HESI MED SURG PRACTICE
EXAM WITH CORRECT
ANSWERS 2025
A client is caring for a client with diabetes insipidus (DI). What data warrants
the MOST immediate intervention by the nurse?
a. serum sodium of 185 mEq/L (185 mmol/L)
b. dry skin with inelastic tugor
c. apical rate of 110 beats per minute
d. polyuria and excessive thirst ( correct answers ) a. serum sodium of
185 mEq/L (185 mmol/L)
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this medical diagnosis?
a. frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning
d. marked loss of weight and appetite over the last 3 or 4 months ( correct
answers ) c. upper mid-abdominal pain described as gnawing and burning
The nurse assesses a client who is newly diagnosed with hyperthyroidism
and observes that the client's eyeballs are protuberant, causing a wide-eyed
appearance and eye discomfort. Based on this finding, which action should
the nurse include in this client's plan of care?
,a. assess for signs of increased intracranial pressure
b. prepare to administer levothyroxine
c. review the client's serum electrolyte values
d. obtain a prescription for artificial tear drops ( correct answers ) d.
obtain a prescription for artificial tear drops
To reduce the risk for pulmonary complication for a patient with Amyotrophic
Lateral Sclerosis (ALS), which interventions should the nurse implement?
(Select all that apply.)
a. perform chest physiotherapy
b. teach the client breathing exercises
c. initiate passive range of motion exercises
d. establish a regular bladder routine
e. encourage use of incentive spirometer ( correct answers ) a. perform
chest physiotherapy
b. teach the client breathing exercises
e. encourage use of incentive spirometer
A client is hospitalized with heart failure (HF). Which intervention should the
nurse implement to improve ventilation and reduce venous return?
a. perform passive range of motion
b. place the client in a high Fowler position
c. administer oxygen per nasal cannula
d. increase the client's activity level ( correct answers ) b. place the client
in a high Fowler position
, A client who was involved in a motor vehicle collision is admitted with a
fractured left femur which is immobilized using a fracture traction splint in
preparation for an open reduction internal fixation (ORIF). The nurse
determines that the client's distal pulses are diminished in the left foot.
Which interventions should the nurse implement? (Select all that apply.)
a. verify pedal pulses using a doppler pulse device
b. evaluate the application of the splint to the left leg
c. offer ice chips and oral clear liquids
d. monitor left leg for pain, pallor, paresthesia, paralysis, pressure
e. administer oral antispasmodics and narcotic analgesics ( correct
answers ) a. verify pedal pulses using a doppler pulse device
b. evaluate the application of the splint to the left leg
d. monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest
xray indicates pneumonia. Which diagnostic test should the nurse review for
implementation in the MOST therapeutic treatment of the pneumonia?
a. sputum culture and sensitivity
b. blood cultures
c. arterial blood gases (ABGs)
d. computerized tomography (CT) of the chest ( correct answers ) a.
sputum culture and sensitivity
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. call the clinic if undesirable side effects of medication occur
EXAM WITH CORRECT
ANSWERS 2025
A client is caring for a client with diabetes insipidus (DI). What data warrants
the MOST immediate intervention by the nurse?
a. serum sodium of 185 mEq/L (185 mmol/L)
b. dry skin with inelastic tugor
c. apical rate of 110 beats per minute
d. polyuria and excessive thirst ( correct answers ) a. serum sodium of
185 mEq/L (185 mmol/L)
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this medical diagnosis?
a. frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning
d. marked loss of weight and appetite over the last 3 or 4 months ( correct
answers ) c. upper mid-abdominal pain described as gnawing and burning
The nurse assesses a client who is newly diagnosed with hyperthyroidism
and observes that the client's eyeballs are protuberant, causing a wide-eyed
appearance and eye discomfort. Based on this finding, which action should
the nurse include in this client's plan of care?
,a. assess for signs of increased intracranial pressure
b. prepare to administer levothyroxine
c. review the client's serum electrolyte values
d. obtain a prescription for artificial tear drops ( correct answers ) d.
obtain a prescription for artificial tear drops
To reduce the risk for pulmonary complication for a patient with Amyotrophic
Lateral Sclerosis (ALS), which interventions should the nurse implement?
(Select all that apply.)
a. perform chest physiotherapy
b. teach the client breathing exercises
c. initiate passive range of motion exercises
d. establish a regular bladder routine
e. encourage use of incentive spirometer ( correct answers ) a. perform
chest physiotherapy
b. teach the client breathing exercises
e. encourage use of incentive spirometer
A client is hospitalized with heart failure (HF). Which intervention should the
nurse implement to improve ventilation and reduce venous return?
a. perform passive range of motion
b. place the client in a high Fowler position
c. administer oxygen per nasal cannula
d. increase the client's activity level ( correct answers ) b. place the client
in a high Fowler position
, A client who was involved in a motor vehicle collision is admitted with a
fractured left femur which is immobilized using a fracture traction splint in
preparation for an open reduction internal fixation (ORIF). The nurse
determines that the client's distal pulses are diminished in the left foot.
Which interventions should the nurse implement? (Select all that apply.)
a. verify pedal pulses using a doppler pulse device
b. evaluate the application of the splint to the left leg
c. offer ice chips and oral clear liquids
d. monitor left leg for pain, pallor, paresthesia, paralysis, pressure
e. administer oral antispasmodics and narcotic analgesics ( correct
answers ) a. verify pedal pulses using a doppler pulse device
b. evaluate the application of the splint to the left leg
d. monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest
xray indicates pneumonia. Which diagnostic test should the nurse review for
implementation in the MOST therapeutic treatment of the pneumonia?
a. sputum culture and sensitivity
b. blood cultures
c. arterial blood gases (ABGs)
d. computerized tomography (CT) of the chest ( correct answers ) a.
sputum culture and sensitivity
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. call the clinic if undesirable side effects of medication occur
