Med-Surg Hesi Practice Actual Exam
2025 Med Surg HESI Practice Exam
Latest Update 2025 Questions and
Correct Answers Rated A+
What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
A. Sexual activities may be resumed upon return home
B. Light housekeeping is permitted but avoid heavy lifting
C. Use a metal eye shield on operative eye during the day
D. Administer eye ointment before applying eye drops -answer-b.
Light housekeeping is permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse implement
first?
A. Obtain a sputum sample for culture
B. Check his oxygen saturation level
C. Administer an oral antipyretic
D. Auscultate bilateral lung sound -answer-a. Obtain a sputum sample
for culture
An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
A. Collect a urine specimen for culture analysis
B. Obtain a fingerstick blood glucose level
,C. Palpate the bladder above the symphysis pubis
D. Review the client fluid intake -answer-c. Palpate the bladder above
the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (dka) and a
urinary tract infection (uti) prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants
the most immediate intervention by the nurse?
A. Blood ph of 7.30
B. Glucose of 350 mg /dl
C. White blood cell count of 15000mm
D. Potassium of 2.5 meq/l -answer-d. Potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the sbar communication process?
A. Explain specific reason for urgent notification
B. Preface the report by stating the clients name and admitting
diagnosis
C. Communicate the pre-transfusion temperatures
D. Optain prn prescription for acetaminophen for fever 101f -answer-a.
Explain specific reason for urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia
(pcp) secondary to aids. While hospitalized he receives iv pentamidine
isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse
explain?
A. Azt therapy must be stopped when iv aerosol pentamine is being
used.
B. Iv pentamine will be given until oral pentamine can be tolerated
,C. It will be necessary to continue prophylactic doses of iv or aerosol
pentamine every month
D. Iv pentamine may offer protection to others aids related conditions
such as kaposis sarcoma -answer-c. It will be necessary to continue
prophylactic doses of iv or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
A. Collect a clean catch specimen
B. Palpate the suprapubic region
C. Instruct to wipe from front to back
D. Inquire about recent sexual activity -answer-a. Collect a clean catch
specimen
A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated how should the nurse respond?
A. Offer the client reassurance that this information indicates that the
clients cancer cells are benign
B. Explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
C. Ask the client if the healthcare provider has given her any
information about the classification of her cancer
D. Help the client make plans to begin immediate treatment since her
cancer is likely to spread quickly -answer-c. Ask the client if the
healthcare provider has given her any information about the
classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90 to
80/30 which action should the nurse take first?
A. Monitor bp q45 minutes
B. Lower the head of the chair and elevate feet
, C. Stop dialysis treatment
D. Administer 5% albumin iv -answer-c. Stop dialysis treatment
A client with deep vain thrombosis (dvt) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many
ml/hr? -answer-9 ml/hour
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 diagnosis?
A. Upper mid abdominal gnawing and burning pain
B. Severe abdominal cramps and diarrhea after eating spicy foods
C. Marked loss of weight and appetite over the last few months
D. Use of chewable and liquid antacids for indigestion -answer-a.
Upper mid abdominal gnawing and burning pain
The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
A. The xenograft is taken from nonhuman sources
B. Grafting increases the risk for bacterial infection
C. As the burn heals the graft permanently attaches
D. Grafts are later removed by debriding procedure -answer-a. The
xenograft is taken from nonhuman sources
A client who took a camping vacation two weeks ago in a country with
a tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the
nurse to report?
A. Jaundice sclera
2025 Med Surg HESI Practice Exam
Latest Update 2025 Questions and
Correct Answers Rated A+
What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
A. Sexual activities may be resumed upon return home
B. Light housekeeping is permitted but avoid heavy lifting
C. Use a metal eye shield on operative eye during the day
D. Administer eye ointment before applying eye drops -answer-b.
Light housekeeping is permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse implement
first?
A. Obtain a sputum sample for culture
B. Check his oxygen saturation level
C. Administer an oral antipyretic
D. Auscultate bilateral lung sound -answer-a. Obtain a sputum sample
for culture
An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
trouble starting his urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention should the nurse
implement?
A. Collect a urine specimen for culture analysis
B. Obtain a fingerstick blood glucose level
,C. Palpate the bladder above the symphysis pubis
D. Review the client fluid intake -answer-c. Palpate the bladder above
the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (dka) and a
urinary tract infection (uti) prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants
the most immediate intervention by the nurse?
A. Blood ph of 7.30
B. Glucose of 350 mg /dl
C. White blood cell count of 15000mm
D. Potassium of 2.5 meq/l -answer-d. Potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first
using the sbar communication process?
A. Explain specific reason for urgent notification
B. Preface the report by stating the clients name and admitting
diagnosis
C. Communicate the pre-transfusion temperatures
D. Optain prn prescription for acetaminophen for fever 101f -answer-a.
Explain specific reason for urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia
(pcp) secondary to aids. While hospitalized he receives iv pentamidine
isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse
explain?
A. Azt therapy must be stopped when iv aerosol pentamine is being
used.
B. Iv pentamine will be given until oral pentamine can be tolerated
,C. It will be necessary to continue prophylactic doses of iv or aerosol
pentamine every month
D. Iv pentamine may offer protection to others aids related conditions
such as kaposis sarcoma -answer-c. It will be necessary to continue
prophylactic doses of iv or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
A. Collect a clean catch specimen
B. Palpate the suprapubic region
C. Instruct to wipe from front to back
D. Inquire about recent sexual activity -answer-a. Collect a clean catch
specimen
A client tells the nurse that her biopsy results indicate that the cancer
cells are well differentiated how should the nurse respond?
A. Offer the client reassurance that this information indicates that the
clients cancer cells are benign
B. Explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
C. Ask the client if the healthcare provider has given her any
information about the classification of her cancer
D. Help the client make plans to begin immediate treatment since her
cancer is likely to spread quickly -answer-c. Ask the client if the
healthcare provider has given her any information about the
classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90 to
80/30 which action should the nurse take first?
A. Monitor bp q45 minutes
B. Lower the head of the chair and elevate feet
, C. Stop dialysis treatment
D. Administer 5% albumin iv -answer-c. Stop dialysis treatment
A client with deep vain thrombosis (dvt) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many
ml/hr? -answer-9 ml/hour
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 diagnosis?
A. Upper mid abdominal gnawing and burning pain
B. Severe abdominal cramps and diarrhea after eating spicy foods
C. Marked loss of weight and appetite over the last few months
D. Use of chewable and liquid antacids for indigestion -answer-a.
Upper mid abdominal gnawing and burning pain
The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
A. The xenograft is taken from nonhuman sources
B. Grafting increases the risk for bacterial infection
C. As the burn heals the graft permanently attaches
D. Grafts are later removed by debriding procedure -answer-a. The
xenograft is taken from nonhuman sources
A client who took a camping vacation two weeks ago in a country with
a tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the
nurse to report?
A. Jaundice sclera
