MEDSURG HESI PRACTICE
EXAM WITH CORRECT
ANSWERS 2025 GRADED A+
The nurse is caring for a client who is admitted with a hemorrhagic stroke.
Which nursing action should be included in the plan of care?
-Perform active range of motion three times daily.
-Monitor for Battle's sign every four hours.
-Teach measures to avoid the Valsalva maneuver.
-Maintain the head of bed in a flat position. ( correct answers ) -Teach
measures to avoid the Valsalva maneuver.
The nurse is caring for a male client who had an inguinal herniorrhaphy 3
hours ago. The nurse determines the client's lower abdomen is distended
and assesses dullness to percussion. Which is the priority nursing action?
-Assessment of the client's vital signs.
-Document the finding as the only action.
-Determine the time the client last voided.
-Insert a rectal tube for the passage of flatus. ( correct answers ) -
Determine the time the client last voided.
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching
plan? (Select all that apply.)
,-Empty surgical drains once a week using procedure gloves.
-Report inflammation of the incision site or the affected arm.
-Wear clothing with snug sleeves over the arm on the operative side.
-Avoid lifting more than 4.5 kg (10 pounds) or reaching above her head.
( correct answers ) -Report inflammation of the incision site or the affected
arm.
-Avoid lifting more than 4.5 kg (10 pounds) or reaching above her head.
The nurse is caring for a client after transurethral resection of the prostate
(TURP) and determines the client's urinary catheter is not draining. What
should the nurse implement?
-Reposition the catheter drainage tubing.
-Encourage the client to drink oral fluids.
-Irrigate the catheter.
-Change drainage unit tubing. ( correct answers ) -Irrigate the catheter.
A client with a recent history of blood in his stools is scheduled for a
proctoscopy/sigmoidoscopy. The nurse should implement which protocols to
prepare the client for this procedure? (Select all that apply.)
-Obtain consent for the procedure.
-Initiate preoperative sedation.
-Begin fast the morning of the procedure.
-Administer an enema before the procedure.
-Provide a clear-liquid diet 48 hours before the procedure. ( correct
answers ) -Obtain consent for the procedure.
-Begin fast the morning of the procedure.
-Administer an enema before the procedure.
-Provide a clear-liquid diet 48 hours before the procedure.
, The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the (PN)?
-Administer medications for pain relief, shortness of breath, and nausea.
-Clarify family members' feelings about the meaning of the client's behaviors
and symptoms.
-Develop a plan of care after assessing the needs of the client and family.
-Teach the family to recognize restlessness and grimacing as signs of client
discomfort. ( correct answers ) -Administer medications for pain relief,
shortness of breath, and nausea.
A client's prostate-specific antigen (PSA) exam result showed a PSA density
of 0.13 ng/mL. Which conclusion regarding this lab data is accurate?
-Probable prostatitis.
-Low risk for prostate cancer.
-The presence of cancer cells.
-A biopsy of the prostate is indicated. ( correct answers ) -Low risk for
prostate cancer.
Which is the primary nursing problem for a client with asymptomatic primary
syphilis?
-Acute pain.
-Risk for injury.
-Sexual dysfunction.
-Deficient knowledge. ( correct answers ) -Deficient knowledge.
A client with primary dysmenorrhea has several medications at home. She
calls the clinic to ask the nurse which medication should she use for her pain.
Which option should the nurse recommend as the first choice in the
management of this client's pain?
-Aspirin.
EXAM WITH CORRECT
ANSWERS 2025 GRADED A+
The nurse is caring for a client who is admitted with a hemorrhagic stroke.
Which nursing action should be included in the plan of care?
-Perform active range of motion three times daily.
-Monitor for Battle's sign every four hours.
-Teach measures to avoid the Valsalva maneuver.
-Maintain the head of bed in a flat position. ( correct answers ) -Teach
measures to avoid the Valsalva maneuver.
The nurse is caring for a male client who had an inguinal herniorrhaphy 3
hours ago. The nurse determines the client's lower abdomen is distended
and assesses dullness to percussion. Which is the priority nursing action?
-Assessment of the client's vital signs.
-Document the finding as the only action.
-Determine the time the client last voided.
-Insert a rectal tube for the passage of flatus. ( correct answers ) -
Determine the time the client last voided.
The nurse is providing postoperative instructions for a female client after a
mastectomy. Which information should the nurse include in the teaching
plan? (Select all that apply.)
,-Empty surgical drains once a week using procedure gloves.
-Report inflammation of the incision site or the affected arm.
-Wear clothing with snug sleeves over the arm on the operative side.
-Avoid lifting more than 4.5 kg (10 pounds) or reaching above her head.
( correct answers ) -Report inflammation of the incision site or the affected
arm.
-Avoid lifting more than 4.5 kg (10 pounds) or reaching above her head.
The nurse is caring for a client after transurethral resection of the prostate
(TURP) and determines the client's urinary catheter is not draining. What
should the nurse implement?
-Reposition the catheter drainage tubing.
-Encourage the client to drink oral fluids.
-Irrigate the catheter.
-Change drainage unit tubing. ( correct answers ) -Irrigate the catheter.
A client with a recent history of blood in his stools is scheduled for a
proctoscopy/sigmoidoscopy. The nurse should implement which protocols to
prepare the client for this procedure? (Select all that apply.)
-Obtain consent for the procedure.
-Initiate preoperative sedation.
-Begin fast the morning of the procedure.
-Administer an enema before the procedure.
-Provide a clear-liquid diet 48 hours before the procedure. ( correct
answers ) -Obtain consent for the procedure.
-Begin fast the morning of the procedure.
-Administer an enema before the procedure.
-Provide a clear-liquid diet 48 hours before the procedure.
, The home health nurse is assessing a client with terminal lung cancer who is
receiving hospice care. Which activity should be assigned to the (PN)?
-Administer medications for pain relief, shortness of breath, and nausea.
-Clarify family members' feelings about the meaning of the client's behaviors
and symptoms.
-Develop a plan of care after assessing the needs of the client and family.
-Teach the family to recognize restlessness and grimacing as signs of client
discomfort. ( correct answers ) -Administer medications for pain relief,
shortness of breath, and nausea.
A client's prostate-specific antigen (PSA) exam result showed a PSA density
of 0.13 ng/mL. Which conclusion regarding this lab data is accurate?
-Probable prostatitis.
-Low risk for prostate cancer.
-The presence of cancer cells.
-A biopsy of the prostate is indicated. ( correct answers ) -Low risk for
prostate cancer.
Which is the primary nursing problem for a client with asymptomatic primary
syphilis?
-Acute pain.
-Risk for injury.
-Sexual dysfunction.
-Deficient knowledge. ( correct answers ) -Deficient knowledge.
A client with primary dysmenorrhea has several medications at home. She
calls the clinic to ask the nurse which medication should she use for her pain.
Which option should the nurse recommend as the first choice in the
management of this client's pain?
-Aspirin.
