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
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
client who is hospitalized for Guillain-Barre syndrome that is rapidly
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 progressing?
• Respiratory effort. m0
• Unsteady gait. m0
• Intensity of pain. m0 m0
• Ability to eat. m0 m0
Guillain-Barre syndrome causes paralysis or weakness that typically
m0 m0 m0 m0 m0 m0 m0 m0
starts at the feet and progresses upwards. As the condition
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
progresses, the nurse must ensure that the client is able to breathe
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
effectively.
Heuther, Understanding Pathophysiology, 6th ed. p. 412
m0 m0 m0 m0 m0 m0
A male client comes into the clinic with a history of penile
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
discharge with painful, burning urination. Which action should the
m0 m0 m0 m0 m0 m0 m0 m0
m0 nurse implement?
m0
• Collect a culture of the penile discharge.
m0 m0 m0 m0 m0 m0
• Palpate the inguinal lymph nodes gently.
m0 m0 m0 m0 m0
• Observe for scrotal swelling and redness.
m0 m0 m0 m0 m0
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
• Express the discharge to determine color.
m0 m0 m0 m0 m0
Penile discharge with painful urination is commonly associated with
m0 m0 m0 m0 m0 m0 m0 m0 m0
gonorrhea. The nurse should collect a culture of the penile discharge
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 to determine the cause of these symptoms. The cause must be
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
determined or confirmed through culture to identify the organism
m0 m0 m0 m0 m0 m0 m0 m0 m0
and ensure effective treatment.
m0 m0 m0
Jarvis Physical Examination and Health
m0 m0 m0 m0 m0
Assessment, 6th edition 3 m0 m0 m0
A client with history of atrial fibrillation is admitted to the
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
telemetry unit with sudden m0 m0 m0
onset of shortness of breath. The nurse observes a new irregular
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
heart rhythm and should perform which assessment at this time?
m0 m0 m0 m0 m0 m0 m0 m0 m0
• Check for a pulse deficit.
m0 m0 m0 m0
• Palpate the apical impulse.
m0 m0 m0
• Inspect jugular vein pulse.
m0 m0 m0
• Examine for a carotid bruit.
m0 m0 m0 m0
A client with a past history of atrial fibrillation may return to
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
that rhythm. Any signs of atrial fibrillation, such as sudden onset
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 shortness of breath, requires further investigation. The nurse
m0 m0 m0 m0 m0 m0 m0 m0
should assess this client for a pulse deficit because this condition
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
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
m0 occurs with atrial fibrillation.
m0 m0 m0
Jarvis. (2016); Physical Examination and Health Assessment,
m0 m0 m0 m0 m0 m0 m0
(Chap 19) 7th ed., p. 481
m0 m0 m0 m0 m0
4.
Which client should be further assessed for an ectopic pregnancy?
m0 m0 m0 m0 m0 m0 m0 m0 m0
• A 24-year-old with shoulder and lower abdominal quadrant pain.
m0 m0 m0 m0 m0 m0 m0 m0
• A 33-year-old with intermittent lower abdominal cramping.
m0 m0 m0 m0 m0 m0
• A 20-year-old with fever and right lower abdominal colic.
m0 m0 m0 m0 m0 m0 m0 m0
• A 40-year-old with jaundice and right lower abdominal pain.
m0 m0 m0 m0 m0 m0 m0 m0
A 24-year-old with sudden onset of lower abdominal quadrant
m0 m0 m0 m0 m0 m0 m0 m0 m0
pain should be assessed for an ectopic pregnancy. The pain can
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
also be referred to the shoulder and may be associated with
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
vaginal bleeding. Health Assessment for Nursing Practice, Wilson
m0 m0 m0 m0 m0 m0 m0 m0
and
Giddens. p.269 5. m0 m0
Which dietary assessment finding is most important for the nurse
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
to address when
m0 m0
caring for a client with diabetic nephropathy?
m0 m0 m0 m0 m0 m0
• Drinks a six pack of beer every day.
m0 m0 m0 m0 m0 m0 m0
• Enjoys a hamburger once a month.
m0 m0 m0 m0 m0
• Eats fortified breakfast cereal daily.
m0 m0 m0 m0
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
• Consumes beans and rice every day. m0 m0 m0 m0 m0
Drinking six beers every day is the dietary assessment finding
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
most important for the nurse to address when caring for a client
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
with diabetic nephropathy. The usual can of beer is 12 ounces
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
(355 mL). Clients with diabetes are recommended to drink no
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
more than 12 ounces of beer per day because beer contains
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
carbohydrates that can create unhealthy fluctuations in blood
m0 m0 m0 m0 m0 m0 m0 m0
glucose and promote poor glucose control.
m0 m0 m0 m0 m0
Nephropathy is exacerbated by poor blood m0 m0 m0 m0 m0 m0
glucose control. 6. m0 m0
Which assessment finding is of greatest concern to the nurse who is
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 caring for a client with stomatitis?
m0 m0 m0 m0 m0
• Cough brought on by swallowing.
m0 m0 m0 m0
• Sore throat caused by speaking.
m0 m0 m0 m0
• Painful and dry oral cavity.
m0 m0 m0 m0
• Unintended weight loss. m0 m0
A cough brought on by swallowing is a sign of dysphagia,
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
which is a finding of particular concern in a client with
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
stomatitis. Dysphagia can cause numerous problems, including
m0 m0 m0 m0 m0 m0 m0
airway obstruction, and should be reported to the healthcare
m0 m0 m0 m0 m0 m0 m0 m0 m0
provider immediately. m0
Ignatavicius, (2016). Medical-surgical nursing: Patient-centered
m0 m0 m0 m0 m0
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
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
client who is hospitalized for Guillain-Barre syndrome that is rapidly
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 progressing?
• Respiratory effort. m0
• Unsteady gait. m0
• Intensity of pain. m0 m0
• Ability to eat. m0 m0
Guillain-Barre syndrome causes paralysis or weakness that typically
m0 m0 m0 m0 m0 m0 m0 m0
starts at the feet and progresses upwards. As the condition
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
progresses, the nurse must ensure that the client is able to breathe
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
effectively.
Heuther, Understanding Pathophysiology, 6th ed. p. 412
m0 m0 m0 m0 m0 m0
A male client comes into the clinic with a history of penile
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
discharge with painful, burning urination. Which action should the
m0 m0 m0 m0 m0 m0 m0 m0
m0 nurse implement?
m0
• Collect a culture of the penile discharge.
m0 m0 m0 m0 m0 m0
• Palpate the inguinal lymph nodes gently.
m0 m0 m0 m0 m0
• Observe for scrotal swelling and redness.
m0 m0 m0 m0 m0
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
• Express the discharge to determine color.
m0 m0 m0 m0 m0
Penile discharge with painful urination is commonly associated with
m0 m0 m0 m0 m0 m0 m0 m0 m0
gonorrhea. The nurse should collect a culture of the penile discharge
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 to determine the cause of these symptoms. The cause must be
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
determined or confirmed through culture to identify the organism
m0 m0 m0 m0 m0 m0 m0 m0 m0
and ensure effective treatment.
m0 m0 m0
Jarvis Physical Examination and Health
m0 m0 m0 m0 m0
Assessment, 6th edition 3 m0 m0 m0
A client with history of atrial fibrillation is admitted to the
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
telemetry unit with sudden m0 m0 m0
onset of shortness of breath. The nurse observes a new irregular
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
heart rhythm and should perform which assessment at this time?
m0 m0 m0 m0 m0 m0 m0 m0 m0
• Check for a pulse deficit.
m0 m0 m0 m0
• Palpate the apical impulse.
m0 m0 m0
• Inspect jugular vein pulse.
m0 m0 m0
• Examine for a carotid bruit.
m0 m0 m0 m0
A client with a past history of atrial fibrillation may return to
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
that rhythm. Any signs of atrial fibrillation, such as sudden onset
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 shortness of breath, requires further investigation. The nurse
m0 m0 m0 m0 m0 m0 m0 m0
should assess this client for a pulse deficit because this condition
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
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
m0 occurs with atrial fibrillation.
m0 m0 m0
Jarvis. (2016); Physical Examination and Health Assessment,
m0 m0 m0 m0 m0 m0 m0
(Chap 19) 7th ed., p. 481
m0 m0 m0 m0 m0
4.
Which client should be further assessed for an ectopic pregnancy?
m0 m0 m0 m0 m0 m0 m0 m0 m0
• A 24-year-old with shoulder and lower abdominal quadrant pain.
m0 m0 m0 m0 m0 m0 m0 m0
• A 33-year-old with intermittent lower abdominal cramping.
m0 m0 m0 m0 m0 m0
• A 20-year-old with fever and right lower abdominal colic.
m0 m0 m0 m0 m0 m0 m0 m0
• A 40-year-old with jaundice and right lower abdominal pain.
m0 m0 m0 m0 m0 m0 m0 m0
A 24-year-old with sudden onset of lower abdominal quadrant
m0 m0 m0 m0 m0 m0 m0 m0 m0
pain should be assessed for an ectopic pregnancy. The pain can
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
also be referred to the shoulder and may be associated with
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
vaginal bleeding. Health Assessment for Nursing Practice, Wilson
m0 m0 m0 m0 m0 m0 m0 m0
and
Giddens. p.269 5. m0 m0
Which dietary assessment finding is most important for the nurse
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
to address when
m0 m0
caring for a client with diabetic nephropathy?
m0 m0 m0 m0 m0 m0
• Drinks a six pack of beer every day.
m0 m0 m0 m0 m0 m0 m0
• Enjoys a hamburger once a month.
m0 m0 m0 m0 m0
• Eats fortified breakfast cereal daily.
m0 m0 m0 m0
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
• Consumes beans and rice every day. m0 m0 m0 m0 m0
Drinking six beers every day is the dietary assessment finding
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
most important for the nurse to address when caring for a client
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
with diabetic nephropathy. The usual can of beer is 12 ounces
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
(355 mL). Clients with diabetes are recommended to drink no
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
more than 12 ounces of beer per day because beer contains
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
carbohydrates that can create unhealthy fluctuations in blood
m0 m0 m0 m0 m0 m0 m0 m0
glucose and promote poor glucose control.
m0 m0 m0 m0 m0
Nephropathy is exacerbated by poor blood m0 m0 m0 m0 m0 m0
glucose control. 6. m0 m0
Which assessment finding is of greatest concern to the nurse who is
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 caring for a client with stomatitis?
m0 m0 m0 m0 m0
• Cough brought on by swallowing.
m0 m0 m0 m0
• Sore throat caused by speaking.
m0 m0 m0 m0
• Painful and dry oral cavity.
m0 m0 m0 m0
• Unintended weight loss. m0 m0
A cough brought on by swallowing is a sign of dysphagia,
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
which is a finding of particular concern in a client with
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
stomatitis. Dysphagia can cause numerous problems, including
m0 m0 m0 m0 m0 m0 m0
airway obstruction, and should be reported to the healthcare
m0 m0 m0 m0 m0 m0 m0 m0 m0
provider immediately. m0
Ignatavicius, (2016). Medical-surgical nursing: Patient-centered
m0 m0 m0 m0 m0
NURS 21000 HESI Med-Surg Exam Questions and
Answers Graded A+ latest update 2022/2023
