Med-Surg HESI Test Questions and
All Answer Latest Update 2024
A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no
drainage through the nasogastric tube in the last 2 hours. Which
action should the nurse take first? - answer-Reposition the client on
her side. The priority is to determined if the tube is functioning
correctly, which would relieve the client's nausea. The least invasive
intervention is to reposition the client (B), should be attempted first,
followed by (A & C) if these are unsuccessful then (D).
When assigning clients on a medical-surgical floor to a RN and a LPN,
it is best for the charge nurse to assign which client to the LPN?
A. A child with bacterial meningitis with recent seizures.
B. An older adult client with pneumonia and viral meningitis.
C. A female client in isolation wiht meningococcal meningitis.
D. A male client 1 day post-op after drainage of a brain abscess. -
answer-B. Is the most stable. A, C, D have an increased risk for
elevated ICP.
Which description of symptoms is characteristic of a client diagnosed
with trigeminal neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties.
B. Sudden, stabbing, severe pain over the lip and chin.
Ask for various Exams or Study materials from
()
,C. Unilateral facial weakness and paralysis.
D. Difficulty in talking, chewing, and swallowing. - answer-B.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to
an electric shock, in the area innervated by one or more branches of
the trigeminal nerve.
A. Characteristic of Meniere's
C. Characteristic of Bell palsey
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
Which abnormal lab finding indicates that a client with diabetes
needs further evaluation for diabetic nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria - answer-B. Microalbuminuria is the earliest sign of
nephropathy and indicates the need for follow-up evaluation.
Hyperkalemia (A) is associated with end stage renal disease caused
by diabetic nephropathy. (C) may be elevated in end stage renal
disease. (D) may signal the onset of DKA.
An older male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area
on the calf of his right leg that is warm to touch and the nurse
suspects that the client may have thrombophlebitis. Which addition
assessment is most important for the nurse to perform?
A. Measure calf circumference.
Ask for various Exams or Study materials from
()
,B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure. - answer-B. Since the client may
have a pulmonary embolus secondary to the thrombophlebitis.
A. Would support the nurses assessment.
C. Least helpful since bruising is not associated with
thrombophlebitis.
D. Less important then auscultation.
The nurse know that a client taking diuretics must be assessed for the
development of hypokalemia, and that hypokalemia will create
changes in the client's normal ECG tracing. Which ECG change would
be an expected finding in the client with hypokalemia?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave - answer-D. A U wave is a positive deflection
following the T wave and is often present with hypokalemia. A, B, C
indicate hyperkalemia.
An older client is admitted with a diagnosis of bacterial pneumonia.
The nurse's assessment of the client will most likely reveal which
S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
Ask for various Exams or Study materials from
()
, C. Pharyngitis and sputum production.
D. Confusion and tachycardia. - answer-D. The onset of pneumonia is
the older may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate.
(A, B, C) are often absent in the older with bacterial pneumonia.
The nurse observes ventricular fibrillation on telemetry and upon
entering the clients bathroom finds the client unconscious on the
floor. What intervention should the nurse implement first?
A. Administer an antidysrhythmic medication.
B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assess the client's pulse oximetry. - answer-B. Ventricular
fibrillation is a life-threatening dysrhythmia and CPR should be
started immediately. A & C are appropriate but B is the priority. D
does not address the seriousness of the situation.
An older female client with dementia is transferred from a long term
care unit to an acute care unit. The client's children express concern
that their mother's confusion is worsening. How should the nurse
respond?
A. "It is to be expected that older people will experience progressive
confusion."
B. "Confusion in an older person often follows relocation to new
surroundings."
Ask for various Exams or Study materials from
()
All Answer Latest Update 2024
A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no
drainage through the nasogastric tube in the last 2 hours. Which
action should the nurse take first? - answer-Reposition the client on
her side. The priority is to determined if the tube is functioning
correctly, which would relieve the client's nausea. The least invasive
intervention is to reposition the client (B), should be attempted first,
followed by (A & C) if these are unsuccessful then (D).
When assigning clients on a medical-surgical floor to a RN and a LPN,
it is best for the charge nurse to assign which client to the LPN?
A. A child with bacterial meningitis with recent seizures.
B. An older adult client with pneumonia and viral meningitis.
C. A female client in isolation wiht meningococcal meningitis.
D. A male client 1 day post-op after drainage of a brain abscess. -
answer-B. Is the most stable. A, C, D have an increased risk for
elevated ICP.
Which description of symptoms is characteristic of a client diagnosed
with trigeminal neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties.
B. Sudden, stabbing, severe pain over the lip and chin.
Ask for various Exams or Study materials from
()
,C. Unilateral facial weakness and paralysis.
D. Difficulty in talking, chewing, and swallowing. - answer-B.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to
an electric shock, in the area innervated by one or more branches of
the trigeminal nerve.
A. Characteristic of Meniere's
C. Characteristic of Bell palsey
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
Which abnormal lab finding indicates that a client with diabetes
needs further evaluation for diabetic nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria - answer-B. Microalbuminuria is the earliest sign of
nephropathy and indicates the need for follow-up evaluation.
Hyperkalemia (A) is associated with end stage renal disease caused
by diabetic nephropathy. (C) may be elevated in end stage renal
disease. (D) may signal the onset of DKA.
An older male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area
on the calf of his right leg that is warm to touch and the nurse
suspects that the client may have thrombophlebitis. Which addition
assessment is most important for the nurse to perform?
A. Measure calf circumference.
Ask for various Exams or Study materials from
()
,B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure. - answer-B. Since the client may
have a pulmonary embolus secondary to the thrombophlebitis.
A. Would support the nurses assessment.
C. Least helpful since bruising is not associated with
thrombophlebitis.
D. Less important then auscultation.
The nurse know that a client taking diuretics must be assessed for the
development of hypokalemia, and that hypokalemia will create
changes in the client's normal ECG tracing. Which ECG change would
be an expected finding in the client with hypokalemia?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave - answer-D. A U wave is a positive deflection
following the T wave and is often present with hypokalemia. A, B, C
indicate hyperkalemia.
An older client is admitted with a diagnosis of bacterial pneumonia.
The nurse's assessment of the client will most likely reveal which
S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
Ask for various Exams or Study materials from
()
, C. Pharyngitis and sputum production.
D. Confusion and tachycardia. - answer-D. The onset of pneumonia is
the older may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate.
(A, B, C) are often absent in the older with bacterial pneumonia.
The nurse observes ventricular fibrillation on telemetry and upon
entering the clients bathroom finds the client unconscious on the
floor. What intervention should the nurse implement first?
A. Administer an antidysrhythmic medication.
B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assess the client's pulse oximetry. - answer-B. Ventricular
fibrillation is a life-threatening dysrhythmia and CPR should be
started immediately. A & C are appropriate but B is the priority. D
does not address the seriousness of the situation.
An older female client with dementia is transferred from a long term
care unit to an acute care unit. The client's children express concern
that their mother's confusion is worsening. How should the nurse
respond?
A. "It is to be expected that older people will experience progressive
confusion."
B. "Confusion in an older person often follows relocation to new
surroundings."
Ask for various Exams or Study materials from
()
