HESI: Medical-Surgical Assignment Exam and Rationale

HESI:6 8 Medical-
Surgical6 8 Assignment6 8 Exam6 8 and6 8 Rationale
1. WhichStudy online68at68https://quizlet.com/_a29qqk
6868assessment 68is68most68important68for68the68nurse68to68perform68on68a6

8client68who68is68hospitalized68for68Guillain-

Barre68syndrome68that68is68rapidly68progressing?68A:68Respiratory68effort.
B:68Unsteady68gait.
C:68Intensity68of68pai
n.
D:68Ability68to68eat.:68A:68Respiratory68Effort

(Guillain-
Barre68syndrome68causes68paralysis68or68weakness68that68typically68starts68at68the68f
eet68and68progresses68upwards.68As68the68condition68progresses,68the68nurse68must68e
nsure68that68the68client68is68able68to68breathe68effectively.)
2. A68male68client68comes68into68the68clinic68with68a68history68of68penile68dischar
ge68with68painful,68burning68urination.68Which68action68should68the68nurse68imp
lement?
A:68Collect68a68culture68of68the68penile68dischar
ge.68B:68Palpate68the68inguinal68lymph68nodes6
8gently.68C:68Observe68for68scrotal68swelling68a

nd68redness.
D:68Express68the68discharge68to68determine68color.:68A:68Collect68a68culture68of68the
68penile68discharge.



(Penile68discharge68with68painful68urination68is68commonly68associated68with68gonorrhea.
he68nurse68should68collect68a68culture68of68the68penile68discharge68to68determine68the68caus
8of68these68symptoms.68The68cause68must68be68determined68or68confirmed68through68cu

ure68to68identify68the68organism68and68ensure68effective68treatment.)
3. A68client68with68history68of68atrial68fibrillation68is68admitted68to68the68telemetry68uni
t68with68sudden68onset68of68shortness68of68breath.68The68nurse68observes68a68new68irr
egular68heart68rhythm68and68should68perform68which68assessment68at68this68time
?
A:68Check68for68a68pulse68defici
t.68B:68Palpate68the68apical68imp
ulse.68C:68Inspect68jugular68vei
n68pulse.
D:68Examine68for68a68carotid68bruit.:68A:68Check68for68a68pulse68deficit.

(A68client68with68a68past68history68of68atrial68fibrillation68may68return68to68that68rhythm.68A
ny68signs68of68atrial68fibrillation,68such68as68sudden68onset68shortness68of68breath,68req
uires68further68investigation.68The68nurse68should68assess68this68client68for68a68pulse68d
eficit68because68this68condition68occurs68with68atrial68fibrillation.)
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, HESI:6 8 Medical-
Surgical6 8 Assignment6 8 Exam6 8 and6 8 Rationale
4. WhichStudy6868client
online68at6868should68be68further68assessed68for68an68ectopic68pregna
https://quizlet.com/_a29qqk
ncy?68A:68A6824-year-
old68with68shoulder68and68lower68abdominal68quadrant68pain.68B:68A6833-
year-old68with68intermittent68lower68abdominal68cramping.
C:68A6820-year-old68with68fever68and68right68lower68abdominal68colic.
D:68A6840-year-old68with68jaundice68and68right68lower68abdominal68pain.:68A:68A6824-
year-old




268/68
90

, HESI:6 8 Medical-
Surgical6 8 Assignment6 8 Exam6 8 and6 8 Rationale
Study68online68
with68shoulder 68at 68https://quizlet.com/_a29qqk
and 68lower68abdominal68quadrant68pain.



(A6824-year-
old68with68sudden68onset68of68lower68abdominal68quadrant68pain68should68be68assesse
d68for68an68ectopic68pregnancy.68The68pain68can68also68be68referred68to68the68shoulder68a
nd68may68be68associated68with68vaginal68bleeding.)
5. Which68dietary68assessment68finding68is68most68important68for68the68nurse68
to68ad-68dress68when68caring68for68a68client68with68diabetic68nephropathy?
A:68Drinks68a68six68pack68of68beer68every68
day.68B:68Enjoys68a68hamburger68once68
a68month.68C:68Eats68fortified68breakfast
68cereal68daily.

D:68Consumes68beans68and68rice68every68day.:68A:68Drinks68a68six68pack68of68beer68ev
y68day.

(Drinking68six68beers68every68day68is68the68dietary68assessment68finding68most68importa
nt68for68the68nurse68to68address68when68caring68for68a68client68with68diabetic68nephropat
y.68The68usual68can68of68beer68is681268ounces68(35568mL).68Clients68with68diabetes68are68re
ommended68to68drink68no68more68than681268ounces68of68beer68per68day68because68beer68
ontains68carbohydrates68that68can68create68unhealthy68fluctuations68in68blood68glucose68a
nd68promote68poorglucose68control.68Nephropathy68is68exacerbated68by68poor68blood68g
ucose68control.)
6. Which68assessment68finding68is68of68greatest68concern68to68the68nurse68who68is68
caring68for68a68client68with68stomatitis?
A:68Cough68brought68on68by68swallowi
ng.68B:68Sore68throat68caused68by68spe
aking.
C:68Painful68and68dry68oral68cavity.
D:68Unintended68weight68loss.:68A:68Cough68brought68on68by68swallowing.

A68cough68brought68on68by68swallowing68is68a68sign68of68dysphagia,68which68is68a68findin
of68particular68concern68in68a68client68with68stomatitis.68Dysphagia68can68cause68numer
us68problems,68including68airway68obstruction,68and68should68be68reported68to68the68hea
hcare68provider68immediately.
7. The68nurse68is68teaching68a68client68diagnosed68with68peripheral68arterial68dis
ease.68Which68genitourinary68system68complication68should68the68nurse68incl
ude68in68the68teaching?
A:68Altered68sexual68response.
68B:68Sterility.

C:68Urinary68incontinence.
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, HESI:6 8 Medical-
Surgical6 8 Assignment6 8 Exam6 8 and6 8 Rationale
D:68Decreased 6868pelvic
Study68online68at 68muscle68tone.:68A:68Altered68sexual68response.
https://quizlet.com/_a29qqk

Peripheral68arterial68disease68(PAD)68is68a68cardiovascular68condition68characterized68
y68narrowing68of68the68arteries68and68reduced68blood68flow68to68the68extremities.68PAD68is68k
own68to




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90