HESI MED-SURG RN CUSTOM 2024/2025EXAM FOR MED SURG
II CLASS /ACTUALCOMPLETE ALL 160 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+.
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis
(OA) of the hips. What recommendation should the nurset
make that is mos
beneficial in protecting the
client's joints?
Increase the amount of calcium intake in the diet.
Apply alternating heat and cold therapies.
Initiate a weight-reduction diet to achieve a healthy body weight.
Use a walker for ambulation to lessen weight-bearing on the hips.
- ANSWER Initiate a weight-reduction diet to achieve a health
body weight
A client is admitted to the hospital with diagnosis of severe
acute diverticulitis.
Which assessment finding should the nurse expect this
client to exhibit?
Lower left quadrant pain and a low-grade fever.
Severe pain at McBurney's point and nausea.
Abdominal pain and intermittent tenesmus.
Exacerbations of severe diarrhea. - ANSWER -Lower left quadrant
pain and a lowgrade fever
The nurse is assessing a client's lab values following
administration of chemotherapy. Which lab value leads the nurse
to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
,Serum PTT of 10
seconds.
Serum calcium of 5
mg/dL.
Oxygen saturation of
90%.
Hemoglobin of 10 g/dL. - ANSWER -Serum calcium
of 5mg/Dl
The RN assesses arterial blood gas results of a client that has
emphysema. Which
finding is consistent with respiratory
acidosis?
pH 7.32, pCO 2 46 mmHg, HCO 3 24 MEq/L. pH 7.45 , pCO 2
37 mmHg, HCO 3 24 mEq/L. pH 7.34, pCO 2 36 mmHg, HCO 3
21 mEq/L. pH 7.46, pCO 2 35 mmHg, HCO 3 28 mEq/L. -
ANSWER -pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L
The nurse is caring for a client who has been diagnosed with
primary hyperaldosteronism. Which lab test result should the
nurse expect an increase in the serum level?
Sodium.
Antidiuretic
hormone.
Potassium.
Glucose. - ANSWER –
Sodium
Which condition should the nurse suspect when a client reports
vaginal dryness
,during
intercourse?
Obstructed Bartholin's glands.
Hyperactive sebaceous glands.
Infected bulbourethral glands.
Strangulated prostate gland. - ANSWER -Obstructed Bartholin's
glands
A client is admitted to the emergency department after falling
from a high roof.
Which finding should the nurse report
immediately?
Clear, watery drainage from the ear.
Dried blood around the ear and neck.
Tenderness on palpation of the ear.
Pearly appearance of the tympanic membrane. - ANSWER -Clear,
watery drainage from the ear
A client with early breast cancer receives the results of a breast
biopsy and asks the nurse to explain the meaning of staging and
the type of receptors found on the cancer cells. Which
explanation should the nurse provide?
Lymph node involvement is not significant.
Small tumors are aggressive and indicate poor prognosis.
The tumor's estrogen receptor guides treatment options.
Stage I indicates metastasis. - ANSWER -The tumor's estrogen
receptor guides treatment options
A client has a staging procedure for cancer of the breast and ask
the nurse which
type of breast cancer has the poorest prognosis. Which
information should the
, nurse offer the
client?
Stage II.
Invasive infiltrating ductal carcinoma.
T1N0M0.
Inflammatory with peau d'orange. - ANSWER -Inflammatory with
peau d'orange
Which nail color alteration should the nurse expect to observe
in a client with
chronic kidney
disease?
Horizontal white banding.
Diffuse blue discoloration.
Diffuse brown discoloration.
Thin, dark red vertical lines. - ANSWER -Horizontal white banding
Which instruction should the nurse give a client who is
diagnosed with fibrocystic
changes of the
breast?
Observe cyst size fluctuations as a sign of malignancy.
Use estrogen supplements to reduce breast discomfort.
Notify the healthcare provider if whitish nipple discharge occurs.
Perform a breast self-exam (BSE) procedure monthly. - ANSWER -
Perform a breast self-exam (BSE) procedure monthly
Which information about mammogram is most important to
provide a post-
menopausal female
client?
II CLASS /ACTUALCOMPLETE ALL 160 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+.
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis
(OA) of the hips. What recommendation should the nurset
make that is mos
beneficial in protecting the
client's joints?
Increase the amount of calcium intake in the diet.
Apply alternating heat and cold therapies.
Initiate a weight-reduction diet to achieve a healthy body weight.
Use a walker for ambulation to lessen weight-bearing on the hips.
- ANSWER Initiate a weight-reduction diet to achieve a health
body weight
A client is admitted to the hospital with diagnosis of severe
acute diverticulitis.
Which assessment finding should the nurse expect this
client to exhibit?
Lower left quadrant pain and a low-grade fever.
Severe pain at McBurney's point and nausea.
Abdominal pain and intermittent tenesmus.
Exacerbations of severe diarrhea. - ANSWER -Lower left quadrant
pain and a lowgrade fever
The nurse is assessing a client's lab values following
administration of chemotherapy. Which lab value leads the nurse
to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
,Serum PTT of 10
seconds.
Serum calcium of 5
mg/dL.
Oxygen saturation of
90%.
Hemoglobin of 10 g/dL. - ANSWER -Serum calcium
of 5mg/Dl
The RN assesses arterial blood gas results of a client that has
emphysema. Which
finding is consistent with respiratory
acidosis?
pH 7.32, pCO 2 46 mmHg, HCO 3 24 MEq/L. pH 7.45 , pCO 2
37 mmHg, HCO 3 24 mEq/L. pH 7.34, pCO 2 36 mmHg, HCO 3
21 mEq/L. pH 7.46, pCO 2 35 mmHg, HCO 3 28 mEq/L. -
ANSWER -pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L
The nurse is caring for a client who has been diagnosed with
primary hyperaldosteronism. Which lab test result should the
nurse expect an increase in the serum level?
Sodium.
Antidiuretic
hormone.
Potassium.
Glucose. - ANSWER –
Sodium
Which condition should the nurse suspect when a client reports
vaginal dryness
,during
intercourse?
Obstructed Bartholin's glands.
Hyperactive sebaceous glands.
Infected bulbourethral glands.
Strangulated prostate gland. - ANSWER -Obstructed Bartholin's
glands
A client is admitted to the emergency department after falling
from a high roof.
Which finding should the nurse report
immediately?
Clear, watery drainage from the ear.
Dried blood around the ear and neck.
Tenderness on palpation of the ear.
Pearly appearance of the tympanic membrane. - ANSWER -Clear,
watery drainage from the ear
A client with early breast cancer receives the results of a breast
biopsy and asks the nurse to explain the meaning of staging and
the type of receptors found on the cancer cells. Which
explanation should the nurse provide?
Lymph node involvement is not significant.
Small tumors are aggressive and indicate poor prognosis.
The tumor's estrogen receptor guides treatment options.
Stage I indicates metastasis. - ANSWER -The tumor's estrogen
receptor guides treatment options
A client has a staging procedure for cancer of the breast and ask
the nurse which
type of breast cancer has the poorest prognosis. Which
information should the
, nurse offer the
client?
Stage II.
Invasive infiltrating ductal carcinoma.
T1N0M0.
Inflammatory with peau d'orange. - ANSWER -Inflammatory with
peau d'orange
Which nail color alteration should the nurse expect to observe
in a client with
chronic kidney
disease?
Horizontal white banding.
Diffuse blue discoloration.
Diffuse brown discoloration.
Thin, dark red vertical lines. - ANSWER -Horizontal white banding
Which instruction should the nurse give a client who is
diagnosed with fibrocystic
changes of the
breast?
Observe cyst size fluctuations as a sign of malignancy.
Use estrogen supplements to reduce breast discomfort.
Notify the healthcare provider if whitish nipple discharge occurs.
Perform a breast self-exam (BSE) procedure monthly. - ANSWER -
Perform a breast self-exam (BSE) procedure monthly
Which information about mammogram is most important to
provide a post-
menopausal female
client?
