HESI Med-Surg Exam: Guaranteed Academic
Improvement with A+ Graded Questions, Thorough
Answer Explanations & Global Insights from
Renowned Sources
Which method elicits the most accurate information during a physical assessment of an
older client? - CORRECT ANS- -Use reliable assessment tools for older adults
A client who has just tested positive for HIV does not appear to hear what the nurse is
saying during post-test counseling. Which information should the nurse offer to facilitate
the client's adjustment to HIV infection? - CORRECT ANS- -Discuss retesting to verify the
results, which will ensure continuing contact and give the patient support and hope, as well
as time to cope
The nurse is caring for a client with HIV who develops Mycobacterium avium complex.
What is the most significant desired outcome for this patient? - CORRECT ANS- -Return to
pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting syndrome so adequate
nutrition and return to pre-illness weight is priority
A client who had abdominal surgery two days ago has prescriptions for IV morphine sulfate
4 mg every 2 hours and clear liquid diet. Client complains of feeling distended and has
sharp, cramping gas pains. What nursing intervention should be implemented? - CORRECT
ANS- -Assist the client to ambulate in the hall
A client with Meniere's disease is incapacitated by vertigo and is lying in bed grasping the
side rails and staring at the television. Which nursing intervention should the nurse
implement? - CORRECT ANS- -Turn off the television and darken the room.
Any visual stimuli or rotational movement should be minimized
,A client who has chronic cough with blood-tinged sputum returns to the unit after a
bronchoscopy. What nursing interventions should be implemented in the immediate post-
procedural period? - CORRECT ANS- -NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized and bronchoscope
is coated with lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place who is breathing
spontaneously. To evaluate if the client can tolerate cuff deflation to promote speaking and
swallowing, what action should the nurse implement? - CORRECT ANS- -Observe the client
for coughing colored sputum after drinking a small amount of colored water
What assessment finding should the nurse identify that indicates a client with an acute
asthma exacerbation is beginning to improve after treatment? - CORRECT ANS- -Wheezing
becomes louder as airways (that were initially so restricted wheezing was absent)
successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain and the diagnosis is
sickle cell crisis. What is the most important nursing action to implement? - CORRECT
ANS- -Evaluate the effectiveness of narcotic analgesics because pain management is
priority for patient during sickle cell crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving
chemotherapy. Lab results reveal platelet count of 10,000/mL. What action should the
nurse implement? - CORRECT ANS- -Check stools for occult blood because platelets less
than 100,000/mL are indicative of thrombocytopenia (a common side effect of
chemotherapy)
A client is admitted for complaints of chest pain and aching for the past 4 days. The results
for serum creatinine kinase-MB (CK-MB) and troponin levels are obtained. What rationale
should the nurse use to evaluate lab findings? - CORRECT ANS- -Myocardial damage that
occurred several days early is best validated by serum troponin levels.
, **CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for
surgical placement of a permanent pacemaker. The client asks the nurse how this device
will help him. How should the nurse explain the action of a synchronous pacemaker? -
CORRECT ANS- -An electrical stimulus is discharged when no ventricular response is
sensed.
Synchronous - impulse generated on demand or as needed according to patient intrinsic
rhythm
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing
to the difficulty that he and his wife are having getting pregnant. What information is best
for the nurse to provide? - CORRECT ANS- -Smoking can decrease quantity and quality of
sperm
The first semen analysis should be repeated to confirm sperm counts
Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after a mastectomy.
Which information should the nurse include in the teaching plan? - CORRECT ANS- -Report
inflammation of the incision site or affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for midazolam (Versed) IV.
The nurse determines that the surgical consent form needs to be signed by the client.
Which action should the nurse implement? - CORRECT ANS- -Withhold the drug until the
client validates understanding of the surgical procedure and signs the consent form.
The HCP should explain procedure to client before arriving to the preoperative area
A client with acute osteomyelitis has undergone surgical debridement of the diseased
bone and asks the nurse how long will antibiotics have to be administered. Which
Improvement with A+ Graded Questions, Thorough
Answer Explanations & Global Insights from
Renowned Sources
Which method elicits the most accurate information during a physical assessment of an
older client? - CORRECT ANS- -Use reliable assessment tools for older adults
A client who has just tested positive for HIV does not appear to hear what the nurse is
saying during post-test counseling. Which information should the nurse offer to facilitate
the client's adjustment to HIV infection? - CORRECT ANS- -Discuss retesting to verify the
results, which will ensure continuing contact and give the patient support and hope, as well
as time to cope
The nurse is caring for a client with HIV who develops Mycobacterium avium complex.
What is the most significant desired outcome for this patient? - CORRECT ANS- -Return to
pre-illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting syndrome so adequate
nutrition and return to pre-illness weight is priority
A client who had abdominal surgery two days ago has prescriptions for IV morphine sulfate
4 mg every 2 hours and clear liquid diet. Client complains of feeling distended and has
sharp, cramping gas pains. What nursing intervention should be implemented? - CORRECT
ANS- -Assist the client to ambulate in the hall
A client with Meniere's disease is incapacitated by vertigo and is lying in bed grasping the
side rails and staring at the television. Which nursing intervention should the nurse
implement? - CORRECT ANS- -Turn off the television and darken the room.
Any visual stimuli or rotational movement should be minimized
,A client who has chronic cough with blood-tinged sputum returns to the unit after a
bronchoscopy. What nursing interventions should be implemented in the immediate post-
procedural period? - CORRECT ANS- -NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are anesthetized and bronchoscope
is coated with lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in place who is breathing
spontaneously. To evaluate if the client can tolerate cuff deflation to promote speaking and
swallowing, what action should the nurse implement? - CORRECT ANS- -Observe the client
for coughing colored sputum after drinking a small amount of colored water
What assessment finding should the nurse identify that indicates a client with an acute
asthma exacerbation is beginning to improve after treatment? - CORRECT ANS- -Wheezing
becomes louder as airways (that were initially so restricted wheezing was absent)
successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe abdominal pain and the diagnosis is
sickle cell crisis. What is the most important nursing action to implement? - CORRECT
ANS- -Evaluate the effectiveness of narcotic analgesics because pain management is
priority for patient during sickle cell crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving
chemotherapy. Lab results reveal platelet count of 10,000/mL. What action should the
nurse implement? - CORRECT ANS- -Check stools for occult blood because platelets less
than 100,000/mL are indicative of thrombocytopenia (a common side effect of
chemotherapy)
A client is admitted for complaints of chest pain and aching for the past 4 days. The results
for serum creatinine kinase-MB (CK-MB) and troponin levels are obtained. What rationale
should the nurse use to evaluate lab findings? - CORRECT ANS- -Myocardial damage that
occurred several days early is best validated by serum troponin levels.
, **CK-MB and troponin are 2 most important cardiac markers for MI
A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for
surgical placement of a permanent pacemaker. The client asks the nurse how this device
will help him. How should the nurse explain the action of a synchronous pacemaker? -
CORRECT ANS- -An electrical stimulus is discharged when no ventricular response is
sensed.
Synchronous - impulse generated on demand or as needed according to patient intrinsic
rhythm
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing
to the difficulty that he and his wife are having getting pregnant. What information is best
for the nurse to provide? - CORRECT ANS- -Smoking can decrease quantity and quality of
sperm
The first semen analysis should be repeated to confirm sperm counts
Cessation of smoking improves general health and fertility
The nurse is providing postoperative instructions for a female client after a mastectomy.
Which information should the nurse include in the teaching plan? - CORRECT ANS- -Report
inflammation of the incision site or affected arm
Avoid lifting more than 4.5 kg (10lb) or reaching above head
A client in the preoperative holding area receives a prescription for midazolam (Versed) IV.
The nurse determines that the surgical consent form needs to be signed by the client.
Which action should the nurse implement? - CORRECT ANS- -Withhold the drug until the
client validates understanding of the surgical procedure and signs the consent form.
The HCP should explain procedure to client before arriving to the preoperative area
A client with acute osteomyelitis has undergone surgical debridement of the diseased
bone and asks the nurse how long will antibiotics have to be administered. Which
