NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
Which assessment is most important for the nurse to perform on a clientwho
ii ii ii ii ii ii ii ii ii ii ii ii i
ii is hospitalized for Guillain-Barre syndrome that is rapidly progressing?
ii ii ii ii ii ii ii ii
• Respiratory effort. ii
• Unsteady gait. ii
• Intensity of pain. ii ii
• Ability to eat. ii ii
Guillain-Barre syndrome causes paralysis or weakness that typically startsatii ii ii ii ii ii ii ii i
ii the feet and progresses upwards. As the condition progresses, the nurse must
ii ii ii ii ii ii ii ii ii ii ii
ii ensure that the client is able to breathe effectively.
ii ii ii ii ii ii ii ii
Heuther, Understanding Pathophysiology, 6th ed. p. 412
ii ii ii ii ii ii
Amale client comes into the clinic with a history of penile dischargewith
i ii ii ii ii ii ii ii ii ii ii ii i
ii painful, burning urination. Which action should the nurse implement?
ii ii ii ii ii ii ii ii
• Collect a culture of the penile discharge. ii ii ii ii ii ii
• Palpate the inguinal lymph nodes gently. ii ii ii ii ii
• Observe for scrotal swelling and redness. ii ii ii ii ii
• Express the discharge to determine color. ii ii ii ii ii
Page 1 of 100
, NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
Penile discharge with painful urination is commonly associated with
ii ii ii ii ii ii ii ii
ii gonorrhea. The nurse should collect a culture of the penile discharge to
ii ii ii ii ii ii ii ii ii ii ii
ii determine the cause of these symptoms. The cause must be determined or
ii ii ii ii ii ii ii ii ii ii ii
confirmed through culture to identify the organism and ensure effective
i ii ii ii ii ii ii ii ii ii
ii treatment.
Jarvis Physical Examination and Health Assessment,6th
ii ii ii ii ii i
ii edition 3 ii
Aclient with history of atrial fibrillation is admitted to the telemetry unit
i ii ii ii ii ii ii ii ii ii ii ii
with sudden
i ii
onset of shortness of breath. The nurse observes a new irregular heart
ii ii ii ii ii ii ii ii ii ii ii
rhythm and should perform which assessment at this time?
i ii ii ii ii ii ii ii ii
• Check for a pulse deficit. ii ii ii ii
• Palpate the apical impulse. ii ii ii
• Inspect jugular vein pulse. ii ii ii
• Examine for a carotid bruit. ii ii ii ii
A client with a past history of atrial fibrillation may return to that rhythm.
ii ii ii ii ii ii ii ii ii ii ii ii ii
Any signs of atrial fibrillation, such as sudden onset shortnessof breath,
i ii ii ii ii ii ii ii ii ii i ii
ii requires further investigation. The nurse should assess this client for a
ii ii ii ii ii ii ii ii ii ii
ii pulse deficit because this condition occurs with atrial fibrillation.
ii ii ii ii ii ii ii ii
Jarvis. (2016); Physical Examination and Health Assessment, (Chap19) 7th ed., p. 481
ii ii ii ii ii i ii i ii ii ii ii
Page 2 of 100
, NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
4.
Which client should be further assessed for an ectopic pregnancy?
ii ii ii ii ii ii ii ii ii
• A24-year-old with shoulder and lower abdominal quadrant pain.
i ii ii ii ii ii ii ii
• A33-year-old with intermittent lower abdominal cramping.
i ii ii ii ii ii
• A20-year-old with fever and right lower abdominal colic.
i ii ii ii ii ii ii ii
• A40-year-old with jaundice and right lower abdominal pain.
i ii ii ii ii ii ii ii
A 24-year-old with sudden onset of lower abdominal quadrant pain
ii ii ii ii ii ii ii ii ii
ii should be assessed for an ectopic pregnancy. The pain can also be
ii ii ii ii ii ii ii ii ii ii ii
ii referred to the shoulder and may be associated with vaginal bleeding.
ii ii ii ii ii ii ii ii ii ii
HealthAssessment for Nursing Practice, Wilson and
i i ii ii ii ii ii
Giddens. p.269 5. ii ii
Which dietary assessment finding is most important for the nurse to
ii ii ii ii ii ii ii ii ii ii
address when
i ii
caring for a client with diabetic nephropathy?
ii ii ii ii ii ii
• Drinks a six pack of beer every day. ii ii ii ii ii ii ii
• Enjoys a hamburger once a month. ii ii ii ii ii
• Eats fortified breakfast cereal daily. ii ii ii ii
• Consumes beans and rice every day. ii ii ii ii ii
Page 3 of 100
, NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
Drinking six beers every day is the dietary assessment finding most
ii ii ii ii ii ii ii ii ii ii
ii important for the nurse to address when caring for a client with diabetic
ii ii ii ii ii ii ii ii ii ii ii ii
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
i ii ii ii ii ii ii ii ii ii ii ii ii
diabetes are recommended to drink no more than 12 ounces of beer per
i ii ii ii ii ii ii ii ii ii ii ii ii
ii day because beer contains carbohydrates that can create unhealthy
ii ii ii ii ii ii ii ii
ii fluctuations in blood glucose and promote poor glucose control. ii ii ii ii ii ii ii ii
Nephropathy is exacerbated by poor blood ii ii ii ii ii
glucose control. 6.
i ii ii
Which assessment finding is of greatest concern to the nurse who is caring
ii ii ii ii ii ii ii ii ii ii ii ii
for a client with stomatitis?
i ii ii ii ii
• Cough brought on by swallowing. ii ii ii ii
• Sore throat caused by speaking. ii ii ii ii
• Painful and dry oral cavity. ii ii ii ii
• Unintended weight loss. ii ii
Acough brought on by swallowing is a sign of dysphagia, which is a
i ii ii ii ii ii ii ii ii ii ii ii ii
finding of particular concern in a client with stomatitis. Dysphagia can
i ii ii ii ii ii ii ii ii ii ii
ii cause numerous problems, including airway obstruction, and should
ii ii ii ii ii ii ii
ii be reported to the healthcare provider immediately.
ii ii ii ii ii ii
Page 4 of 100
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
Which assessment is most important for the nurse to perform on a clientwho
ii ii ii ii ii ii ii ii ii ii ii ii i
ii is hospitalized for Guillain-Barre syndrome that is rapidly progressing?
ii ii ii ii ii ii ii ii
• Respiratory effort. ii
• Unsteady gait. ii
• Intensity of pain. ii ii
• Ability to eat. ii ii
Guillain-Barre syndrome causes paralysis or weakness that typically startsatii ii ii ii ii ii ii ii i
ii the feet and progresses upwards. As the condition progresses, the nurse must
ii ii ii ii ii ii ii ii ii ii ii
ii ensure that the client is able to breathe effectively.
ii ii ii ii ii ii ii ii
Heuther, Understanding Pathophysiology, 6th ed. p. 412
ii ii ii ii ii ii
Amale client comes into the clinic with a history of penile dischargewith
i ii ii ii ii ii ii ii ii ii ii ii i
ii painful, burning urination. Which action should the nurse implement?
ii ii ii ii ii ii ii ii
• Collect a culture of the penile discharge. ii ii ii ii ii ii
• Palpate the inguinal lymph nodes gently. ii ii ii ii ii
• Observe for scrotal swelling and redness. ii ii ii ii ii
• Express the discharge to determine color. ii ii ii ii ii
Page 1 of 100
, NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
Penile discharge with painful urination is commonly associated with
ii ii ii ii ii ii ii ii
ii gonorrhea. The nurse should collect a culture of the penile discharge to
ii ii ii ii ii ii ii ii ii ii ii
ii determine the cause of these symptoms. The cause must be determined or
ii ii ii ii ii ii ii ii ii ii ii
confirmed through culture to identify the organism and ensure effective
i ii ii ii ii ii ii ii ii ii
ii treatment.
Jarvis Physical Examination and Health Assessment,6th
ii ii ii ii ii i
ii edition 3 ii
Aclient with history of atrial fibrillation is admitted to the telemetry unit
i ii ii ii ii ii ii ii ii ii ii ii
with sudden
i ii
onset of shortness of breath. The nurse observes a new irregular heart
ii ii ii ii ii ii ii ii ii ii ii
rhythm and should perform which assessment at this time?
i ii ii ii ii ii ii ii ii
• Check for a pulse deficit. ii ii ii ii
• Palpate the apical impulse. ii ii ii
• Inspect jugular vein pulse. ii ii ii
• Examine for a carotid bruit. ii ii ii ii
A client with a past history of atrial fibrillation may return to that rhythm.
ii ii ii ii ii ii ii ii ii ii ii ii ii
Any signs of atrial fibrillation, such as sudden onset shortnessof breath,
i ii ii ii ii ii ii ii ii ii i ii
ii requires further investigation. The nurse should assess this client for a
ii ii ii ii ii ii ii ii ii ii
ii pulse deficit because this condition occurs with atrial fibrillation.
ii ii ii ii ii ii ii ii
Jarvis. (2016); Physical Examination and Health Assessment, (Chap19) 7th ed., p. 481
ii ii ii ii ii i ii i ii ii ii ii
Page 2 of 100
, NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
4.
Which client should be further assessed for an ectopic pregnancy?
ii ii ii ii ii ii ii ii ii
• A24-year-old with shoulder and lower abdominal quadrant pain.
i ii ii ii ii ii ii ii
• A33-year-old with intermittent lower abdominal cramping.
i ii ii ii ii ii
• A20-year-old with fever and right lower abdominal colic.
i ii ii ii ii ii ii ii
• A40-year-old with jaundice and right lower abdominal pain.
i ii ii ii ii ii ii ii
A 24-year-old with sudden onset of lower abdominal quadrant pain
ii ii ii ii ii ii ii ii ii
ii should be assessed for an ectopic pregnancy. The pain can also be
ii ii ii ii ii ii ii ii ii ii ii
ii referred to the shoulder and may be associated with vaginal bleeding.
ii ii ii ii ii ii ii ii ii ii
HealthAssessment for Nursing Practice, Wilson and
i i ii ii ii ii ii
Giddens. p.269 5. ii ii
Which dietary assessment finding is most important for the nurse to
ii ii ii ii ii ii ii ii ii ii
address when
i ii
caring for a client with diabetic nephropathy?
ii ii ii ii ii ii
• Drinks a six pack of beer every day. ii ii ii ii ii ii ii
• Enjoys a hamburger once a month. ii ii ii ii ii
• Eats fortified breakfast cereal daily. ii ii ii ii
• Consumes beans and rice every day. ii ii ii ii ii
Page 3 of 100
, NURS NGN HESI Med-Surg Exam Questions and
ii ii ii ii ii ii
Answers GradedA+ latest update 2025/2026 A+
i ii i ii ii ii ii
Drinking six beers every day is the dietary assessment finding most
ii ii ii ii ii ii ii ii ii ii
ii important for the nurse to address when caring for a client with diabetic
ii ii ii ii ii ii ii ii ii ii ii ii
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
i ii ii ii ii ii ii ii ii ii ii ii ii
diabetes are recommended to drink no more than 12 ounces of beer per
i ii ii ii ii ii ii ii ii ii ii ii ii
ii day because beer contains carbohydrates that can create unhealthy
ii ii ii ii ii ii ii ii
ii fluctuations in blood glucose and promote poor glucose control. ii ii ii ii ii ii ii ii
Nephropathy is exacerbated by poor blood ii ii ii ii ii
glucose control. 6.
i ii ii
Which assessment finding is of greatest concern to the nurse who is caring
ii ii ii ii ii ii ii ii ii ii ii ii
for a client with stomatitis?
i ii ii ii ii
• Cough brought on by swallowing. ii ii ii ii
• Sore throat caused by speaking. ii ii ii ii
• Painful and dry oral cavity. ii ii ii ii
• Unintended weight loss. ii ii
Acough brought on by swallowing is a sign of dysphagia, which is a
i ii ii ii ii ii ii ii ii ii ii ii ii
finding of particular concern in a client with stomatitis. Dysphagia can
i ii ii ii ii ii ii ii ii ii ii
ii cause numerous problems, including airway obstruction, and should
ii ii ii ii ii ii ii
ii be reported to the healthcare provider immediately.
ii ii ii ii ii ii
Page 4 of 100
