HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
1. An adult client who is hospitalized after surgery re- Pulmonary em-
ports sudden onset of chest pain and dyspnea. the bolism
client appears anxious, restless, and mildly cyanotic.
the nurse should further assess the client for which
condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis.
2. which information should the nurse obtain when per- Quality of the pain
forming an initial assessment of a client who pre- Signs of inflamma-
sents to the emergency department with a painful tion
ankle injury? (select all that apply) Ankle range of
motion
Quality of the pain. Visible deformities
Signs of inflammation. of the joint
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint
3. Which description of pain is consistent with a diag- Joint pain is worse
nosis of rheumatoid arthritis? in the morning and
involves symmet-
Joint pain is worse in the morning and involves sym- ric joints
metric 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 uni-
lateral joints.
4. Which physical assessment finding should the Hoarseness
nurse anticipate in a client with long-term gastroe-
, HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
sophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss.
5. A client presents with chronic venous insufficiency. Bilateral lower leg
Which assessment finding should the nurse antici- stasis dermatitis
pate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication. Incorrect
Peripheral cyanosis.
6. A client has been hospitalized with a femur fracture Assess neurovas-
and is being treated with traction. which action by the cular status
nurse is the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders.
7. Which statement made by a client with chronic pan- I will cut back
creatitis indicates that further education is needed? on smoking ciga-
rettes daily
I will cut back on smoking cigarettes daily.
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise.
I will eat a bland, low-fat, high-protein diet.
8. The nurse is teaching a female client who uses a con- Do not leave
traceptive diaphragm about reducing the risk for tox- the diaphragm in
ic shock syndrome (TSS). Which information should place longer than
the nurse include? (Select all that apply) 8 hours after inter-
course
Remove the diaphragm immediately after inter-
course. Replace the old di-
, HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
Wash the diaphragm with an alcohol solution. aphragm every 3
Use the diaphragm to prevent conception during the months
menstrual cycle.
Do not leave the diaphragm in place longer than 8
hours after intercourse.
Replace the old diaphragm every 3 months.
9. A male client who smokes two packs of cigarettes a Alcohol consump-
day states he understands that smoking cigarettes is tion can cause
contributing to the difficulty that he and his wife are erectile dysfunc-
having in getting pregnant and wants to know if other tion
factors could be contributing to their difficulty. Which
information is best for the nurse to provide? (Select Low testosterone
all that apply). levels affect sperm
production
Marijuana cigarettes do not affect sperm count.
Alcohol consumption can cause erectile dysfunc- Cessation of
tion. smoking improves
Low testosterone levels affect sperm production. general health and
Cessation of smoking improves general health and fertility
fertility.
Obesity has no effect on sperm production.
10. Twenty four hours after a client returns from surgical lethargy
gastric bypass, the registered nurse (RN) observes
large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock?
Faint pedal pulses.
Decrease in blood pressure.
Lethargy.
Slow breathing.
11. the registered nurse (RN) is assessing a male client Ulcerative colitis
who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. the RN
discovers that the client has had 14 to 20 loose stools
with rectal bleeding. When taking the client's medical
, HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
history, which information is most for the nurse to
obtain?
Irritable bowel syndrome.
Diverticulitis.
Crohn's disease.
Ulcerative colitis.
12. A client is newly diagnosed with diverticulosis. The Chronic constipa-
registered nurse (RN) is assessing the client's basic tion causes weak-
knowledge about the disease process. Which state- ening of colon wall
ment by the client conveys an understanding of the which results in
etiology of diverticula? out pouching sacs
Over use of laxatives for bowel regularity result in
loss of peristaltic tone.
Inflammation of the colon mucosa cause growths that
protrude into the colon lumen.
Diverticulosis is the result of high fiber diet and
sedentary life style.
Chronic constipation causes weakening of colon wall
which result in out-pouching sacs.
13. The registered nurse (RN) is assessing a client who Sphygmomanome-
was discharged home after management of chronic ter
hypertension. Which equipment should the RN in-
struct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
14. A young adult mail is diagnosed with stage 4 Propose sperm
Hodgkin's lymphoma in the abdominopelvic region banking before RT
and is scheduled for radiation therapy (RT). The client then artificial in-
expresses concern about becoming infertile. How semination is an
should the nurse respond? option
Study online at https://quizlet.com/_g8rppz
1. An adult client who is hospitalized after surgery re- Pulmonary em-
ports sudden onset of chest pain and dyspnea. the bolism
client appears anxious, restless, and mildly cyanotic.
the nurse should further assess the client for which
condition?
Pulmonary embolism.
Heart failure.
Tuberculosis.
Bronchitis.
2. which information should the nurse obtain when per- Quality of the pain
forming an initial assessment of a client who pre- Signs of inflamma-
sents to the emergency department with a painful tion
ankle injury? (select all that apply) Ankle range of
motion
Quality of the pain. Visible deformities
Signs of inflammation. of the joint
Ankle range of motion.
Muscle strength testing.
Visible deformities of the joint
3. Which description of pain is consistent with a diag- Joint pain is worse
nosis of rheumatoid arthritis? in the morning and
involves symmet-
Joint pain is worse in the morning and involves sym- ric joints
metric 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 uni-
lateral joints.
4. Which physical assessment finding should the Hoarseness
nurse anticipate in a client with long-term gastroe-
, HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
sophagealreflux disease (GERD)?
Hoarseness.
Dry mouth.
Mouth ulcers.
Weight loss.
5. A client presents with chronic venous insufficiency. Bilateral lower leg
Which assessment finding should the nurse antici- stasis dermatitis
pate?
Bilateral lower leg stasis dermatitis.
Clubbing of fingers and toes.
Intermittent claudication. Incorrect
Peripheral cyanosis.
6. A client has been hospitalized with a femur fracture Assess neurovas-
and is being treated with traction. which action by the cular status
nurse is the priority when caring for this client?
Assess neurovascular status.
Change the client's position.
Inspect the traction equipment.
Review pain medication orders.
7. Which statement made by a client with chronic pan- I will cut back
creatitis indicates that further education is needed? on smoking ciga-
rettes daily
I will cut back on smoking cigarettes daily.
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise.
I will eat a bland, low-fat, high-protein diet.
8. The nurse is teaching a female client who uses a con- Do not leave
traceptive diaphragm about reducing the risk for tox- the diaphragm in
ic shock syndrome (TSS). Which information should place longer than
the nurse include? (Select all that apply) 8 hours after inter-
course
Remove the diaphragm immediately after inter-
course. Replace the old di-
, HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
Wash the diaphragm with an alcohol solution. aphragm every 3
Use the diaphragm to prevent conception during the months
menstrual cycle.
Do not leave the diaphragm in place longer than 8
hours after intercourse.
Replace the old diaphragm every 3 months.
9. A male client who smokes two packs of cigarettes a Alcohol consump-
day states he understands that smoking cigarettes is tion can cause
contributing to the difficulty that he and his wife are erectile dysfunc-
having in getting pregnant and wants to know if other tion
factors could be contributing to their difficulty. Which
information is best for the nurse to provide? (Select Low testosterone
all that apply). levels affect sperm
production
Marijuana cigarettes do not affect sperm count.
Alcohol consumption can cause erectile dysfunc- Cessation of
tion. smoking improves
Low testosterone levels affect sperm production. general health and
Cessation of smoking improves general health and fertility
fertility.
Obesity has no effect on sperm production.
10. Twenty four hours after a client returns from surgical lethargy
gastric bypass, the registered nurse (RN) observes
large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock?
Faint pedal pulses.
Decrease in blood pressure.
Lethargy.
Slow breathing.
11. the registered nurse (RN) is assessing a male client Ulcerative colitis
who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. the RN
discovers that the client has had 14 to 20 loose stools
with rectal bleeding. When taking the client's medical
, HESI RN Med-Surge Practice Exam-EVOLVE
Study online at https://quizlet.com/_g8rppz
history, which information is most for the nurse to
obtain?
Irritable bowel syndrome.
Diverticulitis.
Crohn's disease.
Ulcerative colitis.
12. A client is newly diagnosed with diverticulosis. The Chronic constipa-
registered nurse (RN) is assessing the client's basic tion causes weak-
knowledge about the disease process. Which state- ening of colon wall
ment by the client conveys an understanding of the which results in
etiology of diverticula? out pouching sacs
Over use of laxatives for bowel regularity result in
loss of peristaltic tone.
Inflammation of the colon mucosa cause growths that
protrude into the colon lumen.
Diverticulosis is the result of high fiber diet and
sedentary life style.
Chronic constipation causes weakening of colon wall
which result in out-pouching sacs.
13. The registered nurse (RN) is assessing a client who Sphygmomanome-
was discharged home after management of chronic ter
hypertension. Which equipment should the RN in-
struct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
14. A young adult mail is diagnosed with stage 4 Propose sperm
Hodgkin's lymphoma in the abdominopelvic region banking before RT
and is scheduled for radiation therapy (RT). The client then artificial in-
expresses concern about becoming infertile. How semination is an
should the nurse respond? option
