HESI: Medical-Surgical Assignment Exam and Rationale Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

HESI: Medical-Surgical Assignment Exam and Rationale Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client with deep vein thrombosis is receiving heparin. Which laboratory test should the nurse monitor? A. INR B. aPTT C. Hemoglobin A1C D. Serum creatinine A client with myasthenia gravis is scheduled for a dose of pyridostigmine. When should the nurse administer the medication? A. At bedtime B. 30 minutes before meals C. Two hours after meals D. Only when symptoms worsen A client develops urticaria after receiving an antibiotic. What is the nurse’s priority action? 2 A. Stop the infusion B. Administer an analgesic C. Monitor urine output D. Offer cool fluids A client with severe burns is at highest risk for which complication in the first 24 hours? A. Infection B. Hypovolemic shock C. Contractures D. Renal calculi A client with cirrhosis has a distended abdomen. Which finding should the nurse expect? A. Ascites B. Pneumothorax C. Pleural effusion D. Pericarditis A client post-hip replacement is on enoxaparin. What is the intended effect of this medication? 3 A. Control pain B. Increase bone healing C. Reduce swelling D. Prevent blood clots A client with acute exacerbation of COPD is placed on a high-flow oxygen mask. Which potential complication should the nurse monitor for? A. CO2 retention B. Hyperkalemia C. Hypoglycemia D. Hypocalcemia A client has a potassium level of 2.8 mEq/L. Which ECG change should the nurse anticipate? A. Flattened T wave B. Peaked T wave C. Prolonged PR interval D. Widened QRS 4 A client with heart failure is prescribed digoxin. Which finding indicates possible digoxin toxicity? A. Yellow vision B. Increased appetite C. High blood pressure D. Restlessness A client is admitted with suspected meningitis. What is the nurse’s priority isolation precaution? A. Droplet precautions B. Airborne precautions C. Protective environment D. Standard precautions only A client with a chest tube has no tidaling in the water seal chamber. What is the nurse’s best action? A. Remove the chest tube B. Check for kinks or obstruction C. Increase suction 5 D. Notify radiology A client is receiving a unit of packed red blood cells. Fifteen minutes later, the client develops fever and chills. What should the nurse do first? A. Stop the transfusion B. Administer acetaminophen C. Flush with normal saline and continue