Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
1. What discharge instructions is most important for a C. Use daily reminders
client after a kidney transplant? to take immunosuppres-
sants
A. Weigh weekly
B. Report symptoms of secondary Candidiasis
C. Use daily reminders to take immunosuppressants
D. Stop cigarette smoking
2. The nurse is planning care to prevent complication for C. Maintain a fluid intake
a client with multiple myeloma. Which intervention is of 3 to 4 L per day
most important for the nurse to include?
A. Safety precautions during activity
B. Assess for changes in size of lymph nodes
C. Maintain a fluid intake of 3 to 4 L per day
D. Administer narcotic analgesic around the clock
3. A client has a staging procedure for cancer of the D. Inflammatory with peau
breast and ask the nurse which type of breast cancer d'orange
has the poorest prognosis. Which information should
the nurse offer the client?
A. Stage II
B. Invasive infiltrating ductal carcinoma
C. T1N0M0
D. Inflammatory with peau d'orange
4. The nurse assess a client with advanced cirrhosis of D. Difficulty in handwriting
the liver for signs of hepatic encephalopathy. Which
finding would the nurse consider an indication of pro-
gressive hepatic encephalopathy?
, Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
A. An increase in abdominal girth
B. Hypertension and a bounding pulse
C. Decreased bowel sounds
D. Difficulty in handwriting
5. While working in the emergency room, the nurse is C. Four to six weeks after
exposed to a client with active tuberculosis. When exposure
should the nurse plan to obtain a tuberculin skin test?
A. Immediately after the exposure
B. Within one week of the exposure
C. Four to six weeks after exposure
D. Three months after the exposure
6. A client with a completed ischemic stroke has a blood D. Give an antihyperten-
pressure of 180/90 mm Hg. Which action should the sive medication
nurse implement?
A. Position the head of the bed (HOB) flat
B. Withhold intravenous fluids
C. Administer a bolus of Iv fluids
D. Give an antihypertensive medication
7. An elderly male client comes to the geriatric screening C. Pain in the calf upon ex-
clinic complaining of pain in his left calf. The nurse ertion which is relieved by
notices a reddened area on the calf of his right leg rest and elevating the ex-
which is warm to the touch and suspects it might be tremity
thrombophlebitis. Which type of pain would further
confirm this suspicion?
A. Pain in the calf awakening him from a sound sleep
B. Calf pain on exertion which stops when standing in
, Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
one place
C. Pain in the calf upon exertion which is relieved by
rest and elevating the extremity
D. Pain upon arising in the morning which is relieved
after some stretching and exercise
8. Which description of symptoms is characteristic of B. Sudden, stabbing, se-
a client diagnosed with trigeminal neuralgia (tic vere pain over the lip and
douloureux)? chin
A. Tinnitus, vertigo, and hearing difficulties
B. Sudden, stabbing, severe pain over the lip and chin
C. Facial weakness and paralysis
D. Difficulty in chewing, talking, and swallowing
9. A client receiving cholestyramine (Questran) for hy- A. K
perlipidemia should be evaluated for what vitamin
deficiency?
A. K
B. B12
C. B6
D. C
10. A client who is receiving chemotherapy asks the nurse, A. "Chemotherapy affects
"Why is so much of my hair falling out each day?" the cells of the body that
Which response by the nurse best explains the reason grow rapidly, both normal
for alopecia? and malignant."
A. "Chemotherapy affects the cells of the body that
grow rapidly, both normal and malignant."
B. "Alopecia is a common side effects you will experi-
, Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
ence during long-term steroid therapy."
C. "Your hair will grow back completely after your
course of chemotherapy is completed."
D. "The chemotherapy causes permanent alterations
in your follicles that lead to hair loss."
11. The nurse is working in a postoperative surgical clinic A. She sustained an insect
is assessing a woman who had a left radical mastec- bite to her left arm yester-
tomy for breast cancer. Which factor puts this client at day
a greatest risk for developing lymphedema?
A. She sustained an insect bite to her left arm yester-
day
B. She has lost twenty pounds since the surgery
C. Her healthcare provider now prescribes a calcium
channel blocker for hypertension
D. Her lobby is playing classical music on the piano
12. A female client taking oral contraceptives reports to C. Advise the client to noti-
the nurse that she is experiencing calf pain. What fy the healthcare provider
action should the nurse implement? for immediate medical at-
tention
A. Determine if the client has also experienced breast
tenderness and weight gain
B. Encourage the client to begin a regular, daily pro-
gram of walking and exercise
C. Advise the client to notify the healthcare provider
for immediate medical attention
D. Tell the client to stop taking the medication for a
week to see if symptoms subside.
13.
Newest Update Actual Questions & Answers (A+ Guide Solution)
1. What discharge instructions is most important for a C. Use daily reminders
client after a kidney transplant? to take immunosuppres-
sants
A. Weigh weekly
B. Report symptoms of secondary Candidiasis
C. Use daily reminders to take immunosuppressants
D. Stop cigarette smoking
2. The nurse is planning care to prevent complication for C. Maintain a fluid intake
a client with multiple myeloma. Which intervention is of 3 to 4 L per day
most important for the nurse to include?
A. Safety precautions during activity
B. Assess for changes in size of lymph nodes
C. Maintain a fluid intake of 3 to 4 L per day
D. Administer narcotic analgesic around the clock
3. A client has a staging procedure for cancer of the D. Inflammatory with peau
breast and ask the nurse which type of breast cancer d'orange
has the poorest prognosis. Which information should
the nurse offer the client?
A. Stage II
B. Invasive infiltrating ductal carcinoma
C. T1N0M0
D. Inflammatory with peau d'orange
4. The nurse assess a client with advanced cirrhosis of D. Difficulty in handwriting
the liver for signs of hepatic encephalopathy. Which
finding would the nurse consider an indication of pro-
gressive hepatic encephalopathy?
, Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
A. An increase in abdominal girth
B. Hypertension and a bounding pulse
C. Decreased bowel sounds
D. Difficulty in handwriting
5. While working in the emergency room, the nurse is C. Four to six weeks after
exposed to a client with active tuberculosis. When exposure
should the nurse plan to obtain a tuberculin skin test?
A. Immediately after the exposure
B. Within one week of the exposure
C. Four to six weeks after exposure
D. Three months after the exposure
6. A client with a completed ischemic stroke has a blood D. Give an antihyperten-
pressure of 180/90 mm Hg. Which action should the sive medication
nurse implement?
A. Position the head of the bed (HOB) flat
B. Withhold intravenous fluids
C. Administer a bolus of Iv fluids
D. Give an antihypertensive medication
7. An elderly male client comes to the geriatric screening C. Pain in the calf upon ex-
clinic complaining of pain in his left calf. The nurse ertion which is relieved by
notices a reddened area on the calf of his right leg rest and elevating the ex-
which is warm to the touch and suspects it might be tremity
thrombophlebitis. Which type of pain would further
confirm this suspicion?
A. Pain in the calf awakening him from a sound sleep
B. Calf pain on exertion which stops when standing in
, Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
one place
C. Pain in the calf upon exertion which is relieved by
rest and elevating the extremity
D. Pain upon arising in the morning which is relieved
after some stretching and exercise
8. Which description of symptoms is characteristic of B. Sudden, stabbing, se-
a client diagnosed with trigeminal neuralgia (tic vere pain over the lip and
douloureux)? chin
A. Tinnitus, vertigo, and hearing difficulties
B. Sudden, stabbing, severe pain over the lip and chin
C. Facial weakness and paralysis
D. Difficulty in chewing, talking, and swallowing
9. A client receiving cholestyramine (Questran) for hy- A. K
perlipidemia should be evaluated for what vitamin
deficiency?
A. K
B. B12
C. B6
D. C
10. A client who is receiving chemotherapy asks the nurse, A. "Chemotherapy affects
"Why is so much of my hair falling out each day?" the cells of the body that
Which response by the nurse best explains the reason grow rapidly, both normal
for alopecia? and malignant."
A. "Chemotherapy affects the cells of the body that
grow rapidly, both normal and malignant."
B. "Alopecia is a common side effects you will experi-
, Med-Surg HESI Practice Exam 2024-2025 Questions / Comprehensive
Newest Update Actual Questions & Answers (A+ Guide Solution)
ence during long-term steroid therapy."
C. "Your hair will grow back completely after your
course of chemotherapy is completed."
D. "The chemotherapy causes permanent alterations
in your follicles that lead to hair loss."
11. The nurse is working in a postoperative surgical clinic A. She sustained an insect
is assessing a woman who had a left radical mastec- bite to her left arm yester-
tomy for breast cancer. Which factor puts this client at day
a greatest risk for developing lymphedema?
A. She sustained an insect bite to her left arm yester-
day
B. She has lost twenty pounds since the surgery
C. Her healthcare provider now prescribes a calcium
channel blocker for hypertension
D. Her lobby is playing classical music on the piano
12. A female client taking oral contraceptives reports to C. Advise the client to noti-
the nurse that she is experiencing calf pain. What fy the healthcare provider
action should the nurse implement? for immediate medical at-
tention
A. Determine if the client has also experienced breast
tenderness and weight gain
B. Encourage the client to begin a regular, daily pro-
gram of walking and exercise
C. Advise the client to notify the healthcare provider
for immediate medical attention
D. Tell the client to stop taking the medication for a
week to see if symptoms subside.
13.
