HESI RN MED SURG EXAM PACK -
EXAM MERGED FROM
2021/2022/2023 ACTUAL EXAMS.
NEXT GEN-ACTUAL EXAM REV
1. A client with a productive cough has obtained a sputum specimen for culture as
instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - ANSWER ✓✓✓B. Observe the color,
consistency, and amount of sputum
2. A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and is receiving 100% oxygen
per self-inflating (ambu) bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - ANSWER ✓✓✓A. Breath sounds over bilateral lung fields.
3. After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - ANSWER ✓✓✓A. Reorient client to his room
4. A male client with heart failure (HF) calls the clinic and reports that he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
, C. Is he still able to tighten his belt buckle?
10. The nurse is caring for a client with a lower left lobe pulmonary abscess. Which
position should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest - ANSWER ✓✓✓A. left lateral
5. An older adult woman with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention should the nurse
implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - ANSWER ✓✓✓D. Assist her to an upright
position
6. A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickened tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is most important for
the nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - ANSWER ✓✓✓A.
Increase the daily intake of oral fluids to liquefy secretions
7. A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and
? % proximal right coronary artery (RCA). The client later asks the nurse "what does all
this mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitate
lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid
retention. - ANSWER ✓✓✓C. Three main arteries have major blockages, with only 1
to 5% of blood flow getting through to the heart muscle.
8. A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg.
The heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.) - ANSWER ✓✓✓0.6 ml
EXAM MERGED FROM
2021/2022/2023 ACTUAL EXAMS.
NEXT GEN-ACTUAL EXAM REV
1. A client with a productive cough has obtained a sputum specimen for culture as
instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - ANSWER ✓✓✓B. Observe the color,
consistency, and amount of sputum
2. A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and is receiving 100% oxygen
per self-inflating (ambu) bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - ANSWER ✓✓✓A. Breath sounds over bilateral lung fields.
3. After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - ANSWER ✓✓✓A. Reorient client to his room
4. A male client with heart failure (HF) calls the clinic and reports that he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
, C. Is he still able to tighten his belt buckle?
10. The nurse is caring for a client with a lower left lobe pulmonary abscess. Which
position should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest - ANSWER ✓✓✓A. left lateral
5. An older adult woman with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention should the nurse
implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - ANSWER ✓✓✓D. Assist her to an upright
position
6. A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickened tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is most important for
the nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - ANSWER ✓✓✓A.
Increase the daily intake of oral fluids to liquefy secretions
7. A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and
? % proximal right coronary artery (RCA). The client later asks the nurse "what does all
this mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitate
lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid
retention. - ANSWER ✓✓✓C. Three main arteries have major blockages, with only 1
to 5% of blood flow getting through to the heart muscle.
8. A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg.
The heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.) - ANSWER ✓✓✓0.6 ml
