Page 1 of 103
NGN HESI Med-Surg Exam Questions and Answers
Graded A+ latest update 2024/2025 ||Complete Guide
Which assessment is most important for the nurse to perform on a client
f f f f f f f f f f f f
f who is hospitalized for Guillain-Barre syndrome that is rapidly
f f f f f f f f
f progressing?
Respiratory effort. f
Unsteady gait. f
Intensity of pain. f f
Ability to eat. f f
Guillain-Barre syndrome causes paralysis or weakness that typically starts
f f f f f f f f
at the feet and progresses upwards. As the condition progresses, the nurse
f f f f f f f f f f f
f must ensure that the client is able to breathe effectively.
f f f f f f f f f
Heuther, Understanding Pathophysiology, 6th ed. p. 412
f f f f f f
A male client comes into the clinic with a history of penile discharge
f f f f f f f f f f f f
f with painful, burning urination. Which action should the nurse
f f f f f f f f
implement?
• Collect a culture of the penile discharge.
f f f f f f
• Palpate the inguinal lymph nodes gently.
f f f f f
,Page 2 of 103
• Observe for scrotal swelling and redness.
f f f f f
,Page 3 of 103
• Express the discharge to determine color.
f f f f f
, Page 4 of 103
Penile discharge with painful urination is commonly associated with
f f f f f f f f
f gonorrhea. The nurse should collect a culture of the penile discharge to
f f f f f f f f f f f
f determine the cause of these symptoms. The cause must be determined or
f f f f f f f f f f f
f confirmed through culture to identify the organism and ensure effective
f f f f f f f f f
f treatment.
Jarvis Physical Examination and Health Assessment, 6th
f f f f f f
f edition 3 f
A client with history of atrial fibrillation is admitted to the telemetry unit
f f f f f f f f f f f f
f with suddenf
onset of shortness of breath. The nurse observes a new irregular heart
f f f f f f f f f f f
f rhythm and should perform which assessment at this time?
f f f f f f f f
• Check for a pulse deficit. f f f f
• Palpate the apical impulse. f f f
• Inspect jugular vein pulse. f f f
• Examine for a carotid bruit. f f f f
A client with a past history of atrial fibrillation may return to that
f f f f f f f f f f f f
f rhythm. Any signs of atrial fibrillation, such as sudden onset shortness
f f f f f f f f f f
f of breath, requires further investigation. The nurse should assess this
f f f f f f f f f
f client for a pulse deficit because this condition occurs with atrial
f f f f f f f f f f
f fibrillation.
NGN HESI Med-Surg Exam Questions and Answers
Graded A+ latest update 2024/2025 ||Complete Guide
Which assessment is most important for the nurse to perform on a client
f f f f f f f f f f f f
f who is hospitalized for Guillain-Barre syndrome that is rapidly
f f f f f f f f
f progressing?
Respiratory effort. f
Unsteady gait. f
Intensity of pain. f f
Ability to eat. f f
Guillain-Barre syndrome causes paralysis or weakness that typically starts
f f f f f f f f
at the feet and progresses upwards. As the condition progresses, the nurse
f f f f f f f f f f f
f must ensure that the client is able to breathe effectively.
f f f f f f f f f
Heuther, Understanding Pathophysiology, 6th ed. p. 412
f f f f f f
A male client comes into the clinic with a history of penile discharge
f f f f f f f f f f f f
f with painful, burning urination. Which action should the nurse
f f f f f f f f
implement?
• Collect a culture of the penile discharge.
f f f f f f
• Palpate the inguinal lymph nodes gently.
f f f f f
,Page 2 of 103
• Observe for scrotal swelling and redness.
f f f f f
,Page 3 of 103
• Express the discharge to determine color.
f f f f f
, Page 4 of 103
Penile discharge with painful urination is commonly associated with
f f f f f f f f
f gonorrhea. The nurse should collect a culture of the penile discharge to
f f f f f f f f f f f
f determine the cause of these symptoms. The cause must be determined or
f f f f f f f f f f f
f confirmed through culture to identify the organism and ensure effective
f f f f f f f f f
f treatment.
Jarvis Physical Examination and Health Assessment, 6th
f f f f f f
f edition 3 f
A client with history of atrial fibrillation is admitted to the telemetry unit
f f f f f f f f f f f f
f with suddenf
onset of shortness of breath. The nurse observes a new irregular heart
f f f f f f f f f f f
f rhythm and should perform which assessment at this time?
f f f f f f f f
• Check for a pulse deficit. f f f f
• Palpate the apical impulse. f f f
• Inspect jugular vein pulse. f f f
• Examine for a carotid bruit. f f f f
A client with a past history of atrial fibrillation may return to that
f f f f f f f f f f f f
f rhythm. Any signs of atrial fibrillation, such as sudden onset shortness
f f f f f f f f f f
f of breath, requires further investigation. The nurse should assess this
f f f f f f f f f
f client for a pulse deficit because this condition occurs with atrial
f f f f f f f f f f
f fibrillation.
