MedSurg HESI Practice Exam 4
s s s s s
s
2024 s
1. sIn san sinterview, sthe snurse smay sfind sit snecessary sto stake snotes sto said shis
sor sher s
s s
memory slater. sWhich sstatement sis strue sregarding snote-
taking?
s
A) Note-taking smay simpede sthe snurse's sobservation sof sthe spatient's snonverbal
sbehaviors. s
B) Note-taking sallows sthe spatient sto scontinue sat shis sor sher sown space sas sthe
snurse srecords swhat sis ssaid. s
C) Note-taking sallows sthe snurse sto sshift sattention saway sfrom sthe spatient,
sresulting sin san sincreased scomfort slevel. s
D) Note-taking sallows sthe snurse sto sbreak seye scontact swith sthe spatient, swhich
smay sincrease shis sor sher slevel sof scomfort. s- sA) sNote-taking smay simpede sthe
snurse's sobservation sof sthe spatient's snonverbal sbehaviors. s
s
Page: s31 sSome suse sof shistory sforms sand snote-taking smay sbe sunavoidable. sBut
sbe saware sthat snote-taking sduring sthe sinterview shas sdisadvantages. sIt sbreaks seye
scontact stoo soften, sand sit sshifts sattention saway sfrom sthe spatient, swhich sdiminishes
shis sor sher ssense sof simportance. sIt salso smay sinterrupt sthe spatient's snarrative sflow,
sand sit simpedes sthe sobservation sof sthe spatient's snonverbal sbehavior. s
s
2. sDuring san sinterview, sthe snurse sstates, s"You smentioned sshortness sof sbreath.
sTell s
s
me smore sabout sthat." sWhich sverbal sskill sis sused swith sthis
sstatement?
s
A) Reflection s
B) Facilitation s
C) Direct squestion s
D) Open-ended squestion s- sD) sOpen-ended squestion s
s
Page: s32 sThe sopen-ended squestion sasks sfor snarrative sinformation. sIt sstates sthe
stopic s
s
to sbe sdiscussed sbut sonly sin sgeneral sterms. sThe snurse sshould suse sit sto sbegin
sthe
s
interview, sto sintroduce sa snew ssection sof squestions, sand swhenever sthe
sperson
s
introduces sa snew
stopic.
s
s
3. sA snurse sis staking scomplete shealth shistories son sall sof sthe spatients
sattending sa
wellness sworkshop. sOn sthe shistory sform, sone sof sthe swritten squestions sasks,
s"You s
, s
don't ssmoke, sdrink, sor stake sdrugs, sdo syou?" sThis squestion sis san sexample
sof:
s
A) talking stoo smuch. s
B) using sconfrontation. s
C) using sbiased sor sleading squestions. s
D) using sblunt slanguage sto sdeal swith sdistasteful stopics. s- sC) susing sbiased sor
sleading squestions. s
s
Page: s36 sThis sis san sexample sof susing sleading sor sbiased squestions. sAsking, s"You
sdon't s
s
smoke, sdo syou?" simplies sthat sone sanswer sis s"better" sthan sanother. sIf sthe
sperson
wants sto splease ssomeone, she sor sshe sis seither sforced sto sanswer sin sa sway
scorresponding sto stheir simplied svalues sor sis smade sto sfeel sguilty swhen sadmitting
sthe sother sanswer. s
s
4. sDuring san sinterview, sa sparent sof sa shospitalized schild sis ssitting sin san sopen
sposition. sAs sthe sinterviewer sbegins sto sdiscuss shis sson's streatment, showever, she
ssuddenly scrosses shis sarms sagainst shis schest sand scrosses shis slegs. sThis swould
ssuggest sthat sthe sparent sis: s
s
A) just schanging spositions. s
B) more scomfortable sin sthis sposition. s
C) tired sand sneeds sa sbreak sfrom sthe sinterview. s
D) uncomfortable stalking sabout shis sson's streatment. s- sD) suncomfortable stalking
sabout shis sson's streatment. s
s
Page: s37 sNote sthe sperson's sposition. sAn sopen sposition swith sthe sextension sof
slarge smuscle sgroups sshows srelaxation, sphysical scomfort, sand sa swillingness sto
sshare sinformation. sA sclosed sposition swith sthe sarms sand slegs scrossed stends sto
slook sdefensive sand sanxious. sNote sany schange sin sposture. sIf sa sperson sin sa
srelaxed sposition ssuddenly stenses, sit ssuggests spossible sdiscomfort swith sthe snew
stopic. s
s
5. sThe snurse sis sinterviewing sa spatient swho shas sa shearing simpairment.
sWhat s
s
techniques swould sbe smost sbeneficial sin scommunicating swith sthis
spatient?
s
A) Determine sthe scommunication smethod she sprefers. s
B) Avoid susing sfacial sand shand sgestures sbecause smost shearing-impaired speople
sfind sthis sdegrading. s
C) Request sa ssign slanguage sinterpreter sbefore smeeting swith shim sto shelp sfacilitate
sthe scommunication. s
D) Speak sloudly sand swith sexaggerated sfacial smovement swhen stalking swith shim
sbecause sthis shelps swith slip sreading. s- sA) sDetermine sthe scommunication
smethod she sprefers. s
s
Pages: s40-41 sThe snurse sshould sask sthe sdeaf sperson sthe spreferred sway sto
scommunicate—by ssigning, slip sreading, sor swriting. sIf sthe sperson sprefers slip
sreading, sthen sthe snurse sshould sbe ssure sto sface shim sor sher ssquarely sand shave
,sgood slighting son sthe snurse's sface. sThe snurse sshould snot sexaggerate slip
smovements sbecause sthis sdistorts swords. sSimilarly, sshouting sdistorts sthe sreception
sof sa shearing said sthe sperson smay swear. sThe snurse sshould sspeak sslowly sand
sshould ssupplement shis sor sher svoice swith sappropriate shand sgestures sor
spantomime. s
s
6. sThe snurse sis sperforming sa shealth sinterview son sa spatient swho shas sa slanguage
sbarrier, sand sno sinterpreter sis savailable. sWhich sis sthe sbest sexample sof san
sappropriate squestion sfor sthe snurse sto sask sin sthis ssituation? s
s
s
A) s"Do syou stake
smedicine?"
s
B) s"Do syou ssterilize sthe
sbottles?"
s
C) s"Do syou shave snausea sand
svomiting?"
D) s"You shave sbeen staking syour smedicine, shaven't syou?" s- sA) s"Do syou stake
smedicine?"
s
Page: s46 sIn sa ssituation swhere sthere sis sa slanguage sbarrier sand sno sinterpreter
savailable, s
s
use ssimple swords savoiding smedical sjargon. sAvoid susing scontractions sand
spronouns.
s
Use snouns srepeatedly sand sdiscuss sone stopic sat sa
stime.
s
7. sA sfemale spatient sdoes snot sspeak sEnglish swell, sand sthe snurse sneeds sto
schoose san s
s
interpreter. sWhich sof sthe sfollowing swould sbe sthe smost sappropriate
schoice?
s
A) A strained sinterpreter s
B) A smale sfamily smember s
C) A sfemale sfamily smember s
D) A svolunteer scollege sstudent sfrom sthe sforeign slanguage sstudies sdepartment s- sA)
sA strained sinterpreter s
s
Page: s46 swhenever spossible, sthe snurse sshould suse sa strained sinterpreter,
spreferably sone swho sknows smedical sterminology. sIn sgeneral, san solder, smore
smature sinterpreter sis spreferred sto sa syounger, sless sexperienced sone, sand sthe
ssame sgender sis spreferred swhen spossible. s
s
8. sThe snurse sis sconducting san sinterview. sWhich sof sthese sstatements sis strue
sregarding s
s
open-ended squestions? sSelect sall sthat
sapply.
s
A) They selicit scold sfacts. s
B) They sallow sfor sself-expression. s
C) They sbuild sand senhance srapport. s
D) They sleave sinteractions sneutral. s
, E) They scall sfor sshort sone- sto stwo-word sanswers. s
F) They sare sused swhen snarrative sinformation sis sneeded. s- sB) sThey sallow sfor
sselfexpression. s
C) sThey sbuild sand senhance srapport. s
F) sThey sare sused swhen snarrative sinformation s s
s
Page: s32 sOpen-ended squestions sallow sfor sself-expression, sbuild srapport, sand
sobtain snarrative sinformation. sThese sfeatures senhance scommunication sduring san
sinterview. sThe sother sstatements sare sappropriate sfor sclosed sor sdirect squestions. s
s
9. sThe snurse sis sconducting san sinterview sin san soutpatient sclinic sand sis susing sa
scomputer sto srecord sdata. sWhich sis sthe sbest suse sof sthe scomputer sin sthis
ssituation? sSelect sall sthat sapply. s
s
A) Collect sthe spatient's sdata sin sa sdirect, sface-to-face smanner. s
B) Enter sall sthe sdata sas sthe spatient sstates sit. s
C) Ask sthe spatient sto swait sas sthe snurse senters sdata. s
D) Type sthe sdata sinto sthe scomputer safter sthe snarrative sis sfully sexplored. s
E) Allow sthe spatient sto ssee sthe smonitor sduring styping. s- sA) sCollect sthe spatient's
sdata sin sa sdirect, sface-to-face smanner. s
D) Type sthe sdata sinto sthe scomputer safter sthe snarrative sis sfully sexplored. s
E) Allow sthe spatient sto ssee sthe smonitor sduring styping. s
s
Page: s32 sThe suse sof sa scomputer scan sbecome sa sbarrier. sThe snurse sshould sbegin
sthe s
s
interview sas susual sby sgreeting sthe spatient, sestablishing srapport, sand scollecting
sthe
patient's snarrative sstory sin sa sdirect sface-to-face smanner. sOnly safter sthe snarrative
sis sfully sexplored sshould sthe snurse stype sdata sinto sthe scomputer. sWhen styping, sthe
snurse sshould sposition sthe smonitor sso sthat sthe spatient scan ssee sit. s
s
10. sDuring san sassessment, sthe snurse snotices sthat sa spatient sis shandling sa ssmall
scharm s
s
that sis stied sto sa sleather sstrip saround shis sneck. sWhich saction sby sthe
snurse sis
s
appropriate?
s
s
A) sAsk sthe spatient sabout sthe sitem sand sits
ssignificance.
s
B) sAsk sthe spatient sto slock sthe sitem swith sother svaluables sin sthe shospital's
ssafe.
s
C) sTell sthe spatient sthat sa sfamily smember sshould stake svaluables
shome.
D) sNo saction sis snecessary. s- sA) sAsk sthe spatient sabout sthe sitem sand sits
ssignificance.
s
Page: s21 sThe snurse sshould sinquire sabout sthe samulet's smeaning. sAmulets, ssuch
sas scharms, sare soften sseen sas san simportant smeans sof sprotection sfrom s"evil
sspirits" sby ssome scultures. s
s
s s s s s
s
2024 s
1. sIn san sinterview, sthe snurse smay sfind sit snecessary sto stake snotes sto said shis
sor sher s
s s
memory slater. sWhich sstatement sis strue sregarding snote-
taking?
s
A) Note-taking smay simpede sthe snurse's sobservation sof sthe spatient's snonverbal
sbehaviors. s
B) Note-taking sallows sthe spatient sto scontinue sat shis sor sher sown space sas sthe
snurse srecords swhat sis ssaid. s
C) Note-taking sallows sthe snurse sto sshift sattention saway sfrom sthe spatient,
sresulting sin san sincreased scomfort slevel. s
D) Note-taking sallows sthe snurse sto sbreak seye scontact swith sthe spatient, swhich
smay sincrease shis sor sher slevel sof scomfort. s- sA) sNote-taking smay simpede sthe
snurse's sobservation sof sthe spatient's snonverbal sbehaviors. s
s
Page: s31 sSome suse sof shistory sforms sand snote-taking smay sbe sunavoidable. sBut
sbe saware sthat snote-taking sduring sthe sinterview shas sdisadvantages. sIt sbreaks seye
scontact stoo soften, sand sit sshifts sattention saway sfrom sthe spatient, swhich sdiminishes
shis sor sher ssense sof simportance. sIt salso smay sinterrupt sthe spatient's snarrative sflow,
sand sit simpedes sthe sobservation sof sthe spatient's snonverbal sbehavior. s
s
2. sDuring san sinterview, sthe snurse sstates, s"You smentioned sshortness sof sbreath.
sTell s
s
me smore sabout sthat." sWhich sverbal sskill sis sused swith sthis
sstatement?
s
A) Reflection s
B) Facilitation s
C) Direct squestion s
D) Open-ended squestion s- sD) sOpen-ended squestion s
s
Page: s32 sThe sopen-ended squestion sasks sfor snarrative sinformation. sIt sstates sthe
stopic s
s
to sbe sdiscussed sbut sonly sin sgeneral sterms. sThe snurse sshould suse sit sto sbegin
sthe
s
interview, sto sintroduce sa snew ssection sof squestions, sand swhenever sthe
sperson
s
introduces sa snew
stopic.
s
s
3. sA snurse sis staking scomplete shealth shistories son sall sof sthe spatients
sattending sa
wellness sworkshop. sOn sthe shistory sform, sone sof sthe swritten squestions sasks,
s"You s
, s
don't ssmoke, sdrink, sor stake sdrugs, sdo syou?" sThis squestion sis san sexample
sof:
s
A) talking stoo smuch. s
B) using sconfrontation. s
C) using sbiased sor sleading squestions. s
D) using sblunt slanguage sto sdeal swith sdistasteful stopics. s- sC) susing sbiased sor
sleading squestions. s
s
Page: s36 sThis sis san sexample sof susing sleading sor sbiased squestions. sAsking, s"You
sdon't s
s
smoke, sdo syou?" simplies sthat sone sanswer sis s"better" sthan sanother. sIf sthe
sperson
wants sto splease ssomeone, she sor sshe sis seither sforced sto sanswer sin sa sway
scorresponding sto stheir simplied svalues sor sis smade sto sfeel sguilty swhen sadmitting
sthe sother sanswer. s
s
4. sDuring san sinterview, sa sparent sof sa shospitalized schild sis ssitting sin san sopen
sposition. sAs sthe sinterviewer sbegins sto sdiscuss shis sson's streatment, showever, she
ssuddenly scrosses shis sarms sagainst shis schest sand scrosses shis slegs. sThis swould
ssuggest sthat sthe sparent sis: s
s
A) just schanging spositions. s
B) more scomfortable sin sthis sposition. s
C) tired sand sneeds sa sbreak sfrom sthe sinterview. s
D) uncomfortable stalking sabout shis sson's streatment. s- sD) suncomfortable stalking
sabout shis sson's streatment. s
s
Page: s37 sNote sthe sperson's sposition. sAn sopen sposition swith sthe sextension sof
slarge smuscle sgroups sshows srelaxation, sphysical scomfort, sand sa swillingness sto
sshare sinformation. sA sclosed sposition swith sthe sarms sand slegs scrossed stends sto
slook sdefensive sand sanxious. sNote sany schange sin sposture. sIf sa sperson sin sa
srelaxed sposition ssuddenly stenses, sit ssuggests spossible sdiscomfort swith sthe snew
stopic. s
s
5. sThe snurse sis sinterviewing sa spatient swho shas sa shearing simpairment.
sWhat s
s
techniques swould sbe smost sbeneficial sin scommunicating swith sthis
spatient?
s
A) Determine sthe scommunication smethod she sprefers. s
B) Avoid susing sfacial sand shand sgestures sbecause smost shearing-impaired speople
sfind sthis sdegrading. s
C) Request sa ssign slanguage sinterpreter sbefore smeeting swith shim sto shelp sfacilitate
sthe scommunication. s
D) Speak sloudly sand swith sexaggerated sfacial smovement swhen stalking swith shim
sbecause sthis shelps swith slip sreading. s- sA) sDetermine sthe scommunication
smethod she sprefers. s
s
Pages: s40-41 sThe snurse sshould sask sthe sdeaf sperson sthe spreferred sway sto
scommunicate—by ssigning, slip sreading, sor swriting. sIf sthe sperson sprefers slip
sreading, sthen sthe snurse sshould sbe ssure sto sface shim sor sher ssquarely sand shave
,sgood slighting son sthe snurse's sface. sThe snurse sshould snot sexaggerate slip
smovements sbecause sthis sdistorts swords. sSimilarly, sshouting sdistorts sthe sreception
sof sa shearing said sthe sperson smay swear. sThe snurse sshould sspeak sslowly sand
sshould ssupplement shis sor sher svoice swith sappropriate shand sgestures sor
spantomime. s
s
6. sThe snurse sis sperforming sa shealth sinterview son sa spatient swho shas sa slanguage
sbarrier, sand sno sinterpreter sis savailable. sWhich sis sthe sbest sexample sof san
sappropriate squestion sfor sthe snurse sto sask sin sthis ssituation? s
s
s
A) s"Do syou stake
smedicine?"
s
B) s"Do syou ssterilize sthe
sbottles?"
s
C) s"Do syou shave snausea sand
svomiting?"
D) s"You shave sbeen staking syour smedicine, shaven't syou?" s- sA) s"Do syou stake
smedicine?"
s
Page: s46 sIn sa ssituation swhere sthere sis sa slanguage sbarrier sand sno sinterpreter
savailable, s
s
use ssimple swords savoiding smedical sjargon. sAvoid susing scontractions sand
spronouns.
s
Use snouns srepeatedly sand sdiscuss sone stopic sat sa
stime.
s
7. sA sfemale spatient sdoes snot sspeak sEnglish swell, sand sthe snurse sneeds sto
schoose san s
s
interpreter. sWhich sof sthe sfollowing swould sbe sthe smost sappropriate
schoice?
s
A) A strained sinterpreter s
B) A smale sfamily smember s
C) A sfemale sfamily smember s
D) A svolunteer scollege sstudent sfrom sthe sforeign slanguage sstudies sdepartment s- sA)
sA strained sinterpreter s
s
Page: s46 swhenever spossible, sthe snurse sshould suse sa strained sinterpreter,
spreferably sone swho sknows smedical sterminology. sIn sgeneral, san solder, smore
smature sinterpreter sis spreferred sto sa syounger, sless sexperienced sone, sand sthe
ssame sgender sis spreferred swhen spossible. s
s
8. sThe snurse sis sconducting san sinterview. sWhich sof sthese sstatements sis strue
sregarding s
s
open-ended squestions? sSelect sall sthat
sapply.
s
A) They selicit scold sfacts. s
B) They sallow sfor sself-expression. s
C) They sbuild sand senhance srapport. s
D) They sleave sinteractions sneutral. s
, E) They scall sfor sshort sone- sto stwo-word sanswers. s
F) They sare sused swhen snarrative sinformation sis sneeded. s- sB) sThey sallow sfor
sselfexpression. s
C) sThey sbuild sand senhance srapport. s
F) sThey sare sused swhen snarrative sinformation s s
s
Page: s32 sOpen-ended squestions sallow sfor sself-expression, sbuild srapport, sand
sobtain snarrative sinformation. sThese sfeatures senhance scommunication sduring san
sinterview. sThe sother sstatements sare sappropriate sfor sclosed sor sdirect squestions. s
s
9. sThe snurse sis sconducting san sinterview sin san soutpatient sclinic sand sis susing sa
scomputer sto srecord sdata. sWhich sis sthe sbest suse sof sthe scomputer sin sthis
ssituation? sSelect sall sthat sapply. s
s
A) Collect sthe spatient's sdata sin sa sdirect, sface-to-face smanner. s
B) Enter sall sthe sdata sas sthe spatient sstates sit. s
C) Ask sthe spatient sto swait sas sthe snurse senters sdata. s
D) Type sthe sdata sinto sthe scomputer safter sthe snarrative sis sfully sexplored. s
E) Allow sthe spatient sto ssee sthe smonitor sduring styping. s- sA) sCollect sthe spatient's
sdata sin sa sdirect, sface-to-face smanner. s
D) Type sthe sdata sinto sthe scomputer safter sthe snarrative sis sfully sexplored. s
E) Allow sthe spatient sto ssee sthe smonitor sduring styping. s
s
Page: s32 sThe suse sof sa scomputer scan sbecome sa sbarrier. sThe snurse sshould sbegin
sthe s
s
interview sas susual sby sgreeting sthe spatient, sestablishing srapport, sand scollecting
sthe
patient's snarrative sstory sin sa sdirect sface-to-face smanner. sOnly safter sthe snarrative
sis sfully sexplored sshould sthe snurse stype sdata sinto sthe scomputer. sWhen styping, sthe
snurse sshould sposition sthe smonitor sso sthat sthe spatient scan ssee sit. s
s
10. sDuring san sassessment, sthe snurse snotices sthat sa spatient sis shandling sa ssmall
scharm s
s
that sis stied sto sa sleather sstrip saround shis sneck. sWhich saction sby sthe
snurse sis
s
appropriate?
s
s
A) sAsk sthe spatient sabout sthe sitem sand sits
ssignificance.
s
B) sAsk sthe spatient sto slock sthe sitem swith sother svaluables sin sthe shospital's
ssafe.
s
C) sTell sthe spatient sthat sa sfamily smember sshould stake svaluables
shome.
D) sNo saction sis snecessary. s- sA) sAsk sthe spatient sabout sthe sitem sand sits
ssignificance.
s
Page: s21 sThe snurse sshould sinquire sabout sthe samulet's smeaning. sAmulets, ssuch
sas scharms, sare soften sseen sas san simportant smeans sof sprotection sfrom s"evil
sspirits" sby ssome scultures. s
s
