#1 HESI - MEDICAL SURGICAL NURSING TEST LATEST 2026
PRACTICE QUESTIONS AND ANSWERS WITH FULL
RATIONALES | INSTANT DOWNLOAD PDF
C. Informal teaching is individualized one on one teaching which represents the majority of
patient education done by nurses that occurs when an intervention is explained or a question is
answered. Group needs are often the focus of formal patient education courses or classes.
Informal teaching does not necessarily follow a specific formalized plan. It may be planned with
specific content, but it is individualized responses to patient needs. Formal teaching involves the
use of a curriculum/course plan with standardized content. - correct answer -When describing
patient education approaches, the nurse educator would explain that informal teaching is an
approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs
C. Cognitive theorists believe that attention, relevance, confidence, and satisfaction (ARCS) are
the conditions that, when integrated, motivate someone to learn. Field theorists place
significance on how achievement, power, the need for affiliation, and avoidance motives
influence individual behavior. Sociologic theories are not involved in motivation. - correct
answer -A patient expresses a strong interest in returning to their work, family, and hobbies
after having a stroke. Which theory type would the nurse use to develop a plan of care for the
best results of this patient's motivation style?
a. field
,b. biological
c. cognitive
d. sociologic
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at greater risk for
hypothermia. Clients who smoke, consume alcohol, or have impaired peripheral circulation have
a higher incidence of frostbite. - correct answer -The nurse is assessing a group of clients.
Which clients are at greater risk for hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
D
There is no evidence to support the idea that older adult clients perceive pain any differently
than younger clients. The other statements are accurate regarding older clients and pain. -
correct answer -Which statement made by a nurse represents the need for further education
regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
c. older adults are at greatest risk for under treated pain
,d. older clients have a different pain mechanism and do not feel it as much
C
The spectator shows signs of heat stroke, which is a medical emergency. The spectator should
be transported to the ED ASAP. The nurs should take actions to lower his body temp in teh
meantime by removing his shirt and sponging his body with cool water. Lowering body temp by
drinking cool fluids or taking acetaminophen is not as effective in an emergency situation. The
client needs to be cooled quickly and is a priority for treatment - correct answer -The nurse is
working at a first aid booth for a spring training game on a hot day. A spectator comes in,
reporting that he is not feeling well. Vital signs are temp 104.1 F, pulse 132 BPM, respirs 26
breaths/min, and blood pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to
a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink
D
Potassium is a severe tissue irritant. The safest action is to discontinue the solution that
contains the potassium and discontinue the IV altogether, in which case the client would need
another site started. Assessing for a blood return may or may not be successful. The solution
could be diluted (less potassium) and the rate could be slowed once it is determined that the
needle is in the vein. - correct answer -The client is receiving an IV of 60 mEq of potassium
chloride ina 1000 mL solution of dextrose 5% in 0.45% saline. The client states that the area
around the IV site burns. What intervention does the nurse perform first?
a. assess for a blood return
, b. notify the physician
c. document the finding
d. stop the IV infusion
D
Older adults on fixed incomes are unable to adjust their income to meet rising costs associated
with meeting basic needs - correct answer -A nurse is caring for an older adult client who lives
alone. Which economic situation presents the most serious problem for this client?
a. costs of creating a living will
b. stock market fluctuations
c. increased provider benefits
d. social security as the basis of income
A
Pain triggers a number of physiologic stress responses in the human body. Unrelieved pain can
prolong the stress response and produce a cascade of harmful effects in all body systems. The
stress response causes the endocrine system to release excessive amounts of hormones, such
as cortisol, catecholamines, and glucagon. Insulin and testosterone levels decrease. Increased
endocrine activity in turn initiates a number of metabolic processes, in particular, accelerated
carbohydrate, protein, and fat destruction, whcih can result in weight loss, tachycardia,
increased respiratory rate, shock, and even death. The immune system is also affected by pain
as demonstrated by research showing a link between unrelieved pain and a higher incidence of
nosocomial infections and increased tumor growth. Large tidal volumes are not associated with
pain while decreased lung capacity is associated with unrelieved pain. Decreased tumo - correct
answer -Controlling pain is important to promoting wellness. Unrelieved pain has been
associated with
PRACTICE QUESTIONS AND ANSWERS WITH FULL
RATIONALES | INSTANT DOWNLOAD PDF
C. Informal teaching is individualized one on one teaching which represents the majority of
patient education done by nurses that occurs when an intervention is explained or a question is
answered. Group needs are often the focus of formal patient education courses or classes.
Informal teaching does not necessarily follow a specific formalized plan. It may be planned with
specific content, but it is individualized responses to patient needs. Formal teaching involves the
use of a curriculum/course plan with standardized content. - correct answer -When describing
patient education approaches, the nurse educator would explain that informal teaching is an
approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs
C. Cognitive theorists believe that attention, relevance, confidence, and satisfaction (ARCS) are
the conditions that, when integrated, motivate someone to learn. Field theorists place
significance on how achievement, power, the need for affiliation, and avoidance motives
influence individual behavior. Sociologic theories are not involved in motivation. - correct
answer -A patient expresses a strong interest in returning to their work, family, and hobbies
after having a stroke. Which theory type would the nurse use to develop a plan of care for the
best results of this patient's motivation style?
a. field
,b. biological
c. cognitive
d. sociologic
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at greater risk for
hypothermia. Clients who smoke, consume alcohol, or have impaired peripheral circulation have
a higher incidence of frostbite. - correct answer -The nurse is assessing a group of clients.
Which clients are at greater risk for hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
D
There is no evidence to support the idea that older adult clients perceive pain any differently
than younger clients. The other statements are accurate regarding older clients and pain. -
correct answer -Which statement made by a nurse represents the need for further education
regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
c. older adults are at greatest risk for under treated pain
,d. older clients have a different pain mechanism and do not feel it as much
C
The spectator shows signs of heat stroke, which is a medical emergency. The spectator should
be transported to the ED ASAP. The nurs should take actions to lower his body temp in teh
meantime by removing his shirt and sponging his body with cool water. Lowering body temp by
drinking cool fluids or taking acetaminophen is not as effective in an emergency situation. The
client needs to be cooled quickly and is a priority for treatment - correct answer -The nurse is
working at a first aid booth for a spring training game on a hot day. A spectator comes in,
reporting that he is not feeling well. Vital signs are temp 104.1 F, pulse 132 BPM, respirs 26
breaths/min, and blood pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to
a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink
D
Potassium is a severe tissue irritant. The safest action is to discontinue the solution that
contains the potassium and discontinue the IV altogether, in which case the client would need
another site started. Assessing for a blood return may or may not be successful. The solution
could be diluted (less potassium) and the rate could be slowed once it is determined that the
needle is in the vein. - correct answer -The client is receiving an IV of 60 mEq of potassium
chloride ina 1000 mL solution of dextrose 5% in 0.45% saline. The client states that the area
around the IV site burns. What intervention does the nurse perform first?
a. assess for a blood return
, b. notify the physician
c. document the finding
d. stop the IV infusion
D
Older adults on fixed incomes are unable to adjust their income to meet rising costs associated
with meeting basic needs - correct answer -A nurse is caring for an older adult client who lives
alone. Which economic situation presents the most serious problem for this client?
a. costs of creating a living will
b. stock market fluctuations
c. increased provider benefits
d. social security as the basis of income
A
Pain triggers a number of physiologic stress responses in the human body. Unrelieved pain can
prolong the stress response and produce a cascade of harmful effects in all body systems. The
stress response causes the endocrine system to release excessive amounts of hormones, such
as cortisol, catecholamines, and glucagon. Insulin and testosterone levels decrease. Increased
endocrine activity in turn initiates a number of metabolic processes, in particular, accelerated
carbohydrate, protein, and fat destruction, whcih can result in weight loss, tachycardia,
increased respiratory rate, shock, and even death. The immune system is also affected by pain
as demonstrated by research showing a link between unrelieved pain and a higher incidence of
nosocomial infections and increased tumor growth. Large tidal volumes are not associated with
pain while decreased lung capacity is associated with unrelieved pain. Decreased tumo - correct
answer -Controlling pain is important to promoting wellness. Unrelieved pain has been
associated with
