Med Surg HESI Practice Questions with Answers Graded A+
What discharge instructions is most important for a client
after a kidney transplant?
A. Weigh weekly C. Use daily reminders to take immunosuppressants
B. Report symptoms of secondary Candidiasis
C. Use daily reminders to take immunosuppressants
D. Stop cigarette smoking
The nurse is planning care to prevent complication for a
client with multiple myeloma. Which intervention is most
important for the nurse to include?
C. Maintain a fluid intake of 3 to 4 L per day
A. Safety precautions during activity
B. Assess for changes in size of lymph nodes
C. Maintain a fluid intake of 3 to 4 L per day
D. Administer narcotic analgesic around the clock
A client has a staging procedure for cancer of the breast
and ask the nurse which type of breast cancer has the
poorest prognosis. Which information should the nurse
otter the client?
D. Inflammatory with peau d'orange
A. Stage II
B. Invasive infiltrating ductal carcinoma
C. T1N0M0
D. Inflammatory with peau d'orange
The nurse assess a client with advanced cirrhosis of the
liver for signs of hepatic encephalopathy. Which finding
would the nurse consider an indication of progressive
hepatic encephalopathy? D. Diflculty in handwriting
A. An increase in abdominal girth
B. Hypertension and a bounding pulse
,Med Surg HESI Practice Questions with Answers Graded A+
C. Decreased bowel sounds
D. Diflculty in handwriting
While working in the emergency room, the nurse is ex-
posed to a client with active tuberculosis. When should
the nurse plan to obtain a tuberculin skin test?
C. Four to six weeks after exposure
A. Immediately after the exposure
B. Within one week of the exposure
C. Four to six weeks after exposure
D. Three months after the exposure
A client with a completed ischemic stroke has a blood
pressure of 180/90 mm Hg. Which action should the
nurse implement?
D. Give an antihypertensive medication
A. Position the head of the bed (HOB) flat
B. Withhold intravenous fluids
C. Administer a bolus of Iv fluids
D. Give an antihypertensive medication
An elderly male client comes to the geriatric screening
clinic complaining of pain in his left calf. The nurse notices
a reddened area on the calf of his right leg which is warm
to the touch and suspects it might be thrombophlebitis.
Which type of pain would further confirm this suspicion?
C. Pain in the calf upon exertion which is relieved by rest
A. Pain in the calf awakening him from a sound sleep
and elevating the extremity
B. Calf pain on exertion which stops when standing in one
place
C. Pain in the calf upon exertion which is relieved by rest
and elevating the extremity
D. Pain upon arising in the morning which is relieved after
some stretching and exercise
,Med Surg HESI Practice Questions with Answers Graded A+
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing diflculties B. Sudden, stabbing, severe pain over the lip and chin
B. Sudden, stabbing, severe pain over the lip and chin
C. Facial weakness and paralysis
D. Diflculty in chewing, talking, and swallowing
A client receiving cholestyramine (Questran) for hyperlipi-
demia should be evaluated for what vitamin deficiency?
A. K A. K
B. B12
C. B6
D. C
A client who is receiving chemotherapy asks the nurse,
"Why is so much of my hair falling out each day?" Which
response by the nurse best explains the reason for alope-
cia?
A. "Chemotherapy attects the cells of the body that grow
A. "Chemotherapy attects the cells of the body that grow
rapidly, both normal and malignant."
rapidly, both normal and malignant."
B. "Alopecia is a common side ettects you will experience
during long-term steroid therapy."
C. "Your hair will grow back completely after your course
of chemotherapy is completed."
D. "The chemotherapy causes permanent alterations in
your follicles that lead to hair loss."
The nurse is working in a postoperative surgical clinic is
assessing a woman who had a left radical mastectomy for
breast cancer. Which factor puts this client at a greatest
risk for developing lymphedema?
, Med Surg HESI Practice Questions with Answers Graded A+
A. She sustained an insect bite to her left arm yesterday
B. She has lost twenty pounds since the surgery
A. She sustained an insect bite to her left arm yesterday
C. Her healthcare provider now prescribes a calcium chan-
nel blocker for hypertension
D. Her lobby is playing classical music on the piano
A female client taking oral contraceptives reports to the
nurse that she is experiencing calf pain. What action
should the nurse implement?
A. Determine if the client has also experienced breast
tenderness and weight gain C. Advise the client to notify the healthcare provider for
B. Encourage the client to begin a regular, daily program immediate medical attention
of walking and exercise
C. Advise the client to notify the healthcare provider for
immediate medical attention
D. Tell the client to stop taking the medication for a week
to see if symptoms subside.
During suctioning, a client with an uncutted tracheostomy
tube begins to cough violently and dislodges the tra-
cheostomy tube. Which action should the nurse imple-
ment first?
A. Notify HCP for reinsertion B. Attempt to reinsert the tracheostomy tube
B. Attempt to reinsert the tracheostomy tube
C. Position the client in a lateral position with the neck
extended
D. Ventilate client's tracheostomy stoma with a manual
bag-mask
In assessing cancer risk, the nurse identifies which woman
as being a greatest risk of developing breast cancer?
What discharge instructions is most important for a client
after a kidney transplant?
A. Weigh weekly C. Use daily reminders to take immunosuppressants
B. Report symptoms of secondary Candidiasis
C. Use daily reminders to take immunosuppressants
D. Stop cigarette smoking
The nurse is planning care to prevent complication for a
client with multiple myeloma. Which intervention is most
important for the nurse to include?
C. Maintain a fluid intake of 3 to 4 L per day
A. Safety precautions during activity
B. Assess for changes in size of lymph nodes
C. Maintain a fluid intake of 3 to 4 L per day
D. Administer narcotic analgesic around the clock
A client has a staging procedure for cancer of the breast
and ask the nurse which type of breast cancer has the
poorest prognosis. Which information should the nurse
otter the client?
D. Inflammatory with peau d'orange
A. Stage II
B. Invasive infiltrating ductal carcinoma
C. T1N0M0
D. Inflammatory with peau d'orange
The nurse assess a client with advanced cirrhosis of the
liver for signs of hepatic encephalopathy. Which finding
would the nurse consider an indication of progressive
hepatic encephalopathy? D. Diflculty in handwriting
A. An increase in abdominal girth
B. Hypertension and a bounding pulse
,Med Surg HESI Practice Questions with Answers Graded A+
C. Decreased bowel sounds
D. Diflculty in handwriting
While working in the emergency room, the nurse is ex-
posed to a client with active tuberculosis. When should
the nurse plan to obtain a tuberculin skin test?
C. Four to six weeks after exposure
A. Immediately after the exposure
B. Within one week of the exposure
C. Four to six weeks after exposure
D. Three months after the exposure
A client with a completed ischemic stroke has a blood
pressure of 180/90 mm Hg. Which action should the
nurse implement?
D. Give an antihypertensive medication
A. Position the head of the bed (HOB) flat
B. Withhold intravenous fluids
C. Administer a bolus of Iv fluids
D. Give an antihypertensive medication
An elderly male client comes to the geriatric screening
clinic complaining of pain in his left calf. The nurse notices
a reddened area on the calf of his right leg which is warm
to the touch and suspects it might be thrombophlebitis.
Which type of pain would further confirm this suspicion?
C. Pain in the calf upon exertion which is relieved by rest
A. Pain in the calf awakening him from a sound sleep
and elevating the extremity
B. Calf pain on exertion which stops when standing in one
place
C. Pain in the calf upon exertion which is relieved by rest
and elevating the extremity
D. Pain upon arising in the morning which is relieved after
some stretching and exercise
,Med Surg HESI Practice Questions with Answers Graded A+
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing diflculties B. Sudden, stabbing, severe pain over the lip and chin
B. Sudden, stabbing, severe pain over the lip and chin
C. Facial weakness and paralysis
D. Diflculty in chewing, talking, and swallowing
A client receiving cholestyramine (Questran) for hyperlipi-
demia should be evaluated for what vitamin deficiency?
A. K A. K
B. B12
C. B6
D. C
A client who is receiving chemotherapy asks the nurse,
"Why is so much of my hair falling out each day?" Which
response by the nurse best explains the reason for alope-
cia?
A. "Chemotherapy attects the cells of the body that grow
A. "Chemotherapy attects the cells of the body that grow
rapidly, both normal and malignant."
rapidly, both normal and malignant."
B. "Alopecia is a common side ettects you will experience
during long-term steroid therapy."
C. "Your hair will grow back completely after your course
of chemotherapy is completed."
D. "The chemotherapy causes permanent alterations in
your follicles that lead to hair loss."
The nurse is working in a postoperative surgical clinic is
assessing a woman who had a left radical mastectomy for
breast cancer. Which factor puts this client at a greatest
risk for developing lymphedema?
, Med Surg HESI Practice Questions with Answers Graded A+
A. She sustained an insect bite to her left arm yesterday
B. She has lost twenty pounds since the surgery
A. She sustained an insect bite to her left arm yesterday
C. Her healthcare provider now prescribes a calcium chan-
nel blocker for hypertension
D. Her lobby is playing classical music on the piano
A female client taking oral contraceptives reports to the
nurse that she is experiencing calf pain. What action
should the nurse implement?
A. Determine if the client has also experienced breast
tenderness and weight gain C. Advise the client to notify the healthcare provider for
B. Encourage the client to begin a regular, daily program immediate medical attention
of walking and exercise
C. Advise the client to notify the healthcare provider for
immediate medical attention
D. Tell the client to stop taking the medication for a week
to see if symptoms subside.
During suctioning, a client with an uncutted tracheostomy
tube begins to cough violently and dislodges the tra-
cheostomy tube. Which action should the nurse imple-
ment first?
A. Notify HCP for reinsertion B. Attempt to reinsert the tracheostomy tube
B. Attempt to reinsert the tracheostomy tube
C. Position the client in a lateral position with the neck
extended
D. Ventilate client's tracheostomy stoma with a manual
bag-mask
In assessing cancer risk, the nurse identifies which woman
as being a greatest risk of developing breast cancer?
