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MEDICAL SURGICAL HESI EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS
A client with GERD has been experiencing severe reflux during sleep. Which
recommendation by the nurse is most effective to assist the client? - correct-
answer - Raising the HOB on blocks
A client with early breast cancer receives the results of a breast biopsy and asks
the nurse to explain the meaning of staging and the type of receptors found on
the cancer cells. Which explanation should the nurse provide? - correct-answer -
the tumor's estrogen receptor guides treatment options
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
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inadequate clothing for the weather. The client states that she lives alone and
denies problems or concerns. What action should the nurse implement? - correct-
answer - Collect further data to determine whether self-neglect is occuring
During an interview with a client planning elective surgery, the client asks the
nurse, "What is the advantage of having a preferred provider organization
insurance plan?" Which response is best for the nurse to provide? - correct-
answer - Insurance coverage of employees is less expensive to employers
The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide? -
correct-answer - Two weeks before menstruation
A client with heart dz is on a continuous telemetry monitor and has developed
sinus bradycardia. In determining the possible cause of they bradycardia, the
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nurse assesses the clients medication record. Which medication is most likely the
cause of the clients bradycardia? - correct-answer - Propanolol (Inderal)
The nurse 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
greatest risk for developing lymphedema? - correct-answer - She sustained an
insect bite to her left arm yesterday
A client is admitted to the hospital with a medical dx of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because? -
correct-answer - gram-negative organaisms are more resistant to abx therapy
The nurse is assessing a client with bacterial meningitis. Which assessment finding
indicates the client may have developed septic emboli? - correct-answer -
cyanosis of the fingertips
MEDICAL SURGICAL HESI EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS
A client with GERD has been experiencing severe reflux during sleep. Which
recommendation by the nurse is most effective to assist the client? - correct-
answer - Raising the HOB on blocks
A client with early breast cancer receives the results of a breast biopsy and asks
the nurse to explain the meaning of staging and the type of receptors found on
the cancer cells. Which explanation should the nurse provide? - correct-answer -
the tumor's estrogen receptor guides treatment options
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
,2|Page
inadequate clothing for the weather. The client states that she lives alone and
denies problems or concerns. What action should the nurse implement? - correct-
answer - Collect further data to determine whether self-neglect is occuring
During an interview with a client planning elective surgery, the client asks the
nurse, "What is the advantage of having a preferred provider organization
insurance plan?" Which response is best for the nurse to provide? - correct-
answer - Insurance coverage of employees is less expensive to employers
The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide? -
correct-answer - Two weeks before menstruation
A client with heart dz is on a continuous telemetry monitor and has developed
sinus bradycardia. In determining the possible cause of they bradycardia, the
, 3|Page
nurse assesses the clients medication record. Which medication is most likely the
cause of the clients bradycardia? - correct-answer - Propanolol (Inderal)
The nurse 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
greatest risk for developing lymphedema? - correct-answer - She sustained an
insect bite to her left arm yesterday
A client is admitted to the hospital with a medical dx of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because? -
correct-answer - gram-negative organaisms are more resistant to abx therapy
The nurse is assessing a client with bacterial meningitis. Which assessment finding
indicates the client may have developed septic emboli? - correct-answer -
cyanosis of the fingertips
