Med Surg HESI Exam
Unabridged Formatted Document • Complete Practice Exam Edition
Med Surg HESI Exam | Questions with 100% Correct Answers | Verified |
Latest Update
1. Which statement made by a client with
chronic pancreatitis indicates that fur-
ther education is needed?
I will cut back on smoking cigarettes dai-
ly. Correct
I will avoid drinking caffeinated bever-
ages.
I will rest frequently and avoid vigorous
exercise. Incorrect
I will eat a bland, low-fat, high-protein
diet.
To prevent exacerbations of chronic pancre-
atitis, clients should be instructed to avoid
nicotine entirely. Additional teaching includes
avoiding caffeinated beverages, resting fre-
quently as needed, and eating a bland diet low
fat and high in protein.
2. How should the nurse position the elec-
trodes for modified chest lead one (MCL
I) telemetry monitoring?
Negative polarity left shoulder , positive
polarity right chest nipple line, ground
left chest nipple line. Correct
In MCL I monitoring, the positive electrode is
placed on the client's mid-chest to the right
of the sternum, and the negative electrode
is placed on the upper left part of the chest.
The ground may be placed anywhere, but is
usually placed on the lower left portion of the
chest.
Davieacademia • Med Surg HESI Exam Page 1 of 61
, 3. In preparing to administer intravenous
albumin to a client following surgery,
which are the priority nursing interven-
tions? (Select all that apply.)
Set the infusion pump to infuse the albu-
min within four hours. Correct
Compare the client's blood type with the
label on the albumin.
Assign a UAP to monitor blood pressure
q15 minutes.
Albumin should be infused within four hours
because it does not contain any preservatives.
Any fluid remaining after four hours should be
discarded. A large gauge catheter allows for
fast infusion rate, which may be necessary. He-
modilution may decrease hemoglobin (HgB)
and hematocrit (HCT) levels, so the HgB and
HCT levels should be monitored while moni-
toring for bleeding because of the increased
blood volume and blood pressure.
Med Surg HESI Exam | Questions with 100% Correct Answers | Verified |
Latest Update
Administer through a large gauge
catheter . Correct
Monitor hemoglobin and hematocrit lev-
els. Correct
Assess for increased bleeding after ad-
ministration. Correct
Davieacademia • Med Surg HESI Exam Page 2 of 61
, 4. A client who has heart failure is admit-
ted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most
important for the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring.
Correct
Arrange a consultation with the dieti-
cian.
Teach about the side effects of diuretics.
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to
5 mmol/L]) causes changes in myocardial ir-
ritability and ECG waveform, so it is most im-
portant for the nurse to initiate continuous
cardiac monitoring to identify ventricular ec-
topy or other life-threatening dysrhythmias.
After cardiac monitoring is initiated, then the
potassium chloride should be given so that
the effects of potassium replacement on the
cardiac rhythm can be monitored.
Davieacademia • Med Surg HESI Exam Page 3 of 61
, 5. After checking the urinary drainage sys-
tem for kinks in the tubing, the nurse
determines that a client who has re-
turned from the post-anesthesia care
has a dark, concentrated urinary output
of 54 mL for the last 2 hours. Which prior-
ity nursing action should be implement-
ed?
Report the findings to the surgeon. Cor-
rect
Irrigate the indwelling urinary catheter .
Apply manual pressure to the bladder .
After surgery, an adult who weighs 132
pounds (60 kg) should produce about 60 mL
of urine hourly (1 mL/kg/hour). Dark, concen-
trated, and low volume of urine output should
be reported to the surgeon.
Med Surg HESI Exam | Questions with 100% Correct Answers | Verified |
Latest Update
Increase the IV flow rate for 15 minutes.
Incorrect
6. Two days postoperative, a male client
reports aching pain in his left leg. The
nurse assesses redness and warmth on
the lower left calf. Which intervention
would be most helpful to this client?
Apply sequential compression devices
(SCDs) bilaterally.
Assess for a positive Homan's sign in
each leg. Incorrect
Pad all bony prominences on the affect-
ed leg.
Advise the client to remain in bed with
the leg elevated. Correct
For a client exhibiting symptoms of deep vein
thrombosis (DVT), a complication of immobil-
ity, the initial care includes bedrest and eleva-
tion of the extremity.
Davieacademia • Med Surg HESI Exam Page 4 of 61
Unabridged Formatted Document • Complete Practice Exam Edition
Med Surg HESI Exam | Questions with 100% Correct Answers | Verified |
Latest Update
1. Which statement made by a client with
chronic pancreatitis indicates that fur-
ther education is needed?
I will cut back on smoking cigarettes dai-
ly. Correct
I will avoid drinking caffeinated bever-
ages.
I will rest frequently and avoid vigorous
exercise. Incorrect
I will eat a bland, low-fat, high-protein
diet.
To prevent exacerbations of chronic pancre-
atitis, clients should be instructed to avoid
nicotine entirely. Additional teaching includes
avoiding caffeinated beverages, resting fre-
quently as needed, and eating a bland diet low
fat and high in protein.
2. How should the nurse position the elec-
trodes for modified chest lead one (MCL
I) telemetry monitoring?
Negative polarity left shoulder , positive
polarity right chest nipple line, ground
left chest nipple line. Correct
In MCL I monitoring, the positive electrode is
placed on the client's mid-chest to the right
of the sternum, and the negative electrode
is placed on the upper left part of the chest.
The ground may be placed anywhere, but is
usually placed on the lower left portion of the
chest.
Davieacademia • Med Surg HESI Exam Page 1 of 61
, 3. In preparing to administer intravenous
albumin to a client following surgery,
which are the priority nursing interven-
tions? (Select all that apply.)
Set the infusion pump to infuse the albu-
min within four hours. Correct
Compare the client's blood type with the
label on the albumin.
Assign a UAP to monitor blood pressure
q15 minutes.
Albumin should be infused within four hours
because it does not contain any preservatives.
Any fluid remaining after four hours should be
discarded. A large gauge catheter allows for
fast infusion rate, which may be necessary. He-
modilution may decrease hemoglobin (HgB)
and hematocrit (HCT) levels, so the HgB and
HCT levels should be monitored while moni-
toring for bleeding because of the increased
blood volume and blood pressure.
Med Surg HESI Exam | Questions with 100% Correct Answers | Verified |
Latest Update
Administer through a large gauge
catheter . Correct
Monitor hemoglobin and hematocrit lev-
els. Correct
Assess for increased bleeding after ad-
ministration. Correct
Davieacademia • Med Surg HESI Exam Page 2 of 61
, 4. A client who has heart failure is admit-
ted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most
important for the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring.
Correct
Arrange a consultation with the dieti-
cian.
Teach about the side effects of diuretics.
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to
5 mmol/L]) causes changes in myocardial ir-
ritability and ECG waveform, so it is most im-
portant for the nurse to initiate continuous
cardiac monitoring to identify ventricular ec-
topy or other life-threatening dysrhythmias.
After cardiac monitoring is initiated, then the
potassium chloride should be given so that
the effects of potassium replacement on the
cardiac rhythm can be monitored.
Davieacademia • Med Surg HESI Exam Page 3 of 61
, 5. After checking the urinary drainage sys-
tem for kinks in the tubing, the nurse
determines that a client who has re-
turned from the post-anesthesia care
has a dark, concentrated urinary output
of 54 mL for the last 2 hours. Which prior-
ity nursing action should be implement-
ed?
Report the findings to the surgeon. Cor-
rect
Irrigate the indwelling urinary catheter .
Apply manual pressure to the bladder .
After surgery, an adult who weighs 132
pounds (60 kg) should produce about 60 mL
of urine hourly (1 mL/kg/hour). Dark, concen-
trated, and low volume of urine output should
be reported to the surgeon.
Med Surg HESI Exam | Questions with 100% Correct Answers | Verified |
Latest Update
Increase the IV flow rate for 15 minutes.
Incorrect
6. Two days postoperative, a male client
reports aching pain in his left leg. The
nurse assesses redness and warmth on
the lower left calf. Which intervention
would be most helpful to this client?
Apply sequential compression devices
(SCDs) bilaterally.
Assess for a positive Homan's sign in
each leg. Incorrect
Pad all bony prominences on the affect-
ed leg.
Advise the client to remain in bed with
the leg elevated. Correct
For a client exhibiting symptoms of deep vein
thrombosis (DVT), a complication of immobil-
ity, the initial care includes bedrest and eleva-
tion of the extremity.
Davieacademia • Med Surg HESI Exam Page 4 of 61
