Hesi Med Surg Practice Questions Exam
nn nn nn nn nn nn
Questions And Answers With Complete
nn nn nn nn nn
Solutions 100% Updated 2025
nn nn nn nn
nn
A nnfemale nnclient nnwith nna nnnasogastric nntube nnattached nnto nnlow nnsuction nnstates
nnthat nnshe nnis nn
nn
nauseated. nnThe nnnurse nnassesses nnthat nnthere nnhas nnbeen nnno nndrainage nn
nnthrough nnthe
nasogastric nntube nnin nnthe nnlast nn2 nnhours. nnWhich nnaction nnshould nnthe nnnurse
nntake nnfirst?
nn
A. Irrigate nnthe nnnasogastric nntube nnwith nnsterile nnnormal nnsaline. nn
B. Reposition nnthe nnclient nnon nnher nnside. nn
C. Advance nnthe nnnasogastric nntube nn5 nncm. nn
D. Administer nnan nnintravenous nnantiemetic nnas nnprescribed. nn- nnB. nnThe nnpriority nnis nnto
nndetermined nnif nnthe nntube nnis nnfunctioning nncorrectly, nnwhich nnwould nnrelieve nnthe
nnclient's nnnausea. nnThe nnleast nninvasive nnintervention nnis nnto nnreposition nnthe nnclient
nn(B), nnshould nnbe nnattempted nnfirst, nnfollowed nnby nn(A nn& nnC) nnif nnthese nnare
nnunsuccessful nnthen nn(D). nn
nn
When nnassigning nnclients nnon nna nnmedical-surgical nnfloor nnto nna nnRN nnand nna nnLPN, nnit
nnis nnbest nnfor nnthe nn
nn
charge nnnurse nnto nnassign nnwhich nnclient nnto nnthe
nnLPN?
nn
A. A nnchild nnwith nnbacterial nnmeningitis nnwith nnrecent nnseizures. nn
B. An nnolder nnadult nnclient nnwith nnpneumonia nnand nnviral nnmeningitis. nn
C. A nnfemale nnclient nnin nnisolation nnwiht nnmeningococcal nnmeningitis. nn
D. A nnmale nnclient nn1 nnday nnpost-op nnafter nndrainage nnof nna nnbrain nnabscess. nn- nnB. nnIs
nnthe nnmost nnstable. nnA, nnC, nnD nnhave nnan nnincreased nnrisk nnfor nnelevated nnICP. nn
nn
Which nndescription nnof nnsymptoms nnis nn characteristic nn of a
nn nn client nn with
nndiagnosed nnwith nn
nn
trigeminal nnneuralgia nn(tic
nndouloureux)?
nn
A. Tinnitus, nnvertigo, nnand nnhearing nndifficulties. nn
B. Sudden, nnstabbing, nnsevere nnpain nnover nnthe nnlip nnand nnchin. nn
C. Unilateral nnfacial nnweakness nnand nnparalysis. nn
D. Difficulty nnin nntalking, nnchewing, nnand nnswallowing. nn- nnB. nnTrigeminal nnneuralgia nnis
nncharacterized nnby nnparoxysms nnof nnpain, nnsimilar nnto nnan nnelectric nnshock, nnin nnthe
nnarea nninnervated nnby nnone nnor nnmore nnbranches nnof nnthe nntrigeminal nnnerve. nn
A. nnCharacteristic nnof nnMeniere's nn
,C. Characteristic nnof nnBell nnpalsey nn
D. Characteristic nnof nndisorders nnof nnthe nnhypoglossal nn(12th nncranial nnnerve) nn
nn
Which nnabnormal nnlab nnfinding nnindicates nnthat nna nnclient nnwith nndiabetes nnneeds nnfurther
nnevaluation nnfor nndiabetic nnnephropathy? nnA. nnHypokalemia nn
B. Microalbuminauria nn
C. Elevated nnserum nnlipids nn
D. Ketonuria nn- nnB. nnMicroalbuminuria nnis nnthe nnearliest nnsign nnof nnnephropathy nnand
nnindicates nnthe nnneed nnfor nnfollow-up nnevaluation. nnHyperkalemia nn(A) nnis nnassociated
nnwith nnend nnstage nnrenal nn
disease nncaused nnby nndiabetic nnnephropathy. nn(C) nnmay nnbe nnelevated nnin nnend
nnstage nnrenal nn
nn
disease. nn(D) nnmay nnsignal nnthe nnonset nnof
nnDKA.
nn
An nnolder nnmale nnclient nncomes nnto nnthe nngeriatric nnscreening nnclinic nncomplaining nnof
nnpain nnin nnhis nnleft nncalf. nnThe nnnurse nnnotices nna nnreddened nnarea nnon nnthe nncalf nnof nnhis
nnright nnleg nnthat nnis nnwarm nnto nntouch nnand nnthe nnnurse nnsuspects nnthat nnthe nnclient nnmay
nnhave nnthrombophlebitis. nnWhich nnaddition nnassessment nnis nnmost nnimportant nnfor nnthe
nnnurse nnto nnperform? nn
nn
A. Measure nncalf nncircumference. nn
B. Auscultate nnthe nnclient's nnbreath nnsounds. nn
C. Observe nnfor nnecchymosis nnand nnpetechiae. nn
D. Obtain nnthe nnclient's nnblood nnpressure. nn- nnB. nnSince nnthe nnclient nnmay nnhave nna
nnpulmonary nnembolus nnsecondary nnto nnthe nnthrombophlebitis. nn nnA. nnWould nnsupport
nnthe nnnurses nnassessment. nn
C. Least nnhelpful nnsince nnbruising nnis nnnot nnassociated nnwith nnthrombophlebitis. nn
D. Less nnimportant nnthen nnauscultation. nn
nn
The nnnurse nnknow nnthat nna nnclient nntaking nndiuretics nnmust nnbe nnassessed nnfor nnthe
nndevelopment nnof nn
nn
hypokalemia, nnand nnthat nnhypokalemia nnwill nncreate nnchanges nnin nnthe nnclient's
nnnormal nnECG
nn
tracing. nnWhich nnECG nnchange nnwould nnbe nnan nnexpected nnfinding nnin nnthe
nnclient nnwith
nn
hypokalemia?
nn
A. Tall, nnspiked nnT nnwaves nn
B. A nnprolonged nnQT nninterval nn
C. A nnwidening nnQRS nncomplex nn
D. Presence nnof nna nnU nnwave nn- nnD. nnA nnU nnwave nnis nna nnpositive nndeflection nnfollowing
nnthe nnT nnwave nnand nnis nnoften nnpresent nnwith nnhypokalemia. nnA, nnB, nnC nnindicate
nnhyperkalemia. nn
nn
, An nnolder nnclient nnis nnadmitted nnwith nna nndiagnosis nnof nnbacterial nnpneumonia.
nnThe nnnurse's nnassessment nnof nnthe nnclient nnwill nnmost nnlikely nnreveal nnwhich
nnS/SX? nnA. nnLeukocytosis nnand nnfebrile. nn
B. Polycythemia nnand nncrackles. nn
C. Pharyngitis nnand nnsputum nnproduction. nn
D. Confusion nnand nntachycardia. nn- nnD. nnThe nnonset nnof nnpneumonia nnis nnthe nnolder nnmay
nnbe nnsignaled nnby nngeneral nndeterioration, nnconfusion, nnincreased nnheart nnrate nnor
nnincreased nnrespiratory nnrate. nn nn
(A, nnB, nnC) nnare nnoften nnabsent nnin nnthe nnolder nnwith nnbacterial nnpneumonia. nn
nn
The nnnurse nnobserves nnventricular nnfibrillation nnon nntelemetry nnand nnupon nnentering nnthe
nnclients nnbathroom nnfinds nnthe nnclient nnunconscious nnon nnthe nnfloor. nnWhat nnintervention
nnshould nnthe nnnurse nnimplement nnfirst? nn
nn
A. Administer nnan nnantidysrhythmic nnmedication. nn
B. Start nncardiopulmonary nnresuscitation. nn
C. Defibrillate nnthe nnclient nnat nn200 nnjoules. nn
D. Assess nnthe nnclient's nnpulse nnoximetry. nn- nnB. nnVentricular nnfibrillation nnis nna nnlife-
threatening nndysrhythmia nnand nnCPR nnshould nnbe nnstarted nnimmediately. nnA nn& nnC
nnare nnappropriate nnbut nnB nnis nnthe nnpriority. nnD nndoes nnnot nnaddress nnthe nnseriousness
nnof nnthe nnsituation. nn
nn
An nnolder nnfemale nnclient nnwith nndementia nnis nntransferred nnfrom nna nnlong nnterm nncare
nnunit nnto nnan nnacute nncare nnunit. nnThe nnclient's nnchildren nnexpress nnconcern nnthat nntheir
nnmother's nnconfusion nnis nnworsening. nnHow nnshould nnthe nnnurse nnrespond? nn
nn
A. "It nnis nnto nnbe nnexpected nnthat nnolder nnpeople nnwill nnexperience nnprogressive
nnconfusion." nn
B. "Confusion nnin nnan nnolder nnperson nnoften nnfollows nnrelocation nnto nnnew nnsurroundings."
nn
C. "The nndementia nnis nnprogressing nnrapidly, nnbut nnwe nnwill nndo nneverything nnwe nncan nnto
nnkeep nnyour nnmother nnsafe." nn
D. "The nnacute nncare nnstaff nnis nnnot nnas nnexperienced nnas nnthe nnlong-term nncare nnstaff nnat
nndealing nnwith nndementia." nn- nnB. nnRelocation nnoften nnresults nnin nnconfusion nnamong
nnolder nnclients nnand nnis nnstressful nnto nnclients nnof nnall nnages. nn(A) nnis nnan nninaccurate
nnstereotype. nn(C) nnis nnmost nnlikely nnfalse nnthere nnare nnmany nnfactors nnthat nncause
nnincreased nntemporary nnconfusion. nn(D) nnmay nnbe nntrue nnbut nndoes nnnot nnoffer nnthe
nnfamily nna nnsense nnof nnsecurity nnabout nnthe nncare. nn
nn
The nnnurse nnplans nnto nnhelp nnan nn18-year-old nndevelopmentally nndisabled nnfemale nnclient
nnambulate nn
nn
on nnthe nnfirst nnpostoperative nnday. nnWhen nnthe nnnurse nntells nnher nnit nnis nntime nnto nnget
nnout nnof nnbed, nnthe
nn
client nnbecomes nnangry nnand nnyells nnat nnthe nnnurse. nn"Get nnout nnof nnhere! nnI'll nnget
nnup nnwhen nnI'm
nn
ready." nnWhich nnresponse nnshould nnthe nnnurse
nnprovide?
nn nn nn nn nn nn
Questions And Answers With Complete
nn nn nn nn nn
Solutions 100% Updated 2025
nn nn nn nn
nn
A nnfemale nnclient nnwith nna nnnasogastric nntube nnattached nnto nnlow nnsuction nnstates
nnthat nnshe nnis nn
nn
nauseated. nnThe nnnurse nnassesses nnthat nnthere nnhas nnbeen nnno nndrainage nn
nnthrough nnthe
nasogastric nntube nnin nnthe nnlast nn2 nnhours. nnWhich nnaction nnshould nnthe nnnurse
nntake nnfirst?
nn
A. Irrigate nnthe nnnasogastric nntube nnwith nnsterile nnnormal nnsaline. nn
B. Reposition nnthe nnclient nnon nnher nnside. nn
C. Advance nnthe nnnasogastric nntube nn5 nncm. nn
D. Administer nnan nnintravenous nnantiemetic nnas nnprescribed. nn- nnB. nnThe nnpriority nnis nnto
nndetermined nnif nnthe nntube nnis nnfunctioning nncorrectly, nnwhich nnwould nnrelieve nnthe
nnclient's nnnausea. nnThe nnleast nninvasive nnintervention nnis nnto nnreposition nnthe nnclient
nn(B), nnshould nnbe nnattempted nnfirst, nnfollowed nnby nn(A nn& nnC) nnif nnthese nnare
nnunsuccessful nnthen nn(D). nn
nn
When nnassigning nnclients nnon nna nnmedical-surgical nnfloor nnto nna nnRN nnand nna nnLPN, nnit
nnis nnbest nnfor nnthe nn
nn
charge nnnurse nnto nnassign nnwhich nnclient nnto nnthe
nnLPN?
nn
A. A nnchild nnwith nnbacterial nnmeningitis nnwith nnrecent nnseizures. nn
B. An nnolder nnadult nnclient nnwith nnpneumonia nnand nnviral nnmeningitis. nn
C. A nnfemale nnclient nnin nnisolation nnwiht nnmeningococcal nnmeningitis. nn
D. A nnmale nnclient nn1 nnday nnpost-op nnafter nndrainage nnof nna nnbrain nnabscess. nn- nnB. nnIs
nnthe nnmost nnstable. nnA, nnC, nnD nnhave nnan nnincreased nnrisk nnfor nnelevated nnICP. nn
nn
Which nndescription nnof nnsymptoms nnis nn characteristic nn of a
nn nn client nn with
nndiagnosed nnwith nn
nn
trigeminal nnneuralgia nn(tic
nndouloureux)?
nn
A. Tinnitus, nnvertigo, nnand nnhearing nndifficulties. nn
B. Sudden, nnstabbing, nnsevere nnpain nnover nnthe nnlip nnand nnchin. nn
C. Unilateral nnfacial nnweakness nnand nnparalysis. nn
D. Difficulty nnin nntalking, nnchewing, nnand nnswallowing. nn- nnB. nnTrigeminal nnneuralgia nnis
nncharacterized nnby nnparoxysms nnof nnpain, nnsimilar nnto nnan nnelectric nnshock, nnin nnthe
nnarea nninnervated nnby nnone nnor nnmore nnbranches nnof nnthe nntrigeminal nnnerve. nn
A. nnCharacteristic nnof nnMeniere's nn
,C. Characteristic nnof nnBell nnpalsey nn
D. Characteristic nnof nndisorders nnof nnthe nnhypoglossal nn(12th nncranial nnnerve) nn
nn
Which nnabnormal nnlab nnfinding nnindicates nnthat nna nnclient nnwith nndiabetes nnneeds nnfurther
nnevaluation nnfor nndiabetic nnnephropathy? nnA. nnHypokalemia nn
B. Microalbuminauria nn
C. Elevated nnserum nnlipids nn
D. Ketonuria nn- nnB. nnMicroalbuminuria nnis nnthe nnearliest nnsign nnof nnnephropathy nnand
nnindicates nnthe nnneed nnfor nnfollow-up nnevaluation. nnHyperkalemia nn(A) nnis nnassociated
nnwith nnend nnstage nnrenal nn
disease nncaused nnby nndiabetic nnnephropathy. nn(C) nnmay nnbe nnelevated nnin nnend
nnstage nnrenal nn
nn
disease. nn(D) nnmay nnsignal nnthe nnonset nnof
nnDKA.
nn
An nnolder nnmale nnclient nncomes nnto nnthe nngeriatric nnscreening nnclinic nncomplaining nnof
nnpain nnin nnhis nnleft nncalf. nnThe nnnurse nnnotices nna nnreddened nnarea nnon nnthe nncalf nnof nnhis
nnright nnleg nnthat nnis nnwarm nnto nntouch nnand nnthe nnnurse nnsuspects nnthat nnthe nnclient nnmay
nnhave nnthrombophlebitis. nnWhich nnaddition nnassessment nnis nnmost nnimportant nnfor nnthe
nnnurse nnto nnperform? nn
nn
A. Measure nncalf nncircumference. nn
B. Auscultate nnthe nnclient's nnbreath nnsounds. nn
C. Observe nnfor nnecchymosis nnand nnpetechiae. nn
D. Obtain nnthe nnclient's nnblood nnpressure. nn- nnB. nnSince nnthe nnclient nnmay nnhave nna
nnpulmonary nnembolus nnsecondary nnto nnthe nnthrombophlebitis. nn nnA. nnWould nnsupport
nnthe nnnurses nnassessment. nn
C. Least nnhelpful nnsince nnbruising nnis nnnot nnassociated nnwith nnthrombophlebitis. nn
D. Less nnimportant nnthen nnauscultation. nn
nn
The nnnurse nnknow nnthat nna nnclient nntaking nndiuretics nnmust nnbe nnassessed nnfor nnthe
nndevelopment nnof nn
nn
hypokalemia, nnand nnthat nnhypokalemia nnwill nncreate nnchanges nnin nnthe nnclient's
nnnormal nnECG
nn
tracing. nnWhich nnECG nnchange nnwould nnbe nnan nnexpected nnfinding nnin nnthe
nnclient nnwith
nn
hypokalemia?
nn
A. Tall, nnspiked nnT nnwaves nn
B. A nnprolonged nnQT nninterval nn
C. A nnwidening nnQRS nncomplex nn
D. Presence nnof nna nnU nnwave nn- nnD. nnA nnU nnwave nnis nna nnpositive nndeflection nnfollowing
nnthe nnT nnwave nnand nnis nnoften nnpresent nnwith nnhypokalemia. nnA, nnB, nnC nnindicate
nnhyperkalemia. nn
nn
, An nnolder nnclient nnis nnadmitted nnwith nna nndiagnosis nnof nnbacterial nnpneumonia.
nnThe nnnurse's nnassessment nnof nnthe nnclient nnwill nnmost nnlikely nnreveal nnwhich
nnS/SX? nnA. nnLeukocytosis nnand nnfebrile. nn
B. Polycythemia nnand nncrackles. nn
C. Pharyngitis nnand nnsputum nnproduction. nn
D. Confusion nnand nntachycardia. nn- nnD. nnThe nnonset nnof nnpneumonia nnis nnthe nnolder nnmay
nnbe nnsignaled nnby nngeneral nndeterioration, nnconfusion, nnincreased nnheart nnrate nnor
nnincreased nnrespiratory nnrate. nn nn
(A, nnB, nnC) nnare nnoften nnabsent nnin nnthe nnolder nnwith nnbacterial nnpneumonia. nn
nn
The nnnurse nnobserves nnventricular nnfibrillation nnon nntelemetry nnand nnupon nnentering nnthe
nnclients nnbathroom nnfinds nnthe nnclient nnunconscious nnon nnthe nnfloor. nnWhat nnintervention
nnshould nnthe nnnurse nnimplement nnfirst? nn
nn
A. Administer nnan nnantidysrhythmic nnmedication. nn
B. Start nncardiopulmonary nnresuscitation. nn
C. Defibrillate nnthe nnclient nnat nn200 nnjoules. nn
D. Assess nnthe nnclient's nnpulse nnoximetry. nn- nnB. nnVentricular nnfibrillation nnis nna nnlife-
threatening nndysrhythmia nnand nnCPR nnshould nnbe nnstarted nnimmediately. nnA nn& nnC
nnare nnappropriate nnbut nnB nnis nnthe nnpriority. nnD nndoes nnnot nnaddress nnthe nnseriousness
nnof nnthe nnsituation. nn
nn
An nnolder nnfemale nnclient nnwith nndementia nnis nntransferred nnfrom nna nnlong nnterm nncare
nnunit nnto nnan nnacute nncare nnunit. nnThe nnclient's nnchildren nnexpress nnconcern nnthat nntheir
nnmother's nnconfusion nnis nnworsening. nnHow nnshould nnthe nnnurse nnrespond? nn
nn
A. "It nnis nnto nnbe nnexpected nnthat nnolder nnpeople nnwill nnexperience nnprogressive
nnconfusion." nn
B. "Confusion nnin nnan nnolder nnperson nnoften nnfollows nnrelocation nnto nnnew nnsurroundings."
nn
C. "The nndementia nnis nnprogressing nnrapidly, nnbut nnwe nnwill nndo nneverything nnwe nncan nnto
nnkeep nnyour nnmother nnsafe." nn
D. "The nnacute nncare nnstaff nnis nnnot nnas nnexperienced nnas nnthe nnlong-term nncare nnstaff nnat
nndealing nnwith nndementia." nn- nnB. nnRelocation nnoften nnresults nnin nnconfusion nnamong
nnolder nnclients nnand nnis nnstressful nnto nnclients nnof nnall nnages. nn(A) nnis nnan nninaccurate
nnstereotype. nn(C) nnis nnmost nnlikely nnfalse nnthere nnare nnmany nnfactors nnthat nncause
nnincreased nntemporary nnconfusion. nn(D) nnmay nnbe nntrue nnbut nndoes nnnot nnoffer nnthe
nnfamily nna nnsense nnof nnsecurity nnabout nnthe nncare. nn
nn
The nnnurse nnplans nnto nnhelp nnan nn18-year-old nndevelopmentally nndisabled nnfemale nnclient
nnambulate nn
nn
on nnthe nnfirst nnpostoperative nnday. nnWhen nnthe nnnurse nntells nnher nnit nnis nntime nnto nnget
nnout nnof nnbed, nnthe
nn
client nnbecomes nnangry nnand nnyells nnat nnthe nnnurse. nn"Get nnout nnof nnhere! nnI'll nnget
nnup nnwhen nnI'm
nn
ready." nnWhich nnresponse nnshould nnthe nnnurse
nnprovide?
