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HESI Medical-Surgical Nursing – Study Guide, Practice Questions & Exam Review

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Prepare for the HESI Medical-Surgical Nursing assessment with this focused study resource designed to reinforce essential nursing knowledge and clinical judgment. Review key topics related to cardiovascular disorders, respiratory conditions, neurological diseases, gastrointestinal problems, endocrine disorders, renal conditions, and perioperative nursing care. Strengthen your understanding of patient assessment, disease processes, clinical manifestations, diagnostic findings, medication safety, and appropriate nursing interventions. This resource helps nursing students practice applying medical-surgical nursing principles, identify knowledge gaps, and organize their revision before assessments. Use it alongside your HESI preparation materials, assigned textbook, lecture notes, and course objectives to support focused study and improve confidence when preparing for medical-surgical nursing examinations.

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When describing patient education C. Informal teaching is individualized one on one teaching which
approaches, the nurse educator represents the majority of patient education done by nurses that
would explain that informal occurs when an intervention is explained or a question is answered.
teaching is an approach that Group needs are often the focus of formal patient education courses
or classes. Informal teaching does not necessarily follow a specific
a. follows formalized plans formalized plan. It may be planned with specific content, but it is
b. has standardized content individualized responses to patient needs. Formal teaching involves
c. often occurs one-to-one the use of a curriculum/course plan with standardized content.
d. addresses group needs

A patient expresses a strong C. Cognitive theorists believe that attention, relevance, confidence,
interest in returning to their work, and satisfaction (ARCS) are the conditions that, when integrated,
family, and hobbies after having a motivate someone to learn. Field theorists place significance on how
stroke. Which theory type would achievement, power, the need for affiliation, and avoidance motives
the nurse use to develop a plan of influence individual behavior. Sociologic theories are not involved in
care for the best results of this motivation.
patient's motivation style?


a. field
b. biological
c. cognitive
d. sociologic




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The nurse is assessing a group of C, D, E, F
clients. Which clients are at greater
risk for hypothermia or frostbite? clients with poor nutrition, fatigue, and multiple chronic illnesses are at
(select all that apply) greater risk for hypothermia. Clients who smoke, consume alcohol, or
have impaired peripheral circulation have a higher incidence of
a. an older woman with frostbite.
hypertension
b. a young man with a body mass
index of 42
c. a young many who has just
consumed six martinis
d. an older man who smokes a pack
of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic




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Which statement made by a nurse D
represents the need for further
education regarding pain There is no evidence to support the idea that older adult clients
management in older adult clients? perceive pain any differently than younger clients. The other
statements are accurate regarding older clients and pain.
a. older adults tend to report pain
less often than younger adults
b. older clients usually have more
experience with pain than younger
clients
c. older adults are at greatest risk
for under treated pain
d. older clients have a different pain
mechanism and do not feel it as
much




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The nurse is working at a first aid C
booth for a spring training game on
a hot day. A spectator comes in, The spectator shows signs of heat stroke, which is a medical
reporting that he is not feeling well. emergency. The spectator should be transported to the ED ASAP. The
Vital signs are temp 104.1 F, pulse nurs should take actions to lower his body temp in teh meantime by
132 BPM, respirs 26 breaths/min, removing his shirt and sponging his body with cool water. Lowering
and blood pressure 106/66 mm Hg. body temp by drinking cool fluids or taking acetaminophen is not as
He trips over his feet as the nurse effective in an emergency situation. The client needs to be cooled
leads him to a cot. What is the quickly and is a priority for treatment
priory action of the nurse?


a. admin tylenol 650 mg orally
b. encourage rest, and reassess in
15 minutes
c. sponge the victim with cool
water and remove his shirt
d. encourage drinking of cool water
or sports drink




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