HESI Medical-Surgical Assignment Exam
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TEST BANK |130 Questions with Detailed
i,- i,- i,- i,- i,- i,-
Rationale | Latest 2025/2026 Update. i,- i,- i,- i,-
The registered nurse (RN) is caring for a young adult who is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
having an oral glucose tolerance tests (OGTT). Which laboratory
i,- i,- i,- i,- i,- i,- i,- i,- i,-
result should the RN assess as a normal value for the two hour
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
postprandial result? i,-
A: 140 mg/dl.
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B: 160 mg/dl.
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C: 180 mg/dl.
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D: 200 mg/dl.
i,- i,- i,-i,- i,- A: 140 mg/dl.
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The two hour postprandial level should be less 140 mg/dl for a
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young adult client. i,- i,-
The registered nurse (RN) is caring for an older client who
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recently experienced a fractured pelvis from a fall. Which
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assessment finding is most important for the RN to report the
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healthcare provider? i,-
A: Lower back pain.
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B: Headache of 7 on scale 1 to 10.
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,C: Blood pressure of 140/98.
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D: Dyspnea.
i,- i,-i,- i,- D: Dyspnea. i,-
A client with a large bone fracture is at risk for intramedullary fat
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leaking into the blood stream and becoming embolic. Dyspnea is
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an indication of fat embolism to the lungs and should be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
reported to the healthcare provider immediately.i,- i,- i,- i,- i,-
The registered nurse (RN) is caring for a client with tuberculosis
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
(TB) who is taking a combination drug regimen. The client
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complains about taking "so many pills." What information should
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the RN provide to the client about the prescribed treatment?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
A: The development of resistant strains of TB are decreased with a
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combination of drugs. i,- i,-
B: Compliance to the medication regimen is challenging but
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should be maintained. i,- i,-
C: Side effects are minimized with the use of a single medication
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but is less effective.
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D: The treatment time is decreased from 6 months to 3 months
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with this standard regimen.
i,- A: The development of resistant
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strains of TB are decreased with a combination of drugs.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Combination therapy is necessary to decrease the development i,- i,- i,- i,- i,- i,- i,- i,-
of resistant strains of TB and ensure treatment efficacy.
i,- i,- i,- i,- i,- i,- i,- i,-
,The registered nurse (RN) is teaching a client who is newly
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
diagnosed with emphysema how to perform pursed lip breathing.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
What is the primary reason for teaching the client this method of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breathing?
A: Decreases respiratory rate.
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B: Increases O 2 saturation throughout the body.
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C: Conserves energy while ambulating.
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D: Promotes CO 2 elimination.
i,- i,- i,- i,- i,-i,- i,- D: Promotes CO 2 elimination.
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Pursed lip breathing helps eliminate CO2 by increasing positive
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pressure within the alveoli increasing the surface area of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
alveoli making it easier for the O2 and CO2 gas exchange to
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occur.
Which assessment is most important for the nurse to perform on
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a client who is hospitalized for Guillain-Barre syndrome that is
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rapidly progressing? i,-
A: Respiratory effort.
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B: Unsteady gait.
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C: Intensity of pain.
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D: Ability to eat.
i,- i,- i,- i,-i,- i,- A: Respiratory Effort
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, (Guillain-Barre syndrome causes paralysis or weakness that i,- i,- i,- i,- i,- i,- i,-
typically starts at the feet and progresses upwards. As the
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condition progresses, the nurse must ensure that the client is able
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to breathe effectively.)
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A male client comes into the clinic with a history of penile
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discharge with painful, burning urination. Which action should
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the nurse implement?
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A: Collect a culture of the penile discharge.
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B: Palpate the inguinal lymph nodes gently.
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C: Observe for scrotal swelling and redness.
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D: Express the discharge to determine color.
i,- i,- i,- i,- i,- i,- i,-i,- i,- A: Collect a
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culture of the penile discharge. i,- i,- i,- i,-
(Penile discharge with painful urination is commonly associated
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with gonorrhea. The nurse should collect a culture of the penile
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
discharge to determine the cause of these symptoms. The cause
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
must be determined or confirmed through culture to identify the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
organism and ensure effective treatment.) i,- i,- i,- i,-
A client with history of atrial fibrillation is admitted to the
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telemetry unit with sudden onset of shortness of breath. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse observes a new irregular heart rhythm and should perform
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which assessment at this time? i,- i,- i,- i,-
i,- i,- i,- i,-
TEST BANK |130 Questions with Detailed
i,- i,- i,- i,- i,- i,-
Rationale | Latest 2025/2026 Update. i,- i,- i,- i,-
The registered nurse (RN) is caring for a young adult who is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
having an oral glucose tolerance tests (OGTT). Which laboratory
i,- i,- i,- i,- i,- i,- i,- i,- i,-
result should the RN assess as a normal value for the two hour
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
postprandial result? i,-
A: 140 mg/dl.
i,- i,-
B: 160 mg/dl.
i,- i,-
C: 180 mg/dl.
i,- i,-
D: 200 mg/dl.
i,- i,- i,-i,- i,- A: 140 mg/dl.
i,- i,-
The two hour postprandial level should be less 140 mg/dl for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
young adult client. i,- i,-
The registered nurse (RN) is caring for an older client who
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
recently experienced a fractured pelvis from a fall. Which
i,- i,- i,- i,- i,- i,- i,- i,- i,-
assessment finding is most important for the RN to report the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
healthcare provider? i,-
A: Lower back pain.
i,- i,- i,-
B: Headache of 7 on scale 1 to 10.
i,- i,- i,- i,- i,- i,- i,- i,-
,C: Blood pressure of 140/98.
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D: Dyspnea.
i,- i,-i,- i,- D: Dyspnea. i,-
A client with a large bone fracture is at risk for intramedullary fat
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
leaking into the blood stream and becoming embolic. Dyspnea is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
an indication of fat embolism to the lungs and should be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
reported to the healthcare provider immediately.i,- i,- i,- i,- i,-
The registered nurse (RN) is caring for a client with tuberculosis
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
(TB) who is taking a combination drug regimen. The client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
complains about taking "so many pills." What information should
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the RN provide to the client about the prescribed treatment?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
A: The development of resistant strains of TB are decreased with a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
combination of drugs. i,- i,-
B: Compliance to the medication regimen is challenging but
i,- i,- i,- i,- i,- i,- i,- i,- i,-
should be maintained. i,- i,-
C: Side effects are minimized with the use of a single medication
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
but is less effective.
i,- i,- i,-
D: The treatment time is decreased from 6 months to 3 months
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with this standard regimen.
i,- A: The development of resistant
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-
strains of TB are decreased with a combination of drugs.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Combination therapy is necessary to decrease the development i,- i,- i,- i,- i,- i,- i,- i,-
of resistant strains of TB and ensure treatment efficacy.
i,- i,- i,- i,- i,- i,- i,- i,-
,The registered nurse (RN) is teaching a client who is newly
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
diagnosed with emphysema how to perform pursed lip breathing.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
What is the primary reason for teaching the client this method of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breathing?
A: Decreases respiratory rate.
i,- i,- i,-
B: Increases O 2 saturation throughout the body.
i,- i,- i,- i,- i,- i,- i,-
C: Conserves energy while ambulating.
i,- i,- i,- i,-
D: Promotes CO 2 elimination.
i,- i,- i,- i,- i,-i,- i,- D: Promotes CO 2 elimination.
i,- i,- i,- i,-
Pursed lip breathing helps eliminate CO2 by increasing positive
i,- i,- i,- i,- i,- i,- i,- i,- i,-
pressure within the alveoli increasing the surface area of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
alveoli making it easier for the O2 and CO2 gas exchange to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
occur.
Which assessment is most important for the nurse to perform on
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
a client who is hospitalized for Guillain-Barre syndrome that is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
rapidly progressing? i,-
A: Respiratory effort.
i,- i,-
B: Unsteady gait.
i,- i,-
C: Intensity of pain.
i,- i,- i,-
D: Ability to eat.
i,- i,- i,- i,-i,- i,- A: Respiratory Effort
i,- i,-
, (Guillain-Barre syndrome causes paralysis or weakness that i,- i,- i,- i,- i,- i,- i,-
typically starts at the feet and progresses upwards. As the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
condition progresses, the nurse must ensure that the client is able
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to breathe effectively.)
i,- i,-
A male client comes into the clinic with a history of penile
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
discharge with painful, burning urination. Which action should
i,- i,- i,- i,- i,- i,- i,- i,-
the nurse implement?
i,- i,-
A: Collect a culture of the penile discharge.
i,- i,- i,- i,- i,- i,- i,-
B: Palpate the inguinal lymph nodes gently.
i,- i,- i,- i,- i,- i,-
C: Observe for scrotal swelling and redness.
i,- i,- i,- i,- i,- i,-
D: Express the discharge to determine color.
i,- i,- i,- i,- i,- i,- i,-i,- i,- A: Collect a
i,- i,- i,-
culture of the penile discharge. i,- i,- i,- i,-
(Penile discharge with painful urination is commonly associated
i,- i,- i,- i,- i,- i,- i,- i,-
with gonorrhea. The nurse should collect a culture of the penile
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
discharge to determine the cause of these symptoms. The cause
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
must be determined or confirmed through culture to identify the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
organism and ensure effective treatment.) i,- i,- i,- i,-
A client with history of atrial fibrillation is admitted to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
telemetry unit with sudden onset of shortness of breath. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse observes a new irregular heart rhythm and should perform
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
which assessment at this time? i,- i,- i,- i,-
