HESI||HESI Med-Surg Exam
FREQUENT ASKED QUESTION WITH
ANSWERS WELL ELABORATED
LATEST REVIEW 2024/25 A-
NIGHTINGALE
Which method elicits the most accurate information during a physical
assessment of an older client? (CORRECT ANSWER) Use reliable
assessment tools for older adults
A client who has just tested positive for HIV does not appear to hear
what the nurse is saying during post-test counseling. Which information
should the nurse offer to facilitate the client's adjustment to HIV
infection? (CORRECT ANSWER) Discuss retesting to verify the
results, which will ensure continuing contact and give the patient support
and hope, as well as time to cope
The nurse is caring for a client with HIV who develops Mycobacterium
avium complex. What is the most significant desired outcome for this
patient? (CORRECT ANSWER) Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting
syndrome so adequate nutrition and return to pre-illness weight is
priority
,A client who had abdominal surgery two days ago has prescriptions for
IV morphine sulfate 4 mg every 2 hours and clear liquid diet. Client
complains of feeling distended and has sharp, cramping gas pains. What
nursing intervention should be implemented? (CORRECT ANSWER)
Assist the client to ambulate in the hall
A client with Meniere's disease is incapacitated by vertigo and is lying in
bed grasping the side rails and staring at the television. Which nursing
intervention should the nurse implement? (CORRECT ANSWER) Turn
off the television and darken the room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns to the
unit after a bronchoscopy. What nursing interventions should be
implemented in the immediate post-procedural period? (CORRECT
ANSWER) NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized
and bronchoscope is coated with lidocaine to inhibit gag reflex during
insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place
who is breathing spontaneously. To evaluate if the client can tolerate cuff
deflation to promote speaking and swallowing, what action should the
nurse implement? (CORRECT ANSWER) Observe the client for
coughing colored sputum after drinking a small amount of colored water
What assessment finding should the nurse identify that indicates a client
with an acute asthma exacerbation is beginning to improve after
,treatment? (CORRECT ANSWER) Wheezing becomes louder as
airways (that were initially so restricted wheezing was absent)
successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain
and the diagnosis is sickle cell crisis. What is the most important nursing
action to implement? (CORRECT ANSWER) Evaluate the
effectiveness of narcotic analgesics because pain management is priority
for patient during sickle cell crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who is
receiving chemotherapy. Lab results reveal platelet count of 10,000/mL.
What action should the nurse implement? (CORRECT ANSWER)
Check stools for occult blood because platelets less than 100,000/mL are
indicative of thrombocytopenia (a common side effect of chemotherapy)
A client is admitted for complaints of chest pain and aching for the past
4 days. The results for serum creatinine kinase-MB (CK-MB) and
troponin levels are obtained. What rationale should the nurse use to
evaluate lab findings? (CORRECT ANSWER) Myocardial damage that
occurred several days early is best validated by serum troponin levels.
**CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular
response is scheduled for surgical placement of a permanent pacemaker.
The client asks the nurse how this device will help him. How should the
nurse explain the action of a synchronous pacemaker? (CORRECT
ANSWER) An electrical stimulus is discharged when no ventricular
response is sensed.
, Synchronous - impulse generated on demand or as needed according to
patient intrinsic rhythm
A man who smokes two packs of cigarettes a day wants to know if
smoking is contributing to the difficulty that he and his wife are having
getting pregnant. What information is best for the nurse to provide?
(CORRECT ANSWER) Smoking can decrease quantity and quality of
sperm
The first semen analysis should be repeated to confirm sperm counts
Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after
a mastectomy. Which information should the nurse include in the
teaching plan? (CORRECT ANSWER) Report inflammation of the
incision site or affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for
midazolam (Versed) IV. The nurse determines that the surgical consent
form needs to be signed by the client. Which action should the nurse
implement? (CORRECT ANSWER) Withhold the drug until the client
validates understanding of the surgical procedure and signs the consent
form.
The HCP should explain procedure to client before arriving to the
preoperative area
FREQUENT ASKED QUESTION WITH
ANSWERS WELL ELABORATED
LATEST REVIEW 2024/25 A-
NIGHTINGALE
Which method elicits the most accurate information during a physical
assessment of an older client? (CORRECT ANSWER) Use reliable
assessment tools for older adults
A client who has just tested positive for HIV does not appear to hear
what the nurse is saying during post-test counseling. Which information
should the nurse offer to facilitate the client's adjustment to HIV
infection? (CORRECT ANSWER) Discuss retesting to verify the
results, which will ensure continuing contact and give the patient support
and hope, as well as time to cope
The nurse is caring for a client with HIV who develops Mycobacterium
avium complex. What is the most significant desired outcome for this
patient? (CORRECT ANSWER) Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting
syndrome so adequate nutrition and return to pre-illness weight is
priority
,A client who had abdominal surgery two days ago has prescriptions for
IV morphine sulfate 4 mg every 2 hours and clear liquid diet. Client
complains of feeling distended and has sharp, cramping gas pains. What
nursing intervention should be implemented? (CORRECT ANSWER)
Assist the client to ambulate in the hall
A client with Meniere's disease is incapacitated by vertigo and is lying in
bed grasping the side rails and staring at the television. Which nursing
intervention should the nurse implement? (CORRECT ANSWER) Turn
off the television and darken the room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns to the
unit after a bronchoscopy. What nursing interventions should be
implemented in the immediate post-procedural period? (CORRECT
ANSWER) NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized
and bronchoscope is coated with lidocaine to inhibit gag reflex during
insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place
who is breathing spontaneously. To evaluate if the client can tolerate cuff
deflation to promote speaking and swallowing, what action should the
nurse implement? (CORRECT ANSWER) Observe the client for
coughing colored sputum after drinking a small amount of colored water
What assessment finding should the nurse identify that indicates a client
with an acute asthma exacerbation is beginning to improve after
,treatment? (CORRECT ANSWER) Wheezing becomes louder as
airways (that were initially so restricted wheezing was absent)
successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain
and the diagnosis is sickle cell crisis. What is the most important nursing
action to implement? (CORRECT ANSWER) Evaluate the
effectiveness of narcotic analgesics because pain management is priority
for patient during sickle cell crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who is
receiving chemotherapy. Lab results reveal platelet count of 10,000/mL.
What action should the nurse implement? (CORRECT ANSWER)
Check stools for occult blood because platelets less than 100,000/mL are
indicative of thrombocytopenia (a common side effect of chemotherapy)
A client is admitted for complaints of chest pain and aching for the past
4 days. The results for serum creatinine kinase-MB (CK-MB) and
troponin levels are obtained. What rationale should the nurse use to
evaluate lab findings? (CORRECT ANSWER) Myocardial damage that
occurred several days early is best validated by serum troponin levels.
**CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular
response is scheduled for surgical placement of a permanent pacemaker.
The client asks the nurse how this device will help him. How should the
nurse explain the action of a synchronous pacemaker? (CORRECT
ANSWER) An electrical stimulus is discharged when no ventricular
response is sensed.
, Synchronous - impulse generated on demand or as needed according to
patient intrinsic rhythm
A man who smokes two packs of cigarettes a day wants to know if
smoking is contributing to the difficulty that he and his wife are having
getting pregnant. What information is best for the nurse to provide?
(CORRECT ANSWER) Smoking can decrease quantity and quality of
sperm
The first semen analysis should be repeated to confirm sperm counts
Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after
a mastectomy. Which information should the nurse include in the
teaching plan? (CORRECT ANSWER) Report inflammation of the
incision site or affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for
midazolam (Versed) IV. The nurse determines that the surgical consent
form needs to be signed by the client. Which action should the nurse
implement? (CORRECT ANSWER) Withhold the drug until the client
validates understanding of the surgical procedure and signs the consent
form.
The HCP should explain procedure to client before arriving to the
preoperative area
