MEDICAL SURGICAL
EVOLVE HESI MEDICAL SURGICAL
INTEGRATED TEST ACTUAL EXAM 1
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
RATIONALES) |ALREADY GRADED A+ BEST
DOCUMENT FOR FINAL EXAM
A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile
duct. Which finding is most important for the practical nurse to report to the healthcare
provider?
A) Pain radiating to the right shoulder.
B) Clay-colored stool.
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C) Hard, rigid abdomen.
D) Vomiting bile-stained emesis. –
Correct Answer :C) Hard, rigid abdomen.
A client who experienced a thrombolic stroke has received recombinant tissue plasminogen
activator (TPA)( Alteplase) two hours ago in the emergency center. Which priority precaution
should the practical nurse implement for this client on admission to the medical unit?
A) Disuse syndrome.
B) Risk for infection.
C) Fall precautions.
D) Bleeding precautions. –
Correct Answer :D) Bleeding precautions.
An older male client with osteoarthritis complains of stiffness and pain in his hips, knees, and
feet each morning and asks the practical nurse (PN) why just these joints bother him. Which
explanation should the PN provide?
A) Advanced age eventually causes generalized joint pain.
B) Poor circulation may cause pain in the lower extremities.
C) Joint damage can occur from years of weight-bearing stress.
D) Cartilage of the lower extremities is more likely to wear out. –
Correct Answer :C) Joint damage can occur from years of weight-bearing stress.
A client who has vomiting, dysuria, and urinary tract infection (UTI) arrives in the clinic and
receives an IV antiemetic and a liter of IV fluids. The healthcare provider prescribes oral
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antibiotics for the client's discharge. Which finding is essential for the practical nurse to
determine before the client is discharged?
A) Temperature below 100.4 F (38 C).
B) No vomiting with oral fluid intake.
C) White blood cell (WBC) count below 13,000 mm3.
D) Minimal dysuria with voiding. –
Correct Answer :B) No vomiting with oral fluid intake.
A client is scheduled for a transurethral resection of the prostate (TURP). What statement by
the client reveals to the practical nurse that the client needs additional information?
A) "I need to drink a lot after surgery."
B) "My urine should be red after surgery."
C) "My incision will probably be painful."
D) "I should have a catheter after surgery." –
Correct Answer :C) "My incision will probably be painful."
A client arrives at the oncology clinic for the next treatment in the prescribed course of
chemotherapy (CT). The practical nurse (PN) reviews the client's laboratory results: white
blood cells 700/mm 3 , red blood cells 2.8 million/mm 3 , hemoglobin 7.9 grams/dl, hematocrit
25.5%, and platelet count 14,000/mm 3 . Which action should the PN take first?
A) Obtain the CT from the pharmacy for administration.
B) Place an isolation mask on the client.
C) Collect a blood sample for type and crossmatch.
D) Notify the charge nurse of the client's results. –
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Correct Answer :B) Place an isolation mask on the client.
A client with type 2 diabetes mellius (DM) presents in the clinic with a leg laceration that has
not healed in two weeks. Which client data is most important for the practical nurse to
collect?
A) Serum electrolyte results.
B) Use of vitamin C supplements.
C) Daily administration of insulin.
D) Fingerstick glucose level. –
Correct Answer :D) Fingerstick glucose level.
What is the priority data that the practical nurse (PN) should obtain for a client with a cervical
spinal cord injury (SCI)?
A) Mental status and pupil reaction.
B) Heart rate and rhythm.
C) Muscle strength and reflexes.
D) Respiratory pattern and airway. –
Correct Answer :D) Respiratory pattern and airway.
The practical nurse (PN) is reviewing the plan of care for a client scheduled for a surgical
amputation of the left lower leg. Which nursing diagnosis should the PN use as the highest
priority for this client after the surgery?
A) Impaired walking.
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EVOLVE HESI MEDICAL SURGICAL
INTEGRATED TEST ACTUAL EXAM 1
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
RATIONALES) |ALREADY GRADED A+ BEST
DOCUMENT FOR FINAL EXAM
A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile
duct. Which finding is most important for the practical nurse to report to the healthcare
provider?
A) Pain radiating to the right shoulder.
B) Clay-colored stool.
1|Page
, MEDICAL SURGICAL
C) Hard, rigid abdomen.
D) Vomiting bile-stained emesis. –
Correct Answer :C) Hard, rigid abdomen.
A client who experienced a thrombolic stroke has received recombinant tissue plasminogen
activator (TPA)( Alteplase) two hours ago in the emergency center. Which priority precaution
should the practical nurse implement for this client on admission to the medical unit?
A) Disuse syndrome.
B) Risk for infection.
C) Fall precautions.
D) Bleeding precautions. –
Correct Answer :D) Bleeding precautions.
An older male client with osteoarthritis complains of stiffness and pain in his hips, knees, and
feet each morning and asks the practical nurse (PN) why just these joints bother him. Which
explanation should the PN provide?
A) Advanced age eventually causes generalized joint pain.
B) Poor circulation may cause pain in the lower extremities.
C) Joint damage can occur from years of weight-bearing stress.
D) Cartilage of the lower extremities is more likely to wear out. –
Correct Answer :C) Joint damage can occur from years of weight-bearing stress.
A client who has vomiting, dysuria, and urinary tract infection (UTI) arrives in the clinic and
receives an IV antiemetic and a liter of IV fluids. The healthcare provider prescribes oral
2|Page
, MEDICAL SURGICAL
antibiotics for the client's discharge. Which finding is essential for the practical nurse to
determine before the client is discharged?
A) Temperature below 100.4 F (38 C).
B) No vomiting with oral fluid intake.
C) White blood cell (WBC) count below 13,000 mm3.
D) Minimal dysuria with voiding. –
Correct Answer :B) No vomiting with oral fluid intake.
A client is scheduled for a transurethral resection of the prostate (TURP). What statement by
the client reveals to the practical nurse that the client needs additional information?
A) "I need to drink a lot after surgery."
B) "My urine should be red after surgery."
C) "My incision will probably be painful."
D) "I should have a catheter after surgery." –
Correct Answer :C) "My incision will probably be painful."
A client arrives at the oncology clinic for the next treatment in the prescribed course of
chemotherapy (CT). The practical nurse (PN) reviews the client's laboratory results: white
blood cells 700/mm 3 , red blood cells 2.8 million/mm 3 , hemoglobin 7.9 grams/dl, hematocrit
25.5%, and platelet count 14,000/mm 3 . Which action should the PN take first?
A) Obtain the CT from the pharmacy for administration.
B) Place an isolation mask on the client.
C) Collect a blood sample for type and crossmatch.
D) Notify the charge nurse of the client's results. –
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Correct Answer :B) Place an isolation mask on the client.
A client with type 2 diabetes mellius (DM) presents in the clinic with a leg laceration that has
not healed in two weeks. Which client data is most important for the practical nurse to
collect?
A) Serum electrolyte results.
B) Use of vitamin C supplements.
C) Daily administration of insulin.
D) Fingerstick glucose level. –
Correct Answer :D) Fingerstick glucose level.
What is the priority data that the practical nurse (PN) should obtain for a client with a cervical
spinal cord injury (SCI)?
A) Mental status and pupil reaction.
B) Heart rate and rhythm.
C) Muscle strength and reflexes.
D) Respiratory pattern and airway. –
Correct Answer :D) Respiratory pattern and airway.
The practical nurse (PN) is reviewing the plan of care for a client scheduled for a surgical
amputation of the left lower leg. Which nursing diagnosis should the PN use as the highest
priority for this client after the surgery?
A) Impaired walking.
4|Page
