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HESI MED-SURG ACTUAL EXAM 50
QUESTIONS AND VERIFIED ANSWERS
| LATEST 2026 VERSION | ALREADY A
GRADED | NEW AND REVISED
A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90 to
80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - ANSWER- c. stop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many
ml/hr? - ANSWER- 9 mL/hour
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eating spicy foods
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c. marked loss of weight and appetite over the last few months
d. use of chewable and liquid antacids for indigestion - ANSWER- a.
upper mid abdominal gnawing and burning pain
The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
a. the xenograft is taken from nonhuman sources
b. grafting increases the risk for bacterial infection
c. as the burn heals the graft permanently attaches
d. grafts are later removed by debriding procedure - ANSWER- a. the
xenograft is taken from nonhuman sources
A client who took a camping vacation two weeks ago in a country with a
tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the nurse
to report?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigue
d. weight loss - ANSWER- a. jaundice sclera
During a home visit the nurse assesses the skin of a client with eczema
who reports that an exacerbation of symptoms has occurred during the
last week. Which information is most useful in determining the possible
cause of the symptoms?
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a. an old friend with eczema came for visit
b. recently received an influenza immunization
c. corticosteroid cream was applied to eczema
d. a grandson and his new dog recently visited - ANSWER- d. a
grandson and his new dog recently visited
When explaining dietary guidelines to a client with acute
glomerulonephritis (AGN) which instruction should the nurse include in
the dietary teaching?
a. select a protein rich food daily
b. restrict sodium intake
c. eat high potassium foods
d. Avoid foods high in carbohydrate - ANSWER- b. restrict sodium
intake
A male client who is 24hr post operative for an exploratory laparoctomy
complains that he is starving because he has had no real food since
before surgery. Prior to advancing his diet which intervention should the
nurse implememt?
a. discontinue intravenous therapy
b. Assess for abdominal distension and tenderness
c. Obtain a prescription for a diet change
d. Auscultate bowel sound in all four quadrants - ANSWER- d.
auscultate bowel sounds in all four quadrants
HESI MED-SURG ACTUAL EXAM 50
QUESTIONS AND VERIFIED ANSWERS
| LATEST 2026 VERSION | ALREADY A
GRADED | NEW AND REVISED
A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90 to
80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - ANSWER- c. stop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many
ml/hr? - ANSWER- 9 mL/hour
The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eating spicy foods
,2|Page
c. marked loss of weight and appetite over the last few months
d. use of chewable and liquid antacids for indigestion - ANSWER- a.
upper mid abdominal gnawing and burning pain
The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing. Which
information should the nurse provide this client?
a. the xenograft is taken from nonhuman sources
b. grafting increases the risk for bacterial infection
c. as the burn heals the graft permanently attaches
d. grafts are later removed by debriding procedure - ANSWER- a. the
xenograft is taken from nonhuman sources
A client who took a camping vacation two weeks ago in a country with a
tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the nurse
to report?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigue
d. weight loss - ANSWER- a. jaundice sclera
During a home visit the nurse assesses the skin of a client with eczema
who reports that an exacerbation of symptoms has occurred during the
last week. Which information is most useful in determining the possible
cause of the symptoms?
, 3|Page
a. an old friend with eczema came for visit
b. recently received an influenza immunization
c. corticosteroid cream was applied to eczema
d. a grandson and his new dog recently visited - ANSWER- d. a
grandson and his new dog recently visited
When explaining dietary guidelines to a client with acute
glomerulonephritis (AGN) which instruction should the nurse include in
the dietary teaching?
a. select a protein rich food daily
b. restrict sodium intake
c. eat high potassium foods
d. Avoid foods high in carbohydrate - ANSWER- b. restrict sodium
intake
A male client who is 24hr post operative for an exploratory laparoctomy
complains that he is starving because he has had no real food since
before surgery. Prior to advancing his diet which intervention should the
nurse implememt?
a. discontinue intravenous therapy
b. Assess for abdominal distension and tenderness
c. Obtain a prescription for a diet change
d. Auscultate bowel sound in all four quadrants - ANSWER- d.
auscultate bowel sounds in all four quadrants
