HESI Med Surg 1 Exam Questions and Answers

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HESI Med Surg 1 Exam Questions and Answers 2023 (Verified Answers)

• The nurse obtains a fingerstick glucose level utilizing bedside lancet/glu-

cose meter equipment from a client with prescribed sliding scale insulin proto- col. The meter indicates 56 mg/dl (3.12 mmol/l). At this time which intervention should the nurse implement first?

• Collect a blood specimen by venipuncture to send to the laboratory for

serum glucose analysis.

• Prepare the prescribed dose of rapid acting insulin from the sliding scale

instructions.

• Give the client six ounces of non-diet carbonated soda and instruct to drink

it entirely.

• Document the glucose reading in the electronic medical record as the only

action needed. ANS C

• To achieve maximum mobility and independence for a client with multiple

sclerosis (MS), which intervention is most important for the nurse to imple- ment?

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• Provide a walker for ambulation
• Frequently assist the client to the bathroom
• Apply alternating patches over eyes
• Teach strengthening exercises ANS D

• A client is admitted to the hospital with symptoms consistent with a right

hemisphere stroke. Which neurovascular assessment requires immediate in- tervention by the nurse?

• Pupillary changes to ipsilateral dilation
• Orientation to person and place only
• Left- sided drooping and dysphagia
• Unequal bilateral hand grip strengths ANS C

• The nurse is teaching a client with glomerulonephritis about self care. Which

dietary recommendations should the nurse encourage the client to follow?

• Limit oral fluid intake to 500 ml per day
• Restrict protein intake by limiting meats and other high-protein foods
• Increase intake of potassium-rich foods such as bananas and cantaloupe.
• Increase intake of high fiber foods such as bran cereal ANS B

• The nurse is caring for a client with Herpes zoster who reports painful, red,

blisters that align from the back along the chest's curvature to the anterior chest. Which intervention is the highest priority for the nurse? 2 / 3

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• Place the client on contact precautions
• Administer antiviral medications
• Place wet compresses to ruptured vesicles
• Administer narcotic analgesics ANS B

• A young adult who suffered a severe brain injury in an automobile collision

has been mechanically ventilated for the past three days and has no sponta- neous respiratory effort. After serial electroencephalograms (EEG) reveal no brain activity, the healthcare provider discusses end-of-life options with the family who agree to discontinue life support. Which intervention should the nurse implement?

• Ask the family if they wish to remain at the bedside during withdrawal
• Request a living will be placed in the clients medical record
• Discuss the withdrawal procedure with the family and offer support
• Turn off mechanical ventilator and note time of death ANS C

• Following a transurethral resection of the prostate (TURP), a client is dis-

charged from the hospital with an indwelling urinary catheter. which instruc- tion is important for the nurse to include in the discharge teaching plan?

• Eliminate all spicy foods from your diet
• Drink 3 liters of water each day
• Clamp the catheter when taking a shower
• Avoid driving a car for 2 weeks ANS B
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