HESI RN MEDICAL SURGICAL EXAM PACK 2024 QUESTIONS AND CORRECT ANSWERS

HESI RN MEDICAL SURGICAL EXAM PACK 2024
QUESTIONS AND CORRECT ANSWERS

AnFERFnurseFisFcompletingFanFassessmentFonFaFpatientFthatFisFalertFbutFstrugglesFtoFanswerFquestio
ns.FWhenFsheFattemptsFtoFtalk,FsheFslursFherFspeechFandFappearsFveryFfrightened.FWhatFadditional
FclinicalFmanifestationFdoesFtheFnurseFexpectFtoFfindFifFnacy'sFsysmptomsFhaveFbeenFcausedFbyFaFb


rainFattackF(stroke)?



A.FAFcarotidFbruit

B.FAFhypotensiveFbloodFpressure

C.FhyperreflexicFdeepFtendonFrelexes.

D.FDecreasedFbowelFsoundsF-FCORRECTFANSWERSF-A)FAFcarotidFbruit.



Rationale:FtheFcarotidFarteryF(arteryFtoFtheFbrain)FisFnarrowedFinFclientsFwithFaFbrainFattack.FAFbruit
FisFanFabnormalFsoundFheardFonFauscultationFresultingFfromFinterferenceFwithFnormalFbloodFflow.F


UsuallyFtheFbloodFpressureFisFhypertensive.FInitiallyFflaccidFparalysisFoccurs,FresultingFinFhyporefke
xicFdeepFtendonFreflexes.FBowelFsoundsFareFnotFindicativeFofFaFbrainFattack.



WhichFclinicalFmanifestationFfurtherFsupportsFanFassessmentFofFaFleft-sidedFbrainFattack?



A)FVisualFfieldFdeficitFonFtheFleftFside.

B)FSpatial-perceptualFdeficits.

C)FParesthesiaFofFtheFleftFside.

D)FGlobalFaphasia.

D)FGlobalFaphasia.F-FCORRECTFANSWERSF-D)FGlobalFaphasia.



Rationale:FGlobalFaphasiaFrefersFtoFdifficultyFspeaking,Flistening,FandFunderstanding,FasFwellFasFdiff
icultyFreadingFandFwriting.FSymptomsFvaryFfromFpersonFtoFperson.FAphasiaFmayFoccurFsecondaryFt

,oFanyFbrainFinjuryFinvolvingFtheFleftFhemisphere.FVisualFfieldFdeficits,Fspatial-
perceptualFdeficits,FandFparesthsiaFofFtheFleftFsideFusuallyFoccurFwithFright-sidedFbrainFattack.



WhenFpreparingFaFpatientFforFaFnoncontrastFcomputedFtomographyF(CT)FscanFSTAT,FwhatFnursingFi
nterventionFshouldFtheFnurseFimplement?



A)FDetermineFifFtheFclientFhasFanyFallergiesFtoFiodine

B)FExplainFthatFtheFclientFwillFnotFbeFableFtoFmoveFherFheadFthroughoutFtheFCTFscan.

C)FPremedicateFtheFclientFtoFdecreaseFpainFpriorFtoFhavingFtheFprocedure.

D)FProvideFanFexplanationFofFrelaxationFexercisesFpriorFtoFtheFprocedure.F-FCORRECTFANSWERSF-
B)FExplainFthatFtheFclientFwillFnotFbeFableFtoFmoveFherFheadFthroughoutFtheFCTFscan.



Rationale:FBecauseFheadFmotionFwillFdistortFtheFimages,FNancyFwillFhaveFtoFremainFstillFthroughou
tFtheFprocedure.FAllergiesFtoFiodineFisFimportantFifFcontrastFdyeFisFbeingFusedFforFtheFCTFscan.FPre
medicatingFtheFclientFtoFdecreaseFpainFpriorFtoFtheFprocedureFisFunnecessaryFbecauseFCTFscannin
gFisFaFnoninvasiveFandFpainlessFprocedure.FProvidingFanFexplanationFofFrelaxationFexercisesFpriorFt
oFtheFprocedureFisFaFworthwhileFinterventionFtoFdecreaseFanxietyFbutFisFnotFofFhighestFpriority.



AFneurologistFprescribesFaFmagneticFresonanceFimagingF(MRI)FofFtheFheadFSTATFforFaFpatient.FWhi
chFdataFwarrantsFimmediateFinterventionFbyFtheFnurseFconcerningFthisFdiagnosticFtest?



A)FElevatedFbloodFpressure.

B)FAllergyFtoFshellFfish.

C)FRightFhipFreplacement.

D)FHistoryFofFatrialFfibrillation.F-FCORRECTFANSWERSF-C)FRightFhipFreplacement.



TheFmagneticFfieldFgeneratedFbyFtheFMRIFisFsoFstrongFthatFmetal-
containingFitemsFareFstronglyFattractedFtoFtheFmagnet.FBecauseFtheFhipFjointFisFmadeFofFmetal,FaFle

,adFshieldFmustFbeFusedFduringFtheFprocedure.FElevatedFbloodFpressure,FanFallergyFtoFshellFfish,Fan
dFaFhistoryFofFatrialFfibrillationFwouldFnotFaffectFtheFMRI.



AFclient'sFdaughterFisFsittingFbyFherFmother'sFbedsideFwhoFwasFrecentlyFtransferredFtoFtheFInterme
diateFCareFUnit.FSheFstatesF"IFdon'tFunderstandFwhatFaFbrainFattackFis.FTheFhealthcareFproviderFtol
dFmeFmyFmotherFisFinFseriousFconditionFandFtheyFareFgoingFtoFrunFseveralFtests.FIFjustFdon'tFknowFw
hatFisFgoingFon.FWhatFhappenedFtoFmyFmother?"FWhatFisFtheFbestFresponseFbyFtheFnurse?



A)F"IFamFsorry,FbutFaccordingFtoFtheFHealthFInsuranceFPortabilityFandFAccountingFActF(HIPAA),FIFcan
notFgiveFyouFanyFinformation."

B)F"YourFmotherFhasFhadFaFstroke,FandFtheFbloodFsupplyFtoFtheFbrainFhasFbeenFblocked."

C)F"HowFdoFyouFfeelFaboutFwhatFtheFhealthcareFproviderFsaid?"

D)F"IFwillFcallFtheFhealthcareFproviderFsoFhe/sheFcanFtalkFtoFyouFaboutFyourFmother'sFseriousFcondi
tion."F-FCORRECTFANSWERSF-
B)F"YourFmotherFhasFhadFaFstroke,FandFtheFbloodFsupplyFtoFtheFbrainFhasFbeenFblocked."



Rationale:FTheFnurseFcanFdiscussFwhatFaFdiagnosisFmeans.FNancyFisFunableFtoFmakeFdecisions,FsoFt
heFnextFofFkin,FherFdaughter,FGail,FneedsFsufficientFinformationFtoFmakeFinformedFdecisions.FTheFn
urseFhasFtheFknowledge,FandFtheFresponsibility,FtoFexplainFNancy'sFconditionFtoFGail.FTheFnurseFsh
ouldFgiveFfactsFfirst,FandFthenFaddressFherFfeelingsFafterFtheFinformationFisFprovided.



WhatFisFtheFnormalFrangeFforFcardiacFoutput?F-FCORRECTFANSWERSF-
TheFnormalFrangeFforFcardiacFoutputFtoFensureFcerebralFbloodFflowFandFoxygenFdeliveryFisF4FtoF8FL/
min.



AFclientFwasFadmittedFwithFtheFdiagnosisFofFaFbrainFattack.FTheirFsymptomsFbeganF24FhoursFbefore
FbeingFadmitted.FWhyFwouldFthisFclientFnotFbeFaFcandidateFforFforFthrombolyticFtherapy?F-


FCORRECTFANSWERSF-


ThrombolyticFtherapyFisFcontraindicatedFinFclientsFwithFsymptomFonsetFlongerFthanF3FhoursFpriorFt
oFadmission.FThisFclientFhadFsymptomsFforF24FhoursFbeforeFbeingFbroughtFtoFtheFmedicalFcenter

, WhatFareFplateFguards?F-FCORRECTFANSWERSF-
PlateFguardsFpreventFfoodFfromFbeingFpushedFoffFtheFplate.FUsingFplateFguardsFandFotherFassistiveF
devicesFwillFencourageFindependenceFinFaFclientFwithFaFself-careFdeficit.



WhichFconditionFisFconsideredFaFnon-modifiableFriskFfactorFforFaFbrainFattack?



A)FHighFcholesterolFlevels.

B)FObesity.

C)FHistoryFofFatrialFfibrillation.

D)FAdvancedFage.F-FCORRECTFANSWERSF-D)FAdvancedFage.



Rationale:FPeopleFoverFageF55FareFaFhigh-
riskFgroupFforFaFbrainFattackFbecauseFtheFincidenceFofFstrokeFmoreFthanFdoublesFinFeachFsuccessiv
eFdecadeFofFlife.FNon-
modifiableFmeansFtheFclientFcannotFdoFanythingFtoFchangeFtheFriskFfactor.FAllFtheFotherFoptionsFar
eFmodifiableFriskFfactors.



AFclientFisFexperiencingFhomonymousFhemianopsiaFasFtheFresultFofFaFbrainFattack.FWhichFnursingFi
nterventionFwouldFtheFnurseFimplementFtoFaddressFthisFcondition?



A)FTurnFNancyFeveryFtwoFhoursFandFperformFactiveFrangeFofFmotionFexercises.

B)FPlaceFtheFobjectsFNancyFneedsFforFactivitiesFofFdailyFlivingFonFtheFleftFsideFofFtheFtable.

C)FSpeakFslowlyFandFclearlyFtoFassistFNancyFinFformingFsoundsFtoFwords.

D)FRequestFthatFtheFdietaryFdepartmentFthickenFallFliquidsFonFNancy'sFmealFandFsnackFtrays.F-
FCORRECTFANSWERSF-


B)FPlaceFtheFobjectsFNancyFneedsFforFactivitiesFofFdailyFlivingFonFtheFleftFsideFofFtheFtable.



Rationale:FHomonymousFhemianopsiaFisFlossFofFtheFvisualFfieldFonFtheFsameFsideFasFtheFparalyzedF
side.FThisFresultsFinFtheFclientFneglectingFthatFsideFofFtheFbody,FsoFitFisFbeneficialFtoFplaceFobjectsFo