HESI - Medical Surgical Nursing test Questions with
CORRECT Answers (Grade A+)
Question 1:
When describing patient
education approaches, the
nurse educator would ex-
plain 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 nec-
essarily 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.
Question 2:
A patient expresses a strong C. Cognitive
interest in returning to their dence, and
work, family, and hobbies af- integrated,
ter having a stroke. Which significance
theory type would the nurse and avoidance
use to develop a plan of care theories are
for the best results of this pa-
tient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic
Answer:
,theorists believe that attention, relevance, confi-
satisfaction (ARCS) are the conditions that, when
motivate someone to learn. Field theorists place
on how achievement, power, the need for affiliation,
motives influence individual behavior. Sociologic
not involved in motivation.
Question 3:
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 hy-
Answer:
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic ill-
nesses are at greater risk for hypothermia. Clients who smoke,
consume alcohol, or have impaired peripheral circulation have
a higher incidence of frostbite.
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 dia-
betic
Question 4:
Which statement made by a D
nurse represents the need
There is no
for further education regard-
perceive pain
ing pain management in old-
statements
,er 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 differ-
ent pain mechanism and do
not feel it as much
Answer:
evidence to support the idea that older adult clients
any differently than younger clients. The other
are accurate regarding older clients and pain.
Question 5:
The nurse is working
aid booth for a spring
Answer:
at a first C
train-
spectator comes in, report- emergency. The spectator should be transported to the ED ASAP.
ing that he is not feeling well. The nurs should take actions to lower his body temp in teh
Vital signs are temp 104.1 meantime by removing his shirt and sponging his body with
F, pulse 132 BPM, respirs 26 cool water. Lowering body temp by drinking cool fluids or taking
breaths/min, and blood pres- acetaminophen is not as effective in an emergency situation. The
sure mm Hg. He trips client needs to be cooled quickly and is a priority for treatment
over his feet as the nurse
leads him to a cot. What
is the priory action of the
nurse?
a. admin tylenol 650 mg oral-
ly
b. encourage rest, and re-
assess in 15 minutes
c. sponge the victim with cool
, water and remove his shirt
d. encourage drinking of cool
water or sports drink
Question 6:
The client is receiving an IV D
of 60 mEq of potassium chlo-
Potassium is
ride ina 1000 mL solution of
continue the
dextrose 5% in 0.45% saline.
ue the IV altogether,
The client states that the area
site started.
around the IV site burns.
successful.
What intervention does the
the rate could
nurse perform first?
is in the vein.
a. assess for a blood return
b. notify the physician
Answer:
a severe tissue irritant. The safest action is to dis-
solution that contains the potassium and discontin-
in which case the client would need another
Assessing for a blood return may or may not be
The solution could be diluted (less potassium) and
be slowed once it is determined that the needle
d. stop the IV infusion
Question 7:
A nurse is caring for an D
older adult client who lives
Older adults on fixed incomes
alone. Which economic situ-
to meet rising costs associated
ation presents the most seri-
CORRECT Answers (Grade A+)
Question 1:
When describing patient
education approaches, the
nurse educator would ex-
plain 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 nec-
essarily 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.
Question 2:
A patient expresses a strong C. Cognitive
interest in returning to their dence, and
work, family, and hobbies af- integrated,
ter having a stroke. Which significance
theory type would the nurse and avoidance
use to develop a plan of care theories are
for the best results of this pa-
tient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic
Answer:
,theorists believe that attention, relevance, confi-
satisfaction (ARCS) are the conditions that, when
motivate someone to learn. Field theorists place
on how achievement, power, the need for affiliation,
motives influence individual behavior. Sociologic
not involved in motivation.
Question 3:
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 hy-
Answer:
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic ill-
nesses are at greater risk for hypothermia. Clients who smoke,
consume alcohol, or have impaired peripheral circulation have
a higher incidence of frostbite.
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 dia-
betic
Question 4:
Which statement made by a D
nurse represents the need
There is no
for further education regard-
perceive pain
ing pain management in old-
statements
,er 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 differ-
ent pain mechanism and do
not feel it as much
Answer:
evidence to support the idea that older adult clients
any differently than younger clients. The other
are accurate regarding older clients and pain.
Question 5:
The nurse is working
aid booth for a spring
Answer:
at a first C
train-
spectator comes in, report- emergency. The spectator should be transported to the ED ASAP.
ing that he is not feeling well. The nurs should take actions to lower his body temp in teh
Vital signs are temp 104.1 meantime by removing his shirt and sponging his body with
F, pulse 132 BPM, respirs 26 cool water. Lowering body temp by drinking cool fluids or taking
breaths/min, and blood pres- acetaminophen is not as effective in an emergency situation. The
sure mm Hg. He trips client needs to be cooled quickly and is a priority for treatment
over his feet as the nurse
leads him to a cot. What
is the priory action of the
nurse?
a. admin tylenol 650 mg oral-
ly
b. encourage rest, and re-
assess in 15 minutes
c. sponge the victim with cool
, water and remove his shirt
d. encourage drinking of cool
water or sports drink
Question 6:
The client is receiving an IV D
of 60 mEq of potassium chlo-
Potassium is
ride ina 1000 mL solution of
continue the
dextrose 5% in 0.45% saline.
ue the IV altogether,
The client states that the area
site started.
around the IV site burns.
successful.
What intervention does the
the rate could
nurse perform first?
is in the vein.
a. assess for a blood return
b. notify the physician
Answer:
a severe tissue irritant. The safest action is to dis-
solution that contains the potassium and discontin-
in which case the client would need another
Assessing for a blood return may or may not be
The solution could be diluted (less potassium) and
be slowed once it is determined that the needle
d. stop the IV infusion
Question 7:
A nurse is caring for an D
older adult client who lives
Older adults on fixed incomes
alone. Which economic situ-
to meet rising costs associated
ation presents the most seri-
