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) B
Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Diflculty in chewing, talking, and swallowing.
A 67-year-old woman who lives alone is admitted after
tripping on a rug in her home and fractures her hip. Which
predisposing factor probably led to the fracture in the
proximal end of her femur?
Failing eyesight resulting in an unsafe environment.
A) C
B) Renal osteodystrophy resulting from chronic renal fail-
ure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which
impair mental acuity.
The nurse is assisting a client out of bed for the first time
after surgery. What action should the nurse do first?
A) Place a chair at a right angle to the bedside.
B) Encourage deep breathing prior to standing.
C) D
Help the client to sit and dangle legs on the side of the
bed.
D) Allow the client to sit with the bed in a high Fowler's
position.
A 20-year-old female client calls the nurse to report a lump
she found in her breast. Which response is the best for
the nurse to provide?
A) B
Check it again in one month, and if it is still there
schedule an appointment.
B) Most lumps are benign, but it is always best to come
,Med Surg HESI Practice Questions with Answers Graded A
in for an examination.
C) Try not to worry too much about it, because usually,
most lumps are benign.
D) If you are in your menstrual period it is not a good time
to check for lumps.
A female client is brought to the clinic by her daughter for
a flu shot. She has lost significant weight since the last visit.
She has poor personal hygiene and inadequate clothing
for the weather. The client states that she lives alone and
denies problems or concerns. What action should the
nurse implement?
A) Notify social services immediately of suspected elderly
D
abuse.
B) Discuss the need for mental health counseling with the
daughter.
C) Explain to the client that she needs to take better care
of herself.
D) Collect further data to determine whether self-neglect
is occurring.
A client is admitted to the medical intensive care unit with
a diagnosis of myocardial infarction. The client's history
indicates the infarction occurred ten hours ago. Which
laboratory test result should the nurse expect this client
to exhibit? C
A) Elevated LDH.
B) Elevated serum amylase.
C) Elevated CK-MB.
D) Elevated hematocrit.
A splint is prescribed for nighttime use by a client with
rheumatoid arthritis. Which statement by the nurse pro-
vides the most accurate explanation for use of the splints?
,Med Surg HESI Practice Questions with Answers Graded A
A) Prevention of deformities.
B) Avoidance of joint trauma.
A
C) Relief of joint inflammation.
D) Improvement in joint strength.
The nurse should be correct in withholding a dose of
digoxin in a client with congestive heart failure without
specific instruction from the healthcare provider if the
client's
A) C
serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min.
During CPR, when attempting to ventilate a client's lungs,
the nurse notes that the chest is not moving. What action
should the nurse take first?
A) Use a laryngoscope to check for a foreign body lodged
in the esophagus.
B) Reposition the head to validate that the head is in the B
proper position to open the airway.
C) Turn the client to the side and administer three back
blows.
D) Perform a finger sweep of the mouth to remove any
vomitus.
Despite several eye surgeries, a 78-year-old client who
lives alone has persistent vision problems. The visiting
nurse is discussing painting the house with the client.
The nurse suggests that the edge of the steps should be D
painted which color?
A) Black.
B) White.
, Med Surg HESI Practice Questions with Answers Graded A
C) Light green.
D) Medium yellow.
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
A) Cyanosis of the fingertips. A
B) Bradycardia and bradypnea.
C) Presence of S3 and S4 heart sounds.
D) 3+ pitting edema of the lower extremities.
In assessing a client diagnosed with primary hyperaldos-
teronism, the nurse expects the laboratory test results to
indicate a decreased serum level of which substance?
A) Sodium. C
B) Antidiuretic hormone.
C) Potassium.
D) Glucose.
A client with diabetes mellitus is experiencing polyphagia.
Which outcome statement is the priority for this client?
Fluid and electrolyte balance.
A) D
B) Prevention of water toxicity.
C) Reduced glucose in the urine.
D) Adequate cellular nourishment.
Based on the analysis of the client's atrial fibrillation, the
nurse should prepare the client for which treatment pro-
tocol?
A) Diuretic therapy. C
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization.
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing diflculties.
B) B
Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Diflculty in chewing, talking, and swallowing.
A 67-year-old woman who lives alone is admitted after
tripping on a rug in her home and fractures her hip. Which
predisposing factor probably led to the fracture in the
proximal end of her femur?
Failing eyesight resulting in an unsafe environment.
A) C
B) Renal osteodystrophy resulting from chronic renal fail-
ure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which
impair mental acuity.
The nurse is assisting a client out of bed for the first time
after surgery. What action should the nurse do first?
A) Place a chair at a right angle to the bedside.
B) Encourage deep breathing prior to standing.
C) D
Help the client to sit and dangle legs on the side of the
bed.
D) Allow the client to sit with the bed in a high Fowler's
position.
A 20-year-old female client calls the nurse to report a lump
she found in her breast. Which response is the best for
the nurse to provide?
A) B
Check it again in one month, and if it is still there
schedule an appointment.
B) Most lumps are benign, but it is always best to come
,Med Surg HESI Practice Questions with Answers Graded A
in for an examination.
C) Try not to worry too much about it, because usually,
most lumps are benign.
D) If you are in your menstrual period it is not a good time
to check for lumps.
A female client is brought to the clinic by her daughter for
a flu shot. She has lost significant weight since the last visit.
She has poor personal hygiene and inadequate clothing
for the weather. The client states that she lives alone and
denies problems or concerns. What action should the
nurse implement?
A) Notify social services immediately of suspected elderly
D
abuse.
B) Discuss the need for mental health counseling with the
daughter.
C) Explain to the client that she needs to take better care
of herself.
D) Collect further data to determine whether self-neglect
is occurring.
A client is admitted to the medical intensive care unit with
a diagnosis of myocardial infarction. The client's history
indicates the infarction occurred ten hours ago. Which
laboratory test result should the nurse expect this client
to exhibit? C
A) Elevated LDH.
B) Elevated serum amylase.
C) Elevated CK-MB.
D) Elevated hematocrit.
A splint is prescribed for nighttime use by a client with
rheumatoid arthritis. Which statement by the nurse pro-
vides the most accurate explanation for use of the splints?
,Med Surg HESI Practice Questions with Answers Graded A
A) Prevention of deformities.
B) Avoidance of joint trauma.
A
C) Relief of joint inflammation.
D) Improvement in joint strength.
The nurse should be correct in withholding a dose of
digoxin in a client with congestive heart failure without
specific instruction from the healthcare provider if the
client's
A) C
serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min.
During CPR, when attempting to ventilate a client's lungs,
the nurse notes that the chest is not moving. What action
should the nurse take first?
A) Use a laryngoscope to check for a foreign body lodged
in the esophagus.
B) Reposition the head to validate that the head is in the B
proper position to open the airway.
C) Turn the client to the side and administer three back
blows.
D) Perform a finger sweep of the mouth to remove any
vomitus.
Despite several eye surgeries, a 78-year-old client who
lives alone has persistent vision problems. The visiting
nurse is discussing painting the house with the client.
The nurse suggests that the edge of the steps should be D
painted which color?
A) Black.
B) White.
, Med Surg HESI Practice Questions with Answers Graded A
C) Light green.
D) Medium yellow.
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
A) Cyanosis of the fingertips. A
B) Bradycardia and bradypnea.
C) Presence of S3 and S4 heart sounds.
D) 3+ pitting edema of the lower extremities.
In assessing a client diagnosed with primary hyperaldos-
teronism, the nurse expects the laboratory test results to
indicate a decreased serum level of which substance?
A) Sodium. C
B) Antidiuretic hormone.
C) Potassium.
D) Glucose.
A client with diabetes mellitus is experiencing polyphagia.
Which outcome statement is the priority for this client?
Fluid and electrolyte balance.
A) D
B) Prevention of water toxicity.
C) Reduced glucose in the urine.
D) Adequate cellular nourishment.
Based on the analysis of the client's atrial fibrillation, the
nurse should prepare the client for which treatment pro-
tocol?
A) Diuretic therapy. C
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization.
