Med-Surg HESI
Med-Surg HESI Practice, EXIT HESI
Exam Study Guide Questions with
Accurate Solutions 2025
When providing care for a client following a bronchoscopy, which assessment
finding should the nurse immediately report to the HCP?
a) slight blood-tinged sputum
b) dyspnea and dysphagia
c) sore throat and hoarseness
d) no gag reflex after thirty minutes -Correct Answer ✔b) dyspnea and dysphagia
To reduce the risk for pulmonary complication for a client with amyotrophic lateral
sclerosis (ALS), what interventions should the nurse implement?
a. initiate passive range of motion
b. establish a regular routine
c. teach the client breathing exercises
d. perform chest physiotherapy
e. encourage use of incentive spirometer -Correct Answer ✔C, E
A male client who reports feeling chronically fatigued has a Hgb of 11.0 grams/dl,
hematocrit of 34%, and microcytic and hypochromic red blood cells. Based on
these findings, which dinner selection should the nurse suggest to the client?
a) cheese pasta and a lettuce and tomato salad
b) beef steak with steamed broccoli and orange slices
c) broiled white fish with a baked sweet potato
d) grilled shrimp and seasoned rice with asparagus salad -Correct Answer ✔b) beef
steak with steamed broccoli and orange slices
Two days following abdominal surgery a client c/o of cramping abdominal pain,
and the nurse's inspection of the abdomen indicates slight distention. Which action
should the nurse implement first?
a) encourage pt to ambulate
b) offer ice chips or warm liquids
Med-Surg HESI
,Med-Surg HESI
c) auscultate abdomen
d) assess temperature -Correct Answer ✔c) Auscultate the client's abdomen
A client with a liver abscess undergoes surgical evacuation and drainage of the
abscess. Which lab value is most important for the nurse to monitor following the
procedure?
a. Serum creatinine
b. Blood urea nitrogen (BUN)
c. White blood cell count
d. Serum glucose -Correct Answer ✔c. White blood cell count
A male client with bilateral carpal tunnel syndrome reports to the nurse that the
pain and tingling he is experiencing worsens at night. What client teaching should
the nurse provide?
a. Elevate the hands on two pillows at night
b. Notify the healthcare provider as soon as possible
c. Wear braces as both wriSts during the night
d. Apply cold compresses for 30 min before bedtime -Correct Answer ✔c. Wear
braces as both wriSts during the night
A client returns to the unit following a suprapubic prostatectomy. He has a three-
way catheter in place with a continuous bladder irrigation infusing. Which
assessment finding warrants immediate intervention by the nurse
a. True urinary output of 50ml/hr
b. Lower abdominal tenderness
c. Blood urine output with clots
d. Urine leaking around the meatus -Correct Answer ✔d. Urine leaking around the
meatus
An adult female client is diagnosed with restless leg syndrome and is referred to
the sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg
PO daily. Which laboratory values should the nurse monitor?
a. Serum electrolytes
b. Neutrophils and eosinophils
Med-Surg HESI
,Med-Surg HESI
c. Serum iron and ferritin
d. Platelet count and hematocrit -Correct Answer ✔c. Serum iron and ferritin
A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage
pruritus caused by a chronic skin rash. The client calls the clinic nurse to report
increased erythema with purulent exudate at the site. Which action should the
nurse implement?
a. Schedule an appointment or the client to see the healthcare provider
b. Advise the client to apply plastic wrap over the ointment to promote healing
c. Instruct the client to continue the ointment until all erythema is relieved
d. Explain the client need to complete all prescribed dose of the medication -
Correct Answer ✔a. Schedule an appointment or the client to see the healthcare
provider
During preoperative teaching for a male client schedule for repair of an inguinal
hernia, the client tells the nurse that he has had several surgeries and understand
the need to perform coughing and deep breathing exercise after surgery. How
should the nurse respond?
a. Ask for a demonstration of these exercises
b. Explain that coughing should be avoided
c. Review the client previous surgical history
d. Document the clients understanding of teaching -Correct Answer ✔a. Ask for a
demonstration of these exercises
A client with ulcerative colitis is admitted to the medical unit during an acute
exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP)
to report which finding related to the client's bowel movements?
a. Hard pellets of stool
b. Clay-colored stool
c. Stool with fatty streaks
d. Blood in the stool -Correct Answer ✔c. Stool with fatty streaks
Med-Surg HESI
, Med-Surg HESI
The nurse is evaluating a male client understanding of diet teaching about the
DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior
indicates that the client is adhering to the eating plan?
a. Uses only lactose-free dairy products.
b. Enjoys fat free yogurt as an occasional snack food
c. No longer includes grains in his daily diet
d. Carefully cleans and peels all fresh fruit and vegetables -Correct Answer ✔d.
Carefully cleans and peels all fresh fruit and vegetables
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
a. Auscultate for the presence of bowel sounds.
b. Monitor hemoglobin and hematocrit
c. Encourage turning and deep breathing
d. Administer IV antibiotics as prescribed -Correct Answer ✔d. Administer IV
antibiotics as prescribed
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI). Prescriptions for intravenous antibiotics and an insulin infusion
are initiated. Which serum laboratory value warrants the most immediate
intervention by the nurse?
a. Glucose of 350 mg/dl
b. White blood cell count of 15, 000 mm3
c. Blood PH of 7.30
d. Potassium of 2.5 mEq/L -Correct Answer ✔d. Potassium of 2.5 mEq/L
An older male client with long-standing lung disease is admitted to the medical
unit for treatment of pulmonary infection. In assessing for signs of increasing
hypoxia, which action should the nurse include? (select all that apply)
a. Monitor dryness of mucous membranes
b. Check for changes in mentation
c. Observe color of skin and nailbeds
d. Note appearance of jugular veins
e. Assess breathing patterns -Correct Answer ✔B, C, E
Med-Surg HESI
Med-Surg HESI Practice, EXIT HESI
Exam Study Guide Questions with
Accurate Solutions 2025
When providing care for a client following a bronchoscopy, which assessment
finding should the nurse immediately report to the HCP?
a) slight blood-tinged sputum
b) dyspnea and dysphagia
c) sore throat and hoarseness
d) no gag reflex after thirty minutes -Correct Answer ✔b) dyspnea and dysphagia
To reduce the risk for pulmonary complication for a client with amyotrophic lateral
sclerosis (ALS), what interventions should the nurse implement?
a. initiate passive range of motion
b. establish a regular routine
c. teach the client breathing exercises
d. perform chest physiotherapy
e. encourage use of incentive spirometer -Correct Answer ✔C, E
A male client who reports feeling chronically fatigued has a Hgb of 11.0 grams/dl,
hematocrit of 34%, and microcytic and hypochromic red blood cells. Based on
these findings, which dinner selection should the nurse suggest to the client?
a) cheese pasta and a lettuce and tomato salad
b) beef steak with steamed broccoli and orange slices
c) broiled white fish with a baked sweet potato
d) grilled shrimp and seasoned rice with asparagus salad -Correct Answer ✔b) beef
steak with steamed broccoli and orange slices
Two days following abdominal surgery a client c/o of cramping abdominal pain,
and the nurse's inspection of the abdomen indicates slight distention. Which action
should the nurse implement first?
a) encourage pt to ambulate
b) offer ice chips or warm liquids
Med-Surg HESI
,Med-Surg HESI
c) auscultate abdomen
d) assess temperature -Correct Answer ✔c) Auscultate the client's abdomen
A client with a liver abscess undergoes surgical evacuation and drainage of the
abscess. Which lab value is most important for the nurse to monitor following the
procedure?
a. Serum creatinine
b. Blood urea nitrogen (BUN)
c. White blood cell count
d. Serum glucose -Correct Answer ✔c. White blood cell count
A male client with bilateral carpal tunnel syndrome reports to the nurse that the
pain and tingling he is experiencing worsens at night. What client teaching should
the nurse provide?
a. Elevate the hands on two pillows at night
b. Notify the healthcare provider as soon as possible
c. Wear braces as both wriSts during the night
d. Apply cold compresses for 30 min before bedtime -Correct Answer ✔c. Wear
braces as both wriSts during the night
A client returns to the unit following a suprapubic prostatectomy. He has a three-
way catheter in place with a continuous bladder irrigation infusing. Which
assessment finding warrants immediate intervention by the nurse
a. True urinary output of 50ml/hr
b. Lower abdominal tenderness
c. Blood urine output with clots
d. Urine leaking around the meatus -Correct Answer ✔d. Urine leaking around the
meatus
An adult female client is diagnosed with restless leg syndrome and is referred to
the sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg
PO daily. Which laboratory values should the nurse monitor?
a. Serum electrolytes
b. Neutrophils and eosinophils
Med-Surg HESI
,Med-Surg HESI
c. Serum iron and ferritin
d. Platelet count and hematocrit -Correct Answer ✔c. Serum iron and ferritin
A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage
pruritus caused by a chronic skin rash. The client calls the clinic nurse to report
increased erythema with purulent exudate at the site. Which action should the
nurse implement?
a. Schedule an appointment or the client to see the healthcare provider
b. Advise the client to apply plastic wrap over the ointment to promote healing
c. Instruct the client to continue the ointment until all erythema is relieved
d. Explain the client need to complete all prescribed dose of the medication -
Correct Answer ✔a. Schedule an appointment or the client to see the healthcare
provider
During preoperative teaching for a male client schedule for repair of an inguinal
hernia, the client tells the nurse that he has had several surgeries and understand
the need to perform coughing and deep breathing exercise after surgery. How
should the nurse respond?
a. Ask for a demonstration of these exercises
b. Explain that coughing should be avoided
c. Review the client previous surgical history
d. Document the clients understanding of teaching -Correct Answer ✔a. Ask for a
demonstration of these exercises
A client with ulcerative colitis is admitted to the medical unit during an acute
exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP)
to report which finding related to the client's bowel movements?
a. Hard pellets of stool
b. Clay-colored stool
c. Stool with fatty streaks
d. Blood in the stool -Correct Answer ✔c. Stool with fatty streaks
Med-Surg HESI
, Med-Surg HESI
The nurse is evaluating a male client understanding of diet teaching about the
DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior
indicates that the client is adhering to the eating plan?
a. Uses only lactose-free dairy products.
b. Enjoys fat free yogurt as an occasional snack food
c. No longer includes grains in his daily diet
d. Carefully cleans and peels all fresh fruit and vegetables -Correct Answer ✔d.
Carefully cleans and peels all fresh fruit and vegetables
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
a. Auscultate for the presence of bowel sounds.
b. Monitor hemoglobin and hematocrit
c. Encourage turning and deep breathing
d. Administer IV antibiotics as prescribed -Correct Answer ✔d. Administer IV
antibiotics as prescribed
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI). Prescriptions for intravenous antibiotics and an insulin infusion
are initiated. Which serum laboratory value warrants the most immediate
intervention by the nurse?
a. Glucose of 350 mg/dl
b. White blood cell count of 15, 000 mm3
c. Blood PH of 7.30
d. Potassium of 2.5 mEq/L -Correct Answer ✔d. Potassium of 2.5 mEq/L
An older male client with long-standing lung disease is admitted to the medical
unit for treatment of pulmonary infection. In assessing for signs of increasing
hypoxia, which action should the nurse include? (select all that apply)
a. Monitor dryness of mucous membranes
b. Check for changes in mentation
c. Observe color of skin and nailbeds
d. Note appearance of jugular veins
e. Assess breathing patterns -Correct Answer ✔B, C, E
Med-Surg HESI
