1
HESI MED SURG Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client develops shortness of breath and chest pain after insertion of a central line?✔✔Notify the provider immediately and prepare for possible pneumothorax.
Which electrolyte imbalance is most likely in a client with chronic kidney disease?✔✔Hyperkalemia.
What is the most common sign of left-sided heart failure?✔✔Crackles in the lungs.
Which dietary change is important for a client with celiac disease?✔✔Avoid foods containing wheat, rye, and barley.
What is the first nursing action for a client with hypoglycemia who is alert and able to swallow?✔✔Give 15 grams of fast-acting carbohydrate, such as juice. 1 / 3
2
What finding should be reported immediately in a client after thyroidectomy?✔✔Stridor or difficulty breathing.
Which position helps reduce intracranial pressure?✔✔Head of bed elevated to 30 degrees.
What is the best nursing action for a client with a dislodged tracheostomy tube?✔✔Insert the obturator and replace the tube.
What is the expected stool characteristic in a client with a new ileostomy?✔✔Liquid stool.
What is the most important teaching point for a client taking warfarin?✔✔Monitor INR regularly and avoid excessive vitamin K intake.
What is the nurse’s first action when a blood transfusion reaction is suspected?✔✔Stop the transfusion immediately. 2 / 3
3
Which symptom is common in a client with hypocalcemia?✔✔Positive Chvostek’s sign.
What is the priority action when a chest tube becomes disconnected from the drainage system?✔✔Place the tube in sterile water to maintain the water seal.
What is the primary purpose of an incentive spirometer after surgery?✔✔Prevent atelectasis.
Which lab value should be monitored closely for a client taking furosemide?✔✔Potassium.
What should the nurse do if a client with COPD becomes suddenly restless and confused?✔✔Assess oxygen saturation and increase oxygen if needed.
Which type of isolation is required for a client with tuberculosis?✔✔Airborne precautions.
- / 3