HESI 101 MED-SURGE HESI RN Exam Questions
and Answers with Rationales Attained Grade A+ Latest
Update 2025/2026
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option A
is a medication used for ventricular dysrhythmias. Option C is not for a client with
atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug
of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2.A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is the
best managerial decision?
A. Notify the family that the resident will have to be
discharged if his behavior does not improve.
, B. Notify administration of the PN's insubordination
and need for counseling about her statements.
C. Ask the PN what she has done to encourage the
resident to believe that she is his daughter.
D. Reassign the PN until the resident can be assessed
more completely for reality orientation.
Rationale:
Temporary reassignment is the best option until the resident can be examined and
his medications reviewed. He may have worsening cerebral dysfunction from an
infection or electrolyte imbalance. Option A is not the best option because the
family cannot control the resident's actions. The administration may need to know
about the situation, but not as a case of insubordination. Implying that the PN is
somehow creating the situation is inappropriate until a further evaluation has been
conducted.
,3. Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
A. Midnight census
B. Oncoming shift census
C. Average daily census
D. Hourly census
Rationale:
An average daily census is determined by trend data and takes into account
seasonal and daily fluctuations, so it is the best method for determining staffing
needs. Options A and B provide data at a certain point in time, and that data could
change quickly. It is unrealistic to expect to obtain an hourly census, and such data
would only provide information about a certain point in time.
4. The nurse is counseling a healthy 30-year-old female client regarding
osteoporosis prevention. Which activity would be most beneficial in achieving the
client's goal of osteoporosis prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking
Rationale:
Weight-bearing exercise is an important measure to reduce the risk of osteoporosis.
Of the activities listed, cross-country skiing includes the most weight-bearing,
whereas options B, C, and D involve less.
5. Which condition should the nurse anticipate as a potential problem in a female
, client with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis
Rationale:
Infection is the major complication resulting from stasis of urine and subsequent
catheterization. Option A is the involuntary loss of urine through an intact urethra
and Answers with Rationales Attained Grade A+ Latest
Update 2025/2026
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option A
is a medication used for ventricular dysrhythmias. Option C is not for a client with
atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug
of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2.A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is the
best managerial decision?
A. Notify the family that the resident will have to be
discharged if his behavior does not improve.
, B. Notify administration of the PN's insubordination
and need for counseling about her statements.
C. Ask the PN what she has done to encourage the
resident to believe that she is his daughter.
D. Reassign the PN until the resident can be assessed
more completely for reality orientation.
Rationale:
Temporary reassignment is the best option until the resident can be examined and
his medications reviewed. He may have worsening cerebral dysfunction from an
infection or electrolyte imbalance. Option A is not the best option because the
family cannot control the resident's actions. The administration may need to know
about the situation, but not as a case of insubordination. Implying that the PN is
somehow creating the situation is inappropriate until a further evaluation has been
conducted.
,3. Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
A. Midnight census
B. Oncoming shift census
C. Average daily census
D. Hourly census
Rationale:
An average daily census is determined by trend data and takes into account
seasonal and daily fluctuations, so it is the best method for determining staffing
needs. Options A and B provide data at a certain point in time, and that data could
change quickly. It is unrealistic to expect to obtain an hourly census, and such data
would only provide information about a certain point in time.
4. The nurse is counseling a healthy 30-year-old female client regarding
osteoporosis prevention. Which activity would be most beneficial in achieving the
client's goal of osteoporosis prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking
Rationale:
Weight-bearing exercise is an important measure to reduce the risk of osteoporosis.
Of the activities listed, cross-country skiing includes the most weight-bearing,
whereas options B, C, and D involve less.
5. Which condition should the nurse anticipate as a potential problem in a female
, client with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis
Rationale:
Infection is the major complication resulting from stasis of urine and subsequent
catheterization. Option A is the involuntary loss of urine through an intact urethra
