HESI Med Surg 2026 v1v2v3

HESI Med Surg 2026 v1v2v3 Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate intervention? Positive Gastro Occult A patient with Parkinson's. "Freezes." Pretends there is a crack on the floor and Carefully lifts leg and steps over. Confirm that this is the correct and effective technique. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes in to ventricular Tachycardia. What should the nurse do? Administer Adenosine over 1-2 seconds IV Heart failure acute exacerbation. How to Reduce Cardiac Workload? Bedside Commode External Fixation Device- What should the nurse do first? Assess for peripheral pulse at the foot COPD patient is experience shortness of breath. Pursed Lip Breathing Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition. What should the nurse tell the family? Demonstrate the use of Visual Scanning. A male client with asthma has bronchoconstriction and mucous production due to exercising. What should the nurse do? Determine if the client is using an inhaler before exercising. A client with liver abscess and drainage of abscess. Which lab value? White blood Cell Count Suprapubic prostatectomy. Three-way catheter. Which assessment? Urine Leaking meatus A client with ulcerative colitis. UAP report what finding? Stool with fatty streaks Flank pain and acute pyelonephritis. Priority nursing action. Administer IV antibiotics. Long-standing pulmonary infection. Assess for hypoxia. Select All That Apply. Breathing patterns, Check mentation, color of skin and nailbeds Traction applied, but client is frustrated because client keeps calling nurse for help with repositioning. Use a trapeze bar. Multiple Sclerosis and urinary retention. Self-Catheterization Client works as a data desk job with Raynaud's syndrome. What to do to prevent wrist injury? Space Heater C.K.D. Lab to report. Potassium 6.5 Client withy Gullian Barre is not blinking. Administer Lubricant Taking prednisone PO 5mg. What symptom? Rapid Weight Gain. Succinylcholine. High Temperature. Ice Pack axillary The nurse drops a sterile package of supplies on the floor in the operating room (OR) suite. The ... impervious wrapper. Which action should the nurse implement? Open contents to sterile field package intact. Client with Acute Glomerulonephritis. Restrict Sodium. Client ask about biopsy results from cancer cells well differentiated. What response? Ask Healthcare provider to gather more information. Right cataract and lens implant. Which intervention should the nurse first? Provide an eye shield to be worn while sleeping. The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted with abdominal pain has just had a large black tarry stool. What intervention should the nurse implement first? Test the stool for occult blood. Which action is most important for the nurse to implement to reduce the risk for deep vein thrombosis in a postoperative client? Advise the client to perform leg exercises regularly. The nurse is preparing a client for a bronchoscopy. While obtaining consent, the client complains of thirst and admits to drinking a small amount of orange juice two hours ago. What action should the nurse take? Delay procedure for 6 hours. A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. What action should the nurse implement? Schedule an appointment for the client to the healthcare provider. The nurse learns in change of shift report that the x-ray report for a newly admitted client indicates consolidation in the left lower lung. What action should the nurse take? Administer a PRN dose of a bronchodilator. The nurse is monitoring the glucose q4h of an adult woman admitted with DKA. Two hours after receiving 10 units of regular insulin for glucose of 255, the client is perspiring and complaining of shakiness. What intervention should the nurse implement? Check Capillary glucose level. The chest x-ray for a client who is admitted for pneumonia shows pleural effusion with decreased air flow in the entire left upper lobe. What breath sounds that verify the x-ray findings should the nurse document after auscultation of the left upper lobe? Diminished breath sounds Which food is most important for the nurse to encourage a male patient with osteomalacia to include in his daily diet? Fortified milk and cereals. An older adult woman is seen in the clinic 3 months following her diagnosis of type 2 diabetes mellitus (DM). She tells the nurse that she has had a difficult time keeping her blood sugar in control. The nurse reviews the client's current finger-stick and daily log of blood glucose levels. Which intervention is most important for the nurse to implement? Review the client's glycosylated hemoglobin (A1c) level. The nurse is taking a client's blood pressure and observes carpal spasm after the sphygmomanometer cuff is inflated. What action should the nurse implement next? Assess the client's recent serum calcium level. A male client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about the dietary restriction he should follow. In discussing fluid intake, the nurse should include which type of fluid limitation? Tea and hot chocolate. During preoperative teaching for a male client scheduled for repair of an inguinal hernia, the client tells the nurse that he has had several surgeries and understands the need to perform coughing and deep breathing exercises after surgery. How should the nurse respond? Ask for demonstration of these exercises. A pt suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this pt's plan of care? Continuous cardiac monitoring. After 3 days of persistent epigastric pain, a female pt presents to the clinic. She has been taking oral antacids w/o relief. Her vital signs are HR 122 beats/min, respirations 16 breaths/min, O2 96% and BP 116/70. The nurse obtains a 12-lead ECG. Which assessment finding is most critical? ST elevation in three leads A male client with an external fixation device for a fractured left femur is complaining of left foot pain. Which intervention should the nurse implement first? Administer PRN pain medication. Two days following abdominal surgery a client begins to complain of cramping abdominal pain, and the nurse's inspection of the abdomen indicates slight distention. Which action should the nurse implement first? Auscultate abdomen quadrants A fair-skinned female client who is an avid runner is diagnosed with malignant melanoma, which is located on the lateral surface of the lower leg. After wide margin resection, the nurse provides discharge teaching. it is most important for the nurse to emphasize the need to observe for changes in which characteristic? Appearance of any moles. Math question: Order of 8,200 units. Each 1mL of solution contains 10,000 units of alfa. How many mL? (If Rounding is necessary, then round to the nearest tenth). Simply, divide 8200 and 10,000, which equals = 0.82mL after calculation. THEN ROUND TO THE NEAREST TENTH, and final answer is 0.8mL 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. When a nurse is caring for a client with acute hypothyroidism, which serum laboratory value requires immediate intervention? Serum sodium 122 mEq/L. A potential donor of corneal tissue for the eye bank has just died. The nurse enters the room prescribed antibiotic eye drops. What action should the nurse take next? Secure eye shields over the closed after instilling the eyedrops. 3 months following her diagnosis of type II diabetes...had a difficult time keeping her blood sugar is centered. The nurse reviews that..blood glucose levels. Which interventions in most important for the nurse to implement? Review the client's glycosylated hemoglobin (A1c) level. I forgot the question, but the answer was Prepare Discharging patient. Retinal Tear. What to do to avoid risk of retina damage? 2-year old boy is having health assessment. Which further assessment by nurse? "He refuses to feed, but I make him eat meats" 18. SIADH: Difficulty swallowing 19. Nephrotic syndrome: Monitor for weight 20. A patient with diabetes complains that he is unable to sleep at night because of cold feet. What should the nurse advice? Apply warm blankets to the feet 21. Carpel Tunnel Syndrome: Compression of median nerve 22. LAD, CAD, another artery that supply the heart have blockage of 95%, 99% and 99%. How should the nurse explain to the client: 1-5% of blood gets to your heart.[Explain in layman/simple terms to the patient] 23. Emphysema client teaching: Deep breathing and pursed lips 24. NG Tube: Fowler's position, 30-90 degrees sitting position 25. Paracentesis procedure- Sitting upright during procedure 26. Finger stick glucose check with milking: Check radial pulse 27. Eczema: Dog allergy - Grandson and the dog visited the client 28. A patient with ventricular tachycardia was given Lidocaine. How do the nurse measure the treatment is effective? Decrease episodes of ventricular tachycardia 29. A patient who had intercourse 4 days ago comes to the clinic with burning pain/sensation on urination: Obtain discharge in a swab for culture 30. Open angle glaucoma: Decrease in periphery vision 31. Obstruction of the common bile duct: Yellow sclera 32. A patient is having a seizure is assisted to the floor. Which is priority? Monitor for Apnea 33. A male client has urinary dripping at night: Palpate bladder above the pubic symphysis 34. Patient is unable to wear his shoes: Ask about weight 35. Sodium level is 117. Client may be in acute renal failure. With excessive water retention the sodium levels appear decreased (dilution). Nursing diagnosis: Excess fluid volume 36. Decreased peripheral pulses: Doppler sound 37. CVA occurs in: Carotid arteries A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What should the nurse do first? Visualize the abdominal area A patient has been taking Kenalog (corticosteroid) with increase redness... Schedule an appointment A patient hd a BDP. What warrants further intervention? Positive gastro occult emesis A patient who has been taking B12 says he's fatigue. What lab to monitor? CBC A patient with Parkinson is walking....? Confirm that its effective Whats priority for a patient who is allergic to bananas? Replace latex How to prevent a renal calculi? limit tea and chocolate If a patient is in F-vib what medication to give? Adenosine A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? Obtain a doppler A client with a history of COPD has established a walking program. How do we know that walking is effective? Cardiovascular improvement Post -op A client informs the nurse that he know all about how to breath. How should the nurse respond? .... Order 100 units in 250ml to infuse at 12units/hr 12/100 *250= 30 A client complains of pain in the right calf. What is the nurse's priority? Remain in bed A client just returned after having a TURP and has clot. What should the nurse do? slowly irrigate What's Priority for a client with Multiple Scerolosis and has urinary rention? Self cathetherization The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor? WBCs