26
A client with atrial fibrillation receives a prescription for a loading dose of digoxin 0.5 mg PO. The medication is available in 125 mcg tablets. How many tablets should the nurse administer? (Enter
Hesi rn med surg proctored examHESI RN Med Surg Proctored Exam
54 questions · Page 2 of 3
HESI RN Med Surg Proctored Exam is a nursing-school practice exam with 54 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Start Practice ExamQuestions 26–50 of 54
27
When entering a client's room, the nurse observes the client holding up an arm and coughing non-productively into the upper sleeve. Which action should the nurse take?
A. Provide a box of tissues for the client to use wheB. Obtain face masks for staff to wear upon entering C. Assist the client in changing into a fresh hospitaD. Teach the client to cover the mouth with hands whe
Hesi rn med surg proctored exam28
The nurse assists a client who has obstructive sleep apnea (OSA) with evening care. Which intervention is most important for the nurse to implement before leaving the client alone?
A. Elevate the head of the bed to a 45-degree angle.B. Remove dentures or other oral appliance.C. Lift and lock the side rails in place.D. Apply the client's positive airway pressure device
Hesi rn med surg proctored exam29
Which action should the nurse implement when inserting an indwelling catheter for an uncircumcised male client?
A. Clean the urinary meatus before retracting the forB. Position the sterile field even with the nurse's hC. Use a swab to wipe the meatus in back-and-forth moD. Advance the catheter before inflating the balloon.
Hesi rn med surg proctored exam30
The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?
A. Withhold the medication until the exact dose is avB. Calculate the dose on hand to match the prescribedC. Report a mismatch of prescribed and available doseD. Ask the pharmacist if another dose can be dispense
Hesi rn med surg proctored exam31
A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so alone." Which
A. Explain that alternative treatment options may be B. Offer reassurance that the spouse is not alone.C. Encourage the spouse to share their feelings.D. Remind the spouse that the client may still live a
Hesi rn med surg proctored exam32
To assess the quality of an adult client's pain, which approach should the nurse use?
A. Identify effective pain relief measures.B. Provide a numeric pain scale.C. Observe body language and movement.D. Ask the client to describe the pain.
Hesi rn med surg proctored exam33
Two clients ring their call lights simultaneously requesting pain medication. Which action should the nurse implement first?
A. Determine when each client last received pain mediB. Evaluate both clients' pain using a standardized pC. Provide nonpharmacologic pain management interventD. Prepare both clients' medication and take to them
Hesi rn med surg proctored exam34
A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which a
A. Irrigate the nasogastric tube with water.B. Elevate the head of bed 45 degrees.C. Review the advanced directive document.D. Perform oropharyngeal suctioning.
Hesi rn med surg proctored exam35
A client on a mechanical soft diet is experiencing constipation and asks the nurse for a glass of prune juice. After auscultating decreased bowel sounds, which action should the nurse implement?
A. Restrict oral fluid intake.B. Offer to warm the prune juice.C. Advance to a regular diet.D. Initiate bowel training protocol.
Hesi rn med surg proctored exam36
The nurse is preparing a client for surgery and notices that the signed consent form has an error. The form states that the client is to have the left leg amputated. However, the client's right leg is
A. Call the nearest relative to come in and sign a neB. Call the healthcare provider (HCP) to have the proC. Have the client sign another form before surgery.D. Cross out the error and initial the consent form.
Hesi rn med surg proctored exam37
While changing the dressing of a client who is immobile, the nurse notices the boundary of the wound has increased. Given there is a positive methicillin-resistant Staphylococcus aureus (MRSA) laborat
A. Ensure the client's environment is properly cleaneB. Reapply sterile non-adhesive dressing.C. Initiate contact precautions.D. Teach family members how to prevent transmission o
Hesi rn med surg proctored exam38
The nurse is documenting wound care in a client's electronic medical record (EMR) when the computer system shuts down. Which action should the nurse implement first?
A. Notify information services department of the situB. Wait for notification that the system has been rebC. Identify information as late entry in the record.D. Print electronic medical record (EMR) from backup
Hesi rn med surg proctored exam39
A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferr
A. Place the wheelchair on the client's left side.B. Instruct the client to take slow, deep breaths whiC. Instruct the client to look at his feet.D. Have the client put both arms around the nurse's n
Hesi rn med surg proctored exam40
While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively. Which action should the nurse implement?
A. Reduce the stimuli in the area before continuing tB. Reassure the client that the skill is not difficulC. Provide the client with step-by-step written instrD. Demonstrate the skill, speaking slowly and using s
Hesi rn med surg proctored exam41
The nurse assesses a client who has a nasal cannula delivering oxygen at 2 liters/minute. To assess for skin damage related to the cannula, which areas should the nurse observe? Select all that apply.
A. Around the nostrils.B. Bridge of the nose.C. Across the forehead.D. Over the cheeks.
Hesi rn med surg proctored exam42
The nurse is caring for a client who is overweight and easily becomes diaphoretic. In response to this finding, which assessment(s) should the nurse include while assisting the client with personal ca
A. Check skin for unusual bruising.B. Palpate mucus membranes for cracks.C. Monitor color of nailbeds.D. Assess skin folds of perineal area.
Hesi rn med surg proctored exam43
The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?
A. Select upper arm as the injection site.B. Massage the site gently after injection.C. Ensure bevel of the needle is pointing up.D. Hold the syringe perpendicular to the skin.
Hesi rn med surg proctored exam44
The nurse educator is conducting a class for unlicensed assistive personnel (UAP). Which action indicates that a UAP understands gloving procedures?
A. Dons sterile gloves when caring for clients with HB. Uses sterile gloves when handling body fluids.C. Keeps a pair of gloves in uniform pocket.D. Puts on new gloves when entering a client's room.
Hesi rn med surg proctored exam45
When assessing a client with a serum potassium level of 2.5 mEq/L (2.5 mmol/L), which intervention is most important for the nurse to implement?
A. Compare muscle strength bilaterally.B. Determine apical heart rate and rhythm.C. Observe color and amount of urine.D. Assess strength of deep tendon reflexes.
Hesi rn med surg proctored exam46
The nurse is conducting an initial admission assessment for a woman who is a Jehovah's Witness and is scheduled to deliver a baby by Cesarean section within the next 24 hours. Which action should the
A. Commend the client for her patience after a long wB. Determine the client's decision about homologous bC. Arrange for a ritual meeting together with other JD. Obtain primary source of information from the head
Hesi rn med surg proctored exam47
While preparing to obtain a stool specimen for occult blood, the nurse observes that the client's feces is soft, solid, and light brown. Which action should the nurse implement?
A. Obtain the specimen from the client's current boweB. Withhold specimen collection until tarry black stoC. Contact the healthcare provider before obtaining tD. Wait to obtain the specimen until observable blood
Hesi rn med surg proctored exam48
A surgical incision that is healing by secondary intention develops a thick tan exudate. Which action should the nurse take first?
A. Apply sterile-strips.B. Obtain a wound culture.C. Apply a debriding agent.D. Remove every other suture.
Hesi rn med surg proctored exam49
In planning the turning schedule for a bedfast client, it is most important for the nurse to consider which assessment finding?
A. Warm, dry skin with a fever of 100.0° F (37.8° C).B. 4+ pitting edema of both lower extremities.C. A Braden risk assessment scale rating score of tenD. Hypoactive bowel sounds with infrequent bowel move
Hesi rn med surg proctored exam50
When initiating oxygen per mask to a client who is short of breath, the nurse hears a loud hissing sound after inserting the flowmeter into the wall outlet. Which should the nurse do next?
A. Adjust the flow rate to the prescribed liters per B. Assess the position of the mask on the client's faC. Attach the flowmeter to a humidification canister.D. Release and reinsert the flowmeter in the wall out
Hesi rn med surg proctored exam