HESI RN MED-SURGE
PRACTICE EXAM WITH
RESOLUTIONS.
[Document subtitle]
,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. - correct ans:Pulmonary embolism
which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (select all that apply)
Quality of the pain.
Signs of inflammation.
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint - correct ans:Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
Joint pain is worse in the morning and involves symmetric joints.
Joint pain is better in the morning and worsens throughout the day.
,Joint pain is consistent throughout the day and is relieved by pain
medication.
Joint pain is worse during the day and involves unilateral joints. - correct
ans:Joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss. - correct ans:Hoarseness
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. Incorrect
Peripheral cyanosis. - correct ans:Bilateral lower leg stasis dermatitis
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. - correct ans:Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
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. - correct ans:I will cut back on
smoking cigarettes daily
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.
Do not leave the diaphragm in place longer than 8 hours after intercourse.
Replace the old diaphragm every 3 months. - correct ans:Do not leave the
diaphragm in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that he
and his wife are having in getting pregnant and wants to know if other
factors could be contributing to their difficulty. Which information is best for
the nurse to provide? (Select all that apply).
PRACTICE EXAM WITH
RESOLUTIONS.
[Document subtitle]
,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. - correct ans:Pulmonary embolism
which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (select all that apply)
Quality of the pain.
Signs of inflammation.
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint - correct ans:Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
Joint pain is worse in the morning and involves symmetric joints.
Joint pain is better in the morning and worsens throughout the day.
,Joint pain is consistent throughout the day and is relieved by pain
medication.
Joint pain is worse during the day and involves unilateral joints. - correct
ans:Joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss. - correct ans:Hoarseness
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. Incorrect
Peripheral cyanosis. - correct ans:Bilateral lower leg stasis dermatitis
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. - correct ans:Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
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. - correct ans:I will cut back on
smoking cigarettes daily
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.
Do not leave the diaphragm in place longer than 8 hours after intercourse.
Replace the old diaphragm every 3 months. - correct ans:Do not leave the
diaphragm in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that he
and his wife are having in getting pregnant and wants to know if other
factors could be contributing to their difficulty. Which information is best for
the nurse to provide? (Select all that apply).
