Hesi Med-Surg Practice Exam Questions And Correct Verified Answers

HESI MED-SURG PRACTICE EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AnA2adultA2clientA2whoA2isA2hospitalizedA2afterA2surgeryA2reportsA2suddenA2onsetA2ofA2che
stA2painA2andA2dyspnea.A2TheA2clientA2appearsA2anxious,A2restless,A2andA2mildlyA2cyanoti
c.A2TheA2nurseA2shouldA2furtherA2assessA2theA2clientA2forA2whichA2condition?

A2PulmonaryA2embolism.A2
A2HeartA2failure.
A2Tuberculosis.
A2Bronchitis.A2-A2Ans--PulmonaryA2embolism.A2


Post-
surgicalA2clientsA2areA2atA2anA2increasedA2riskA2forA2deepA2veinA2thrombosisA2(DVT),A2whi
chA2mayA2resultA2inA2pulmonaryA2embolismA2ifA2theA2clotA2breaksA2offA2andA2travelsA2toA2th
eA2lungs.A2SignsA2andA2symptomsA2ofA2pulmonaryA2embolismA2includeA2chestA2pain,A2dys
pnea,A2anxiety,A2restlessness,A2andA2-A2inA2severeA2casesA2-A2cyanosis.

Jarvis,A2PhysicalA2ExaminationA2andA2HealthA2Assessment,A27thA2ed.,A2p.493

WhichA2informationA2shouldA2theA2nurseA2obtainA2whenA2performingA2anA2initialA2assessm
entA2ofA2aA2clientA2whoA2presentsA2toA2theA2emergencyA2departmentA2withA2aA2painfulA2an
kleA2injury?A2(SelectA2allA2thatA2apply.)

QualityA2ofA2theA2pain.A2
SignsA2ofA2inflammation.
AnkleA2rangeA2ofA2motion.A2
MuscleA2strengthA2testing.
VisibleA2deformitiesA2ofA2theA2joint.A2-A2Ans--QualityA2ofA2theA2pain.A2
SignsA2ofA2inflammation.
AnkleA2rangeA2ofA2motion.A2
VisibleA2deformitiesA2ofA2theA2joint.A2

InitialA2assessmentA2ofA2aA2jointA2injuryA2isA2performedA2toA2determineA2theA2extentA2ofA2th
eA2damage.A2TheA2nurse'sA2initialA2assessmentA2ofA2aA2painfulA2ankleA2injuryA2shouldA2inc
ludeA2painA2quality,A2theA2presenceA2ofA2deformities,A2evidenceA2ofA2inflammation,A2andA2
rangeA2ofA2motion.
JarvisA2PhysicalA2ExaminationA2andA2HealthA2Assessment,A27thA2ed.A2p.A2586-8

WhichA2descriptionA2ofA2painA2isA2consistentA2withA2aA2diagnosisA2ofA2rheumatoidA2arthriti
s?
A2JointA2painA2isA2worseA2inA2theA2morningA2andA2involvesA2symmetricA2joints.A2
A2JointA2painA2isA2betterA2inA2theA2morningA2andA2worsensA2throughoutA2theA2day.

,A2JointA2painA2isA2consistentA2throughoutA2theA2dayA2andA2isA2relievedA2byA2painA2medicati
on.
A2JointA2painA2isA2worseA2duringA2theA2dayA2andA2involvesA2unilateralA2joints.A2-A2Ans--
JointA2painA2isA2worseA2inA2theA2morningA2andA2involvesA2symmetricA2joints.A2

RheumatoidA2arthritisA2(RA)A2isA2anA2autoimmuneA2diseaseA2thatA2causesA2jointA2painA2a
ndA2swelling.A2RAA2isA2characterizedA2byA2painA2thatA2isA2worseA2whenA2arisingA2andA2inv
olvesA2symmetricA2joints.
Jarvis.A2(2016),A2PhysicalA2ExaminationA2andA2HealthA2Assessment,A27thA2Ed.,A2Chapter
A222;A2p.A2586


WhichA2physicalA2assessmentA2findingA2shouldA2theA2nurseA2anticipateA2inA2aA2clientA2wit
hA2long-termA2gastroesophagealrefluxA2diseaseA2(GERD)?

A2Hoarseness.A2
A2DryA2mouth.
A2MouthA2ulcers.
A2WeightA2loss.A2-A2Ans--Hoarseness.A2


DyspepsiaA2andA2regurgitationA2areA2theA2mainA2symptomsA2ofA2gastroesophagealA2reflu
xA2diseaseA2(GERD);A2however,A2hoarsenessA2isA2oneA2ofA2theA2mostA2commonA2long-
termA2symptomsA2ofA2GERDA2dueA2toA2theA2irritationA2ofA2theA2refluxA2ofA2gastricA2secretio
ns.

Ignatavicius,A2(2016).A2Medical-surgicalA2nursing:A2Patient-
centeredA2collaborativeA2care,A2eightA2edition.,A2Ch.A249,A2p.A21111.

AA2clientA2presentsA2withA2chronicA2venousA2insufficiency.A2WhichA2assessmentA2findingA2
shouldA2theA2nurseA2anticipate?

A2BilateralA2lowerA2legA2stasisA2dermatitis.A2
A2ClubbingA2ofA2fingersA2andA2toes.
A2IntermittentA2claudication.
A2PeripheralA2cyanosis.A2-A2Ans--BilateralA2lowerA2legA2stasisA2dermatitis.A2


ClientsA2whoA2sufferA2fromA2chronincA2venousA2insufficiencyA2oftenA2developA2statsisA2der
matitisA2inA2theA2lowerA2extremities.A2StatisA2dermatitisA2appearA2asA2brownish-
redA2discolorationA2onA2theA2lowerA2extremitiesA2atA2theA2anklesA2whichA2canA2developA2in
toA2stasisA2ulcersA2dueA2toA2theA2poolingA2ofA2theA2venousA2bloodA2flowA2backA2toA2theA2he
art.
Ignatavicius,A2(2013).A2Medical-surgicalA2nursing:A2Patient-
centeredA2collaborativeA2care,A27thA2ed..,A2Ch.A233,A2p.A2803.

AA2clientA2hasA2beenA2hospitalizedA2withA2aA2femurA2fractureA2andA2isA2beingA2treatedA2wit
hA2traction.A2WhichA2actionA2byA2theA2nurseA2isA2theA2priorityA2whenA2caringA2forA2thisA2clie
nt?

,A2AssessA2neurovascularA2status.A2
A2ChangeA2theA2client'sA2position.
A2InspectA2theA2tractionA2equipment.
A2ReviewA2painA2medicationA2orders.A2-A2Ans--AssessA2neurovascularA2status.A2


TheA2useA2ofA2tractionA2forA2longA2boneA2fracturesA2reducesA2theA2potentialA2forA2damage
A2toA2theA2surroundingA2tissues.A2ReportsA2ofA2increasedA2painA2mayA2indicateA2circulator
yA2compromiseA2orA2tissueA2damageA2(compartmentA2syndrome).A2AssessingA2theA2client
'sA2neurovascularA2statusA2isA2theA2nurse'sA2highestA2priority.
Ignatavicius,A2(2016).A2Medical-surgicalA2nursing:A2Patient-
centeredA2collaborativeA2care,A2eightA2edition.,A2Ch.A251,A2pp.A21051-80.

WhichA2statementA2madeA2byA2aA2clientA2withA2chronicA2pancreatitisA2indicatesA2thatA2furt
herA2educationA2isA2needed?

IA2willA2cutA2backA2onA2smokingA2cigarettesA2daily.A2
IA2willA2avoidA2drinkingA2caffeinatedA2beverages.
IA2willA2restA2frequentlyA2andA2avoidA2vigorousA2exercise.A2
IA2willA2eatA2aA2bland,A2low-fat,A2high-proteinA2diet.A2-A2Ans--
IA2willA2cutA2backA2onA2smokingA2cigarettesA2daily.A2

ToA2preventA2exacerbationsA2ofA2chronicA2pancreatitis,A2clientsA2shouldA2beA2instructedA2t
oA2avoidA2nicotineA2entirely.A2AdditionalA2teachingA2includesA2avoidingA2caffeinatedA2beve
rages,A2restingA2frequentlyA2asA2needed,A2andA2eatingA2aA2blandA2dietA2lowA2fatA2andA2hig
hA2inA2protein.Ignatavicius,A2(2016).A2Medical-surgicalA2nursing:A2Patient-
centeredA2collaborativeA2care,A28thA2ed.,A2Ch.A259,A2pp.A21084-98.

TheA2nurseA2isA2teachingA2aA2femaleA2clientA2whoA2usesA2aA2contraceptiveA2diaphragmA2a
boutA2reducingA2theA2riskA2forA2toxicA2shockA2syndromeA2(TSS).A2WhichA2informationA2sh
ouldA2theA2nurseA2include?A2(SelectA2allA2thatA2apply.)
A2RemoveA2theA2diaphragmA2immediatelyA2afterA2intercourse.A2
A2WashA2theA2diaphragmA2withA2anA2alcoholA2solution.
A2UseA2theA2diaphragmA2toA2preventA2conceptionA2duringA2theA2menstrualA2cycle.
A2DoA2notA2leaveA2theA2diaphragmA2inA2placeA2longerA2thanA28A2hoursA2afterA2intercourse.
A2
A2ReplaceA2theA2oldA2diaphragmA2everyA23A2months.A2-A2Ans--
DoA2notA2leaveA2theA2diaphragmA2inA2placeA2longerA2thanA28A2hoursA2afterA2intercourse.A2
A2ReplaceA2theA2oldA2diaphragmA2everyA23A2months.A2


TheA2diaphragmA2needsA2toA2remainA2againstA2theA2cervixA2forA26A2toA28A2hoursA2toA2prev
entA2pregnancyA2butA2shouldA2notA2remainA2forA2longerA2thanA28A2hoursA2toA2avoidA2theA2ri
skA2ofA2toxicA2shockA2syndrome.A2TheA2diaphragmA2shouldA2beA2replacedA2everyA23A2mo
nthsA2toA2maintainA2integrity.

AA2maleA2clientA2whoA2smokesA2twoA2packsA2ofA2cigarettesA2aA2dayA2statesA2heA2understa
ndsA2thatA2smokingA2cigarettesA2isA2contributingA2toA2theA2difficultyA2thatA2heA2andA2hisA2w

, ifeA2areA2havingA2inA2gettingA2pregnantA2andA2wantsA2toA2knowA2ifA2otherA2factorsA2couldA2
beA2contributingA2toA2theirA2difficulty.A2WhatA2informationA2isA2bestA2forA2theA2nurseA2toA2pr
ovide?A2(SelectA2allA2thatA2apply.)

A2MarijuanaA2cigarettesA2doA2notA2affectA2spermA2count.
A2AlcoholA2consumptionA2canA2causeA2erectileA2dysfunction.
A2LowA2testosteroneA2levelsA2affectA2spermA2production.A2
A2CessationA2ofA2smokingA2improvesA2generalA2healthA2andA2fertility.A2
A2ObesityA2hasA2noA2effectA2onA2spermA2production.A2-A2Ans--
AlcoholA2consumptionA2canA2causeA2erectileA2dysfunction.
A2LowA2testosteroneA2levelsA2affectA2spermA2production.A2
A2CessationA2ofA2smokingA2improvesA2generalA2healthA2andA2fertility.


UseA2ofA2tobacco,A2alcohol,A2andA2marijuanaA2mayA2affectA2spermA2counts.A2SpermA2cou
ntA2isA2alsoA2negativelyA2affectedA2byA2lowA2testeroneA2levelsA2andA2obesity.

TwentyA2fourA2hoursA2afterA2aA2clientA2returnsA2fromA2surgicalA2gastricA2bypass,A2theA2regi
steredA2nurseA2(RN)A2observesA2largeA2amountsA2ofA2bloodA2inA2theA2nasogastricA2tubeA2(
NGT)A2cannister.A2WhichA2assessmentA2findingA2shouldA2theA2RNA2reportA2asA2earlyA2sig
nsA2ofA2hypovolemicA2shock?

A2FaintA2pedalA2pulses.
A2DecreaseA2inA2bloodA2pressure.A2
A2Lethargy.A2
A2SlowA2breathing.A2-A2Ans--Lethargy.A2




OneA2ofA2theA2earlyA2signsA2ofA2hypovolemicA2shockA2isA2changesA2inA2theA2client'sA2level
A2ofA2consciousnessA2dueA2toA2theA2decreaseA2perfusionA2toA2theA2brainA2whichA2canA2ma
nifestsA2asA2lethargyA2orA2confusion.

TheA2registeredA2nurseA2(RN)A2isA2assessingA2aA2maleA2clientA2whoA2arrivesA2atA2theA2clin
icA2withA2severeA2abdominalA2cramping,A2pain,A2tenesmus,A2andA2dehydration.A2TheA2RN
A2discoversA2thatA2theA2clientA2hasA2hadA214A2toA220A2looseA2stoolsA2withA2rectalA2bleeding
.A2WhenA2takingA2theA2client'sA2medicalA2history,A2whichA2informationA2isA2mostA2forA2theA2
nurseA2toA2obtain?

A2IrritableA2bowelA2syndrome.
A2Diverticulitis.
A2Crohn'sA2disease.
A2UlcerativeA2colitis.A2-A2Ans--UlcerativeA2colitis.A2


TheA2RNA2shouldA2askA2theA2clientA2ifA2heA2hasA2aA2historyA2ofA2ulcerativeA2colitis,A2whichA
2isA2characterizedA2byA2severeA2abdominalA2cramping,A2pain,A2tenesmus,A2andA2dehydrat
ionA2.