HESI MED-SURG PRACTICE EXAM
Complete Questions and Guide Answers
100% Verified Graded A+
1. 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.
Answer: Pulmonary embolism.
Post-surgical clients are at an increased risk for deep vein thrombosis (DVT), which may result in pulmonary embolism if
the clot breaks ott and travels to the lungs. Signs and symptoms of pulmonary embolism include chest pain, dyspnea,
anxiety, restlessness, and - in severe cases - cyanosis.
,Jarvis, Physical Examination and Health Assessment, 7th ed., p.493
2. 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.
Answer: Quality of the pain. Signs of inflammation.
Ankle range of motion.
Visible deformities of the joint.
Initial assessment of a joint injury is performed to determine the extent of the damage. The nurse's initial assessment of
a painful ankle injury should include pain quality, the presence of deformities, evidence of inflammation, and range of
motion.
Jarvis Physical Examination and Health Assessment, 7th ed. p. 586-8
3. 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.
Answer: Joint pain is worse in the morning and involves symmetric joints.
Rheumatoid arthritis (RA) is an autoimmune disease that causes joint pain and swelling. RA is characterized by pain
that is worse when arising and involves symmetric joints.
Jarvis. (2016), Physical Examination and Health Assessment, 7th Ed., Chapter 22; p. 586
4. Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss.
Answer: Hoarseness.
Dyspepsia and regurgitation are the main symptoms of gastroesophageal reflux disease (GERD); however, hoarseness is
, one of the most common long-term symptoms of GERD due to the irritation of the reflux of gastric secretions.
Ignatavicius, (2016). Medical-surgical nursing
: Patient-centered collaborative care, eight edition., Ch. 49, p. 1111.
5. A client presents with chronic venous insufficiency. Which assessment find-
ing should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication.
Peripheral cyanosis.
Answer: Bilateral lower leg stasis dermatitis.
Clients who sutter from chroninc venous insuflciency often develop statsis dermatitis in the lower extremities. Statis
dermatitis appear as brownish-red discoloration on the lower extremities at the ankles which can develop into stasis
ulcers due to the pooling of the venous blood flow back to the heart.
Ignatavicius, (2013). Medical-surgical nursing
: Patient-centered collaborative care, 7th ed.., Ch. 33, p. 803.
Complete Questions and Guide Answers
100% Verified Graded A+
1. 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.
Answer: Pulmonary embolism.
Post-surgical clients are at an increased risk for deep vein thrombosis (DVT), which may result in pulmonary embolism if
the clot breaks ott and travels to the lungs. Signs and symptoms of pulmonary embolism include chest pain, dyspnea,
anxiety, restlessness, and - in severe cases - cyanosis.
,Jarvis, Physical Examination and Health Assessment, 7th ed., p.493
2. 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.
Answer: Quality of the pain. Signs of inflammation.
Ankle range of motion.
Visible deformities of the joint.
Initial assessment of a joint injury is performed to determine the extent of the damage. The nurse's initial assessment of
a painful ankle injury should include pain quality, the presence of deformities, evidence of inflammation, and range of
motion.
Jarvis Physical Examination and Health Assessment, 7th ed. p. 586-8
3. 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.
Answer: Joint pain is worse in the morning and involves symmetric joints.
Rheumatoid arthritis (RA) is an autoimmune disease that causes joint pain and swelling. RA is characterized by pain
that is worse when arising and involves symmetric joints.
Jarvis. (2016), Physical Examination and Health Assessment, 7th Ed., Chapter 22; p. 586
4. Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss.
Answer: Hoarseness.
Dyspepsia and regurgitation are the main symptoms of gastroesophageal reflux disease (GERD); however, hoarseness is
, one of the most common long-term symptoms of GERD due to the irritation of the reflux of gastric secretions.
Ignatavicius, (2016). Medical-surgical nursing
: Patient-centered collaborative care, eight edition., Ch. 49, p. 1111.
5. A client presents with chronic venous insufficiency. Which assessment find-
ing should the nurse anticipate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication.
Peripheral cyanosis.
Answer: Bilateral lower leg stasis dermatitis.
Clients who sutter from chroninc venous insuflciency often develop statsis dermatitis in the lower extremities. Statis
dermatitis appear as brownish-red discoloration on the lower extremities at the ankles which can develop into stasis
ulcers due to the pooling of the venous blood flow back to the heart.
Ignatavicius, (2013). Medical-surgical nursing
: Patient-centered collaborative care, 7th ed.., Ch. 33, p. 803.
