ANSWERS GRADED A+
GUARANTEED PASS
1. Following long-term administration of warfarin sodium to a client with a medical
diagnosis of deep vein thrombosis, the nurse should expect which treatment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal
c. The PT will be 1.5 times the normal
2. A client who has been taking finasteride, an enzyme (5 alpha reductase) inhibitor
used to shrink the prostate gland, is admitted because of continuing benign prostate
prostatic hypertrophy (BPH) symptoms when planning care. Which nursing problem
should the nurse address first?
Urinary retention
3.An older client has been diagnosed with chronic venous insufficiency. To prevent
venous return, which action should the nurse encourage the client to?
Wear cotton socks and enclosed toe shoes whenever outside
4.When caring for a client with a full thickness burn covering 40% of the body, the
nurse observes pertinent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's laboratory values?
White blood cell (WBC) count
5.An older client arrives at the outpatient eye surgery clinic for a right cataract
extraction and implant. During the immediate postoperative period, which intervention
should the nurse implement?
Provide an eye shield to be worn while sleeping
, 6. After several days of coughing and taking acetaminophen to treat temperatures of
101 F (38.3 C), a client with DI is admitted to the hospital with an upper respiratory
infection. Several hours after admission, the client reports having a severe headache and
feeling dizzy. Which intervention should the nurse implement first?
Reassess vital signs
7.A client takes daily supplemental iron tablets for iron deficiency anaemia reports
feeling increasingly fatigued. Which laboratory values should the nurse review?
Complete blood count
8.The nurse is caring for a client post anaesthesia care unit (PACU) who underwent a
thoracotomy two hours ago. The nurse observes the following vital signs: heart rate 140
beats/ minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which
intervention is most important for the nurse to implement?
Medicate for pain and monitor vital signs according to protocol
9.A client who was involved in a motor vehicle collision is admitted with a fractured left
femur which is immobilized using a fracture traction splint in preparation for an open
reduction internal fraction (ORIF). The nurse determines that the client's distal pulses
are diminished in the left foot. Which interventions should the nurse implement?
(SATA)
- Verify pedal pulses using a doppler pulse device
- Monitor left leg for pain, pallor, paraesthesia, paralysis, pressured. - Evaluate the
application of the splint to the left leg
10.A nurse is caring for a client with Diabetes Insipidus (DI). which data warrants the
most immediate intervention by the nurse?
Serum sodium of 185 mEq/L
11.The nurse assesses a client with petechiae and ecchymosis scattered across the arms
and legs. Which laboratory result should the nurse review?
Platelet count
12.A male client is admitted to the emergency department with vomiting of dark brown,
foul- smelling emesis. He reports he had a surgical repair of a recurrent inguinal hernia
one week ago and complains of intense abdominal pain. After assessing that his bowel
sounds are hyperactive, which prescription should the nurse implement first?
Insert a NGT and attach to low suction
WITH CLEAR QUESTIONS AND ANSWERS GRADED A+
GUARANTEED PASS
1. Following long-term administration of warfarin sodium to a client with a medical
diagnosis of deep vein thrombosis, the nurse should expect which treatment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal
c. The PT will be 1.5 times the normal
2. A client who has been taking finasteride, an enzyme (5 alpha reductase) inhibitor
used to shrink the prostate gland, is admitted because of continuing benign prostate
prostatic hypertrophy (BPH) symptoms when planning care. Which nursing problem
should the nurse address first?
Urinary retention
3.An older client has been diagnosed with chronic venous insufficiency. To prevent
venous return, which action should the nurse encourage the client to?
Wear cotton socks and enclosed toe shoes whenever outside
4.When caring for a client with a full thickness burn covering 40% of the body, the
nurse observes pertinent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's laboratory values?
White blood cell (WBC) count
5.An older client arrives at the outpatient eye surgery clinic for a right cataract
extraction and implant. During the immediate postoperative period, which intervention
should the nurse implement?
Provide an eye shield to be worn while sleeping
, 6. After several days of coughing and taking acetaminophen to treat temperatures of
101 F (38.3 C), a client with DI is admitted to the hospital with an upper respiratory
infection. Several hours after admission, the client reports having a severe headache and
feeling dizzy. Which intervention should the nurse implement first?
Reassess vital signs
7.A client takes daily supplemental iron tablets for iron deficiency anaemia reports
feeling increasingly fatigued. Which laboratory values should the nurse review?
Complete blood count
8.The nurse is caring for a client post anaesthesia care unit (PACU) who underwent a
thoracotomy two hours ago. The nurse observes the following vital signs: heart rate 140
beats/ minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which
intervention is most important for the nurse to implement?
Medicate for pain and monitor vital signs according to protocol
9.A client who was involved in a motor vehicle collision is admitted with a fractured left
femur which is immobilized using a fracture traction splint in preparation for an open
reduction internal fraction (ORIF). The nurse determines that the client's distal pulses
are diminished in the left foot. Which interventions should the nurse implement?
(SATA)
- Verify pedal pulses using a doppler pulse device
- Monitor left leg for pain, pallor, paraesthesia, paralysis, pressured. - Evaluate the
application of the splint to the left leg
10.A nurse is caring for a client with Diabetes Insipidus (DI). which data warrants the
most immediate intervention by the nurse?
Serum sodium of 185 mEq/L
11.The nurse assesses a client with petechiae and ecchymosis scattered across the arms
and legs. Which laboratory result should the nurse review?
Platelet count
12.A male client is admitted to the emergency department with vomiting of dark brown,
foul- smelling emesis. He reports he had a surgical repair of a recurrent inguinal hernia
one week ago and complains of intense abdominal pain. After assessing that his bowel
sounds are hyperactive, which prescription should the nurse implement first?
Insert a NGT and attach to low suction
