HESI MEDSURG1
1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is
the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - ANSWER-B. Observe the color, consistency, and amount of
sputum
2. A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation (CPR)
in progress. The client is intubated and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which assessment is most important for the
nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - ANSWER-A. Breath sounds over bilateral lung fields.
3. After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client develops
pontine myselinolysis. Which intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - ANSWER-A. Reorient client to his room
4. A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - ANSWER-B. Has his weight changed in the last several days?
, HESI MEDSURG1
5. An older adult woman with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. She is anxious and is complaining
of a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - ANSWER-D. Assist her to an upright position
6. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the nurse to instruct the client about
self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - ANSWER-A. Increase the daily intake of
oral fluids to liquefy secretions
7. A cardiac catherterization of a client with heart disease indicates the following blockages: 95%
proximal left anterior descending (LAD), 99% proximal circumflex, and ? % proximal right coronary artery
(RCA). The client later asks the nurse "what does all this mean for me?" What information should the
nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitate lifestyle
changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting through to the
heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention. -
ANSWER-C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting through to
the heart muscle.
8. A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The heparin is
available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (Enter
numeric value only. If rounding is required, round to the nearest tenth.) - ANSWER-0.6 ml
1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is
the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - ANSWER-B. Observe the color, consistency, and amount of
sputum
2. A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation (CPR)
in progress. The client is intubated and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which assessment is most important for the
nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - ANSWER-A. Breath sounds over bilateral lung fields.
3. After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client develops
pontine myselinolysis. Which intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - ANSWER-A. Reorient client to his room
4. A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - ANSWER-B. Has his weight changed in the last several days?
, HESI MEDSURG1
5. An older adult woman with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. She is anxious and is complaining
of a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - ANSWER-D. Assist her to an upright position
6. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the nurse to instruct the client about
self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - ANSWER-A. Increase the daily intake of
oral fluids to liquefy secretions
7. A cardiac catherterization of a client with heart disease indicates the following blockages: 95%
proximal left anterior descending (LAD), 99% proximal circumflex, and ? % proximal right coronary artery
(RCA). The client later asks the nurse "what does all this mean for me?" What information should the
nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitate lifestyle
changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting through to the
heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention. -
ANSWER-C. Three main arteries have major blockages, with only 1 to 5% of blood flow getting through to
the heart muscle.
8. A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The heparin is
available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (Enter
numeric value only. If rounding is required, round to the nearest tenth.) - ANSWER-0.6 ml
