Med Surg Final HESI semester 4 2026 Questions & Answers
A 70-year-old male client with type Check the insides and linings of all enclosed shoes before putting the
2 diabetes mellitus (DM) is shoes on
hospitalized with an infected ulcer
on his great right toe. Which
instruction should the nurse
emphasize during discharge
teaching?
An adult client is admitted with D. Potassium of 2.5 mEq/L
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
, Med Surg Final HESI semester 4 2026 Questions & Answers
An adult client is admitted with flank D. Administer IV antibiotics as prescribed
pain and is diagnosed with acute
pyelonephritis. What is the priority
nursing action?
A. Auscultate for presence of bowl
sounds.
B. Monitor hemoglobin and
hematocrit
C. Encourage turning and deep
breathing
D. Administer IV antibiotics as
prescribed.
An adult female client is diagnosed C. Serum iron and ferritin
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
C. Serum iron and ferritin
D. Platelet count and hematocrit
, Med Surg Final HESI semester 4 2026 Questions & Answers
An adult female with multiple D. Complete head to toe neurological assessment.
sclerosis (MS) fells while walking to
the bathroom. On transfer to the
intensive care unit, she is confused
and has had projectile vomiting
twice. Which intervention should the
nurse implement first?
A. Determine clients last dose of
corticosteroids
B. Determine neurological baseline
prior to the fall
C. Administer a PRN IV antiemetic as
prescribed
D. Complete head to toe
neurological assessment.
, Med Surg Final HESI semester 4 2026 Questions & Answers
An adult male client is admitted for B. It will be necessary to continue prophylactic doses of IV or aerosol
Pneumocystis carinal pneumonia pentamidine every month
(PCP) secondary to AIDSs. While
hospitalized, he receives IV
pentamidine isethionate therapy. In
preparing this client for discharge,
what important aspect regarding his
medication therapy should the nurse
explain?
A. IV pentamidine may offer
protection to other AIDS-related
conditions, such as Kaposi's
sarcoma
B. It will be necessary to continue
prophylactic doses of IV or aerosol
pentamidine every month
C. IV pentamidine will be given until
oral pentamidine can be tolerated
D. AZT (Azidothymidine) therapy
must be stopped when IV or
aerosol pentamidine is being used.
A 70-year-old male client with type Check the insides and linings of all enclosed shoes before putting the
2 diabetes mellitus (DM) is shoes on
hospitalized with an infected ulcer
on his great right toe. Which
instruction should the nurse
emphasize during discharge
teaching?
An adult client is admitted with D. Potassium of 2.5 mEq/L
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
, Med Surg Final HESI semester 4 2026 Questions & Answers
An adult client is admitted with flank D. Administer IV antibiotics as prescribed
pain and is diagnosed with acute
pyelonephritis. What is the priority
nursing action?
A. Auscultate for presence of bowl
sounds.
B. Monitor hemoglobin and
hematocrit
C. Encourage turning and deep
breathing
D. Administer IV antibiotics as
prescribed.
An adult female client is diagnosed C. Serum iron and ferritin
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
C. Serum iron and ferritin
D. Platelet count and hematocrit
, Med Surg Final HESI semester 4 2026 Questions & Answers
An adult female with multiple D. Complete head to toe neurological assessment.
sclerosis (MS) fells while walking to
the bathroom. On transfer to the
intensive care unit, she is confused
and has had projectile vomiting
twice. Which intervention should the
nurse implement first?
A. Determine clients last dose of
corticosteroids
B. Determine neurological baseline
prior to the fall
C. Administer a PRN IV antiemetic as
prescribed
D. Complete head to toe
neurological assessment.
, Med Surg Final HESI semester 4 2026 Questions & Answers
An adult male client is admitted for B. It will be necessary to continue prophylactic doses of IV or aerosol
Pneumocystis carinal pneumonia pentamidine every month
(PCP) secondary to AIDSs. While
hospitalized, he receives IV
pentamidine isethionate therapy. In
preparing this client for discharge,
what important aspect regarding his
medication therapy should the nurse
explain?
A. IV pentamidine may offer
protection to other AIDS-related
conditions, such as Kaposi's
sarcoma
B. It will be necessary to continue
prophylactic doses of IV or aerosol
pentamidine every month
C. IV pentamidine will be given until
oral pentamidine can be tolerated
D. AZT (Azidothymidine) therapy
must be stopped when IV or
aerosol pentamidine is being used.
