(BRAND NEW!!!) HESI MED SURG ACTUAL QUESTIONS
AND ANSWERS WITH VERIFIED SOLUTIONS |LATEST
UPDATED.
Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
a. intensity of pain
b. unsteady gait
c. ability to eat
d. respiratory effort - ANSWER: d
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the nurse implement?
a. collect a culture of the penile discharge
b. observe for scrotal swelling and redness
c. palpate the inguinal lymph nodes gently
d. express the discharge to determine color - ANSWER: a
A client with history of atrial fibrillation is admitted to the telemetry unit with sudden
onset of shortness of breath. The nurse observes a new irregular heart rhythm and
should perform which assessment at this time?
a. check for a pulse deficit
b. examine for a carotid bruit
c. inspect jugular vein pulse
d. palpate the apical impulse - ANSWER: a
Which client should be further assessed for an ectopic pregnancy?
a. A 20-year-old with fever and right lower abdominal colic
b. A 40-year-old with jaundice and right lower abdominal pain
c. A 24-year-old with shoulder and lower abdominal quadrant pain
d. A 33-year-old with intermittent lower abdominal cramping - ANSWER: c
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
1|Page
,a. Eats fortified breakfast cereal daily
b. Consumes beans and rice every day
c. drinks a six pack of beer every day
d. enjoys a hamburger once a month - ANSWER: c. drinks a six pack of beer
every day
Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
a. sore throat caused by speaking
b. unintended weight loss
c. cough brought on by swallowing
d. painful and dry oral cavity - ANSWER: c
The nurse is teaching a client diagnosed with PAD. Which genitourinary system
complication should the nurse include in the teaching?
a. decreased pelvic muscle tone
b. altered sexual response
c. sterlity
d. urinary incontinence - ANSWER: b
A 40-year-old female client has a history of smoking. Which finding should the nurse
identify as a risk factor for MI?
a. pernicious anemia
b. oral contraceptives
c. senile osteopenia
d. levothyroxine therapy - ANSWER: b
A client has been told that there is cataract formation over both eyes. Which finding
should the nurse expect when assessing the client?
a. decreased color perception
b. reduced peripheral vision
c. presence of floaters
d. loss of central vision - ANSWER: a
which assessment finding should most concern the nurse who is monitoring a client
two hours after a thoracentesis?
2|Page
,a. distended neck veins
b. low resting heart rate
c. new onset of coughing
d. decreased shallow respirations - ANSWER: c
While caring for a client who has esophageal varices, which nursing intervention is
most important for the RN to implement?
a. prepare for esophagogastroduodenoscopy (EGD)
b. maintain the client on strict bedrest
c. monitor infusing IV fluids and any replacement blood products
d. insert a NGT for intermittent suction - ANSWER: c. monitor infusing IV fluids
and any replacement blood products
The RN is caring for a client who developed oliguria and was diagnosed with sepsis
and dehydration 48 hours ago. Which assessment finding indicates to the RN that
the client is stabilizing?
a. urine output of 40 ml/hour
b. tented skin on dorsal surface of hands
c. apical pulse 100 and blood pressure 76/42
d. urine specific gravity 1.001 - ANSWER: a. urine output of 40 mL/hour
After a liver biopsy is performed at the bedside, the RN is assigned the care of the
client. Which nursing intervention is most important for the RN to implement?
a. Ambulate client 3 times in first hour with pillow held at abdomen
b. assist the client with voiding immediately after the procedure
c. position client on left side with pillow placed under the costal margin
d. evaluate vital signs q10 to 20 minutes for 2 hours after procedure - ANSWER: d
The RN is caring for a client with aplastic anemia who is hospitalized for weight loss
and generalized weakness. Lab values show a WBC of 2,500/mm3 and a platelet
count of 160,000mm3. Which intervention is the primary focus in the client's plan of
care for the RN to implement?
a. encourage visitors to visit
b. assist with frequent ambulation
c. avoid peripheral injections
3|Page
, d. maintain strict protective precautions - ANSWER: d. maintain strict protective
precautions
The RN is caring for a young adult who is having an oral glucose tolerance tests
(OGTT). Which lab result should the RN assess as a normal value for the two hour
postprandial result?
a. 200 mg/dL
b. 140 mg/dL
c. 180 mg/dL
d. 169 mg/dL - ANSWER: b
The RN is caring for an older client who recently experienced a fractured pelvis from
a fall. Which assessment finding is most important for the RN to report the
healthcare provider?
a. headache of 7 on scale 1 to 10
b. blood pressure of 140/98
c. lower back pain
d. dyspnea - ANSWER: d
The RN is caring for a client with TB who is taking a combination drug regimen. The
client complains about taking "so many pills". What information should the RN
provide to the client about the prescribed treatment?
a. The development of resistant strains of TB are decreased with a combination of
drugs.
b. The treatment time is decreased from 6 months to 3 months with this standard
regimen
c. Compliance to the medication regimen is challenging but should be maintained
d. side effects are minimized with the use of a single medication but is less effective.
- ANSWER: a. The development of resistant strains of TB are decreased with a
combination of drugs
The RN is teaching a client who is newly diagnosed with emphysema how to perform
pursed lip breathing. What is the primary reason for teaching the client this method
of breathing?
a. increases O2 sat throughout the body
b. conserves energy while ambulating
c. promotes CO2 elimination
4|Page
AND ANSWERS WITH VERIFIED SOLUTIONS |LATEST
UPDATED.
Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
a. intensity of pain
b. unsteady gait
c. ability to eat
d. respiratory effort - ANSWER: d
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the nurse implement?
a. collect a culture of the penile discharge
b. observe for scrotal swelling and redness
c. palpate the inguinal lymph nodes gently
d. express the discharge to determine color - ANSWER: a
A client with history of atrial fibrillation is admitted to the telemetry unit with sudden
onset of shortness of breath. The nurse observes a new irregular heart rhythm and
should perform which assessment at this time?
a. check for a pulse deficit
b. examine for a carotid bruit
c. inspect jugular vein pulse
d. palpate the apical impulse - ANSWER: a
Which client should be further assessed for an ectopic pregnancy?
a. A 20-year-old with fever and right lower abdominal colic
b. A 40-year-old with jaundice and right lower abdominal pain
c. A 24-year-old with shoulder and lower abdominal quadrant pain
d. A 33-year-old with intermittent lower abdominal cramping - ANSWER: c
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
1|Page
,a. Eats fortified breakfast cereal daily
b. Consumes beans and rice every day
c. drinks a six pack of beer every day
d. enjoys a hamburger once a month - ANSWER: c. drinks a six pack of beer
every day
Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
a. sore throat caused by speaking
b. unintended weight loss
c. cough brought on by swallowing
d. painful and dry oral cavity - ANSWER: c
The nurse is teaching a client diagnosed with PAD. Which genitourinary system
complication should the nurse include in the teaching?
a. decreased pelvic muscle tone
b. altered sexual response
c. sterlity
d. urinary incontinence - ANSWER: b
A 40-year-old female client has a history of smoking. Which finding should the nurse
identify as a risk factor for MI?
a. pernicious anemia
b. oral contraceptives
c. senile osteopenia
d. levothyroxine therapy - ANSWER: b
A client has been told that there is cataract formation over both eyes. Which finding
should the nurse expect when assessing the client?
a. decreased color perception
b. reduced peripheral vision
c. presence of floaters
d. loss of central vision - ANSWER: a
which assessment finding should most concern the nurse who is monitoring a client
two hours after a thoracentesis?
2|Page
,a. distended neck veins
b. low resting heart rate
c. new onset of coughing
d. decreased shallow respirations - ANSWER: c
While caring for a client who has esophageal varices, which nursing intervention is
most important for the RN to implement?
a. prepare for esophagogastroduodenoscopy (EGD)
b. maintain the client on strict bedrest
c. monitor infusing IV fluids and any replacement blood products
d. insert a NGT for intermittent suction - ANSWER: c. monitor infusing IV fluids
and any replacement blood products
The RN is caring for a client who developed oliguria and was diagnosed with sepsis
and dehydration 48 hours ago. Which assessment finding indicates to the RN that
the client is stabilizing?
a. urine output of 40 ml/hour
b. tented skin on dorsal surface of hands
c. apical pulse 100 and blood pressure 76/42
d. urine specific gravity 1.001 - ANSWER: a. urine output of 40 mL/hour
After a liver biopsy is performed at the bedside, the RN is assigned the care of the
client. Which nursing intervention is most important for the RN to implement?
a. Ambulate client 3 times in first hour with pillow held at abdomen
b. assist the client with voiding immediately after the procedure
c. position client on left side with pillow placed under the costal margin
d. evaluate vital signs q10 to 20 minutes for 2 hours after procedure - ANSWER: d
The RN is caring for a client with aplastic anemia who is hospitalized for weight loss
and generalized weakness. Lab values show a WBC of 2,500/mm3 and a platelet
count of 160,000mm3. Which intervention is the primary focus in the client's plan of
care for the RN to implement?
a. encourage visitors to visit
b. assist with frequent ambulation
c. avoid peripheral injections
3|Page
, d. maintain strict protective precautions - ANSWER: d. maintain strict protective
precautions
The RN is caring for a young adult who is having an oral glucose tolerance tests
(OGTT). Which lab result should the RN assess as a normal value for the two hour
postprandial result?
a. 200 mg/dL
b. 140 mg/dL
c. 180 mg/dL
d. 169 mg/dL - ANSWER: b
The RN is caring for an older client who recently experienced a fractured pelvis from
a fall. Which assessment finding is most important for the RN to report the
healthcare provider?
a. headache of 7 on scale 1 to 10
b. blood pressure of 140/98
c. lower back pain
d. dyspnea - ANSWER: d
The RN is caring for a client with TB who is taking a combination drug regimen. The
client complains about taking "so many pills". What information should the RN
provide to the client about the prescribed treatment?
a. The development of resistant strains of TB are decreased with a combination of
drugs.
b. The treatment time is decreased from 6 months to 3 months with this standard
regimen
c. Compliance to the medication regimen is challenging but should be maintained
d. side effects are minimized with the use of a single medication but is less effective.
- ANSWER: a. The development of resistant strains of TB are decreased with a
combination of drugs
The RN is teaching a client who is newly diagnosed with emphysema how to perform
pursed lip breathing. What is the primary reason for teaching the client this method
of breathing?
a. increases O2 sat throughout the body
b. conserves energy while ambulating
c. promotes CO2 elimination
4|Page
