HESI MED-SURG EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client states that sleep is fine but that the spouse has moved
into the spare bedroom to sleep after returning home. The client states, "I
guess we will never have sex again after this." Which response is best for the
nurse to provide?
A. Sexual intercourse can be strenuous on the heart, but closeness and
intimacy, such as holding and cuddling, can be maintained with your spouse.
B. Sexual activity can be resumed whenever you and your spouse feel like it
because the sexual response is more emotional than physical.
C. Discuss questions about sexual activity with your healthcare provider
because sexual activity may be limited by your heart damage.
D. Sexual activity is similar in cardiac workload and energy expenditure as
climbing two flights of stairs ( correct answers ) D. Sexual activity is
similar in cardiac workload and energy expenditure as climbing two flights of
stairs and may be resumed like other activities.
A client in the preoperative holding area receives a prescription for
midazolam IV. The nurse determines that the surgical consent form needs to
be signed by the client. Which action should the nurse implement?
A. Give the drug and allow the client to read and sign the consent form.
B. Counter-sign the client's initials on the consent form after giving the drug.
C. Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
GRADED A+
, D. Call the healthcare provider to explain the surgical procedure before the
client signs the consent. ( correct answers ) C. Withhold the drug until the
client validates understanding of the surgical procedure and signs the
consent form.
A client who just tested positive for human immunodeficiency virus (HIV)
does not appear to hear what the nurse says during post-test counseling.
Which information should the nurse offer to facilitate the client's adjustment
to HIV infection?
A. Inform the client how to protect sexual and needle-sharing partners.
B. Teach the client about medications that are available for treatment.
C. Identify the need to test others who have had risky contact with the client.
D. Discuss retesting to verify the results, which will ensure continuing
contact. ( correct answers ) D. Discuss retesting to verify the results,
which will ensure continuing contact.
A client who is admitted to the emergency department with a possible
tension pneumothorax after a motor vehicle collision is having multiple
diagnostic tests. Which finding requires immediate action by the nurse?
A. Serum amylase of 132 units/L.
B. Serum sodium of 134 mEq/L.
C. Chest x-ray indicating a mediastinal shift.
D. Abdominal x-ray air throughout intestines. ( correct answers ) C. Chest
x-ray indicating a mediastinal shift.
A client is admitted to the emergency department after being lost for four
days while hiking in a national forest. Upon review of the laboratory results,
the nurse determines the client's serum level for thyroid-stimulating
hormone (TSH) is elevated. Which additional assessment should the nurse
make?
A. Body mass index.
B. Skin elasticity and turgor.
C. Thought processes and speech.
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client states that sleep is fine but that the spouse has moved
into the spare bedroom to sleep after returning home. The client states, "I
guess we will never have sex again after this." Which response is best for the
nurse to provide?
A. Sexual intercourse can be strenuous on the heart, but closeness and
intimacy, such as holding and cuddling, can be maintained with your spouse.
B. Sexual activity can be resumed whenever you and your spouse feel like it
because the sexual response is more emotional than physical.
C. Discuss questions about sexual activity with your healthcare provider
because sexual activity may be limited by your heart damage.
D. Sexual activity is similar in cardiac workload and energy expenditure as
climbing two flights of stairs ( correct answers ) D. Sexual activity is
similar in cardiac workload and energy expenditure as climbing two flights of
stairs and may be resumed like other activities.
A client in the preoperative holding area receives a prescription for
midazolam IV. The nurse determines that the surgical consent form needs to
be signed by the client. Which action should the nurse implement?
A. Give the drug and allow the client to read and sign the consent form.
B. Counter-sign the client's initials on the consent form after giving the drug.
C. Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
GRADED A+
, D. Call the healthcare provider to explain the surgical procedure before the
client signs the consent. ( correct answers ) C. Withhold the drug until the
client validates understanding of the surgical procedure and signs the
consent form.
A client who just tested positive for human immunodeficiency virus (HIV)
does not appear to hear what the nurse says during post-test counseling.
Which information should the nurse offer to facilitate the client's adjustment
to HIV infection?
A. Inform the client how to protect sexual and needle-sharing partners.
B. Teach the client about medications that are available for treatment.
C. Identify the need to test others who have had risky contact with the client.
D. Discuss retesting to verify the results, which will ensure continuing
contact. ( correct answers ) D. Discuss retesting to verify the results,
which will ensure continuing contact.
A client who is admitted to the emergency department with a possible
tension pneumothorax after a motor vehicle collision is having multiple
diagnostic tests. Which finding requires immediate action by the nurse?
A. Serum amylase of 132 units/L.
B. Serum sodium of 134 mEq/L.
C. Chest x-ray indicating a mediastinal shift.
D. Abdominal x-ray air throughout intestines. ( correct answers ) C. Chest
x-ray indicating a mediastinal shift.
A client is admitted to the emergency department after being lost for four
days while hiking in a national forest. Upon review of the laboratory results,
the nurse determines the client's serum level for thyroid-stimulating
hormone (TSH) is elevated. Which additional assessment should the nurse
make?
A. Body mass index.
B. Skin elasticity and turgor.
C. Thought processes and speech.
GRADED A+
