Medical Surgical Hesi Exam Questions
All Solved New Update
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? - Answer -✔✔- do not leave the diaphragm in place longer than 8 hours after
intercourse
- replace the old diaphragm every 3 months
Which findings should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)? - Answer -✔✔3+ bacteria in urine
A client taking a thiazide diuretic for the past 6 months has a serum potassium level of 3
(normal 3.5-5). The nurse anticipates which changes in prescription for the client? -
Answer -✔✔a potassium supplement will be prescribed
A client has been taking oral corticosteroids for the past 5 days because of seasonal
allergies. Which assessment finding is of most concern to the nurse? - Answer -
✔✔purulent sputum (indication of infection)
A client is admitted to the medical ICU with a dx of myocardial infarction. The clients
history indicates the infarction occurred ten hours ago. Which laboratory test result
would the nurse expect this client to exhibit? - Answer -✔✔Elevated CK-MB
(peaks within 12-20 hours post MI. Indicates myocardial damage)
Healthcare workers must protect themselves against becoming infected with HIV. The
Center for Disease Control has issued guidelines for healthcare workers in relation to
protection from HIV. These guidelines include which recommendation? - Answer -
✔✔Wear gloves when coming in contact with the blood or body fluids of any pt.
The nurse is planning to initiate a socialization group for older residents of a long-term
facility. Which information would be most useful to the nurse when planning activities for
the group? - Answer -✔✔the usual activity patterns of each member of the group
A male client receives a local anesthetic during surgery. During the post-operative
assessment, the nurse notices the client is slurring his speech. Which action should the
nurse take? - Answer -✔✔Evaluate his bp, pulse, and respiratory status
An adult client is admitted to the hospital burn unit with partial-thickness and full-
thickness burns over 40% of the body surface area. In assessing the potential for skin
regeneration, what should the nurse remember about full-thickness burns? - Answer -
✔✔Regenerative function of the skin is absent because the dermal layer has been
destroyed
, A client with a 16 year hx of DM is having renal function tests because of recent fatigue,
weakness, elevated BUN, and serum creatinine levels. Which finding should the nurse
conclude as an early symptom of renal insufficiency? - Answer -✔✔Nocturia (in early
stages polyuria is present from the inability of the kidneys to concentrate urine and
contributes to nocturia)
A client is admitted to the hospital with a dx of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to exhibit? - Answer -✔✔Lower
left quadrant pain and a low grade fever (because the sigmoid colon is the most
common area and inflammation causes the fever)
A client with DM is experiencing polyphagia. Which outcome statement is the priority for
this client? - Answer -✔✔adequate cellular nutrition
During a health fair, a 72-year-old male client tells the nurse that he is experiencing
shortness of breath. Auscultation reveals crackles and wheezing in both lungs.
Suspecting that the client might have chronic bronchitis, which classic symptom should
the nurse expect this client to have? - Answer -✔✔Productive cough with grayish-white
sputum
How should the nurse position the electrodes for modified chest lead one (MCL I)
telemetry monitoring? - Answer -✔✔Negative polarity left shoulder, positive polarity right
chest nipple line, ground left chest nipple line
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision
problems. The visiting nurse is discussing painting the house with the client. The nurse
suggests that the edge of the steps should be painted which color? - Answer -
✔✔medium yellow
Which postmenopausal client's complaint should the nurse refer to the healthcare
provider? - Answer -✔✔Episodes of vaginal bleeding
Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)? - Answer -✔✔Sudden, stabbing, severe pain over the lip and
chin
A client has a staging procedure for cancer of the breast and ask the nurse which type
of breast cancer has the poorest prognosis. Which information should the nurse offer
the client? - Answer -✔✔inflammatory with peau d'orange
The nurse is completeing an admission interview and assessment on a client with a hx
of Parkinson's dz. Which question provides information relevant to the client's plan of
care? - Answer -✔✔have you ever been "frozen" in one spot, unable to move?
All Solved New Update
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? - Answer -✔✔- do not leave the diaphragm in place longer than 8 hours after
intercourse
- replace the old diaphragm every 3 months
Which findings should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)? - Answer -✔✔3+ bacteria in urine
A client taking a thiazide diuretic for the past 6 months has a serum potassium level of 3
(normal 3.5-5). The nurse anticipates which changes in prescription for the client? -
Answer -✔✔a potassium supplement will be prescribed
A client has been taking oral corticosteroids for the past 5 days because of seasonal
allergies. Which assessment finding is of most concern to the nurse? - Answer -
✔✔purulent sputum (indication of infection)
A client is admitted to the medical ICU with a dx of myocardial infarction. The clients
history indicates the infarction occurred ten hours ago. Which laboratory test result
would the nurse expect this client to exhibit? - Answer -✔✔Elevated CK-MB
(peaks within 12-20 hours post MI. Indicates myocardial damage)
Healthcare workers must protect themselves against becoming infected with HIV. The
Center for Disease Control has issued guidelines for healthcare workers in relation to
protection from HIV. These guidelines include which recommendation? - Answer -
✔✔Wear gloves when coming in contact with the blood or body fluids of any pt.
The nurse is planning to initiate a socialization group for older residents of a long-term
facility. Which information would be most useful to the nurse when planning activities for
the group? - Answer -✔✔the usual activity patterns of each member of the group
A male client receives a local anesthetic during surgery. During the post-operative
assessment, the nurse notices the client is slurring his speech. Which action should the
nurse take? - Answer -✔✔Evaluate his bp, pulse, and respiratory status
An adult client is admitted to the hospital burn unit with partial-thickness and full-
thickness burns over 40% of the body surface area. In assessing the potential for skin
regeneration, what should the nurse remember about full-thickness burns? - Answer -
✔✔Regenerative function of the skin is absent because the dermal layer has been
destroyed
, A client with a 16 year hx of DM is having renal function tests because of recent fatigue,
weakness, elevated BUN, and serum creatinine levels. Which finding should the nurse
conclude as an early symptom of renal insufficiency? - Answer -✔✔Nocturia (in early
stages polyuria is present from the inability of the kidneys to concentrate urine and
contributes to nocturia)
A client is admitted to the hospital with a dx of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to exhibit? - Answer -✔✔Lower
left quadrant pain and a low grade fever (because the sigmoid colon is the most
common area and inflammation causes the fever)
A client with DM is experiencing polyphagia. Which outcome statement is the priority for
this client? - Answer -✔✔adequate cellular nutrition
During a health fair, a 72-year-old male client tells the nurse that he is experiencing
shortness of breath. Auscultation reveals crackles and wheezing in both lungs.
Suspecting that the client might have chronic bronchitis, which classic symptom should
the nurse expect this client to have? - Answer -✔✔Productive cough with grayish-white
sputum
How should the nurse position the electrodes for modified chest lead one (MCL I)
telemetry monitoring? - Answer -✔✔Negative polarity left shoulder, positive polarity right
chest nipple line, ground left chest nipple line
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision
problems. The visiting nurse is discussing painting the house with the client. The nurse
suggests that the edge of the steps should be painted which color? - Answer -
✔✔medium yellow
Which postmenopausal client's complaint should the nurse refer to the healthcare
provider? - Answer -✔✔Episodes of vaginal bleeding
Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)? - Answer -✔✔Sudden, stabbing, severe pain over the lip and
chin
A client has a staging procedure for cancer of the breast and ask the nurse which type
of breast cancer has the poorest prognosis. Which information should the nurse offer
the client? - Answer -✔✔inflammatory with peau d'orange
The nurse is completeing an admission interview and assessment on a client with a hx
of Parkinson's dz. Which question provides information relevant to the client's plan of
care? - Answer -✔✔have you ever been "frozen" in one spot, unable to move?
