Med Surg HESI Practice Questions
With Multiple Choices And Correct
Answers 2025
What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops
- Ans-b. light housekeeping is permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
,d. Auscultate bilateral lung sound
- Ans-a. 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?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
- Ans-c. 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?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
- Ans-d. 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?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
- Ans-a. explain specific reason for urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalized he receives IV
pentamidine isethionate therapy. In preparing this client for discharge
what important aspect regarding his medication therapy should the
nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
d. IV pentamine may offer protection to others aids related conditions
such as kaposis sarcoma
- Ans-c. it will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
With Multiple Choices And Correct
Answers 2025
What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops
- Ans-b. light housekeeping is permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
,d. Auscultate bilateral lung sound
- Ans-a. 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?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
- Ans-c. 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?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
- Ans-d. 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?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
- Ans-a. explain specific reason for urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia
(PCP) secondary to aids. While hospitalized he receives IV
pentamidine isethionate therapy. In preparing this client for discharge
what important aspect regarding his medication therapy should the
nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
d. IV pentamine may offer protection to others aids related conditions
such as kaposis sarcoma
- Ans-c. it will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
