NU372 HESI Practice Test:
Medical-Surgical Practice Exam -
115 questions with correct
answers
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?
o Two weeks before menstruation.
o Vaginal mucous discharge is thick.
o Low basal temperature.
o First thing in the morning.
o Two weeks before menstruation.
Small bowel obstruction is a condition characterized by which
finding?
o Severe fluid and electrolyte imbalances.
o Metabolic acidosis.
o Ribbon-like stools.
o Intermittent lower abdominal cramping.
o Severe fluid and electrolyte imbalances.
,During suctioning, a client with an uncuffed tracheostomy tube
begins to cough violently and dislodges the tracheostomy tube.
Which action should the nurse implement first?
o Notify the healthcare provider for reinsertion.
o Attempt to reinsert the tracheostomy tube.
o Position the client in a lateral position with the neck extended.
o Ventilate client's tracheostomy stoma with a manual bag-mask.
o Attempt to reinsert the tracheostomy tube.
The nurse is caring for a client with a stroke resulting in right-
sided paresis and aphasia. The client attempts to use the left
hand for feeding and other self-care activities. The spouse
becomes frustrated and insists on doing everything for the client.
Based on this data, which nursing diagnosis should the nurse
document for this client?
o Situational low self-esteem related to functional impairment and
change in role function.
o Disabled family coping related to dissonant coping style of
significant person.
o Interrupted family processes related to shift in health status of
family member.
o Risk for ineffective therapeutic regimen management related to
complexity of care.
o Disabled family coping related to dissonant coping style
of significant person.
,A client who is fully awake after a gastroscopy asks the nurse for
something to drink. After confirming that liquids are allowed,
which assessment action should the nurse consider a priority?
o Listen to bilateral lung and bowel sounds.
o Obtain the client's pulse and blood pressure.
o Assist the client to the bathroom to void.
o Check the client's gag and swallow reflexes.
o Check the client's gag and swallow reflexes.
The nurse formulates the nursing diagnosis of, "Urinary retention
related to sensorimotor deficit" for a client with multiple sclerosis.
Which nursing intervention should the nurse implement?
o Teach the client techniques of intermittent self-catheterization.
o Decrease fluid intake to prevent over distention of the bladder.
o Use incontinence briefs to maintain hygiene with urinary
dribbling.
o Explain that anticholinergic drugs will decrease muscle
spasticity.
o Teach the client techniques of intermittent self-
catheterization.
The nurse knows that lab values sometimes vary for the older
client. Which data would the nurse expect to find when reviewing
laboratory values of an 80-year-old male?
o Increased WBC, decreased RBC.
o Increased serum bilirubin, slightly increased liver enzymes.
, o Increased protein in the urine, slightly increased serum glucose
levels.
o Decreased serum sodium, an increased urine specific gravity.
o Increased protein in the urine, slightly increased serum
glucose levels.
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?
o Stage II.
o Invasive infiltrating ductal carcinoma.
o T1N0M0.
o Inflammatory with peau d'orange.
o Inflammatory with peau d'orange.
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?
o Neither plan allows selections of healthcare providers or
hospitals.
o There are fewer healthcare providers to choose from than in an
HMO plan.
o An individual may select healthcare providers from outside of
the PPO network.
o An individual can become a member of a PPO without belonging
to a group.
o An individual may select healthcare providers from
outside of the PPO network.
Medical-Surgical Practice Exam -
115 questions with correct
answers
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?
o Two weeks before menstruation.
o Vaginal mucous discharge is thick.
o Low basal temperature.
o First thing in the morning.
o Two weeks before menstruation.
Small bowel obstruction is a condition characterized by which
finding?
o Severe fluid and electrolyte imbalances.
o Metabolic acidosis.
o Ribbon-like stools.
o Intermittent lower abdominal cramping.
o Severe fluid and electrolyte imbalances.
,During suctioning, a client with an uncuffed tracheostomy tube
begins to cough violently and dislodges the tracheostomy tube.
Which action should the nurse implement first?
o Notify the healthcare provider for reinsertion.
o Attempt to reinsert the tracheostomy tube.
o Position the client in a lateral position with the neck extended.
o Ventilate client's tracheostomy stoma with a manual bag-mask.
o Attempt to reinsert the tracheostomy tube.
The nurse is caring for a client with a stroke resulting in right-
sided paresis and aphasia. The client attempts to use the left
hand for feeding and other self-care activities. The spouse
becomes frustrated and insists on doing everything for the client.
Based on this data, which nursing diagnosis should the nurse
document for this client?
o Situational low self-esteem related to functional impairment and
change in role function.
o Disabled family coping related to dissonant coping style of
significant person.
o Interrupted family processes related to shift in health status of
family member.
o Risk for ineffective therapeutic regimen management related to
complexity of care.
o Disabled family coping related to dissonant coping style
of significant person.
,A client who is fully awake after a gastroscopy asks the nurse for
something to drink. After confirming that liquids are allowed,
which assessment action should the nurse consider a priority?
o Listen to bilateral lung and bowel sounds.
o Obtain the client's pulse and blood pressure.
o Assist the client to the bathroom to void.
o Check the client's gag and swallow reflexes.
o Check the client's gag and swallow reflexes.
The nurse formulates the nursing diagnosis of, "Urinary retention
related to sensorimotor deficit" for a client with multiple sclerosis.
Which nursing intervention should the nurse implement?
o Teach the client techniques of intermittent self-catheterization.
o Decrease fluid intake to prevent over distention of the bladder.
o Use incontinence briefs to maintain hygiene with urinary
dribbling.
o Explain that anticholinergic drugs will decrease muscle
spasticity.
o Teach the client techniques of intermittent self-
catheterization.
The nurse knows that lab values sometimes vary for the older
client. Which data would the nurse expect to find when reviewing
laboratory values of an 80-year-old male?
o Increased WBC, decreased RBC.
o Increased serum bilirubin, slightly increased liver enzymes.
, o Increased protein in the urine, slightly increased serum glucose
levels.
o Decreased serum sodium, an increased urine specific gravity.
o Increased protein in the urine, slightly increased serum
glucose levels.
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?
o Stage II.
o Invasive infiltrating ductal carcinoma.
o T1N0M0.
o Inflammatory with peau d'orange.
o Inflammatory with peau d'orange.
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?
o Neither plan allows selections of healthcare providers or
hospitals.
o There are fewer healthcare providers to choose from than in an
HMO plan.
o An individual may select healthcare providers from outside of
the PPO network.
o An individual can become a member of a PPO without belonging
to a group.
o An individual may select healthcare providers from
outside of the PPO network.
