1|Page
HESI RN Med-Surge Practice Exam ||Verified Exam!!||
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A client presents with chronic venous insufficiency. Which
assessment finding should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication.
Peripheral cyanosis. - Answer-Bilateral lower leg stasis
dermatitis.
Clients who suffer from chroninc venous insufficiency often
develop statsis dermatitis in the lower extremities. Statis
dermatitis appear as brownish-red discoloration on the
lower extremities at the ankles which can develop into
stasis ulcers due to the pooling of the venous blood flow
back to the heart.
Ignatavicius, (2013). Medical-surgical nursing: Patient-
centered collaborative care, 7th ed.., Ch. 33, p. 803.
,2|Page
A client has been hospitalized with a femur fracture and is
being treated with traction. Which action by the nurse is
the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders. - Answer-Assess
neurovascular status.
The use of traction for long bone fractures reduces the
potential for damage to the surrounding tissues. Reports
of increased pain may indicate circulatory compromise or
tissue damage (compartment syndrome). Assessing the
client's neurovascular status is the nurse's highest priority.
Ignatavicius, (2016). Medical-surgical nursing: Patient-
centered collaborative care, eight edition., Ch. 51, pp.
1051-80.
Which statement made by a client with chronic pancreatitis
indicates that further education is needed?
,3|Page
I will cut back on smoking cigarettes daily.
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise.
I will eat a bland, low-fat, high-protein diet. - Answer-I will
cut back on smoking cigarettes daily.
To prevent exacerbations of chronic pancreatitis, clients
should be instructed to avoid nicotine entirely. Additional
teaching includes avoiding caffeinated beverages, resting
frequently as needed, and eating a bland diet low fat and
high in protein.Ignatavicius, (2016). Medical-surgical
nursing: Patient-centered collaborative care, 8th ed., Ch.
59, pp. 1084-98.
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? (Select all that apply.)
Remove the diaphragm immediately after intercourse.
Wash the diaphragm with an alcohol solution.
Use the diaphragm to prevent conception during the
menstrual cycle.
, 4|Page
Do not leave the diaphragm in place longer than 8 hours
after intercourse.
Replace the old diaphragm every 3 months. - Answer-Do
not leave the diaphragm in place longer than 8 hours after
intercourse.
Replace the old diaphragm every 3 months.
The diaphragm needs to remain against the cervix for 6 to
8 hours to prevent pregnancy but should not remain for
longer than 8 hours to avoid the risk of toxic shock
syndrome. The diaphragm should be replaced every 3
months to maintain integrity.
An adult client who is hospitalized after surgery reports
sudden onset of chest pain and dyspnea. The client
appears anxious, restless, and mildly cyanotic. The nurse
should further assess the client for which condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis. - Answer-Pulmonary embolism.
HESI RN Med-Surge Practice Exam ||Verified Exam!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam!!!
A client presents with chronic venous insufficiency. Which
assessment finding should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication.
Peripheral cyanosis. - Answer-Bilateral lower leg stasis
dermatitis.
Clients who suffer from chroninc venous insufficiency often
develop statsis dermatitis in the lower extremities. Statis
dermatitis appear as brownish-red discoloration on the
lower extremities at the ankles which can develop into
stasis ulcers due to the pooling of the venous blood flow
back to the heart.
Ignatavicius, (2013). Medical-surgical nursing: Patient-
centered collaborative care, 7th ed.., Ch. 33, p. 803.
,2|Page
A client has been hospitalized with a femur fracture and is
being treated with traction. Which action by the nurse is
the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders. - Answer-Assess
neurovascular status.
The use of traction for long bone fractures reduces the
potential for damage to the surrounding tissues. Reports
of increased pain may indicate circulatory compromise or
tissue damage (compartment syndrome). Assessing the
client's neurovascular status is the nurse's highest priority.
Ignatavicius, (2016). Medical-surgical nursing: Patient-
centered collaborative care, eight edition., Ch. 51, pp.
1051-80.
Which statement made by a client with chronic pancreatitis
indicates that further education is needed?
,3|Page
I will cut back on smoking cigarettes daily.
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise.
I will eat a bland, low-fat, high-protein diet. - Answer-I will
cut back on smoking cigarettes daily.
To prevent exacerbations of chronic pancreatitis, clients
should be instructed to avoid nicotine entirely. Additional
teaching includes avoiding caffeinated beverages, resting
frequently as needed, and eating a bland diet low fat and
high in protein.Ignatavicius, (2016). Medical-surgical
nursing: Patient-centered collaborative care, 8th ed., Ch.
59, pp. 1084-98.
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? (Select all that apply.)
Remove the diaphragm immediately after intercourse.
Wash the diaphragm with an alcohol solution.
Use the diaphragm to prevent conception during the
menstrual cycle.
, 4|Page
Do not leave the diaphragm in place longer than 8 hours
after intercourse.
Replace the old diaphragm every 3 months. - Answer-Do
not leave the diaphragm in place longer than 8 hours after
intercourse.
Replace the old diaphragm every 3 months.
The diaphragm needs to remain against the cervix for 6 to
8 hours to prevent pregnancy but should not remain for
longer than 8 hours to avoid the risk of toxic shock
syndrome. The diaphragm should be replaced every 3
months to maintain integrity.
An adult client who is hospitalized after surgery reports
sudden onset of chest pain and dyspnea. The client
appears anxious, restless, and mildly cyanotic. The nurse
should further assess the client for which condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis. - Answer-Pulmonary embolism.
