2022-23 Med-Surg HESI Practice Questions UPDATED ACTUAL
Exam Questions and CORRECT Answers
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 - 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 - 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 -
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 - 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 - 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 - 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? -
9 mL/hour
Exam Questions and CORRECT Answers
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 - 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 - 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 -
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 - 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 - 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 - 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? -
9 mL/hour
