Med Surg Hesi 2025 Questions And
Answers
ao26oyearooldoclientoisoadmittedotootheohospitaloforotreatmentoofosimpleogoiter,oandolevothy
roxineoisoprescribed.oWhichosymptomoindicatesotootheonurseothatotheoprescribedodosageoi
sotooohighoforothisoclient
1.opalpitationsoandoshortnessoofobreatho
2.obradycardiaoandoconstipationo
3.olethargyoandolackoofoappetite
4.omuscleocrampsoandodry,oflushedoskino-oCORRECTooANSWER-
1.opalpitationsoandoshortnessoofobreath
aoclientoadmittedoyesterdayowithoanoMIoandoisohavingoincreasedoPVC's.oWhichopathologic
alochangeoincreasesotheofrequencyoofodisturbancesofollowingoanoMI?o
1.ocellularoischemiaoincreasesoautomaticityoofomyocardialocells
2.omyocardialocellsoswitchotooanaerobicometabolismocausingometabolicoacidosiso
3.oinfarctionoprolongsotheorefactoryoperiodoinotheocardiacocycle
4.opotassiumoandoionomovementoacrossocellomembraneoisointeruptedo-
oCORRECTooANSWER-1
AoclientohasoanoANCoofo500oafterocompletingochemo.oWhichointerventionoisomostoimporta
ntoforotheonurseotooimplement?o
1.oPlaceoinoprotectiveoisolationo
2.oImplementobleedingoprecautions
3.oAssessovsoq4o
4.oReviewotheoneedoforopneumococcalovaccineo-oCORRECTooANSWER-
1.oPlaceoinoprotectiveoisolation
AoclientohasobeenotakingofinasterideoforoBPHotooshrinkotheoprostateoglandogetsoadmittedot
ootheohospitaloforocontinuingoBPHosymptoms.oWhenoplanningocare,owhichonursingoproble
moshouldotheoRNoaddressofirst
1.ourinaryoretentiono
2.odisturbedosleepopatterno
3.oriskoforoinfectiono
4.oChronicoPaino-oCORRECTooANSWER-1.ourinaryoretention
aoclientoisoadmittedowithoacuteodiabetesoinsipidusoandorelatedohyperatremia.oInoplanningoc
are,owhichoclienodataoisomostoimportantoforotheonurseotooobtainoduringotheohourlyonursingo
assessment
1.obowelosounds
2.ocapillaryoglucoseo
, 3.opainolevelo
4.omentalostatuso-oCORRECTooANSWER-4.omentalostatus
AoclientoisoadmittedowithoDKAoandoisohavingokussmaul'sobreathing,oaosevereoheadacheoa
ndonausea.oHeroABG'soareopH:o7.50,oPaCO2o30,oHCO3o24.oWhichoassessmentobelowore
quiresoimmediateonursingointerventions
1.oMentalostuporo
2.omuscleostiffness
3.ofruity,obreatho
4.oabdominalopaino-oCORRECTooANSWER-1.omentalostupor
Aoclientoisoadmittedowithorapidoatrialoflutteroisoreceivingoamiodaroneo1mg/minoviaoaoperiph
eraloline.oTheoUAPoreportsotootheonurseothatotheoclient'soHRoiso90oBPM,oandoBPoiso110/50.
oWhichointerventionoshouldotheonurseoimplement?o
1.otellotheouapotooturnooffotheoamiodaroneo
2.orestartotheoIVoinfusionoinoanotherositeo
3.oDetermineotheoregularityoofotheoperipheralopulses
4.oEvaluateotheorhythmoofotheoheartorateo-oCORRECTooANSWER-
$.oEvaluateotheorhythmoofotheoheartorate
AoclientoisobeingotreatedoforoAKI.oOnoexamotheoclientohasogeneralizedoedemaoandochange
soinomentalostatus.oWhichointerventionoshouldotheonurseoincludeoinotheoclient'soplanoofocar
e
1.omeasureotheoankleocircumferenceoe
2.oauscultateoforoirregularoHRo
3.oReviewoABGoresultso
4.oMeasureoandodocumentourineooutputo-oCORRECTooANSWER-
4.omeasureoandodocumentourineooutput
aoclientoisobeingotreatedoforoSIADH.oOnoexaminationotheoclientohasoaoweightogainoofo4.4lb
s.oIno24ohours,oandoanoelevatedoHR.oWhichointerventionoshouldotheonurseoimplementofirst
?o
1.oRecordousualoeatingopatterns
2.oMeasureoankleocircumferenceo
3.oReviewoABG'so
4.oEnurseotheoclientotakesoaodiureticoeveryomorningo-oCORRECTooANSWER-
4.oEnsureotheoclientotakesoaodiureticoeveryomorning
aoclientoisodiagnosedowithodigoxinotoxicity.oWhichoactionoshouldotheonurseoexpectotooimple
ment?o
1.ocheckoacidobaseoandoelectrolyteovalues
2.ogiveodigoxinobyoanotherorouteo
3.oadministeropotassiumotoostabilizeoHRo
4.oBeginocardioversionotoostabilizeoheartorhythmo-oCORRECTooANSWER-
1.ocheckoacidobaseoandoelectrolyteovalues
Answers
ao26oyearooldoclientoisoadmittedotootheohospitaloforotreatmentoofosimpleogoiter,oandolevothy
roxineoisoprescribed.oWhichosymptomoindicatesotootheonurseothatotheoprescribedodosageoi
sotooohighoforothisoclient
1.opalpitationsoandoshortnessoofobreatho
2.obradycardiaoandoconstipationo
3.olethargyoandolackoofoappetite
4.omuscleocrampsoandodry,oflushedoskino-oCORRECTooANSWER-
1.opalpitationsoandoshortnessoofobreath
aoclientoadmittedoyesterdayowithoanoMIoandoisohavingoincreasedoPVC's.oWhichopathologic
alochangeoincreasesotheofrequencyoofodisturbancesofollowingoanoMI?o
1.ocellularoischemiaoincreasesoautomaticityoofomyocardialocells
2.omyocardialocellsoswitchotooanaerobicometabolismocausingometabolicoacidosiso
3.oinfarctionoprolongsotheorefactoryoperiodoinotheocardiacocycle
4.opotassiumoandoionomovementoacrossocellomembraneoisointeruptedo-
oCORRECTooANSWER-1
AoclientohasoanoANCoofo500oafterocompletingochemo.oWhichointerventionoisomostoimporta
ntoforotheonurseotooimplement?o
1.oPlaceoinoprotectiveoisolationo
2.oImplementobleedingoprecautions
3.oAssessovsoq4o
4.oReviewotheoneedoforopneumococcalovaccineo-oCORRECTooANSWER-
1.oPlaceoinoprotectiveoisolation
AoclientohasobeenotakingofinasterideoforoBPHotooshrinkotheoprostateoglandogetsoadmittedot
ootheohospitaloforocontinuingoBPHosymptoms.oWhenoplanningocare,owhichonursingoproble
moshouldotheoRNoaddressofirst
1.ourinaryoretentiono
2.odisturbedosleepopatterno
3.oriskoforoinfectiono
4.oChronicoPaino-oCORRECTooANSWER-1.ourinaryoretention
aoclientoisoadmittedowithoacuteodiabetesoinsipidusoandorelatedohyperatremia.oInoplanningoc
are,owhichoclienodataoisomostoimportantoforotheonurseotooobtainoduringotheohourlyonursingo
assessment
1.obowelosounds
2.ocapillaryoglucoseo
, 3.opainolevelo
4.omentalostatuso-oCORRECTooANSWER-4.omentalostatus
AoclientoisoadmittedowithoDKAoandoisohavingokussmaul'sobreathing,oaosevereoheadacheoa
ndonausea.oHeroABG'soareopH:o7.50,oPaCO2o30,oHCO3o24.oWhichoassessmentobelowore
quiresoimmediateonursingointerventions
1.oMentalostuporo
2.omuscleostiffness
3.ofruity,obreatho
4.oabdominalopaino-oCORRECTooANSWER-1.omentalostupor
Aoclientoisoadmittedowithorapidoatrialoflutteroisoreceivingoamiodaroneo1mg/minoviaoaoperiph
eraloline.oTheoUAPoreportsotootheonurseothatotheoclient'soHRoiso90oBPM,oandoBPoiso110/50.
oWhichointerventionoshouldotheonurseoimplement?o
1.otellotheouapotooturnooffotheoamiodaroneo
2.orestartotheoIVoinfusionoinoanotherositeo
3.oDetermineotheoregularityoofotheoperipheralopulses
4.oEvaluateotheorhythmoofotheoheartorateo-oCORRECTooANSWER-
$.oEvaluateotheorhythmoofotheoheartorate
AoclientoisobeingotreatedoforoAKI.oOnoexamotheoclientohasogeneralizedoedemaoandochange
soinomentalostatus.oWhichointerventionoshouldotheonurseoincludeoinotheoclient'soplanoofocar
e
1.omeasureotheoankleocircumferenceoe
2.oauscultateoforoirregularoHRo
3.oReviewoABGoresultso
4.oMeasureoandodocumentourineooutputo-oCORRECTooANSWER-
4.omeasureoandodocumentourineooutput
aoclientoisobeingotreatedoforoSIADH.oOnoexaminationotheoclientohasoaoweightogainoofo4.4lb
s.oIno24ohours,oandoanoelevatedoHR.oWhichointerventionoshouldotheonurseoimplementofirst
?o
1.oRecordousualoeatingopatterns
2.oMeasureoankleocircumferenceo
3.oReviewoABG'so
4.oEnurseotheoclientotakesoaodiureticoeveryomorningo-oCORRECTooANSWER-
4.oEnsureotheoclientotakesoaodiureticoeveryomorning
aoclientoisodiagnosedowithodigoxinotoxicity.oWhichoactionoshouldotheonurseoexpectotooimple
ment?o
1.ocheckoacidobaseoandoelectrolyteovalues
2.ogiveodigoxinobyoanotherorouteo
3.oadministeropotassiumotoostabilizeoHRo
4.oBeginocardioversionotoostabilizeoheartorhythmo-oCORRECTooANSWER-
1.ocheckoacidobaseoandoelectrolyteovalues