NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Which assessment is most important for the nurse to perform on a client
who is hospitalized for Guillain-Barre syndrome that is rapidly
progressing?
• Respiratory effort.
• Unsteady gait.
• Intensity of pain.
• Ability to eat.
Guillain-Barre ky syndrome ky causes ky paralysis ky or ky weakness ky that ky typically ky starts ky at ky the ky feet ky and ky progresses ky upwards. ky As ky the ky condition ky progresses, ky the ky nurse ky must ky ensure ky that ky the ky client ky is ky able ky to ky breathe ky effectively.
Heuther, ky Understanding ky Pathophysiology, ky 6th ky ed. ky p. ky 412
A ky male ky client ky comes ky into ky the ky clinic ky with ky a ky history ky of ky penile ky discharge ky with ky painful, ky burning ky urination. ky Which ky action ky should ky the ky nurse ky implement?
• Collect ky a ky culture ky of ky the ky penile ky discharge.
• Palpate ky the ky inguinal ky lymph ky nodes ky gently.
• Observe ky for ky scrotal ky swelling ky and ky redness.
• Express ky the ky discharge ky to ky determine ky color.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
,NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Penile ky discharge ky with ky painful ky urination ky is ky commonly ky associated ky with ky gonorrhea. ky The ky nurse ky should ky collect ky a ky culture ky of ky the ky penile ky discharge ky to ky determine ky the ky cause ky of ky these ky symptoms. ky The ky cause ky must ky be ky determined ky or ky confirmed ky through ky culture ky to ky identify ky the ky organism ky and ky ensure ky effective ky treatment.
Jarvis ky Physical ky Examination ky and ky Health ky Assessment, ky 6th ky edition ky 3
A ky client ky with ky history ky of ky atrial ky fibrillation ky is ky admitted ky to ky the ky telemetry ky unit ky with ky sudden
onset ky of ky shortness ky of ky breath. ky The ky nurse ky observes ky a ky new ky irregular ky heart ky rhythm ky and ky should ky perform ky which ky assessment ky at ky this ky time?
• Check ky for ky a ky pulse ky deficit.
• Palpate ky the ky apical ky impulse.
• Inspect ky jugular ky vein ky pulse.
• Examine ky for ky a ky carotid ky bruit.
A ky client ky with ky a ky past ky history ky of ky atrial ky fibrillation ky may ky return ky to ky that ky rhythm. ky Any ky signs ky of ky atrial ky fibrillation, ky such ky as ky sudden ky onset ky shortness ky of ky breath, ky requires ky further ky investigation. ky The ky nurse ky should ky assess ky this ky client ky for ky a ky pulse ky deficit ky because ky this ky condition ky occurs ky with ky atrial ky fibrillation.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
,NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Jarvis. ky (2016); ky Physical ky Examination ky and ky Health ky Assessment, ky (Chap ky 19) ky 7th ky ed., ky p. ky 481
4.
Which ky client ky should ky be ky further ky assessed ky for ky an ky ectopic ky pregnancy?
• A ky 24-year-old ky with ky shoulder ky and ky lower ky abdominal ky quadrant ky pain.
• A ky 33-year-old ky with ky intermittent ky lower ky abdominal ky cramping.
• A ky 20-year-old ky with ky fever ky and ky right ky lower ky abdominal ky colic.
• A ky 40-year-old ky with ky jaundice ky and ky right ky lower ky abdominal ky pain.
A ky 24-year-old ky with ky sudden ky onset ky of ky lower ky abdominal ky quadrant ky pain ky should ky be ky assessed ky for ky an ky ectopic ky pregnancy. ky The ky pain ky can ky also ky be ky referred ky to ky the ky shoulder ky and ky may ky be ky associated ky with ky vaginal ky bleeding. ky Health ky Assessment ky for ky Nursing ky Practice, ky Wilson ky and
Giddens. ky p.269 ky 5.
Which ky dietary ky assessment ky finding ky is ky most ky important ky for ky the ky nurse ky to ky address ky when
caring ky for ky a ky client ky with ky diabetic ky nephropathy?
• Drinks ky a ky six ky pack ky of ky beer ky every ky day.
• Enjoys ky a ky hamburger ky once ky a ky month.
• Eats ky fortified ky breakfast ky cereal ky daily.
• Consumes ky beans ky and ky rice ky every ky day.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
, NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Drinking ky six ky beers ky every ky day ky is ky the ky dietary ky assessment ky finding ky most ky important ky for ky the ky nurse ky to ky address ky when ky caring ky for ky a ky client ky with ky diabetic ky nephropathy. ky The ky usual ky can ky of ky beer ky is ky 12 ky ounces ky (355 ky mL). ky Clients ky with ky diabetes ky are ky recommended ky to ky drink ky no ky more ky than ky 12 ky ounces ky of ky beer ky per ky day ky because ky beer ky contains ky carbohydrates ky that ky
can ky create ky unhealthy ky fluctuations ky in ky blood ky glucose ky and ky promote ky poor ky glucose ky control.
Nephropathy ky is ky exacerbated ky by ky poor ky blood ky glucose ky control. ky 6.
Which ky assessment ky finding ky is ky of ky greatest ky concern ky to ky the ky nurse ky who ky is ky caring ky for ky a ky client ky with ky stomatitis?
• Cough ky brought ky on ky by ky swallowing.
• Sore ky throat ky caused ky by ky speaking.
• Painful ky and ky dry ky oral ky cavity.
• Unintended ky weight ky loss.
A ky cough ky brought ky on ky by ky swallowing ky is ky a ky sign ky of ky dysphagia, ky which ky is ky a ky finding ky of ky particular ky concern ky in ky a ky client ky with ky stomatitis. ky Dysphagia ky can ky cause ky numerous ky problems, ky including ky airway ky obstruction, ky and ky should ky be ky reported ky to ky the ky healthcare ky provider ky immediately.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
Answers Graded A+ latest update 2026/2027
Which assessment is most important for the nurse to perform on a client
who is hospitalized for Guillain-Barre syndrome that is rapidly
progressing?
• Respiratory effort.
• Unsteady gait.
• Intensity of pain.
• Ability to eat.
Guillain-Barre ky syndrome ky causes ky paralysis ky or ky weakness ky that ky typically ky starts ky at ky the ky feet ky and ky progresses ky upwards. ky As ky the ky condition ky progresses, ky the ky nurse ky must ky ensure ky that ky the ky client ky is ky able ky to ky breathe ky effectively.
Heuther, ky Understanding ky Pathophysiology, ky 6th ky ed. ky p. ky 412
A ky male ky client ky comes ky into ky the ky clinic ky with ky a ky history ky of ky penile ky discharge ky with ky painful, ky burning ky urination. ky Which ky action ky should ky the ky nurse ky implement?
• Collect ky a ky culture ky of ky the ky penile ky discharge.
• Palpate ky the ky inguinal ky lymph ky nodes ky gently.
• Observe ky for ky scrotal ky swelling ky and ky redness.
• Express ky the ky discharge ky to ky determine ky color.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
,NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Penile ky discharge ky with ky painful ky urination ky is ky commonly ky associated ky with ky gonorrhea. ky The ky nurse ky should ky collect ky a ky culture ky of ky the ky penile ky discharge ky to ky determine ky the ky cause ky of ky these ky symptoms. ky The ky cause ky must ky be ky determined ky or ky confirmed ky through ky culture ky to ky identify ky the ky organism ky and ky ensure ky effective ky treatment.
Jarvis ky Physical ky Examination ky and ky Health ky Assessment, ky 6th ky edition ky 3
A ky client ky with ky history ky of ky atrial ky fibrillation ky is ky admitted ky to ky the ky telemetry ky unit ky with ky sudden
onset ky of ky shortness ky of ky breath. ky The ky nurse ky observes ky a ky new ky irregular ky heart ky rhythm ky and ky should ky perform ky which ky assessment ky at ky this ky time?
• Check ky for ky a ky pulse ky deficit.
• Palpate ky the ky apical ky impulse.
• Inspect ky jugular ky vein ky pulse.
• Examine ky for ky a ky carotid ky bruit.
A ky client ky with ky a ky past ky history ky of ky atrial ky fibrillation ky may ky return ky to ky that ky rhythm. ky Any ky signs ky of ky atrial ky fibrillation, ky such ky as ky sudden ky onset ky shortness ky of ky breath, ky requires ky further ky investigation. ky The ky nurse ky should ky assess ky this ky client ky for ky a ky pulse ky deficit ky because ky this ky condition ky occurs ky with ky atrial ky fibrillation.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
,NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Jarvis. ky (2016); ky Physical ky Examination ky and ky Health ky Assessment, ky (Chap ky 19) ky 7th ky ed., ky p. ky 481
4.
Which ky client ky should ky be ky further ky assessed ky for ky an ky ectopic ky pregnancy?
• A ky 24-year-old ky with ky shoulder ky and ky lower ky abdominal ky quadrant ky pain.
• A ky 33-year-old ky with ky intermittent ky lower ky abdominal ky cramping.
• A ky 20-year-old ky with ky fever ky and ky right ky lower ky abdominal ky colic.
• A ky 40-year-old ky with ky jaundice ky and ky right ky lower ky abdominal ky pain.
A ky 24-year-old ky with ky sudden ky onset ky of ky lower ky abdominal ky quadrant ky pain ky should ky be ky assessed ky for ky an ky ectopic ky pregnancy. ky The ky pain ky can ky also ky be ky referred ky to ky the ky shoulder ky and ky may ky be ky associated ky with ky vaginal ky bleeding. ky Health ky Assessment ky for ky Nursing ky Practice, ky Wilson ky and
Giddens. ky p.269 ky 5.
Which ky dietary ky assessment ky finding ky is ky most ky important ky for ky the ky nurse ky to ky address ky when
caring ky for ky a ky client ky with ky diabetic ky nephropathy?
• Drinks ky a ky six ky pack ky of ky beer ky every ky day.
• Enjoys ky a ky hamburger ky once ky a ky month.
• Eats ky fortified ky breakfast ky cereal ky daily.
• Consumes ky beans ky and ky rice ky every ky day.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
, NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2026/2027
Drinking ky six ky beers ky every ky day ky is ky the ky dietary ky assessment ky finding ky most ky important ky for ky the ky nurse ky to ky address ky when ky caring ky for ky a ky client ky with ky diabetic ky nephropathy. ky The ky usual ky can ky of ky beer ky is ky 12 ky ounces ky (355 ky mL). ky Clients ky with ky diabetes ky are ky recommended ky to ky drink ky no ky more ky than ky 12 ky ounces ky of ky beer ky per ky day ky because ky beer ky contains ky carbohydrates ky that ky
can ky create ky unhealthy ky fluctuations ky in ky blood ky glucose ky and ky promote ky poor ky glucose ky control.
Nephropathy ky is ky exacerbated ky by ky poor ky blood ky glucose ky control. ky 6.
Which ky assessment ky finding ky is ky of ky greatest ky concern ky to ky the ky nurse ky who ky is ky caring ky for ky a ky client ky with ky stomatitis?
• Cough ky brought ky on ky by ky swallowing.
• Sore ky throat ky caused ky by ky speaking.
• Painful ky and ky dry ky oral ky cavity.
• Unintended ky weight ky loss.
A ky cough ky brought ky on ky by ky swallowing ky is ky a ky sign ky of ky dysphagia, ky which ky is ky a ky finding ky of ky particular ky concern ky in ky a ky client ky with ky stomatitis. ky Dysphagia ky can ky cause ky numerous ky problems, ky including ky airway ky obstruction, ky and ky should ky be ky reported ky to ky the ky healthcare ky provider ky immediately.
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
