HESI MEDICAL-SURGICAL PRACTICE TEST
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AnA2olderA2clientA2isA2seenA2inA2theA2clinicA2forA2anA2annualA2physicalA2exam.A2WhichA2fin
dingA2shouldA2theA2practicalA2nurseA2reportA2toA2theA2healthcareA2providerA2forA2follow-
up?
A)A2HemoglobinA29.1A2grams/dlA2withA2positiveA2occultA2bloodA2inA2stool.
B)A2SerumA2carcinoembryonicA2antigenA2(CEA)A2levelA2isA2low.
C)A2BowelA2soundsA2auscultatedA2withA2occasionalA2borborygmi.
D)A2AbdominalA2tympanyA2withA2negativeA2reboundA2tenderness.A2-A2Ans--
A)A2HemoglobinA29.1A2grams/dlA2withA2positiveA2occultA2bloodA2inA2stool.
AnA2olderA2clientA2whoA2isA2atA2aA2healthA2fairA2goesA2toA2theA2FirstA2AidA2stationA2andA2re
portsA2feelingA2tiredA2afterA2aA2recentA2screeningA2testA2revealedA2aA2hemoglobinA2ofA210.
1A2grams.A2TheA2clientA2asksA2theA2practicalA2nurseA2(PN)A2whatA2couldA2heA2doA2toA2feelA
2better.A2WhatA2informationA2shouldA2theA2PNA2offer?
A)A2EatA2foodA2highA2inA2iron,A2forA2exampleA2redA2meat.
B)A2TakeA2anA2over-the-counterA2ironA2supplement.
C)A2PracticeA2dailyA2stress-relievingA2measures.
D)A2MakeA2appointmentA2withA2healthcareA2provider.A2-A2Ans--
D)A2MakeA2appointmentA2withA2healthcareA2provider.
TheA2practicalA2nurseA2(PN)A2isA2caringA2forA2aA2clientA2withA2trigeminalA2neuralgiaA2assoc
iatedA2withA2CranialA2NerveA2VA2pathology.A2WhileA2reinforcingA2theA2dischargeA2teaching
A2instructions,A2theA2PNA2shouldA2includeA2whichA2information?
A)A2EncourageA2aA2softA2dietA2toA2minimizeA2chewing.
B)A2InstructA2theA2clientA2toA2thickenA2allA2oralA2liquids.
C)A2TakeA2deepA2breathsA2toA2minimizeA2respiratoryA2effort.
D)A2AmbulateA2withA2aA2walkerA2toA2reduceA2theA2riskA2ofA2falling.A2-A2Ans--
A)A2EncourageA2aA2softA2dietA2toA2minimizeA2chewing.
WhichA2informationA2shouldA2theA2practicalA2nurseA2(PN)A2reinforceA2withA2aA2femaleA2clie
ntA2whoA2hasA2aA2historyA2ofA2frequentA2urinaryA2tractA2infectionsA2(UTI)?
A)A2DrinkA2aA2glassA2ofA2cranberryA2juiceA2daily.
B)A2UseA2unscentedA2soapA2forA2aA2bubbleA2bath.
C)A2VoidA2everyA28A2hoursA2whileA2awake.
D)A2EmptyA2bladderA2beforeA2showering.A2-A2Ans--
A)A2DrinkA2aA2glassA2ofA2cranberryA2juiceA2daily.
, AA2maleA2clientA2whoA2arrivesA2atA2theA2clinicA2forA2anA2eyeA2examinationA2tellsA2theA2prac
ticalA2nurseA2(PN)A2thatA2heA2hasA2recentlyA2experiencedA2blurredA2vision.A2WhichA2findin
gA2isA2mostA2importantA2forA2theA2PNA2toA2reportA2toA2theA2healthcareA2provider?
A)A2InabilityA2toA2identifyA2theA2colorsA2ofA2numbersA2onA2anA2eyeA2chart.
B)A2LeftA2pupilA2consensualA2responseA2toA2penA2lightA2exposureA2inA2rightA2eye.
C)A2SmallA2rapid,A2rhythmic,A2oscillatingA2movementsA2ofA2eyeballs.
D)A2PupilsA2constrictA2whenA2focusingA2onA2aA2distantA2objectA2thatA2movesA2toA2theA2face
.A2-A2Ans--C)A2SmallA2rapid,A2rhythmic,A2oscillatingA2movementsA2ofA2eyeballs.
AA2clientA2whoA2isA2one-dayA2post-
thyroidectomyA2beginsA2toA2developA2aA2stridor.A2WhichA2priorityA2actionA2shouldA2theA2pr
acticalA2nurseA2implement?
A)A2PrepareA2forA2emergencyA2tracheotomyA2atA2theA2bedside.
B)A2InsertA2aA2largeA2boreA2needleA2forA2IVA2access.
C)A2GiveA2theA2clientA2oxygenA2perA2faceA2mask.
D)A2AssessA2theA2clientA2forA2signsA2ofA2hypocalcemia.A2-A2Ans--
A)A2PrepareA2forA2emergencyA2tracheotomyA2atA2theA2bedside.
AA2clientA2withA2chronicA2kidneyA2diseaseA2(CKD)A2hasA2aA2serumA2potassiumA2levelA2ofA2
7.0A2mEq/L.A2WhichA2prescriptionA2shouldA2theA2practicalA2nurseA2administer?
A)A2DiureticsA2andA2IVA2fluidsA2atA2keepA2openA2rate.
B)A2OralA2phosphateA2bindersA2withA2meals.
C)A250%A2dextroseA2andA2regularA2insulinA2IV.
D)A2SyntheticA2erythropoietinA2subcutaneously.A2-A2Ans--
C)A250%A2dextroseA2andA2regularA2insulinA2IV.
WhenA2makingA2morningA2assessments,A2theA2practicalA2nurseA2findsA2aA2clientA2whoA2isA
2exhibitingA2aA2newA2findingA2ofA2right-
sidedA2facialA2drooping.A2WhichA2assessmentA2isA2mostA2importantA2forA2theA2PNA2toA2im
plementA2first?
A)A2InstructA2toA2squeezeA2theA2eyesA2shutA2andA2checkA2forA2completeA2closure.
B)A2TestA2allA2fourA2extremitiesA2forA2movementA2andA2strength.
C)A2AskA2theA2clientA2toA2smile,A2frown,A2andA2puffA2outA2cheeks.
D)A2UseA2aA2wispA2ofA2cottonA2toA2checkA2forA2cornealA2reflex.A2-A2Ans--
B)A2TestA2allA2fourA2extremitiesA2forA2movementA2andA2strength.
TheA2practicalA2nurseA2(PN)A2isA2monitoringA2aA2clientA2withA2aA2comminutedA2fractureA2of
A2theA2leftA2femur.A2WhichA2findingA2shouldA2theA2PNA2reportA2toA2theA2healthcareA2provid
erA2immediately?
A)A2RisingA2creatineA2phosphokinaseA2(CPK).
B)A2ElevatedA2whiteA2bloodA2countA2(WBC).
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AnA2olderA2clientA2isA2seenA2inA2theA2clinicA2forA2anA2annualA2physicalA2exam.A2WhichA2fin
dingA2shouldA2theA2practicalA2nurseA2reportA2toA2theA2healthcareA2providerA2forA2follow-
up?
A)A2HemoglobinA29.1A2grams/dlA2withA2positiveA2occultA2bloodA2inA2stool.
B)A2SerumA2carcinoembryonicA2antigenA2(CEA)A2levelA2isA2low.
C)A2BowelA2soundsA2auscultatedA2withA2occasionalA2borborygmi.
D)A2AbdominalA2tympanyA2withA2negativeA2reboundA2tenderness.A2-A2Ans--
A)A2HemoglobinA29.1A2grams/dlA2withA2positiveA2occultA2bloodA2inA2stool.
AnA2olderA2clientA2whoA2isA2atA2aA2healthA2fairA2goesA2toA2theA2FirstA2AidA2stationA2andA2re
portsA2feelingA2tiredA2afterA2aA2recentA2screeningA2testA2revealedA2aA2hemoglobinA2ofA210.
1A2grams.A2TheA2clientA2asksA2theA2practicalA2nurseA2(PN)A2whatA2couldA2heA2doA2toA2feelA
2better.A2WhatA2informationA2shouldA2theA2PNA2offer?
A)A2EatA2foodA2highA2inA2iron,A2forA2exampleA2redA2meat.
B)A2TakeA2anA2over-the-counterA2ironA2supplement.
C)A2PracticeA2dailyA2stress-relievingA2measures.
D)A2MakeA2appointmentA2withA2healthcareA2provider.A2-A2Ans--
D)A2MakeA2appointmentA2withA2healthcareA2provider.
TheA2practicalA2nurseA2(PN)A2isA2caringA2forA2aA2clientA2withA2trigeminalA2neuralgiaA2assoc
iatedA2withA2CranialA2NerveA2VA2pathology.A2WhileA2reinforcingA2theA2dischargeA2teaching
A2instructions,A2theA2PNA2shouldA2includeA2whichA2information?
A)A2EncourageA2aA2softA2dietA2toA2minimizeA2chewing.
B)A2InstructA2theA2clientA2toA2thickenA2allA2oralA2liquids.
C)A2TakeA2deepA2breathsA2toA2minimizeA2respiratoryA2effort.
D)A2AmbulateA2withA2aA2walkerA2toA2reduceA2theA2riskA2ofA2falling.A2-A2Ans--
A)A2EncourageA2aA2softA2dietA2toA2minimizeA2chewing.
WhichA2informationA2shouldA2theA2practicalA2nurseA2(PN)A2reinforceA2withA2aA2femaleA2clie
ntA2whoA2hasA2aA2historyA2ofA2frequentA2urinaryA2tractA2infectionsA2(UTI)?
A)A2DrinkA2aA2glassA2ofA2cranberryA2juiceA2daily.
B)A2UseA2unscentedA2soapA2forA2aA2bubbleA2bath.
C)A2VoidA2everyA28A2hoursA2whileA2awake.
D)A2EmptyA2bladderA2beforeA2showering.A2-A2Ans--
A)A2DrinkA2aA2glassA2ofA2cranberryA2juiceA2daily.
, AA2maleA2clientA2whoA2arrivesA2atA2theA2clinicA2forA2anA2eyeA2examinationA2tellsA2theA2prac
ticalA2nurseA2(PN)A2thatA2heA2hasA2recentlyA2experiencedA2blurredA2vision.A2WhichA2findin
gA2isA2mostA2importantA2forA2theA2PNA2toA2reportA2toA2theA2healthcareA2provider?
A)A2InabilityA2toA2identifyA2theA2colorsA2ofA2numbersA2onA2anA2eyeA2chart.
B)A2LeftA2pupilA2consensualA2responseA2toA2penA2lightA2exposureA2inA2rightA2eye.
C)A2SmallA2rapid,A2rhythmic,A2oscillatingA2movementsA2ofA2eyeballs.
D)A2PupilsA2constrictA2whenA2focusingA2onA2aA2distantA2objectA2thatA2movesA2toA2theA2face
.A2-A2Ans--C)A2SmallA2rapid,A2rhythmic,A2oscillatingA2movementsA2ofA2eyeballs.
AA2clientA2whoA2isA2one-dayA2post-
thyroidectomyA2beginsA2toA2developA2aA2stridor.A2WhichA2priorityA2actionA2shouldA2theA2pr
acticalA2nurseA2implement?
A)A2PrepareA2forA2emergencyA2tracheotomyA2atA2theA2bedside.
B)A2InsertA2aA2largeA2boreA2needleA2forA2IVA2access.
C)A2GiveA2theA2clientA2oxygenA2perA2faceA2mask.
D)A2AssessA2theA2clientA2forA2signsA2ofA2hypocalcemia.A2-A2Ans--
A)A2PrepareA2forA2emergencyA2tracheotomyA2atA2theA2bedside.
AA2clientA2withA2chronicA2kidneyA2diseaseA2(CKD)A2hasA2aA2serumA2potassiumA2levelA2ofA2
7.0A2mEq/L.A2WhichA2prescriptionA2shouldA2theA2practicalA2nurseA2administer?
A)A2DiureticsA2andA2IVA2fluidsA2atA2keepA2openA2rate.
B)A2OralA2phosphateA2bindersA2withA2meals.
C)A250%A2dextroseA2andA2regularA2insulinA2IV.
D)A2SyntheticA2erythropoietinA2subcutaneously.A2-A2Ans--
C)A250%A2dextroseA2andA2regularA2insulinA2IV.
WhenA2makingA2morningA2assessments,A2theA2practicalA2nurseA2findsA2aA2clientA2whoA2isA
2exhibitingA2aA2newA2findingA2ofA2right-
sidedA2facialA2drooping.A2WhichA2assessmentA2isA2mostA2importantA2forA2theA2PNA2toA2im
plementA2first?
A)A2InstructA2toA2squeezeA2theA2eyesA2shutA2andA2checkA2forA2completeA2closure.
B)A2TestA2allA2fourA2extremitiesA2forA2movementA2andA2strength.
C)A2AskA2theA2clientA2toA2smile,A2frown,A2andA2puffA2outA2cheeks.
D)A2UseA2aA2wispA2ofA2cottonA2toA2checkA2forA2cornealA2reflex.A2-A2Ans--
B)A2TestA2allA2fourA2extremitiesA2forA2movementA2andA2strength.
TheA2practicalA2nurseA2(PN)A2isA2monitoringA2aA2clientA2withA2aA2comminutedA2fractureA2of
A2theA2leftA2femur.A2WhichA2findingA2shouldA2theA2PNA2reportA2toA2theA2healthcareA2provid
erA2immediately?
A)A2RisingA2creatineA2phosphokinaseA2(CPK).
B)A2ElevatedA2whiteA2bloodA2countA2(WBC).