1|Page
MED SURG HESI V1-V3 EXAM NEWEST 2025 TEST
BANK| 3 LATEST VERSIONS WITH COMPLETE 450
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS WITH
RATIONAILES) ALREADY GRADED A+|| BRAND NEW!!
MED SURG HESI V1
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 - Correct Answer - d. potassium of 2.5 meq/l
In caring for a client with diabetes insipidus who is receiving an
antidiuretic hormone intranasal which serum lab test is most important
for the nurse to monitor?
a. osmolality
b. calcium
c. platelets
d. glucose - Correct Answer - a. osmolality
pg. 1
,2|Page
After administering dihydroergotamine (Migranal) 1 mg subcutaneously
to a client with a severe migraine headache the nurse should explain that
relief can be expected within what time frame?
a. 2 hours
b. 5 minutes
c. 1 hour
d. 15 minutes - Correct Answer - d. 15 minutes
A client with hypertension who has been taking labetalol for two weeks,
reports a five pound (2.2 kg) weight gain. Which follow up assessment
is most important for the nurse to obtain?
a. capillary refill
b. body temperature
c. muscle strength
d. breath sounds - Correct Answer - d. breath sounds
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 - Correct Answer - c. stop dialysis
treatment
pg. 2
,3|Page
A male client with muscular dystrophy fell in his home and is admitted
with a right hip fracture. His right foot is cool, with palpable pedal
pulses. lung are coarse with diminished bibasilar breath sounds. Vital
signs are T: 101 degrees, HR: 128, RR: 28, B/P: 122/82. Which
interventions is most important for the nurse to implement first?
A. Obtain oxygen saturation level.
B. Encourage incentivize spirometry
C. Assess lower extremity circulation
D. Administer oral PRN antipyretic - Correct Answer - Administer oral
PRN antipyretic
The nurse is completing the preoperative assessment of a client who is
scheduled for a laparoscopic cholecystectomy under general anesthesia.
which finding warrants notification of the HCP prior to proceeding with
the scheduled procedure?
A. light yellow coloring of the clients skin and eyes.
B. The clients blood pressure reading 184/88mm
C. The client vomits 20 mL of clear yellowish fluid
D. the IV insertion site is red, swollen, and leaking IV fluid - Correct
Answer - The clients blood pressure reading 184/88
A client who has a history of hyperthyroidism was initially admitted
with lethargy and confusion. Which additional finding warrants the most
immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
pg. 3
, 4|Page
C. cold and dry skin
D. Further decline in LOC - Correct Answer - Further decline in LOC
Following surgical repair of the bladder, a female client is being
discharged from the hospital to home with an indwelling urinary
catheter. Which instruction is most important for the nurse to provide to
this client?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter - Correct Answer -
Keep the drainage back lower than the level of the bladder
Which assessment finding indicates to the nurse that the muscarinic
agent bethanechol (Urecholine) is effective for a client diagnosed with
urinary retention?
a. urinary output equal to intake
b. no terminal urinary dribbling
c. denies stress incontinence
d. absence of xerostomia - Correct Answer - a. urinary output equal to
intake
Following involvement in a motor vehicle collision, a middle aged adult
client is admitted to the hospital with multiple facial fractures. The
client's blood alcohol level is high on admission. Which PRN
pg. 4
MED SURG HESI V1-V3 EXAM NEWEST 2025 TEST
BANK| 3 LATEST VERSIONS WITH COMPLETE 450
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS WITH
RATIONAILES) ALREADY GRADED A+|| BRAND NEW!!
MED SURG HESI V1
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 - Correct Answer - d. potassium of 2.5 meq/l
In caring for a client with diabetes insipidus who is receiving an
antidiuretic hormone intranasal which serum lab test is most important
for the nurse to monitor?
a. osmolality
b. calcium
c. platelets
d. glucose - Correct Answer - a. osmolality
pg. 1
,2|Page
After administering dihydroergotamine (Migranal) 1 mg subcutaneously
to a client with a severe migraine headache the nurse should explain that
relief can be expected within what time frame?
a. 2 hours
b. 5 minutes
c. 1 hour
d. 15 minutes - Correct Answer - d. 15 minutes
A client with hypertension who has been taking labetalol for two weeks,
reports a five pound (2.2 kg) weight gain. Which follow up assessment
is most important for the nurse to obtain?
a. capillary refill
b. body temperature
c. muscle strength
d. breath sounds - Correct Answer - d. breath sounds
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 - Correct Answer - c. stop dialysis
treatment
pg. 2
,3|Page
A male client with muscular dystrophy fell in his home and is admitted
with a right hip fracture. His right foot is cool, with palpable pedal
pulses. lung are coarse with diminished bibasilar breath sounds. Vital
signs are T: 101 degrees, HR: 128, RR: 28, B/P: 122/82. Which
interventions is most important for the nurse to implement first?
A. Obtain oxygen saturation level.
B. Encourage incentivize spirometry
C. Assess lower extremity circulation
D. Administer oral PRN antipyretic - Correct Answer - Administer oral
PRN antipyretic
The nurse is completing the preoperative assessment of a client who is
scheduled for a laparoscopic cholecystectomy under general anesthesia.
which finding warrants notification of the HCP prior to proceeding with
the scheduled procedure?
A. light yellow coloring of the clients skin and eyes.
B. The clients blood pressure reading 184/88mm
C. The client vomits 20 mL of clear yellowish fluid
D. the IV insertion site is red, swollen, and leaking IV fluid - Correct
Answer - The clients blood pressure reading 184/88
A client who has a history of hyperthyroidism was initially admitted
with lethargy and confusion. Which additional finding warrants the most
immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
pg. 3
, 4|Page
C. cold and dry skin
D. Further decline in LOC - Correct Answer - Further decline in LOC
Following surgical repair of the bladder, a female client is being
discharged from the hospital to home with an indwelling urinary
catheter. Which instruction is most important for the nurse to provide to
this client?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter - Correct Answer -
Keep the drainage back lower than the level of the bladder
Which assessment finding indicates to the nurse that the muscarinic
agent bethanechol (Urecholine) is effective for a client diagnosed with
urinary retention?
a. urinary output equal to intake
b. no terminal urinary dribbling
c. denies stress incontinence
d. absence of xerostomia - Correct Answer - a. urinary output equal to
intake
Following involvement in a motor vehicle collision, a middle aged adult
client is admitted to the hospital with multiple facial fractures. The
client's blood alcohol level is high on admission. Which PRN
pg. 4
