HESI MED SURG EXAM NEWEST 2024 COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
When planning care for a client with right renal calculi, which nursing diagnosis has the
highest priority?
A - Acute pain related to movement of the stone
B - Impaired urinary elimination related to obstructed flow of urine
C - Risk for infection related to urinary stasis
D - Deficient knowledge related to need for prevention of recurrence of calculi - Correct
Answer - A
The RN is caring for a client with peptic ulcer disease (PUD). What assessment should
the RN identify and document that is consistent with PUD? (SATA)
A - Hematemesis
B - Gastric pain on an empty stomach
C - Colic-like pain with fatty food ingestion
D - Intolerance of spicy foods
E - Diarrhea and stearrhea - Correct Answer - A, B, D
The nurse is preparing a teaching plan for a client with newly diagnosed glaucoma and
a history of allergic rhinitis. Which information is most important for the nurse to provide
the client about using OTC meds for allergies?
A - Notify your healthcare provider if there is an increase in heart rate
B - Increase fluid intake while taking an antihistamine or decongestant
C - Avoid allergy medications that contain pseudoephedrine or phenylephrine
D - Ophthalmic lubricating drops may be used for eye dryness due to allergy
medications - Correct Answer - C
pg. 1
,The nurse is assessing a client who is bedfast and refuses to turn or move from a
supine position. How should the nurse assess the client for possible dependent edema?
A - Compress the flank and upper buttocks
B - Measure the client's abdominal girth
C - Gently palpate the lower abdomen
D - Apply light pressure over the shins - Correct Answer - A
A client presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate?
A - Bilateral lower leg stasis dermatitis
B - Clubbing of fingers and toes
C - Intermittent claudication
D - Peripheral cyanosis - Correct Answer - A
A client has been hospitalized with a femur fracture and is being treated with traction.
Which action by the nurse is the priority when caring for this client?
A - Assess neurovascular status
B - Change the client's position
C - Inspect the traction equipment
D - Review pain medication orders - Correct Answer - A
Which statement made by a client with chronic pancreatitis indicates that further
education is needed?
A - I will cut back on smoking cigarettes daily
B - I will avoid drinking caffeinated beverages
C - I will rest frequently and avoid vigorous exercise
D - I will eat a bland, low-fat, high-protein diet - Correct Answer - A
pg. 2
,The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? (SATA)
A - Remove the diaphragm immediately after intercourse
B - Wash the diaphragm with an alcohol solution
C - Use the diaphragm to prevent conception during the menstrual cycle
D - Do not leave the diaphragm in place longer than 8 hours after intercourse
E - Replace the old diaphragm every 3 months - Correct Answer - D, E
24 hours after a client returns from surgical gastric bypass, the RN observes large
amounts of blood in the NG tube cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock?
A - Faint pedal pulses
B - Decrease in BP
C - Lethargy
D - Slow breathing - Correct Answer - C
The RN is assessing a male client 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 history,
which information is most for the nurse to obtain?
A - IBS
B - Diverticulitis
C - Crohn's disease
D - Ulcerative colitis - Correct Answer - D
A client is newly diagnosed with diverticulosis. The RN is assessing the client's basic
knowledge about the disease process. Which statement by the client conveys an
understanding of the etiology of diverticula?
A - Over use of laxatives for bowel regularity result in loss of peristaltic tone
B - Inflammation of the colon mucosa cause growths that protrude into the colon lumen
pg. 3
, C - Diverticulosis is the result of high fiber diet and sedentary life style
D - Chronic constipation causes weakening of colon wall which result in out-pouching
sacs - Correct Answer - D
The nurse obtains a client's history that includes right mastectomy and radiation therapy
for breast cancer 10 years ago. Which current health problem should the nurse consider
is a consequence of the radiation therapy?
A - Asthma
B - MI
C - Chronic esophagitis with gastroesophageal reflux
D - Pathologic fracture of two ribs on the right chest - Correct Answer - D
Which assessment finding should the nurse identify that indicates a client with an acute
asthma exacerbation is beginning to improve after treatment?
A - Wheezing becomes louder
B - Cough remains unproductive
C - Vesicular breath sounds decrease
D - Bronchodilators stimulate coughing - Correct Answer - A
A male client comes into the clinic with a history of penile discharge with painful, burning
urination. Which action should the nurse implement?
A - Collect a culture of the penile discharge
B - Palpate the inguinal lymph nodes gently
C - Observe for scrotal swelling and redness
D - Express the discharge to determine color - Correct Answer - A
The RN is teaching a client who is newly diagnosed with emphysema how to perform
pursed lip breathing. What is the primary reason for teaching the client this method of
breathing?
A - Decreases respiratory rate
pg. 4
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
When planning care for a client with right renal calculi, which nursing diagnosis has the
highest priority?
A - Acute pain related to movement of the stone
B - Impaired urinary elimination related to obstructed flow of urine
C - Risk for infection related to urinary stasis
D - Deficient knowledge related to need for prevention of recurrence of calculi - Correct
Answer - A
The RN is caring for a client with peptic ulcer disease (PUD). What assessment should
the RN identify and document that is consistent with PUD? (SATA)
A - Hematemesis
B - Gastric pain on an empty stomach
C - Colic-like pain with fatty food ingestion
D - Intolerance of spicy foods
E - Diarrhea and stearrhea - Correct Answer - A, B, D
The nurse is preparing a teaching plan for a client with newly diagnosed glaucoma and
a history of allergic rhinitis. Which information is most important for the nurse to provide
the client about using OTC meds for allergies?
A - Notify your healthcare provider if there is an increase in heart rate
B - Increase fluid intake while taking an antihistamine or decongestant
C - Avoid allergy medications that contain pseudoephedrine or phenylephrine
D - Ophthalmic lubricating drops may be used for eye dryness due to allergy
medications - Correct Answer - C
pg. 1
,The nurse is assessing a client who is bedfast and refuses to turn or move from a
supine position. How should the nurse assess the client for possible dependent edema?
A - Compress the flank and upper buttocks
B - Measure the client's abdominal girth
C - Gently palpate the lower abdomen
D - Apply light pressure over the shins - Correct Answer - A
A client presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate?
A - Bilateral lower leg stasis dermatitis
B - Clubbing of fingers and toes
C - Intermittent claudication
D - Peripheral cyanosis - Correct Answer - A
A client has been hospitalized with a femur fracture and is being treated with traction.
Which action by the nurse is the priority when caring for this client?
A - Assess neurovascular status
B - Change the client's position
C - Inspect the traction equipment
D - Review pain medication orders - Correct Answer - A
Which statement made by a client with chronic pancreatitis indicates that further
education is needed?
A - I will cut back on smoking cigarettes daily
B - I will avoid drinking caffeinated beverages
C - I will rest frequently and avoid vigorous exercise
D - I will eat a bland, low-fat, high-protein diet - Correct Answer - A
pg. 2
,The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? (SATA)
A - Remove the diaphragm immediately after intercourse
B - Wash the diaphragm with an alcohol solution
C - Use the diaphragm to prevent conception during the menstrual cycle
D - Do not leave the diaphragm in place longer than 8 hours after intercourse
E - Replace the old diaphragm every 3 months - Correct Answer - D, E
24 hours after a client returns from surgical gastric bypass, the RN observes large
amounts of blood in the NG tube cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock?
A - Faint pedal pulses
B - Decrease in BP
C - Lethargy
D - Slow breathing - Correct Answer - C
The RN is assessing a male client 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 history,
which information is most for the nurse to obtain?
A - IBS
B - Diverticulitis
C - Crohn's disease
D - Ulcerative colitis - Correct Answer - D
A client is newly diagnosed with diverticulosis. The RN is assessing the client's basic
knowledge about the disease process. Which statement by the client conveys an
understanding of the etiology of diverticula?
A - Over use of laxatives for bowel regularity result in loss of peristaltic tone
B - Inflammation of the colon mucosa cause growths that protrude into the colon lumen
pg. 3
, C - Diverticulosis is the result of high fiber diet and sedentary life style
D - Chronic constipation causes weakening of colon wall which result in out-pouching
sacs - Correct Answer - D
The nurse obtains a client's history that includes right mastectomy and radiation therapy
for breast cancer 10 years ago. Which current health problem should the nurse consider
is a consequence of the radiation therapy?
A - Asthma
B - MI
C - Chronic esophagitis with gastroesophageal reflux
D - Pathologic fracture of two ribs on the right chest - Correct Answer - D
Which assessment finding should the nurse identify that indicates a client with an acute
asthma exacerbation is beginning to improve after treatment?
A - Wheezing becomes louder
B - Cough remains unproductive
C - Vesicular breath sounds decrease
D - Bronchodilators stimulate coughing - Correct Answer - A
A male client comes into the clinic with a history of penile discharge with painful, burning
urination. Which action should the nurse implement?
A - Collect a culture of the penile discharge
B - Palpate the inguinal lymph nodes gently
C - Observe for scrotal swelling and redness
D - Express the discharge to determine color - Correct Answer - A
The RN is teaching a client who is newly diagnosed with emphysema how to perform
pursed lip breathing. What is the primary reason for teaching the client this method of
breathing?
A - Decreases respiratory rate
pg. 4
