RN HESI MED-SURG EXAM QUESTION BANK |
2025 CURRENTLY TESTING ACCURATE REAL
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS GRADED A+ | GUARANTEED
EXCELLENCE PASS | NEW VERSION
An 81-year-old male client has emphysema. He lives at home with his
cat and manages self-care with no difficulty. When making a home visit,
the nurse notices that this client's tongue is somewhat cracked and his
eyeballs appear sunken into his head. Which nursing intervention is
indicated?
A. Help the client determine ways to increase his fluid intake.
B. Obtain an appointment for the client to have an eye examination.
C. Instruct the client to use oxygen at night and increase the
humidification.
D. Schedule the client for tests to determine his sensitivity to cat hair.
A
Clients with COPD should ingest 3 L of fluids daily but may experience
a fluid deficit because of shortness of breath. The nurse should
suggest creative methods to increase the intake of fluids (A), such as
having fruit juices in disposable containers readily available. (B) is not
,indicated. Humidified oxygen will not effectively treat the client's
fluid deficit, and there is no indication that the client needs
supplemental oxygen at night (C). These symptoms are not indicative
of (D) and may unnecessarily upset the client, who depends on his pet
for socialization.
The nurse is completing an admission interview for a client with
Parkinson's disease. Which question will provide additional information
about manifestations that the client is likely to experience?
A. "Have you ever experienced any paralysis of your arms or legs?"
B. "Do you have frequent blackout spells?"
C. "Have you ever been frozen in one spot, unable to move?"
D. "Do you have headaches, especially ones with throbbing pain?" C
Clients with Parkinson's disease frequently experience difficulty in
initiating, maintaining, and performing motor activities. They may
even experience being rooted to the spot and unable to move (C).
Parkinson's disease does not typically cause (A, B, or D).
The nurse is planning care for a client with diabetes mellitus who has
gangrene of the toes to the midfoot. Which goal should be included in
this client's plan of care?
A. Restore skin integrity.
,B. Prevent infection.
C. Promote healing.
D. Improve nutrition. B
The prevention of infection is a priority goal for this client (B).
Gangrene is the result of necrosis (tissue death). If infection develops,
there is insufficient circulation to fight the infection and the infection
can result in osteomyelitis or sepsis. Because tissue death has already
occurred, (A and C) are unattainable goals. (D) is important but of less
priority than (B).
The nurse is conducting an osteoporosis screening clinic at a health fair.
What information should the nurse provide to individuals who are at
risk for osteoporosis? (Select all that apply.)
A. Encourage alcohol and smoking cessation.
B. Suggest supplementing diet with vitamin E.
C. Promote regular weight-bearing exercises.
D. Implement a home safety plan to prevent falls.
E. Propose a regular sleep pattern of 8 hours nightly. A, C, D
(A, C, and D) are factors that decrease the risk for developing
osteoporosis. Vitamin D and calcium are important supplements to
aid in the decrease of bone loss (B). Regular sleep patterns are
important to overall health but are not identified with a decreasing
risk for osteoporosis (E).
, The nurse assesses a postoperative client whose skin is cool, pale, and
moist. The client is very restless and has scant urine output. Oxygen is
being administered at 2 L/min, and a saline lock is in place. Which
intervention should the nurse implement first?
A. Measure the urine specific gravity.
B. Obtain IV fluids for infusion per protocol.
C. Prepare for insertion of a central venous catheter.
D. Auscultate the client's breath sounds. B
The client is at risk for hypovolemic shock because of the
postoperative status and is exhibiting early signs of shock. A priority
intervention is the initiation of IV fluids (B) to restore tissue perfusion.
(A, C, and D) are all important interventions, but are of less priority
than (B).
The nurse is assessing a client who presents with jaundice. Which
assessment finding is most important for the nurse to follow up?
A. Urine specific gravity of 1.03
B. Frothy, tea-colored urine
C. Clay-colored stools
D. Elevated serum amylase and lipase levels D
2025 CURRENTLY TESTING ACCURATE REAL
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS GRADED A+ | GUARANTEED
EXCELLENCE PASS | NEW VERSION
An 81-year-old male client has emphysema. He lives at home with his
cat and manages self-care with no difficulty. When making a home visit,
the nurse notices that this client's tongue is somewhat cracked and his
eyeballs appear sunken into his head. Which nursing intervention is
indicated?
A. Help the client determine ways to increase his fluid intake.
B. Obtain an appointment for the client to have an eye examination.
C. Instruct the client to use oxygen at night and increase the
humidification.
D. Schedule the client for tests to determine his sensitivity to cat hair.
A
Clients with COPD should ingest 3 L of fluids daily but may experience
a fluid deficit because of shortness of breath. The nurse should
suggest creative methods to increase the intake of fluids (A), such as
having fruit juices in disposable containers readily available. (B) is not
,indicated. Humidified oxygen will not effectively treat the client's
fluid deficit, and there is no indication that the client needs
supplemental oxygen at night (C). These symptoms are not indicative
of (D) and may unnecessarily upset the client, who depends on his pet
for socialization.
The nurse is completing an admission interview for a client with
Parkinson's disease. Which question will provide additional information
about manifestations that the client is likely to experience?
A. "Have you ever experienced any paralysis of your arms or legs?"
B. "Do you have frequent blackout spells?"
C. "Have you ever been frozen in one spot, unable to move?"
D. "Do you have headaches, especially ones with throbbing pain?" C
Clients with Parkinson's disease frequently experience difficulty in
initiating, maintaining, and performing motor activities. They may
even experience being rooted to the spot and unable to move (C).
Parkinson's disease does not typically cause (A, B, or D).
The nurse is planning care for a client with diabetes mellitus who has
gangrene of the toes to the midfoot. Which goal should be included in
this client's plan of care?
A. Restore skin integrity.
,B. Prevent infection.
C. Promote healing.
D. Improve nutrition. B
The prevention of infection is a priority goal for this client (B).
Gangrene is the result of necrosis (tissue death). If infection develops,
there is insufficient circulation to fight the infection and the infection
can result in osteomyelitis or sepsis. Because tissue death has already
occurred, (A and C) are unattainable goals. (D) is important but of less
priority than (B).
The nurse is conducting an osteoporosis screening clinic at a health fair.
What information should the nurse provide to individuals who are at
risk for osteoporosis? (Select all that apply.)
A. Encourage alcohol and smoking cessation.
B. Suggest supplementing diet with vitamin E.
C. Promote regular weight-bearing exercises.
D. Implement a home safety plan to prevent falls.
E. Propose a regular sleep pattern of 8 hours nightly. A, C, D
(A, C, and D) are factors that decrease the risk for developing
osteoporosis. Vitamin D and calcium are important supplements to
aid in the decrease of bone loss (B). Regular sleep patterns are
important to overall health but are not identified with a decreasing
risk for osteoporosis (E).
, The nurse assesses a postoperative client whose skin is cool, pale, and
moist. The client is very restless and has scant urine output. Oxygen is
being administered at 2 L/min, and a saline lock is in place. Which
intervention should the nurse implement first?
A. Measure the urine specific gravity.
B. Obtain IV fluids for infusion per protocol.
C. Prepare for insertion of a central venous catheter.
D. Auscultate the client's breath sounds. B
The client is at risk for hypovolemic shock because of the
postoperative status and is exhibiting early signs of shock. A priority
intervention is the initiation of IV fluids (B) to restore tissue perfusion.
(A, C, and D) are all important interventions, but are of less priority
than (B).
The nurse is assessing a client who presents with jaundice. Which
assessment finding is most important for the nurse to follow up?
A. Urine specific gravity of 1.03
B. Frothy, tea-colored urine
C. Clay-colored stools
D. Elevated serum amylase and lipase levels D
