MED-SURG II HESI EXAM - SET ONE QUESTIONS AND
CORRECT DETAILED ANSWERS GRADED A+ AND 100%
VERIFIED
Exam
An adult client who is hospitalized after surgery reports
sudden onset of chest pain and dyspnea. The client
appears anxious, restless, and mildly cyanotic. The nurse
should further assess the client for which condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis. - <<<<Answers>>>>Pulmonary embolism.
Post-surgical clients are at an increased risk for deep vein
thrombosis (DVT), which may result in pulmonary
embolism if the clot breaks off and travels to the lungs.
Signs and symptoms of pulmonary embolism include
chest pain, dyspnea, anxiety, restlessness, and - in severe
cases - cyanosis.
Jarvis, Physical Examination and Health Assessment, 7th
ed., p.493
Which information should the nurse obtain when
performing an initial assessment of a client who presents
to the emergency department with a painful ankle injury?
(Select all that apply.)
,Quality of the pain.
Signs of inflammation.
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint. - <<<<Answers>>>>Quality
of the pain.
Signs of inflammation.
Ankle range of motion.
Visible deformities of the joint.
Initial assessment of a joint injury is performed to
determine the extent of the damage. The nurse's initial
assessment of a painful ankle injury should include pain
quality, the presence of deformities, evidence of
inflammation, and range of motion.
Jarvis Physical Examination and Health Assessment, 7th
ed. p. 586-8
Which description of pain is consistent with a diagnosis of
rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric
joints.
Joint pain is better in the morning and worsens
throughout the day.
Joint pain is consistent throughout the day and is relieved
by pain medication.
Joint pain is worse during the day and involves unilateral
joints. - <<<<Answers>>>>Joint pain is worse in the
morning and involves symmetric joints.
,Rheumatoid arthritis (RA) is an autoimmune disease that
causes joint pain and swelling. RA is characterized by pain
that is worse when arising and involves symmetric joints.
Jarvis. (2016), Physical Examination and Health
Assessment, 7th Ed., Chapter 22; p. 586
Which physical assessment finding should the nurse
anticipate in a client with long-term
gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss. - <<<<Answers>>>>Hoarseness.
Dyspepsia and regurgitation are the main symptoms of
gastroesophageal reflux disease (GERD); however,
hoarseness is one of the most common long-term
symptoms of GERD due to the irritation of the reflux of
gastric secretions.
Ignatavicius, (2016). Medical-surgical nursing: Patient-
centered collaborative care, eight edition., Ch. 49, p. 1111.
A client presents with chronic venous insufficiency. Which
assessment finding should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication.
, Peripheral cyanosis. - <<<<Answers>>>>Bilateral lower
leg stasis dermatitis.
Clients who suffer from chroninc venous insufficiency
often develop statsis dermatitis in the lower extremities.
Statis dermatitis appear as brownish-red discoloration on
the lower extremities at the ankles which can develop into
stasis ulcers due to the pooling of the venous blood flow
back to the heart.
Ignatavicius, (2013). Medical-surgical nursing: Patient-
centered collaborative care, 7th ed.., Ch. 33, p. 803.
A client has been hospitalized with a femur fracture and is
being treated with traction. Which action by the nurse is
the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders. -
<<<<Answers>>>>Assess neurovascular status.
The use of traction for long bone fractures reduces the
potential for damage to the surrounding tissues. Reports
of increased pain may indicate circulatory compromise or
tissue damage (compartment syndrome). Assessing the
client's neurovascular status is the nurse's highest priority.
Ignatavicius, (2016). Medical-surgical nursing: Patient-
centered collaborative care, eight edition., Ch. 51, pp.
1051-80.
CORRECT DETAILED ANSWERS GRADED A+ AND 100%
VERIFIED
Exam
An adult client who is hospitalized after surgery reports
sudden onset of chest pain and dyspnea. The client
appears anxious, restless, and mildly cyanotic. The nurse
should further assess the client for which condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis. - <<<<Answers>>>>Pulmonary embolism.
Post-surgical clients are at an increased risk for deep vein
thrombosis (DVT), which may result in pulmonary
embolism if the clot breaks off and travels to the lungs.
Signs and symptoms of pulmonary embolism include
chest pain, dyspnea, anxiety, restlessness, and - in severe
cases - cyanosis.
Jarvis, Physical Examination and Health Assessment, 7th
ed., p.493
Which information should the nurse obtain when
performing an initial assessment of a client who presents
to the emergency department with a painful ankle injury?
(Select all that apply.)
,Quality of the pain.
Signs of inflammation.
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint. - <<<<Answers>>>>Quality
of the pain.
Signs of inflammation.
Ankle range of motion.
Visible deformities of the joint.
Initial assessment of a joint injury is performed to
determine the extent of the damage. The nurse's initial
assessment of a painful ankle injury should include pain
quality, the presence of deformities, evidence of
inflammation, and range of motion.
Jarvis Physical Examination and Health Assessment, 7th
ed. p. 586-8
Which description of pain is consistent with a diagnosis of
rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric
joints.
Joint pain is better in the morning and worsens
throughout the day.
Joint pain is consistent throughout the day and is relieved
by pain medication.
Joint pain is worse during the day and involves unilateral
joints. - <<<<Answers>>>>Joint pain is worse in the
morning and involves symmetric joints.
,Rheumatoid arthritis (RA) is an autoimmune disease that
causes joint pain and swelling. RA is characterized by pain
that is worse when arising and involves symmetric joints.
Jarvis. (2016), Physical Examination and Health
Assessment, 7th Ed., Chapter 22; p. 586
Which physical assessment finding should the nurse
anticipate in a client with long-term
gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss. - <<<<Answers>>>>Hoarseness.
Dyspepsia and regurgitation are the main symptoms of
gastroesophageal reflux disease (GERD); however,
hoarseness is one of the most common long-term
symptoms of GERD due to the irritation of the reflux of
gastric secretions.
Ignatavicius, (2016). Medical-surgical nursing: Patient-
centered collaborative care, eight edition., Ch. 49, p. 1111.
A client presents with chronic venous insufficiency. Which
assessment finding should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication.
, Peripheral cyanosis. - <<<<Answers>>>>Bilateral lower
leg stasis dermatitis.
Clients who suffer from chroninc venous insufficiency
often develop statsis dermatitis in the lower extremities.
Statis dermatitis appear as brownish-red discoloration on
the lower extremities at the ankles which can develop into
stasis ulcers due to the pooling of the venous blood flow
back to the heart.
Ignatavicius, (2013). Medical-surgical nursing: Patient-
centered collaborative care, 7th ed.., Ch. 33, p. 803.
A client has been hospitalized with a femur fracture and is
being treated with traction. Which action by the nurse is
the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders. -
<<<<Answers>>>>Assess neurovascular status.
The use of traction for long bone fractures reduces the
potential for damage to the surrounding tissues. Reports
of increased pain may indicate circulatory compromise or
tissue damage (compartment syndrome). Assessing the
client's neurovascular status is the nurse's highest priority.
Ignatavicius, (2016). Medical-surgical nursing: Patient-
centered collaborative care, eight edition., Ch. 51, pp.
1051-80.
