MED SURG HESI V1 Exam Questions with Verified Answers
1. 1. Following long-term administration of warfarin sodium to a client with a
medical diagnosis of deep vein thrombosis, the nurse should expect which
treatment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal: c. The PT will be 1.5 times the normal
2. A client who has been taking finasteride, an enzyme (5 alpha reductase)
inhibitor used to shrink the prostate gland, is admitted because of continuing
benign prostate prostatic hypertrophy (BPH) symptoms when planning care.
Which nursing problem should the nurse address first?: Urinary retention
3. An older client has been diagnosed with chronic venous insufficiency. To
prevent venous return, which action should the nurse encourage the client
to?: Wear cotton socks and enclosed toe shoes whenever outside
4. When caring for a client with a full thickness burn covering 40% of the body,
the nurse observes pertinent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse should review which of the client's
laboratory values?: White blood cell (WBC) count
5. An older client arrives at the outpatient eye surgery clinic for a right cataract
extraction and implant. During the immediate postoperative period, which
intervention should the nurse implement?: Provide an eye shield to be worn
while sleeping
6. After several days of coughing and taking acetaminophen to treat temper-
atures of 101 F (38.3 C), a client with DI is admitted to the hospital with an
upper respiratory infection. Several hours after admission, the client reports
having a severe headache and feeling dizzy. Which intervention should the
nurse implement first?: Reassess vital signs
7. A client takes daily supplemental iron tablets for iron deficiency anemia
reports feeling increasingly fatigued. Which laboratory values should the
nurse review?: Complete blood count
8. The nurse is caring for a client post anesthesia care unit (PACU) who un-
derwent a thoracotomy two hours ago. The nurse observes the following vital
signs: heart rate 140 beats/ minute, respirations 26 breaths/minute, and blood
pressure 140/90 mmHg. Which intervention is most important for the nurse to
implement?: Medicate for pain and monitor vital signs according to protocol
9. 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 fraction (ORIF). The nurse deter-
mines that the client's distal pulses are diminished in the left foot. Which
1/6
, MED SURG HESI V1 Exam Questions with Verified Answers
interventions should the nurse implement? (SATA): - Verify pedal pulses using
a doppler pulse device
- Monitor left leg for pain, pallor, paresthesia, paralysis, pressured. - Evaluate the
application of the splint to the left leg
10. A nurse is caring for a client with Diabetes Insipidus (DI). which data
warrants the most immediate intervention by the nurse?: Serum sodium of 185
mEq/L
11. The nurse assesses a client with petechiae and ecchymosis scattered
across the arms and legs. Which laboratory result should the nurse review?-
: Platelet count
12. A male client is admitted to the emergency department with vomiting of
dark brown, foul- smelling emesis. He reports he had a surgical repair of a
recurrent inguinal hernia one week ago and complains of intense abdominal
pain. After assessing that his bowel sounds are hyperactive, which prescrip-
tion should the nurse implement first?: Insert a NGT and attach to low suction
13. A client is admitted to the hospital for shortness of breath and chest pain
after an episode of syncope. Which laboratory finding is most important for
the nurse to report to the healthcare provider?: Troponin I
14. A client is hospitalized after experiencing a myocardial infarction (MI) to
reduce cardiac workload, which intervention should the nurse include in the
client's plan of care?: Provide a bedside commode for toileting
15. The healthcare provider prescribes radiation therapy (RT) for a client with
terminal metastatic cancer who is experiencing increased pain due to spinal
compression. The client asks the nurse why radiation therapy is prescribed.
Which mechanism supports the use of RT in the client's metastatic cancer?-
: Pain relief can be provided by shrinking tumors that press against spinal nerves
16. The nurse is caring for a client diagnosed with psoriasis vulgaris who
is receiving a PUVA treatment. Which assessment finding indicates that the
client has been overexposed to the treatment?: Tenderness upon palpation and
generalized erythema
17. An older client with long-term type 2 diabetes mellitus (DM) is seen in
the clinic for a routine health assessment. Which assessments would the
nurse to determine if the patient with type 2 DM is experiencing long-term
complications? (SATA): - Visual acuity
- Skin condition of lower extremities
-Sensation in feet and legs
-Serum creatinine and blood urea nitrogen (BUN)
18. A client with a history of chronic obstructive disease (COPD) is admitted
with pneumonia. Vital signs include oxygen saturation 89% temperature 100.5
2/6
1. 1. Following long-term administration of warfarin sodium to a client with a
medical diagnosis of deep vein thrombosis, the nurse should expect which
treatment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal: c. The PT will be 1.5 times the normal
2. A client who has been taking finasteride, an enzyme (5 alpha reductase)
inhibitor used to shrink the prostate gland, is admitted because of continuing
benign prostate prostatic hypertrophy (BPH) symptoms when planning care.
Which nursing problem should the nurse address first?: Urinary retention
3. An older client has been diagnosed with chronic venous insufficiency. To
prevent venous return, which action should the nurse encourage the client
to?: Wear cotton socks and enclosed toe shoes whenever outside
4. When caring for a client with a full thickness burn covering 40% of the body,
the nurse observes pertinent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse should review which of the client's
laboratory values?: White blood cell (WBC) count
5. An older client arrives at the outpatient eye surgery clinic for a right cataract
extraction and implant. During the immediate postoperative period, which
intervention should the nurse implement?: Provide an eye shield to be worn
while sleeping
6. After several days of coughing and taking acetaminophen to treat temper-
atures of 101 F (38.3 C), a client with DI is admitted to the hospital with an
upper respiratory infection. Several hours after admission, the client reports
having a severe headache and feeling dizzy. Which intervention should the
nurse implement first?: Reassess vital signs
7. A client takes daily supplemental iron tablets for iron deficiency anemia
reports feeling increasingly fatigued. Which laboratory values should the
nurse review?: Complete blood count
8. The nurse is caring for a client post anesthesia care unit (PACU) who un-
derwent a thoracotomy two hours ago. The nurse observes the following vital
signs: heart rate 140 beats/ minute, respirations 26 breaths/minute, and blood
pressure 140/90 mmHg. Which intervention is most important for the nurse to
implement?: Medicate for pain and monitor vital signs according to protocol
9. 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 fraction (ORIF). The nurse deter-
mines that the client's distal pulses are diminished in the left foot. Which
1/6
, MED SURG HESI V1 Exam Questions with Verified Answers
interventions should the nurse implement? (SATA): - Verify pedal pulses using
a doppler pulse device
- Monitor left leg for pain, pallor, paresthesia, paralysis, pressured. - Evaluate the
application of the splint to the left leg
10. A nurse is caring for a client with Diabetes Insipidus (DI). which data
warrants the most immediate intervention by the nurse?: Serum sodium of 185
mEq/L
11. The nurse assesses a client with petechiae and ecchymosis scattered
across the arms and legs. Which laboratory result should the nurse review?-
: Platelet count
12. A male client is admitted to the emergency department with vomiting of
dark brown, foul- smelling emesis. He reports he had a surgical repair of a
recurrent inguinal hernia one week ago and complains of intense abdominal
pain. After assessing that his bowel sounds are hyperactive, which prescrip-
tion should the nurse implement first?: Insert a NGT and attach to low suction
13. A client is admitted to the hospital for shortness of breath and chest pain
after an episode of syncope. Which laboratory finding is most important for
the nurse to report to the healthcare provider?: Troponin I
14. A client is hospitalized after experiencing a myocardial infarction (MI) to
reduce cardiac workload, which intervention should the nurse include in the
client's plan of care?: Provide a bedside commode for toileting
15. The healthcare provider prescribes radiation therapy (RT) for a client with
terminal metastatic cancer who is experiencing increased pain due to spinal
compression. The client asks the nurse why radiation therapy is prescribed.
Which mechanism supports the use of RT in the client's metastatic cancer?-
: Pain relief can be provided by shrinking tumors that press against spinal nerves
16. The nurse is caring for a client diagnosed with psoriasis vulgaris who
is receiving a PUVA treatment. Which assessment finding indicates that the
client has been overexposed to the treatment?: Tenderness upon palpation and
generalized erythema
17. An older client with long-term type 2 diabetes mellitus (DM) is seen in
the clinic for a routine health assessment. Which assessments would the
nurse to determine if the patient with type 2 DM is experiencing long-term
complications? (SATA): - Visual acuity
- Skin condition of lower extremities
-Sensation in feet and legs
-Serum creatinine and blood urea nitrogen (BUN)
18. A client with a history of chronic obstructive disease (COPD) is admitted
with pneumonia. Vital signs include oxygen saturation 89% temperature 100.5
2/6
