pg. 1 Hesi Pn Med Surg Exam Test Bank 2 Latest 2025 With 350 Exam Prep Questions And Correct Answers (100% Correct Answers) Pn Hesi Med Surg Exam 2025/ Med Surg Hesi Pn
After a change of shift report, the nurse makes rounds on a postoperative unit.Which client finding necessitates the immediate attention of the nurse?
- A client who is having bright red drainage from the rectum following a
- A client who has pink urine draining from the indwelling urinary catheter
- An older client whose blood pressure is 100/70 after receiving meperidine for
- A client who has brown green bile draining from a T-tube after a
- A client who is having bright red drainage from the rectum following a
colonoscopy with a polyp removal
following a transurethral prostatectomy
pain related to a hip fracture
cholecystectomy for Cholelithiasis.
colonoscopy with a polyp removal Augmentin (amoxicillin/clavulanate) 500mg suspension is prescribed for an older adult client who has trouble swallowing . The suspension is available in 125mg/5mL solution. How many ml should the client receive? (Enter the numeric value only)
500mg/125m X 5mL = 20mL 20 During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not rising. What action should the nurse take first?
- Reposition the head to ensure an open airway
- Inflate the lungs with more breaths and air pressure
- Finger sweet for a foreign body lodged in the oral cavity
- Reposition hands on chest continue compressions 1 / 4
pg. 2
- Reposition the head to ensure an open airway
An older client who has had a cataract in the right eye for several years tells the practical nurse (PN), "Now I have lost the sight in my right eye because I waited too long for treatment." What information should the PN provide?Surgery can restore vision with corrective lens implants or glasses.Three days after surgery, a male client suddenly grabs his right chest and becomes short of breath, pale, and diaphoretic. The practical nurse (PN) immediately assesses his vital signs and obtains 100/80 mm Hg blood pressure, 110 beats/min heart rate, and 36 breaths/min respiratory rate. What action is most important for the PN to take next?Apply oxygen at 2 liters per nasal cannula.The nurse is planning care for a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8-pound 10-ounce infant. What intervention has the highest priority?
- Administer Prescribed stool softener
- Administer prescribed PRN sleep medications.
- Encourage breastfeeding to promote uterine involution
- Encourage use of prescribed analgesic perineal sprays.
- Administer Prescribed stool softener
An elderly female client tells the nurse that she does not do regular Breast Self- Examinations (BSE) because she is too old. The nurse's response to the client is based on what information?
- The incidence of breast cancer increases with age
- The client should have a health care provider do a breast exam at least once a
- After age 70, breast cancer is less likely to occur
- The history of breast cancer in a family member is indicative of the need for
- The incidence of breast cancer increases with age
year
BSE
A client with Meningitis is in a coma and Nursing care includes seizure precautions. To help prevent seizure activity, what interventions should the nurse 2 / 4
pg. 3 implement?
- Maintain an oral airway suction equipment and oxygen at the bedside
- Provide respiratory isolation precautions for visitors and staff
- Provide emergency anti-convulsant medication at the bedside
- Maintain a quiet calm darkened environment
- Maintain a quiet calm darkened environment
The nurse is assisting a female client to obtain a voided specimen for urine culture.After the client cleanses the meatus, which intervention is performed next?
- Initiate the urine stream
- Separate the labia
- Position the collection cup
- Observe the urine
- Separate the labia
A new protocol for fall prevention is being implemented on the medical unit.During safety rounds, the nurse identifies those unlicensed assistive personnel (UAP) has omitted a vital component of the protocol. After implementing the missing component, what should action should the nurse take?
- Report the UAP's omission to the charge nurse
- Complete an unusual occurrence report
- Supervise the UAP after reviewing the protocol
- Assign the UAP to more stable clients the next day
- Supervise the UAP after reviewing the protocol
What is the best intervention for the nurse to implement when providing morning care for an ambulatory client with an indwelling catheter (Foley)?
- Keep the catheter intact while assisting the client with a shower
- Remove the catheter while the client takes a shower
- Provide the client with a sponge bath in a chair or the bed
- Assist the client with a tub with the catheter clamped
- Keep the catheter intact while assisting the client with a shower 3 / 4
pg. 4 The charge nurse brings a #18yr urinary catheter (Foley) with a 30 mL balloon to the nurse who is preparing to insert a catheter in a female client who weighs 50 kg.What action should the nurse take first?
- Ask the client if she has previously been catheterized
- Position the client and observe the urinary meatus
- Obtain a 30 ml syringe and a vial of sterile water
- Consult with the charge nurse about the catheter
- Consult with the charge nurse about the catheter
Following a left leg above the knee amputation (AKA), a client voices several complaints. Which statement should be reported to the charge nurse immediately?
- My left foot is so painful
- My incision is so dry
- I've been feeling so light headed
- I'm tired of turning so much
- I've been feeling so light headed
In caring for a client following a below the knee amputation (BKA) which task is best for the nurse to delegate to the unlicensed assistive personnel (UAP) who is assisting with the care of this client?
- Empty and measure the drainage in the suction drainage device
- Reassure the client that phantom limb pain is genuine pain
- Review the client's vital signs for indications of infection
- Observe and mark the amount of drainage on the dressing
- Empty and measure the drainage in the suction drainage device
- days after an abdominal hysterectomy, an elderly client with diabetes Mellitus
Type II has a syncopal episode. Her vital signs are within normal limits and her sugar is 325 mg/dL. what intervention should the nurse implement first?
- Give the client 4 ounces of orange juice
- Administer next scheduled dose of metformin (Glucophage)
- Cancel the clients dinner tray
- Administer regular insulin per sliding scale
- / 4