HESI MED-SURG PRACTICE EXAM WITH
ANSWERS
An cadult cclient cwho cis chospitalized cafter csurgery creports csudden conset cof cchest cpain cand cdys
canxious, crestless, cand cmildly ccyanotic. cThe cnurse cshould cfurther cassess cthe cclient cfor cwhich c
cPulmonary cembolism. c
cHeart cfailure.
cTuberculosis.
cBronchitis. c- cCORRECT cANS✔✔Pulmonary cembolism. c
Post-surgical cclients care cat can cincreased crisk cfor cdeep cvein cthrombosis c(DVT), cwhich cmay cres
cthe cclot cbreaks coff cand ctravels cto cthe clungs. cSigns cand csymptoms cof cpulmonary cembolism cin
canxiety, crestlessness, cand c- cin csevere ccases c- ccyanosis.
Jarvis, cPhysical cExamination cand cHealth cAssessment, c7th ced., cp.493
,cJoint cpain cis cbetter cin cthe cmorning cand cworsens cthroughout cthe cday.
cJoint cpain cis cconsistent cthroughout cthe cday cand cis crelieved cby cpain cmedication.
cJoint cpain cis cworse cduring cthe cday cand cinvolves cunilateral cjoints. c- cCORRECT cANS✔✔Joint
cand cinvolves csymmetric cjoints. c
Rheumatoid carthritis c(RA) cis can cautoimmune cdisease cthat ccauses cjoint cpain cand cswelling. cRA
cis cworse cwhen carising cand cinvolves csymmetric cjoints.
Jarvis. c(2016), cPhysical cExamination cand cHealth cAssessment, c7th cEd., cChapter c22; cp. c586
Which cphysical cassessment cfinding cshould cthe cnurse canticipate cin ca cclient cwith clong-term cgas
c(GERD)?
cHoarseness. c
cDry cmouth.
cMouth culcers.
cWeight closs. c- cCORRECT cANS✔✔Hoarseness. c
Dyspepsia cand cregurgitation care cthe cmain csymptoms cof cgastroesophageal creflux cdisease c(GE
cone cof cthe cmost ccommon clong-term csymptoms cof cGERD cdue cto cthe cirritation cof cthe creflux co
Ignatavicius, c(2016). cMedical-surgical cnursing: cPatient-centered ccollaborative ccare, ceight cedition
A cclient cpresents cwith cchronic cvenous cinsufficiency. cWhich cassessment cfinding cshould cthe cnur
cBilateral clower cleg cstasis cdermatitis. c
cClubbing cof cfingers cand ctoes.
cIntermittent cclaudication.
cPeripheral ccyanosis. c- cCORRECT cANS✔✔Bilateral clower cleg cstasis cdermatitis. c
Clients cwho csuffer cfrom cchroninc cvenous cinsufficiency coften cdevelop cstatsis cdermatitis cin cthe c
cdermatitis cappear cas cbrownish-red cdiscoloration con cthe clower cextremities cat cthe cankles cwhich
culcers cdue cto cthe cpooling cof cthe cvenous cblood cflow cback cto cthe cheart.
Ignatavicius, c(2013). cMedical-surgical cnursing: cPatient-centered ccollaborative ccare, c7th ced.., cCh
A cclient chas cbeen chospitalized cwith ca cfemur cfracture cand cis cbeing ctreated cwith ctraction. cWhic
cpriority cwhen ccaring cfor cthis cclient?
cAssess cneurovascular cstatus. c
cChange cthe cclient's cposition.
cInspect cthe ctraction cequipment.
cReview cpain cmedication corders. c- cCORRECT cANS✔✔Assess cneurovascular cstatus. c
The cuse cof ctraction cfor clong cbone cfractures creduces cthe cpotential cfor cdamage cto cthe csurround
cincreased cpain cmay cindicate ccirculatory ccompromise cor ctissue cdamage c(compartment csyndrom
cneurovascular cstatus cis cthe cnurse's chighest cpriority.
Ignatavicius, c(2016). cMedical-surgical cnursing: cPatient-centered ccollaborative ccare, ceight cedition
Which cstatement cmade cby ca cclient cwith cchronic cpancreatitis cindicates cthat cfurther ceducation cis
I cwill ccut cback con csmoking ccigarettes cdaily. c
I cwill cavoid cdrinking ccaffeinated cbeverages.
I cwill crest cfrequently cand cavoid cvigorous cexercise. c
I cwill ceat ca cbland, clow-fat, chigh-protein cdiet. c- cCORRECT cANS✔✔I cwill ccut cback con csmoking
To cprevent cexacerbations cof cchronic cpancreatitis, cclients cshould cbe cinstructed cto cavoid cnicotin
, cMarijuana ccigarettes cdo cnot caffect csperm ccount.
cAlcohol cconsumption ccan ccause cerectile cdysfunction.
cLow ctestosterone clevels caffect csperm cproduction. c
cCessation cof csmoking cimproves cgeneral chealth cand cfertility. c
cObesity chas cno ceffect con csperm cproduction. c- cCORRECT cANS✔✔Alcohol cconsumption ccan c
cLow ctestosterone clevels caffect csperm cproduction. c
cCessation cof csmoking cimproves cgeneral chealth cand cfertility.
Use cof ctobacco, calcohol, cand cmarijuana cmay caffect csperm ccounts. cSperm ccount cis calso cnega
ctesterone clevels cand cobesity.
Twenty cfour chours cafter ca cclient creturns cfrom csurgical cgastric cbypass, cthe cregistered cnurse c(R
cblood cin cthe cnasogastric ctube c(NGT) ccannister. cWhich cassessment cfinding cshould cthe cRN cre
chypovolemic cshock?
cFaint cpedal cpulses.
cDecrease cin cblood cpressure. c
cLethargy. c
cSlow cbreathing. c- cCORRECT cANS✔✔Lethargy. c
One cof cthe cearly csigns cof chypovolemic cshock cis cchanges cin cthe cclient's clevel cof cconsciousnes
cperfusion cto cthe cbrain cwhich ccan cmanifests cas clethargy cor cconfusion.
The cregistered cnurse c(RN) cis cassessing ca cmale cclient cwho carrives cat cthe cclinic cwith csevere ca
ctenesmus, cand cdehydration. cThe cRN cdiscovers cthat cthe cclient chas chad c14 cto c20 cloose cstools
ctaking cthe cclient's cmedical chistory, cwhich cinformation cis cmost cfor cthe cnurse cto cobtain?
cIrritable cbowel csyndrome.
cDiverticulitis.
cCrohn's cdisease.
cUlcerative ccolitis. c- cCORRECT cANS✔✔Ulcerative ccolitis. c
The cRN cshould cask cthe cclient cif che chas ca chistory cof culcerative ccolitis, cwhich cis ccharacterized
ccramping, cpain, ctenesmus, cand cdehydration c.
A cclient cis cnewly cdiagnosed cwith cdiverticulosis. cThe cregistered cnurse c(RN) cis cassessing cthe cc
cthe cdisease cprocess. cWhich cstatement cby cthe cclient cconveys can cunderstanding cof cthe cetiolog
cOver cuse cof claxatives cfor cbowel cregularity cresult cin closs cof cperistaltic ctone.
cInflammation cof cthe ccolon cmucosa ccause cgrowths cthat cprotrude cinto cthe ccolon clumen.
cDiverticulosis cis cthe cresult cof chigh cfiber cdiet cand csedentary clife cstyle.
cChronic cconstipation ccauses cweakening cof ccolon cwall cwhich cresult cin cout-pouching csacs. c- cC
cconstipation ccauses cweakening cof ccolon cwall cwhich cresult cin cout-pouching csacs. c
A cclient cwho chas cchronic cconstipation coften cstrains cto cpass cconstipated cstool cwhich cincreases
cweakens cthe cintestinal cwalls cand ccauses cout-pouching csacs, ccalled cdiverticula cwhich ccommon
The cregistered cnurse c(RN) cis cassessing ca cclient cwho cwas cdischarged chome cafter cmanageme
cWhich cequipment cshould cthe cRN cinstruct cthe cclient cto cuse cat chome?
cExercise cbicycle.
cSphygmomanometer. c
ANSWERS
An cadult cclient cwho cis chospitalized cafter csurgery creports csudden conset cof cchest cpain cand cdys
canxious, crestless, cand cmildly ccyanotic. cThe cnurse cshould cfurther cassess cthe cclient cfor cwhich c
cPulmonary cembolism. c
cHeart cfailure.
cTuberculosis.
cBronchitis. c- cCORRECT cANS✔✔Pulmonary cembolism. c
Post-surgical cclients care cat can cincreased crisk cfor cdeep cvein cthrombosis c(DVT), cwhich cmay cres
cthe cclot cbreaks coff cand ctravels cto cthe clungs. cSigns cand csymptoms cof cpulmonary cembolism cin
canxiety, crestlessness, cand c- cin csevere ccases c- ccyanosis.
Jarvis, cPhysical cExamination cand cHealth cAssessment, c7th ced., cp.493
,cJoint cpain cis cbetter cin cthe cmorning cand cworsens cthroughout cthe cday.
cJoint cpain cis cconsistent cthroughout cthe cday cand cis crelieved cby cpain cmedication.
cJoint cpain cis cworse cduring cthe cday cand cinvolves cunilateral cjoints. c- cCORRECT cANS✔✔Joint
cand cinvolves csymmetric cjoints. c
Rheumatoid carthritis c(RA) cis can cautoimmune cdisease cthat ccauses cjoint cpain cand cswelling. cRA
cis cworse cwhen carising cand cinvolves csymmetric cjoints.
Jarvis. c(2016), cPhysical cExamination cand cHealth cAssessment, c7th cEd., cChapter c22; cp. c586
Which cphysical cassessment cfinding cshould cthe cnurse canticipate cin ca cclient cwith clong-term cgas
c(GERD)?
cHoarseness. c
cDry cmouth.
cMouth culcers.
cWeight closs. c- cCORRECT cANS✔✔Hoarseness. c
Dyspepsia cand cregurgitation care cthe cmain csymptoms cof cgastroesophageal creflux cdisease c(GE
cone cof cthe cmost ccommon clong-term csymptoms cof cGERD cdue cto cthe cirritation cof cthe creflux co
Ignatavicius, c(2016). cMedical-surgical cnursing: cPatient-centered ccollaborative ccare, ceight cedition
A cclient cpresents cwith cchronic cvenous cinsufficiency. cWhich cassessment cfinding cshould cthe cnur
cBilateral clower cleg cstasis cdermatitis. c
cClubbing cof cfingers cand ctoes.
cIntermittent cclaudication.
cPeripheral ccyanosis. c- cCORRECT cANS✔✔Bilateral clower cleg cstasis cdermatitis. c
Clients cwho csuffer cfrom cchroninc cvenous cinsufficiency coften cdevelop cstatsis cdermatitis cin cthe c
cdermatitis cappear cas cbrownish-red cdiscoloration con cthe clower cextremities cat cthe cankles cwhich
culcers cdue cto cthe cpooling cof cthe cvenous cblood cflow cback cto cthe cheart.
Ignatavicius, c(2013). cMedical-surgical cnursing: cPatient-centered ccollaborative ccare, c7th ced.., cCh
A cclient chas cbeen chospitalized cwith ca cfemur cfracture cand cis cbeing ctreated cwith ctraction. cWhic
cpriority cwhen ccaring cfor cthis cclient?
cAssess cneurovascular cstatus. c
cChange cthe cclient's cposition.
cInspect cthe ctraction cequipment.
cReview cpain cmedication corders. c- cCORRECT cANS✔✔Assess cneurovascular cstatus. c
The cuse cof ctraction cfor clong cbone cfractures creduces cthe cpotential cfor cdamage cto cthe csurround
cincreased cpain cmay cindicate ccirculatory ccompromise cor ctissue cdamage c(compartment csyndrom
cneurovascular cstatus cis cthe cnurse's chighest cpriority.
Ignatavicius, c(2016). cMedical-surgical cnursing: cPatient-centered ccollaborative ccare, ceight cedition
Which cstatement cmade cby ca cclient cwith cchronic cpancreatitis cindicates cthat cfurther ceducation cis
I cwill ccut cback con csmoking ccigarettes cdaily. c
I cwill cavoid cdrinking ccaffeinated cbeverages.
I cwill crest cfrequently cand cavoid cvigorous cexercise. c
I cwill ceat ca cbland, clow-fat, chigh-protein cdiet. c- cCORRECT cANS✔✔I cwill ccut cback con csmoking
To cprevent cexacerbations cof cchronic cpancreatitis, cclients cshould cbe cinstructed cto cavoid cnicotin
, cMarijuana ccigarettes cdo cnot caffect csperm ccount.
cAlcohol cconsumption ccan ccause cerectile cdysfunction.
cLow ctestosterone clevels caffect csperm cproduction. c
cCessation cof csmoking cimproves cgeneral chealth cand cfertility. c
cObesity chas cno ceffect con csperm cproduction. c- cCORRECT cANS✔✔Alcohol cconsumption ccan c
cLow ctestosterone clevels caffect csperm cproduction. c
cCessation cof csmoking cimproves cgeneral chealth cand cfertility.
Use cof ctobacco, calcohol, cand cmarijuana cmay caffect csperm ccounts. cSperm ccount cis calso cnega
ctesterone clevels cand cobesity.
Twenty cfour chours cafter ca cclient creturns cfrom csurgical cgastric cbypass, cthe cregistered cnurse c(R
cblood cin cthe cnasogastric ctube c(NGT) ccannister. cWhich cassessment cfinding cshould cthe cRN cre
chypovolemic cshock?
cFaint cpedal cpulses.
cDecrease cin cblood cpressure. c
cLethargy. c
cSlow cbreathing. c- cCORRECT cANS✔✔Lethargy. c
One cof cthe cearly csigns cof chypovolemic cshock cis cchanges cin cthe cclient's clevel cof cconsciousnes
cperfusion cto cthe cbrain cwhich ccan cmanifests cas clethargy cor cconfusion.
The cregistered cnurse c(RN) cis cassessing ca cmale cclient cwho carrives cat cthe cclinic cwith csevere ca
ctenesmus, cand cdehydration. cThe cRN cdiscovers cthat cthe cclient chas chad c14 cto c20 cloose cstools
ctaking cthe cclient's cmedical chistory, cwhich cinformation cis cmost cfor cthe cnurse cto cobtain?
cIrritable cbowel csyndrome.
cDiverticulitis.
cCrohn's cdisease.
cUlcerative ccolitis. c- cCORRECT cANS✔✔Ulcerative ccolitis. c
The cRN cshould cask cthe cclient cif che chas ca chistory cof culcerative ccolitis, cwhich cis ccharacterized
ccramping, cpain, ctenesmus, cand cdehydration c.
A cclient cis cnewly cdiagnosed cwith cdiverticulosis. cThe cregistered cnurse c(RN) cis cassessing cthe cc
cthe cdisease cprocess. cWhich cstatement cby cthe cclient cconveys can cunderstanding cof cthe cetiolog
cOver cuse cof claxatives cfor cbowel cregularity cresult cin closs cof cperistaltic ctone.
cInflammation cof cthe ccolon cmucosa ccause cgrowths cthat cprotrude cinto cthe ccolon clumen.
cDiverticulosis cis cthe cresult cof chigh cfiber cdiet cand csedentary clife cstyle.
cChronic cconstipation ccauses cweakening cof ccolon cwall cwhich cresult cin cout-pouching csacs. c- cC
cconstipation ccauses cweakening cof ccolon cwall cwhich cresult cin cout-pouching csacs. c
A cclient cwho chas cchronic cconstipation coften cstrains cto cpass cconstipated cstool cwhich cincreases
cweakens cthe cintestinal cwalls cand ccauses cout-pouching csacs, ccalled cdiverticula cwhich ccommon
The cregistered cnurse c(RN) cis cassessing ca cclient cwho cwas cdischarged chome cafter cmanageme
cWhich cequipment cshould cthe cRN cinstruct cthe cclient cto cuse cat chome?
cExercise cbicycle.
cSphygmomanometer. c
