HESI Med-Surg Next Gen Questions
A patient with a history of heart failure is prescribed furosemide. The patient reports feeling
dizzy and weak. What intervention should the nurse provide? - ANS-The nurse should
assess the patient's blood pressure and electrolyte levels and notify the healthcare provider
of the patient's symptoms.
\A 35-year-old female client has been diagnosed with acute pancreatitis. What is the priority
nursing intervention for this client? - ANS-The priority nursing intervention for a client with
acute pancreatitis is to manage pain. The nurse should administer analgesics as prescribed
and monitor for pain relief.
\A 40-year-old male client with a history of alcohol abuse has been admitted to the hospital
with acute pancreatitis. The healthcare provider has ordered a serum amylase level to be
drawn. What does this lab test assess? - ANS-A serum amylase level assesses pancreatic
function. Elevated levels may indicate pancreatitis, but other conditions such as mumps,
salivary gland disorders, and renal failure can also cause elevated levels.
\A 52-year-old male client with a history of hypertension has been diagnosed with heart
failure. The healthcare provider has prescribed furosemide (Lasix) 40 mg IV push. What
should the nurse monitor for during and after administration of the medication? - ANS-The
nurse should monitor the client's blood pressure, heart rate, and urine output during and
after administration of furosemide. The medication can cause hypotension and dehydration,
so the nurse should also monitor the client's electrolyte levels.
\A 62-year-old female client has been diagnosed with diverticulitis. Which diet should the
nurse recommend to the client? - ANS-The nurse should recommend a low-fiber diet to the
client with diverticulitis. This helps to rest the bowel and prevent further inflammation. As
symptoms improve, the client can gradually increase fiber intake.
\A 65-year-old male patient is admitted to the hospital with a history of myocardial infarction.
The patient's blood pressure is 150/90 mmHg, heart rate is 95 beats per minute, and oxygen
saturation is 93% on room air. The patient is complaining of chest pain and shortness of
breath. What intervention should the nurse prioritize? - ANS-The nurse should prioritize
administering oxygen to the patient to improve oxygen saturation and relieve shortness of
breath. The nurse should also assess the patient's chest pain and administer appropriate
pain medication. The patient's blood pressure should be monitored closely, and
antihypertensive medication may be administered as needed. A 12-lead electrocardiogram
should be obtained to evaluate the patient's cardiac status
\A 68-year-old male client has undergone a left hemicolectomy. During post-operative
assessment, the nurse notes the presence of absent bowel sounds. Which action should the
nurse take? - ANS-The nurse should notify the healthcare provider of the absent bowel
sounds as it could indicate a postoperative complication such as paralytic ileus.
\A patient is admitted with acute pancreatitis. What dietary modifications should the nurse
recommend - ANS-NPO (nothing by mouth) initially, followed by a low-fat diet
\A patient is admitted with suspected sepsis. What interventions should the nurse
implement? - ANS-Administer broad-spectrum antibiotics, provide oxygen therapy, monitor
vital signs, and obtain blood cultures.
, \A patient is receiving a blood transfusion when they suddenly develop a rash and difficulty
breathing. What action should the nurse take first? - ANS-Stop the transfusion immediately
and assess the patient's airway, breathing, and circulation.
\A patient is receiving a continuous heparin infusion for deep vein thrombosis (DVT). What
laboratory test should the nurse monitor? - ANS-Activated partial thromboplastin time (aPTT)
\A patient with a history of alcohol use disorder is admitted with acute pancreatitis. The
patient reports severe abdominal pain, nausea, and vomiting. What intervention should the
nurse provide to address the patient's pain? - ANS-The nurse should administer pain
medication as prescribed to alleviate the patient's severe abdominal pain.
\A patient with a history of angina is prescribed nitroglycerin. The patient reports chest pain
that is not relieved with one sublingual tablet. What intervention should the nurse provide? -
ANS-The nurse should assess the patient's blood pressure and provide an additional dose of
nitroglycerin as prescribed, up to a maximum of three doses within a 15-minute period.
\A patient with a history of asthma is prescribed salmeterol. The patient reports not feeling
any relief from their asthma symptoms. What intervention should the nurse provide? - ANS-:
The nurse should assess the patient's inhaler technique and consider the need for a different
type of bronchodilator medication.
\A patient with a history of asthma presents with wheezing and shortness of breath. What
medication should the nurse administer first? - ANS-A bronchodilator such as albuterol.
\A patient with a history of atrial fibrillation is prescribed warfarin. What is the purpose of this
medication? - ANS-To prevent blood clots and reduce the risk of stroke.
\A patient with a history of chronic kidney disease is prescribed erythropoietin. What
assessment should the nurse prioritize? - ANS-The nurse should monitor the patient's
hemoglobin and hematocrit levels to evaluate the effectiveness of the medication in
stimulating red blood cell production.
\A patient with a history of chronic kidney disease presents with a potassium level of 6.5
mEq/L. What intervention should the nurse implement? - ANS-Administer kayexalate as
prescribed to lower the potassium level.
\A patient with a history of cirrhosis presents with ascites. What dietary modifications should
the nurse recommend? - ANS-A low-sodium diet to reduce fluid retention.
\A patient with a history of coronary artery disease presents with ST-segment elevation on
the ECG. What intervention should the nurse anticipate being prescribed? - ANS-Immediate
administration of fibrinolytic therapy or percutaneous coronary intervention (PCI).
\A patient with a history of heart disease presents with chest pain. What initial interventions
should the nurse implement? - ANS-Administer oxygen, obtain an electrocardiogram (ECG),
and administer sublingual nitroglycerin
\A patient with a history of heart failure presents with shortness of breath, fatigue, and
edema. Which of the following medications would you anticipate being prescribed? - ANS-A
diuretic such as furosemide (Lasix)
\A patient with a history of hypertension is taking a thiazide diuretic. The patient's blood
pressure is 160/90 mmHg. What intervention should the nurse provide? - ANS-The nurse
should notify the healthcare provider to discuss the need for a medication adjustment or a
different type of antihypertensive medication
\A patient with a history of hypertension presents with a blood pressure of 180/110 mmHg.
What intervention should the nurse implement? - ANS-Administer antihypertensive
medication as prescribed and monitor blood pressure frequently.
\A patient with a history of osteoporosis is prescribed alendronate. What instruction should
the nurse provide to the patient? - ANS-The nurse should instruct the patient to take the
A patient with a history of heart failure is prescribed furosemide. The patient reports feeling
dizzy and weak. What intervention should the nurse provide? - ANS-The nurse should
assess the patient's blood pressure and electrolyte levels and notify the healthcare provider
of the patient's symptoms.
\A 35-year-old female client has been diagnosed with acute pancreatitis. What is the priority
nursing intervention for this client? - ANS-The priority nursing intervention for a client with
acute pancreatitis is to manage pain. The nurse should administer analgesics as prescribed
and monitor for pain relief.
\A 40-year-old male client with a history of alcohol abuse has been admitted to the hospital
with acute pancreatitis. The healthcare provider has ordered a serum amylase level to be
drawn. What does this lab test assess? - ANS-A serum amylase level assesses pancreatic
function. Elevated levels may indicate pancreatitis, but other conditions such as mumps,
salivary gland disorders, and renal failure can also cause elevated levels.
\A 52-year-old male client with a history of hypertension has been diagnosed with heart
failure. The healthcare provider has prescribed furosemide (Lasix) 40 mg IV push. What
should the nurse monitor for during and after administration of the medication? - ANS-The
nurse should monitor the client's blood pressure, heart rate, and urine output during and
after administration of furosemide. The medication can cause hypotension and dehydration,
so the nurse should also monitor the client's electrolyte levels.
\A 62-year-old female client has been diagnosed with diverticulitis. Which diet should the
nurse recommend to the client? - ANS-The nurse should recommend a low-fiber diet to the
client with diverticulitis. This helps to rest the bowel and prevent further inflammation. As
symptoms improve, the client can gradually increase fiber intake.
\A 65-year-old male patient is admitted to the hospital with a history of myocardial infarction.
The patient's blood pressure is 150/90 mmHg, heart rate is 95 beats per minute, and oxygen
saturation is 93% on room air. The patient is complaining of chest pain and shortness of
breath. What intervention should the nurse prioritize? - ANS-The nurse should prioritize
administering oxygen to the patient to improve oxygen saturation and relieve shortness of
breath. The nurse should also assess the patient's chest pain and administer appropriate
pain medication. The patient's blood pressure should be monitored closely, and
antihypertensive medication may be administered as needed. A 12-lead electrocardiogram
should be obtained to evaluate the patient's cardiac status
\A 68-year-old male client has undergone a left hemicolectomy. During post-operative
assessment, the nurse notes the presence of absent bowel sounds. Which action should the
nurse take? - ANS-The nurse should notify the healthcare provider of the absent bowel
sounds as it could indicate a postoperative complication such as paralytic ileus.
\A patient is admitted with acute pancreatitis. What dietary modifications should the nurse
recommend - ANS-NPO (nothing by mouth) initially, followed by a low-fat diet
\A patient is admitted with suspected sepsis. What interventions should the nurse
implement? - ANS-Administer broad-spectrum antibiotics, provide oxygen therapy, monitor
vital signs, and obtain blood cultures.
, \A patient is receiving a blood transfusion when they suddenly develop a rash and difficulty
breathing. What action should the nurse take first? - ANS-Stop the transfusion immediately
and assess the patient's airway, breathing, and circulation.
\A patient is receiving a continuous heparin infusion for deep vein thrombosis (DVT). What
laboratory test should the nurse monitor? - ANS-Activated partial thromboplastin time (aPTT)
\A patient with a history of alcohol use disorder is admitted with acute pancreatitis. The
patient reports severe abdominal pain, nausea, and vomiting. What intervention should the
nurse provide to address the patient's pain? - ANS-The nurse should administer pain
medication as prescribed to alleviate the patient's severe abdominal pain.
\A patient with a history of angina is prescribed nitroglycerin. The patient reports chest pain
that is not relieved with one sublingual tablet. What intervention should the nurse provide? -
ANS-The nurse should assess the patient's blood pressure and provide an additional dose of
nitroglycerin as prescribed, up to a maximum of three doses within a 15-minute period.
\A patient with a history of asthma is prescribed salmeterol. The patient reports not feeling
any relief from their asthma symptoms. What intervention should the nurse provide? - ANS-:
The nurse should assess the patient's inhaler technique and consider the need for a different
type of bronchodilator medication.
\A patient with a history of asthma presents with wheezing and shortness of breath. What
medication should the nurse administer first? - ANS-A bronchodilator such as albuterol.
\A patient with a history of atrial fibrillation is prescribed warfarin. What is the purpose of this
medication? - ANS-To prevent blood clots and reduce the risk of stroke.
\A patient with a history of chronic kidney disease is prescribed erythropoietin. What
assessment should the nurse prioritize? - ANS-The nurse should monitor the patient's
hemoglobin and hematocrit levels to evaluate the effectiveness of the medication in
stimulating red blood cell production.
\A patient with a history of chronic kidney disease presents with a potassium level of 6.5
mEq/L. What intervention should the nurse implement? - ANS-Administer kayexalate as
prescribed to lower the potassium level.
\A patient with a history of cirrhosis presents with ascites. What dietary modifications should
the nurse recommend? - ANS-A low-sodium diet to reduce fluid retention.
\A patient with a history of coronary artery disease presents with ST-segment elevation on
the ECG. What intervention should the nurse anticipate being prescribed? - ANS-Immediate
administration of fibrinolytic therapy or percutaneous coronary intervention (PCI).
\A patient with a history of heart disease presents with chest pain. What initial interventions
should the nurse implement? - ANS-Administer oxygen, obtain an electrocardiogram (ECG),
and administer sublingual nitroglycerin
\A patient with a history of heart failure presents with shortness of breath, fatigue, and
edema. Which of the following medications would you anticipate being prescribed? - ANS-A
diuretic such as furosemide (Lasix)
\A patient with a history of hypertension is taking a thiazide diuretic. The patient's blood
pressure is 160/90 mmHg. What intervention should the nurse provide? - ANS-The nurse
should notify the healthcare provider to discuss the need for a medication adjustment or a
different type of antihypertensive medication
\A patient with a history of hypertension presents with a blood pressure of 180/110 mmHg.
What intervention should the nurse implement? - ANS-Administer antihypertensive
medication as prescribed and monitor blood pressure frequently.
\A patient with a history of osteoporosis is prescribed alendronate. What instruction should
the nurse provide to the patient? - ANS-The nurse should instruct the patient to take the
