SAUNDERS HESI MED SURG EXAM QUESTIONS AND
ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE
2025/2026 (MULTIPLE CHOICES) WITH RATIONALES.
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HESI-RN Med-Surg Test EXAM 2026... PEDIATRICS - HESI PRACTICE EXA... NEW GENERATION (NGN) NCLEX R... Mo
Teacher 125 terms Teacher 84 terms Teacher 41 terms 100
freannjoroge Preview samuel_wachira1 Preview Edwin_Maina84 Preview
Terms in this set (191)
The nurse is conducting a session about the principles 4
of first aid and is discussing the interventions for
snakebite to an extremity. The nurse should inform In the event of a snakebite, the first priority is to move the victim to a safe area
those attending the session that the first priority away from the snake and encourage the victim to rest to decrease venom
intervention in the event of this occurrence is which circulation. Next, jewelry and constricting clothing are removed before
action? swelling occurs. Immobilizing the extremity and maintaining the extremity at the
heart level would be done next; these actions limit the spread of the venom.
1. Immobilize the affected extremity. The victim is kept warm and calm. Stimulants such as alcohol or caffeinated
2. Remove jewelry and constricting clothing from the beverages are not given to the victim because these products may speed the
victim. absorption of the venom. The victim should be transported to an emergency
3. Place the extremity in a position so that it is below facility as soon as possible.
the level of the heart.
4. Move the victim to a safe area away from the snake
and encourage the victim to rest.
A client calls the emergency department and tells the 3
nurse that he came directly into contact with poison ivy
shrubs. The client tells the nurse that he cannot see When an individual comes in contact with a poison
anything on the skin and asks the nurse what to do. The ivy plant, the sap from the plant forms an invisible film on the human skin. The
nurse should make which response? client should be instructed to cleanse the area by showering immediately and
to lather the skin several times and rinse each time in running water. Removing
1. "Come to the emergency department." the poison ivy sap will decrease the likelihood of irritation. Calamine lotion
2. "Apply calamine lotion immediately to the exposed may be one product recommended for use if dermatitis
skin areas." develops. The client does not need to be seen in the emergency department at
3. "Take a shower immediately, lathering and rinsing this time.
several times."
4. "It is not necessary to do anything if you cannot see
anything on your skin."
,A client is being admitted to the hospital for treatment 2
of acute cellulitis of the lower left leg. During the
admission assessment, the nurse expects to note which Cellulitis is an infection of the dermis and underlying hypodermis that results in
finding? deep red erythema without
sharp borders and spreads widely throughout tissue spaces. The skin is
1. An inflammation of the epidermis only erythematous, edematous, tender, and sometimes nodular. Erysipelas is an
2. A skin infection of the dermis and underlying acute, superficial, rapidly spreading inflammation of the dermis and lymphatics.
hypodermis The infection is not superficial and extends deeper than the epidermis.
3. An acute superficial infection of the dermis and
lymphatics
4. An epidermal and lymphatic infection caused by
Staphylococcus
The clinic nurse assesses the skin of a client with 4, 5
psoriasis after the client has used a new topical
treatment for 2 months. The nurse identifies which Psoriasis skin lesions include thick reddened papules or plaques covered by
characteristics as improvement in the manifestations of silvery-white patches. A decrease in the severity of these skin lesions is noted
psoriasis? (SELECT ALL THAT APPLY) as an improvement. The presence of striae (stretch marks), palpable pulses, or
lack of ecchymosis is not related to psoriasis.
1. Presence of striae
2. Palpable radial pulses
3. Absence of any ecchymosis on the extremities
4. Thinner and decrease in the number of reddish
papules
5. Scarce amount of silvery-white scaly patches on the
arms
The clinic nurse notes that the health care provider has 2
documented a diagnosis of herpes zoster (shingles) in
the client's chart. Based on an understanding of the With the classic presentation of herpes zoster, the
cause of this disorder, the nurse determines that this clinical examination is diagnostic. However, viral culture of the lesion provides a
definitive diagnosis was made by which diagnostic test? definitive diagnosis. Herpes zoster (shingles) is caused by a reactivation of the
varicella-zoster virus, the virus that causes chickenpox. A patch test is a skin test
1. Positive patch test that involves the administration of an allergen to the surface of the skin to
2. Positive culture results identify specific allergies. A biopsy would provide a cytological examination of
3. Abnormal biopsy results tissue. In a Wood's light examination, the skin is viewed under ultraviolet light to
4. Wood's light examination indicative of infection identify superficial infections of the skin.
, A client returns to the clinic for follow-up treatment 2, 3
following a skin biopsy of a suspicious lesion
performed 1 week ago. The biopsy report indicates that Melanomas are pigmented malignant lesions originating in the melanin-
the lesion is a melanoma. The nurse understands that producing cells of the epidermis. Melanomas cause changes in a nevus (mole),
melanoma has which characteristics? (SELECT ALL THAT including color and borders. This skin cancer is highly metastatic, and a person's
APPLY.) survival depends on early diagnosis and treatment. Melanomas are not painful
or accompanied by sign of inflammation. Although sun exposure increases the
1. Lesion is painful to touch. risk of melanoma, lesions are most commonly found on the upper back and
2. Lesion is highly metastatic. legs and on
3. Lesion is a nevus that has changes in color. the soles and palms of persons with dark skin.
4. Skin under the lesion is reddened and warm to touch.
5. Lesion occurs in body area exposed to outdoor
sunlight.
When assessing a lesion diagnosed as basal cell 4, 5
carcinoma, the nurse most likely expects to note which
findings? (SELECT ALL THAT APPLY.) Basal cell carcinoma appears as a pearly papule with
a central crater and rolled waxy border. Exposure to ultraviolet sunlight is a
1. An irregularly shaped lesion major risk factor. A melanoma is an irregularly shaped pigmented papule or
2. A small papule with a dry, rough scale plaque with a red-, white-, or blue-toned color. Actinic keratosis, a
3. A firm, nodular lesion topped with crust premalignant lesion, appears as a small macule or papule with a dry, rough,
4. A pearly papule with a central crater and a waxy adherent yellow or brown scale. Squamous cell carcinoma is a firm, nodular
border lesion topped with a crust or a central area of ulceration.
5. Location in the bald spot atop the head that is
exposed to outdoor sunlight
A client arriving at the emergency department has 4
experienced frostbite to the right hand. Which finding
would the nurse note on assessment of the client's Assessment findings in frostbite include a white or
hand? blue color; the skin will be hard, cold, and insensitive to touch. As thawing
occurs, flushing of the skin, the development of blisters or blebs, or tissue
1. A pink, edematous hand edema appears. Options 1, 2, and 3 are incorrect.
2. Fiery red skin with edema in the nail beds
3. Black fingertips surrounded by an erythematous rash
4. A white color to the skin, which is insensitive to touch
The evening nurse reviews the nursing documentation 4
in a client's chart and notes that the day nurse has
documented that the client has a stage II pressure ulcer In a stage II pressure ulcer, the skin is not intact.
in the sacral area. Which finding would the nurse expect Partial-thickness skin loss of the dermis has occurred. It presents as a shallow
to note on assessment of the client's sacral area? open ulcer with a red-pink wound bed, without slough. It may also present as
an intact or open/ruptured serum-filled blister. The skin is intact in stage I. Full-
1. Intact skin thickness skin loss occurs in stage III. Exposed bone, tendon, or muscle is
2. Full-thickness skin loss present in stage IV
3. Exposed bone, tendon, or muscle
4. Partial-thickness skin loss of the dermis
ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE
2025/2026 (MULTIPLE CHOICES) WITH RATIONALES.
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
HESI-RN Med-Surg Test EXAM 2026... PEDIATRICS - HESI PRACTICE EXA... NEW GENERATION (NGN) NCLEX R... Mo
Teacher 125 terms Teacher 84 terms Teacher 41 terms 100
freannjoroge Preview samuel_wachira1 Preview Edwin_Maina84 Preview
Terms in this set (191)
The nurse is conducting a session about the principles 4
of first aid and is discussing the interventions for
snakebite to an extremity. The nurse should inform In the event of a snakebite, the first priority is to move the victim to a safe area
those attending the session that the first priority away from the snake and encourage the victim to rest to decrease venom
intervention in the event of this occurrence is which circulation. Next, jewelry and constricting clothing are removed before
action? swelling occurs. Immobilizing the extremity and maintaining the extremity at the
heart level would be done next; these actions limit the spread of the venom.
1. Immobilize the affected extremity. The victim is kept warm and calm. Stimulants such as alcohol or caffeinated
2. Remove jewelry and constricting clothing from the beverages are not given to the victim because these products may speed the
victim. absorption of the venom. The victim should be transported to an emergency
3. Place the extremity in a position so that it is below facility as soon as possible.
the level of the heart.
4. Move the victim to a safe area away from the snake
and encourage the victim to rest.
A client calls the emergency department and tells the 3
nurse that he came directly into contact with poison ivy
shrubs. The client tells the nurse that he cannot see When an individual comes in contact with a poison
anything on the skin and asks the nurse what to do. The ivy plant, the sap from the plant forms an invisible film on the human skin. The
nurse should make which response? client should be instructed to cleanse the area by showering immediately and
to lather the skin several times and rinse each time in running water. Removing
1. "Come to the emergency department." the poison ivy sap will decrease the likelihood of irritation. Calamine lotion
2. "Apply calamine lotion immediately to the exposed may be one product recommended for use if dermatitis
skin areas." develops. The client does not need to be seen in the emergency department at
3. "Take a shower immediately, lathering and rinsing this time.
several times."
4. "It is not necessary to do anything if you cannot see
anything on your skin."
,A client is being admitted to the hospital for treatment 2
of acute cellulitis of the lower left leg. During the
admission assessment, the nurse expects to note which Cellulitis is an infection of the dermis and underlying hypodermis that results in
finding? deep red erythema without
sharp borders and spreads widely throughout tissue spaces. The skin is
1. An inflammation of the epidermis only erythematous, edematous, tender, and sometimes nodular. Erysipelas is an
2. A skin infection of the dermis and underlying acute, superficial, rapidly spreading inflammation of the dermis and lymphatics.
hypodermis The infection is not superficial and extends deeper than the epidermis.
3. An acute superficial infection of the dermis and
lymphatics
4. An epidermal and lymphatic infection caused by
Staphylococcus
The clinic nurse assesses the skin of a client with 4, 5
psoriasis after the client has used a new topical
treatment for 2 months. The nurse identifies which Psoriasis skin lesions include thick reddened papules or plaques covered by
characteristics as improvement in the manifestations of silvery-white patches. A decrease in the severity of these skin lesions is noted
psoriasis? (SELECT ALL THAT APPLY) as an improvement. The presence of striae (stretch marks), palpable pulses, or
lack of ecchymosis is not related to psoriasis.
1. Presence of striae
2. Palpable radial pulses
3. Absence of any ecchymosis on the extremities
4. Thinner and decrease in the number of reddish
papules
5. Scarce amount of silvery-white scaly patches on the
arms
The clinic nurse notes that the health care provider has 2
documented a diagnosis of herpes zoster (shingles) in
the client's chart. Based on an understanding of the With the classic presentation of herpes zoster, the
cause of this disorder, the nurse determines that this clinical examination is diagnostic. However, viral culture of the lesion provides a
definitive diagnosis was made by which diagnostic test? definitive diagnosis. Herpes zoster (shingles) is caused by a reactivation of the
varicella-zoster virus, the virus that causes chickenpox. A patch test is a skin test
1. Positive patch test that involves the administration of an allergen to the surface of the skin to
2. Positive culture results identify specific allergies. A biopsy would provide a cytological examination of
3. Abnormal biopsy results tissue. In a Wood's light examination, the skin is viewed under ultraviolet light to
4. Wood's light examination indicative of infection identify superficial infections of the skin.
, A client returns to the clinic for follow-up treatment 2, 3
following a skin biopsy of a suspicious lesion
performed 1 week ago. The biopsy report indicates that Melanomas are pigmented malignant lesions originating in the melanin-
the lesion is a melanoma. The nurse understands that producing cells of the epidermis. Melanomas cause changes in a nevus (mole),
melanoma has which characteristics? (SELECT ALL THAT including color and borders. This skin cancer is highly metastatic, and a person's
APPLY.) survival depends on early diagnosis and treatment. Melanomas are not painful
or accompanied by sign of inflammation. Although sun exposure increases the
1. Lesion is painful to touch. risk of melanoma, lesions are most commonly found on the upper back and
2. Lesion is highly metastatic. legs and on
3. Lesion is a nevus that has changes in color. the soles and palms of persons with dark skin.
4. Skin under the lesion is reddened and warm to touch.
5. Lesion occurs in body area exposed to outdoor
sunlight.
When assessing a lesion diagnosed as basal cell 4, 5
carcinoma, the nurse most likely expects to note which
findings? (SELECT ALL THAT APPLY.) Basal cell carcinoma appears as a pearly papule with
a central crater and rolled waxy border. Exposure to ultraviolet sunlight is a
1. An irregularly shaped lesion major risk factor. A melanoma is an irregularly shaped pigmented papule or
2. A small papule with a dry, rough scale plaque with a red-, white-, or blue-toned color. Actinic keratosis, a
3. A firm, nodular lesion topped with crust premalignant lesion, appears as a small macule or papule with a dry, rough,
4. A pearly papule with a central crater and a waxy adherent yellow or brown scale. Squamous cell carcinoma is a firm, nodular
border lesion topped with a crust or a central area of ulceration.
5. Location in the bald spot atop the head that is
exposed to outdoor sunlight
A client arriving at the emergency department has 4
experienced frostbite to the right hand. Which finding
would the nurse note on assessment of the client's Assessment findings in frostbite include a white or
hand? blue color; the skin will be hard, cold, and insensitive to touch. As thawing
occurs, flushing of the skin, the development of blisters or blebs, or tissue
1. A pink, edematous hand edema appears. Options 1, 2, and 3 are incorrect.
2. Fiery red skin with edema in the nail beds
3. Black fingertips surrounded by an erythematous rash
4. A white color to the skin, which is insensitive to touch
The evening nurse reviews the nursing documentation 4
in a client's chart and notes that the day nurse has
documented that the client has a stage II pressure ulcer In a stage II pressure ulcer, the skin is not intact.
in the sacral area. Which finding would the nurse expect Partial-thickness skin loss of the dermis has occurred. It presents as a shallow
to note on assessment of the client's sacral area? open ulcer with a red-pink wound bed, without slough. It may also present as
an intact or open/ruptured serum-filled blister. The skin is intact in stage I. Full-
1. Intact skin thickness skin loss occurs in stage III. Exposed bone, tendon, or muscle is
2. Full-thickness skin loss present in stage IV
3. Exposed bone, tendon, or muscle
4. Partial-thickness skin loss of the dermis
