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MED SURG HESI Study Guide Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client with a tracheostomy shows signs of respiratory distress?✔✔Assess the airway and prepare for suctioning.
Which lab value should be closely monitored in a client taking furosemide?✔✔Potassium level.
What is the most important dietary instruction for a client with celiac disease?✔✔Avoid gluten-containing foods such as wheat, rye, and barley.
Which symptom is an early sign of hypoxia?✔✔Restlessness.
What position should a client be placed in to reduce intracranial pressure?✔✔Head of bed elevated 30 degrees. 1 / 4
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What is the immediate action if a chest tube becomes disconnected from the drainage system?✔✔Place the tube end into sterile water.
What is the most important teaching point for a client taking warfarin?✔✔Report any signs of bleeding immediately.
Which assessment finding indicates digoxin toxicity?✔✔Blurred vision or seeing halos around lights.
What is the primary purpose of using an incentive spirometer after surgery?✔✔Prevent atelectasis.
Which intervention is appropriate for a client with neutropenia?✔✔Implement protective isolation and restrict visitors with infections.
What is the most common symptom of left-sided heart failure?✔✔Crackles in the lungs. 2 / 4
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What is the initial action when a client with diabetes has a blood glucose level of 40 mg/dL and is alert?✔✔Give 15 grams of fast-acting carbohydrates.
Which electrolyte imbalance is associated with muscle weakness and cardiac dysrhythmias?✔✔Hypokalemia.
What is the first action if a client’s central venous catheter insertion site is bleeding heavily?✔✔Apply direct pressure to the site.
What is the most important nursing action before administering digoxin?✔✔Check the apical pulse for one full minute.
Which sign is indicative of hypocalcemia?✔✔Positive Chvostek’s sign.
What is the safest method for verifying nasogastric tube placement before feeding? 3 / 4
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✔✔Check tube position using x-ray confirmation.
What is the priority assessment for a client receiving a blood transfusion who reports chills and back pain?✔✔Stop the transfusion immediately.
Which organ is affected in a client with elevated ammonia levels?✔✔Liver.
What is the priority intervention for a client experiencing an asthma attack?✔✔Administer prescribed bronchodilator.
What is the most important post-procedure position for a client after liver biopsy?✔✔Right side-lying position.
Which vital sign change is expected in hypovolemic shock?✔✔Tachycardia with hypotension.
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