MED SURG HESI Study Guide
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client with a tracheostomy shows signs of respiratory
distress?
✔✔Assess the airway and prepare for suctioning.
Which lab value should be closely monitored in a client taking furosemide?
✔✔Potassium level.
What is the most important dietary instruction for a client with celiac disease?
✔✔Avoid gluten-containing foods such as wheat, rye, and barley.
Which symptom is an early sign of hypoxia?
✔✔Restlessness.
What position should a client be placed in to reduce intracranial pressure?
✔✔Head of bed elevated 30 degrees.
1
,What is the immediate action if a chest tube becomes disconnected from the drainage system?
✔✔Place the tube end into sterile water.
What is the most important teaching point for a client taking warfarin?
✔✔Report any signs of bleeding immediately.
Which assessment finding indicates digoxin toxicity?
✔✔Blurred vision or seeing halos around lights.
What is the primary purpose of using an incentive spirometer after surgery?
✔✔Prevent atelectasis.
Which intervention is appropriate for a client with neutropenia?
✔✔Implement protective isolation and restrict visitors with infections.
What is the most common symptom of left-sided heart failure?
✔✔Crackles in the lungs.
2
,What is the initial action when a client with diabetes has a blood glucose level of 40 mg/dL and
is alert?
✔✔Give 15 grams of fast-acting carbohydrates.
Which electrolyte imbalance is associated with muscle weakness and cardiac dysrhythmias?
✔✔Hypokalemia.
What is the first action if a client’s central venous catheter insertion site is bleeding heavily?
✔✔Apply direct pressure to the site.
What is the most important nursing action before administering digoxin?
✔✔Check the apical pulse for one full minute.
Which sign is indicative of hypocalcemia?
✔✔Positive Chvostek’s sign.
What is the safest method for verifying nasogastric tube placement before feeding?
3
, ✔✔Check tube position using x-ray confirmation.
What is the priority assessment for a client receiving a blood transfusion who reports chills and
back pain?
✔✔Stop the transfusion immediately.
Which organ is affected in a client with elevated ammonia levels?
✔✔Liver.
What is the priority intervention for a client experiencing an asthma attack?
✔✔Administer prescribed bronchodilator.
What is the most important post-procedure position for a client after liver biopsy?
✔✔Right side-lying position.
Which vital sign change is expected in hypovolemic shock?
✔✔Tachycardia with hypotension.
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client with a tracheostomy shows signs of respiratory
distress?
✔✔Assess the airway and prepare for suctioning.
Which lab value should be closely monitored in a client taking furosemide?
✔✔Potassium level.
What is the most important dietary instruction for a client with celiac disease?
✔✔Avoid gluten-containing foods such as wheat, rye, and barley.
Which symptom is an early sign of hypoxia?
✔✔Restlessness.
What position should a client be placed in to reduce intracranial pressure?
✔✔Head of bed elevated 30 degrees.
1
,What is the immediate action if a chest tube becomes disconnected from the drainage system?
✔✔Place the tube end into sterile water.
What is the most important teaching point for a client taking warfarin?
✔✔Report any signs of bleeding immediately.
Which assessment finding indicates digoxin toxicity?
✔✔Blurred vision or seeing halos around lights.
What is the primary purpose of using an incentive spirometer after surgery?
✔✔Prevent atelectasis.
Which intervention is appropriate for a client with neutropenia?
✔✔Implement protective isolation and restrict visitors with infections.
What is the most common symptom of left-sided heart failure?
✔✔Crackles in the lungs.
2
,What is the initial action when a client with diabetes has a blood glucose level of 40 mg/dL and
is alert?
✔✔Give 15 grams of fast-acting carbohydrates.
Which electrolyte imbalance is associated with muscle weakness and cardiac dysrhythmias?
✔✔Hypokalemia.
What is the first action if a client’s central venous catheter insertion site is bleeding heavily?
✔✔Apply direct pressure to the site.
What is the most important nursing action before administering digoxin?
✔✔Check the apical pulse for one full minute.
Which sign is indicative of hypocalcemia?
✔✔Positive Chvostek’s sign.
What is the safest method for verifying nasogastric tube placement before feeding?
3
, ✔✔Check tube position using x-ray confirmation.
What is the priority assessment for a client receiving a blood transfusion who reports chills and
back pain?
✔✔Stop the transfusion immediately.
Which organ is affected in a client with elevated ammonia levels?
✔✔Liver.
What is the priority intervention for a client experiencing an asthma attack?
✔✔Administer prescribed bronchodilator.
What is the most important post-procedure position for a client after liver biopsy?
✔✔Right side-lying position.
Which vital sign change is expected in hypovolemic shock?
✔✔Tachycardia with hypotension.
4
