HESI - MEDICAL SURGICAL NURSING EXAM
PREPARATION TEST LATEST STRUCTURED
QUESTIONS WIH CORRECT VERIFIED
ANSWERS GRADED A+ 2026
1
,When describing patient education approaches, the nurse educator would explain that
informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs ANSWER >> C. Informal teaching is individualized one on
one teaching which represents the majority of patient education done by nurses that
occurs when an intervention is explained or a question is answered. Group needs are
often the focus of formal patient education courses or classes. Informal teaching does
not necessarily follow a specific formalized plan. It may be planned with specific
content, but it is individualized responses to patient needs. Formal teaching involves the
use of a curriculum/course plan with standardized content.
A patient expresses a strong interest in returning to their work, family, and hobbies after
having a stroke. Which theory type would the nurse use to develop a plan of care for the
best results of this patient's motivation style?
a. field
b. biological
2
,c. cognitive
d. sociologic ANSWER >> C. Cognitive theorists believe that attention, relevance,
confidence, and satisfaction (ARCS) are the conditions that, when integrated, motivate
someone to learn. Field theorists place significance on how achievement, power, the
need for affiliation, and avoidance motives influence individual behavior. Sociologic
theories are not involved in motivation.
The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic ANSWER >> C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at greater risk for
hypothermia. Clients who smoke, consume alcohol, or have impaired peripheral
circulation have a higher incidence of frostbite.
3
, Which statement made by a nurse represents the need for further education regarding
pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as much ANSWER
>> D
There is no evidence to support the idea that older adult clients perceive pain any
differently than younger clients. The other statements are accurate regarding older
clients and pain.
The nurse is working at a first aid booth for a spring training game on a hot day. A
spectator comes in, reporting that he is not feeling well. Vital signs are temp 104.1 F,
pulse 132 BPM, respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He trips
over his feet as the nurse leads him to a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
4
PREPARATION TEST LATEST STRUCTURED
QUESTIONS WIH CORRECT VERIFIED
ANSWERS GRADED A+ 2026
1
,When describing patient education approaches, the nurse educator would explain that
informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs ANSWER >> C. Informal teaching is individualized one on
one teaching which represents the majority of patient education done by nurses that
occurs when an intervention is explained or a question is answered. Group needs are
often the focus of formal patient education courses or classes. Informal teaching does
not necessarily follow a specific formalized plan. It may be planned with specific
content, but it is individualized responses to patient needs. Formal teaching involves the
use of a curriculum/course plan with standardized content.
A patient expresses a strong interest in returning to their work, family, and hobbies after
having a stroke. Which theory type would the nurse use to develop a plan of care for the
best results of this patient's motivation style?
a. field
b. biological
2
,c. cognitive
d. sociologic ANSWER >> C. Cognitive theorists believe that attention, relevance,
confidence, and satisfaction (ARCS) are the conditions that, when integrated, motivate
someone to learn. Field theorists place significance on how achievement, power, the
need for affiliation, and avoidance motives influence individual behavior. Sociologic
theories are not involved in motivation.
The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic ANSWER >> C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at greater risk for
hypothermia. Clients who smoke, consume alcohol, or have impaired peripheral
circulation have a higher incidence of frostbite.
3
, Which statement made by a nurse represents the need for further education regarding
pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as much ANSWER
>> D
There is no evidence to support the idea that older adult clients perceive pain any
differently than younger clients. The other statements are accurate regarding older
clients and pain.
The nurse is working at a first aid booth for a spring training game on a hot day. A
spectator comes in, reporting that he is not feeling well. Vital signs are temp 104.1 F,
pulse 132 BPM, respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He trips
over his feet as the nurse leads him to a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
4
