Med-Surg HESI Final Practice Questions
AND ANSWERS
1. A 20-yr-vintage lady client calls the nurse to file a lump she found in her breast. Which
reaction is the exceptional for the nurse to offer?
2. A. "Check it again in one month, and if it's far nevertheless there time table an
appointment."
3. B. "Most lumps are benign, but it's miles constantly nice to are available for an exam."
4. C. "Try not to fear too much approximately it, because usually, most lumps are benign."
5. D. "If you are for your menstrual duration it isn't an amazing time to test for lumps." -
ANS -B - The nurse advising the customer to are available offers the quality reaction as
it addresses the consumer's anxiety most successfully and encourages prompt and
immediately action for a ability trouble.
6. A 32-12 months-old girl customer complains of extreme belly ache each month earlier
than her menstrual period, painful sex, and painful defecation. Which additional history
have to the nurse gain that is regular with the purchaser's complaints?
7. A. Frequent urinary tract infections.
8. B. Inability to get pregnant.
9. C. Premenstrual syndrome.
10.D. Chronic use of laxatives. - ANS -B - Dysmenorrhea, dyspareunia, and problem or
painful defecation are common symptoms of endometriosis, that is the strange
displacement of endometrial tissue inside the structured regions of the pelvic
peritoneum. A records of infertility is another commonplace locating related to
endometriosis.
11.A 49-year-old female purchaser arrives at the medical institution for an annual
examination and asks the nurse why she becomes excessively diaphoretic and feels
warm in the course of midnight. What is the nurse's quality response?
12.A. Explain the impact of the follicle-stimulating and luteinizing hormones.
13.B. Discuss perimenopause and related consolation measures.
14.C. Assess lung fields and for a cough efficient of blood-tinged mucous.
15.D. Ask if a fever above one hundred and one F (38.3 C) has befell inside the ultimate 24
hours. - ANS -B - The perimenopausal duration begins about 10 years before
menopause with the cessation of menstruation on the average a long time of 52 to 54.
Lower estrogen ranges causes FSH and LH secretion in bursts (surges), which triggers
vasomotor instability, night sweats, and hot flashes, so discussions about the
perimenopausal body's modifications, comfort measures, and treatment alternatives
need to be provided.
16.A 51-yr-old truck driver who smokes two packs of cigarettes a day and is 30 kilos
overweight is recognized with having a gastric ulcer. Which content is maximum critical
for the nurse to consist of in the discharge coaching for this purchaser?
17.A. Information about smoking cessation.
,18.B. Diet commands for an extremely low-residue weight-reduction plan.
19.C. Instructions on a weight reduction application.
20.D. The importance of growing milk within the diet. - ANS -A - Smoking has been related
to ulcer formation, and preventing or lowering the quantity of cigarettes smoked in line
with day is an essential thing of ulcer management
21.A 58-yr-old consumer who has been post-menopausal for five years is involved about
the hazard for osteoporosis because her mother has the situation. Which information
must the nurse provide?
22.A. Osteoporosis is a modern genetic disease and not using a effective treatment.
23.B. Calcium loss from bones may be slowed by means of increasing calcium consumption
and exercise.
24.C. Estrogen alternative remedy need to be commenced to save you the progression
osteoporosis.
25.D. Low-dose corticosteroid treatment efficiently halts the path of osteoporosis. - ANS -B -
Post-menopausal females are at risk for osteoporosis because of the cessation of
estrogen secretion, but a routine along with calcium, diet D, and weight-bearing
exercising can help prevent in addition bone loss.
26.A fifty eight-year-antique purchaser who has been post-menopausal for 5 years is
concerned approximately the danger for osteoporosis due to the fact her mom has the
circumstance. Which facts must the nurse offer?
27.A. Osteoporosis is a progressive genetic sickness without a effective treatment.
28.B. Calcium loss from bones can be slowed by growing calcium consumption and
exercise.
29.C. Estrogen substitute remedy must be started out to prevent the development
osteoporosis.
30.D. Low-dose corticosteroid remedy effectively halts the path of osteoporosis. - ANS -B -
Post-menopausal women are at chance for osteoporosis due to the cessation of
estrogen secretion, but a routine along with calcium, vitamin D, and weight-bearing
exercise can assist prevent further bone loss.
31.A 77-yr-vintage female consumer is admitted to the sanatorium. She is careworn, has no
urge for food, is nauseated and vomiting, and is complaining of a headache. Her pulse
fee is 43 beats consistent with minute. It is maximum critical for the nurse to assess for
which locating?
32.A. Wearing dentures.
33.B. Use of aspirin prior to admit.
34.C. Prescribed nitroglycerin for chest ache.
35.D. Takes digitalis. - ANS -D - Although it's far essential to obtain a whole medication
records, the signs and symptoms defined are classic for digitalis toxicity, and evaluation
of this hassle have to be made right away. Elderly men and women are especially liable
to digitalis intoxication which manifests itself in such signs as anorexia, nausea,
vomiting, diarrhea, headache, and fatigue.
36.A purchaser has a staging procedure for most cancers of the breast and ask the nurse
which type of breast cancer has the poorest prognosis. Which facts ought to the nurse
offer the client?
, 37.A. Stage II.
38.B. Invasive infiltrating ductal carcinoma.
39.C. T1N0M0.
40.D. Inflammatory with peau d'orange. - ANS -D - Inflammatory breast cancer onset is very
rapid and a completely uncommon form of breast most cancers and is considered the
maximum competitive shape of breast malignancies. It is frequently wrong for a breast
contamination because it has a thickened look like an orange peel (peau d'orange),
causing the breast to come to be swollen and smooth.
41.A purchaser has been hospitalized with a femur fracture and is being dealt with with
traction. Which movement by using the nurse is the priority whilst caring for this client?
42.A. Assess neurovascular popularity.
43.B. Change the client's position.
44.C. Inspect the traction equipment.
45.D. Review ache medicine orders. - ANS -A - The use of traction for lengthy bone
fractures reduces the ability for damage to the encompassing tissues. Reports of
accelerated ache may imply circulatory compromise or tissue damage (compartment
syndrome). Assessing the customer's neurovascular popularity is the nurse's maximum
priority.
46.A customer has taken steroids for 12 years to help manipulate continual obstructive
pulmonary disease (COPD). When making a domestic go to, which nursing assessment
is of finest importance to this patron?
47.A. Pulse price, both apically and radially.
48.B. Blood stress, each status and sitting.
49.C. Temperature.
50.D. Skin color and turgor. - ANS -C - Long time period use of steroids by way of COPD
clients is effective in suppressing irritation of their airways making it less complicated for
them to breath, but at the identical time suppresses the immune system, putting the
consumer at threat for contamination, so it's miles very essential to reap the customer's
temperature.
51.A customer has taken steroids for 12 years to assist manipulate chronic obstructive
pulmonary ailment (COPD). When creating a domestic go to, which nursing evaluation is
of greatest importance to this customer?
52.A. Pulse rate, each apically and radially.
53.B. Blood pressure, both status and sitting.
54.C. Temperature.
55.D. Pores and skin coloration and turgor. - ANS -C - Long time period use of steroids by
using COPD clients is powerful in suppressing irritation of their airlines making it less
complicated for them to breath, but at the same time suppresses the immune machine,
setting the consumer at threat for infection, so it is very vital to gain the customer's
temperature.
56.A client has undergone insertion of a permanent pacemaker. When growing a discharge
coaching plan, the nurse writes a aim of, "The purchaser will verbalize symptoms of
pacemaker failure." Which signs are most vital to educate the customer?
57.A. Facial flushing.
AND ANSWERS
1. A 20-yr-vintage lady client calls the nurse to file a lump she found in her breast. Which
reaction is the exceptional for the nurse to offer?
2. A. "Check it again in one month, and if it's far nevertheless there time table an
appointment."
3. B. "Most lumps are benign, but it's miles constantly nice to are available for an exam."
4. C. "Try not to fear too much approximately it, because usually, most lumps are benign."
5. D. "If you are for your menstrual duration it isn't an amazing time to test for lumps." -
ANS -B - The nurse advising the customer to are available offers the quality reaction as
it addresses the consumer's anxiety most successfully and encourages prompt and
immediately action for a ability trouble.
6. A 32-12 months-old girl customer complains of extreme belly ache each month earlier
than her menstrual period, painful sex, and painful defecation. Which additional history
have to the nurse gain that is regular with the purchaser's complaints?
7. A. Frequent urinary tract infections.
8. B. Inability to get pregnant.
9. C. Premenstrual syndrome.
10.D. Chronic use of laxatives. - ANS -B - Dysmenorrhea, dyspareunia, and problem or
painful defecation are common symptoms of endometriosis, that is the strange
displacement of endometrial tissue inside the structured regions of the pelvic
peritoneum. A records of infertility is another commonplace locating related to
endometriosis.
11.A 49-year-old female purchaser arrives at the medical institution for an annual
examination and asks the nurse why she becomes excessively diaphoretic and feels
warm in the course of midnight. What is the nurse's quality response?
12.A. Explain the impact of the follicle-stimulating and luteinizing hormones.
13.B. Discuss perimenopause and related consolation measures.
14.C. Assess lung fields and for a cough efficient of blood-tinged mucous.
15.D. Ask if a fever above one hundred and one F (38.3 C) has befell inside the ultimate 24
hours. - ANS -B - The perimenopausal duration begins about 10 years before
menopause with the cessation of menstruation on the average a long time of 52 to 54.
Lower estrogen ranges causes FSH and LH secretion in bursts (surges), which triggers
vasomotor instability, night sweats, and hot flashes, so discussions about the
perimenopausal body's modifications, comfort measures, and treatment alternatives
need to be provided.
16.A 51-yr-old truck driver who smokes two packs of cigarettes a day and is 30 kilos
overweight is recognized with having a gastric ulcer. Which content is maximum critical
for the nurse to consist of in the discharge coaching for this purchaser?
17.A. Information about smoking cessation.
,18.B. Diet commands for an extremely low-residue weight-reduction plan.
19.C. Instructions on a weight reduction application.
20.D. The importance of growing milk within the diet. - ANS -A - Smoking has been related
to ulcer formation, and preventing or lowering the quantity of cigarettes smoked in line
with day is an essential thing of ulcer management
21.A 58-yr-old consumer who has been post-menopausal for five years is involved about
the hazard for osteoporosis because her mother has the situation. Which information
must the nurse provide?
22.A. Osteoporosis is a modern genetic disease and not using a effective treatment.
23.B. Calcium loss from bones may be slowed by means of increasing calcium consumption
and exercise.
24.C. Estrogen alternative remedy need to be commenced to save you the progression
osteoporosis.
25.D. Low-dose corticosteroid treatment efficiently halts the path of osteoporosis. - ANS -B -
Post-menopausal females are at risk for osteoporosis because of the cessation of
estrogen secretion, but a routine along with calcium, diet D, and weight-bearing
exercising can help prevent in addition bone loss.
26.A fifty eight-year-antique purchaser who has been post-menopausal for 5 years is
concerned approximately the danger for osteoporosis due to the fact her mom has the
circumstance. Which facts must the nurse offer?
27.A. Osteoporosis is a progressive genetic sickness without a effective treatment.
28.B. Calcium loss from bones can be slowed by growing calcium consumption and
exercise.
29.C. Estrogen substitute remedy must be started out to prevent the development
osteoporosis.
30.D. Low-dose corticosteroid remedy effectively halts the path of osteoporosis. - ANS -B -
Post-menopausal women are at chance for osteoporosis due to the cessation of
estrogen secretion, but a routine along with calcium, vitamin D, and weight-bearing
exercise can assist prevent further bone loss.
31.A 77-yr-vintage female consumer is admitted to the sanatorium. She is careworn, has no
urge for food, is nauseated and vomiting, and is complaining of a headache. Her pulse
fee is 43 beats consistent with minute. It is maximum critical for the nurse to assess for
which locating?
32.A. Wearing dentures.
33.B. Use of aspirin prior to admit.
34.C. Prescribed nitroglycerin for chest ache.
35.D. Takes digitalis. - ANS -D - Although it's far essential to obtain a whole medication
records, the signs and symptoms defined are classic for digitalis toxicity, and evaluation
of this hassle have to be made right away. Elderly men and women are especially liable
to digitalis intoxication which manifests itself in such signs as anorexia, nausea,
vomiting, diarrhea, headache, and fatigue.
36.A purchaser has a staging procedure for most cancers of the breast and ask the nurse
which type of breast cancer has the poorest prognosis. Which facts ought to the nurse
offer the client?
, 37.A. Stage II.
38.B. Invasive infiltrating ductal carcinoma.
39.C. T1N0M0.
40.D. Inflammatory with peau d'orange. - ANS -D - Inflammatory breast cancer onset is very
rapid and a completely uncommon form of breast most cancers and is considered the
maximum competitive shape of breast malignancies. It is frequently wrong for a breast
contamination because it has a thickened look like an orange peel (peau d'orange),
causing the breast to come to be swollen and smooth.
41.A purchaser has been hospitalized with a femur fracture and is being dealt with with
traction. Which movement by using the nurse is the priority whilst caring for this client?
42.A. Assess neurovascular popularity.
43.B. Change the client's position.
44.C. Inspect the traction equipment.
45.D. Review ache medicine orders. - ANS -A - The use of traction for lengthy bone
fractures reduces the ability for damage to the encompassing tissues. Reports of
accelerated ache may imply circulatory compromise or tissue damage (compartment
syndrome). Assessing the customer's neurovascular popularity is the nurse's maximum
priority.
46.A customer has taken steroids for 12 years to help manipulate continual obstructive
pulmonary disease (COPD). When making a domestic go to, which nursing assessment
is of finest importance to this patron?
47.A. Pulse price, both apically and radially.
48.B. Blood stress, each status and sitting.
49.C. Temperature.
50.D. Skin color and turgor. - ANS -C - Long time period use of steroids by way of COPD
clients is effective in suppressing irritation of their airways making it less complicated for
them to breath, but at the identical time suppresses the immune system, putting the
consumer at threat for contamination, so it's miles very essential to reap the customer's
temperature.
51.A customer has taken steroids for 12 years to assist manipulate chronic obstructive
pulmonary ailment (COPD). When creating a domestic go to, which nursing evaluation is
of greatest importance to this customer?
52.A. Pulse rate, each apically and radially.
53.B. Blood pressure, both status and sitting.
54.C. Temperature.
55.D. Pores and skin coloration and turgor. - ANS -C - Long time period use of steroids by
using COPD clients is powerful in suppressing irritation of their airlines making it less
complicated for them to breath, but at the same time suppresses the immune machine,
setting the consumer at threat for infection, so it is very vital to gain the customer's
temperature.
56.A client has undergone insertion of a permanent pacemaker. When growing a discharge
coaching plan, the nurse writes a aim of, "The purchaser will verbalize symptoms of
pacemaker failure." Which signs are most vital to educate the customer?
57.A. Facial flushing.
