Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing. - Correct
Answer ✅B) Sudden, stabbing, severe pain over the lip and
chin.
Trigeminal neuralgia is characterized by paroxysms of pain,
similar to an electric shock, in the area innervated by one or
more branches of the trigeminal nerve (5th cranial) (B). (A)
would be characteristic of Méniére's disease (8th cranial
nerve). (C) would be characteristic of Bell's palsy (7th cranial
nerve). (D) would be characteristic of disorders of the
hypoglossal cranial nerve (12th).
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?
,Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
A) Failing eyesight resulting in an unsafe environment.
B) Renal osteodystrophy resulting from chronic renal failure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which
impair mental acuity. - Correct Answer ✅C) Osteoporosis
resulting from hormonal changes.
The most common cause of a fractured hip in elderly women
is osteoporosis, resulting from reduced calcium in the bones
as a result of hormonal changes in later life (C). (A) may or
may not have contributed to the accident, but it had nothing
to do with the hip being involved. (B) is not a common
condition of the elderly; it is common in chronic renal failure.
(D) may occur in some people, but does not affect the
fragility of the bones as osteoporosis does.
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.
,Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
C) 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. - Correct Answer ✅D) Allow the client to sit with
the bed in a high Fowler's position.
The first step is to raise the head of the bed to a high Fowler's
position (D), which allow venous return to compensate from
lying flat and vasodilating effects of perioperative drugs. (A,
B, and C) are implemented after (D).
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) 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 in for
an examination.
C) Try not to worry too much about it, because usually, most
lumps are benign.
, Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
D) If you are in your menstrual period it is not a good time to
check for lumps. - Correct Answer ✅B) Most lumps are
benign, but it is always best to come in for an examination.
(B) provides the best response because it addresses the
client's anxiety most effectively and encourages prompt and
immediate action for a potential problem. (A) postpones
treatment if the lump is malignant, and does not relieve the
client's anxiety. (C and D) provide false reassurance and do
not help relieve anxiety.
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
abuse.
B) Discuss the need for mental health counseling with the
daughter.
Answers (Latest Update 2024) Explained
answers
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing. - Correct
Answer ✅B) Sudden, stabbing, severe pain over the lip and
chin.
Trigeminal neuralgia is characterized by paroxysms of pain,
similar to an electric shock, in the area innervated by one or
more branches of the trigeminal nerve (5th cranial) (B). (A)
would be characteristic of Méniére's disease (8th cranial
nerve). (C) would be characteristic of Bell's palsy (7th cranial
nerve). (D) would be characteristic of disorders of the
hypoglossal cranial nerve (12th).
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?
,Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
A) Failing eyesight resulting in an unsafe environment.
B) Renal osteodystrophy resulting from chronic renal failure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which
impair mental acuity. - Correct Answer ✅C) Osteoporosis
resulting from hormonal changes.
The most common cause of a fractured hip in elderly women
is osteoporosis, resulting from reduced calcium in the bones
as a result of hormonal changes in later life (C). (A) may or
may not have contributed to the accident, but it had nothing
to do with the hip being involved. (B) is not a common
condition of the elderly; it is common in chronic renal failure.
(D) may occur in some people, but does not affect the
fragility of the bones as osteoporosis does.
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.
,Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
C) 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. - Correct Answer ✅D) Allow the client to sit with
the bed in a high Fowler's position.
The first step is to raise the head of the bed to a high Fowler's
position (D), which allow venous return to compensate from
lying flat and vasodilating effects of perioperative drugs. (A,
B, and C) are implemented after (D).
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) 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 in for
an examination.
C) Try not to worry too much about it, because usually, most
lumps are benign.
, Med Surg HESI Practice Questions and
Answers (Latest Update 2024) Explained
answers
D) If you are in your menstrual period it is not a good time to
check for lumps. - Correct Answer ✅B) Most lumps are
benign, but it is always best to come in for an examination.
(B) provides the best response because it addresses the
client's anxiety most effectively and encourages prompt and
immediate action for a potential problem. (A) postpones
treatment if the lump is malignant, and does not relieve the
client's anxiety. (C and D) provide false reassurance and do
not help relieve anxiety.
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
abuse.
B) Discuss the need for mental health counseling with the
daughter.
