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HESI - Medical Surgical Nursing Test
Questions With Comprehensive
Answers 2026
The nurse is assigned to care for the following four clients who have the potential
for having pain. Which client is most likely not to be treated adequately for this
problem?
A) Middle-aged woman with a fractured arm
B) Client with expressive aphasia
C) Younger adult with metastatic cancer
D) Client who has undergone an appendectomy - correct-answer-B
Populations at highest risk for inadequate pain treatment include older adults,
minorities, and those with a history of substance abuse. Nonverbal clients are
very difficult to assess for pain because self-report is not possible, and the nurse
needs to rely on client behaviors or surrogate reporting.
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Before surgery, the nurse observes the client listening to music on the radio.
Based on this observation, the nurse may try which nonpharmacologic
intervention for pain relief in the postoperative setting?
A) Cutaneous skin stimulation
B) Imagery
C) Radiofrequency ablation
D) Hypnosis - correct-answer-B
Imagery is a form of distraction in which the client is encouraged to visualize
about some pleasant or desirable feeling, sensation, or event. Behaviors that are
helpful in assessing a client's capacity for imagery include being able to listen to
music or other auditory stimuli.
What interrelated constructs facilitate a nurse to become culturally competent?
A) Cultural desire, self-awareness, cultural knowledge, and cultural skill
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B) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
C) Cultural desire, self-awareness, cultural knowledge, and cultural identity
D) Cultural diversity, self-awareness, cultural skill, and cultural knowledge -
correct-answer-A
The process of cultural competence consists of four interrelated constructs:
cultural desire, self-awareness, cultural knowledge, and cultural skill. Cultural
diversity in the context of health care refers to achieving the highest level of
health care for all people by addressing societal inequalities and historical and
contemporary injustices. Cultural identity is the norms, values, beliefs, and
behaviors of a culture learned through families and group members.
The emphasis on understanding cultural influence on health care is important
because of:
A) disability entitlements.
B) HIPAA requirements.
C) litigious society.
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D) increasing global diversity. - correct-answer-D
Culture is an essential aspect of health care because of increasing diversity.
Disability entitlements refer to defined benefits for eligible mental or physically
disabled beneficiaries in relation to housing, employment, and health care. HIPAA
requirements refers to the HIPAA Privacy Rule, which protects the privacy of
individually identifiable health information; the HIPAA Security Rule, which sets
national standards for the security of electronic protected health information;
and the confidentiality provisions of the Patient Safety Rule, which protect
identifiable information being used to analyze patient safety events and improve
patient safety.
Litigious society refers to excessively ready to go to law or initiate a lawsuit.
The patient's laboratory report today indicates severe hypokalemia, and the nurse
has notified the physician. Nursing assessment indicates that heart rhythm is
regular. What is the most important nursing intervention for this patient now?
HESI - Medical Surgical Nursing Test
Questions With Comprehensive
Answers 2026
The nurse is assigned to care for the following four clients who have the potential
for having pain. Which client is most likely not to be treated adequately for this
problem?
A) Middle-aged woman with a fractured arm
B) Client with expressive aphasia
C) Younger adult with metastatic cancer
D) Client who has undergone an appendectomy - correct-answer-B
Populations at highest risk for inadequate pain treatment include older adults,
minorities, and those with a history of substance abuse. Nonverbal clients are
very difficult to assess for pain because self-report is not possible, and the nurse
needs to rely on client behaviors or surrogate reporting.
,2|Page
Before surgery, the nurse observes the client listening to music on the radio.
Based on this observation, the nurse may try which nonpharmacologic
intervention for pain relief in the postoperative setting?
A) Cutaneous skin stimulation
B) Imagery
C) Radiofrequency ablation
D) Hypnosis - correct-answer-B
Imagery is a form of distraction in which the client is encouraged to visualize
about some pleasant or desirable feeling, sensation, or event. Behaviors that are
helpful in assessing a client's capacity for imagery include being able to listen to
music or other auditory stimuli.
What interrelated constructs facilitate a nurse to become culturally competent?
A) Cultural desire, self-awareness, cultural knowledge, and cultural skill
,3|Page
B) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
C) Cultural desire, self-awareness, cultural knowledge, and cultural identity
D) Cultural diversity, self-awareness, cultural skill, and cultural knowledge -
correct-answer-A
The process of cultural competence consists of four interrelated constructs:
cultural desire, self-awareness, cultural knowledge, and cultural skill. Cultural
diversity in the context of health care refers to achieving the highest level of
health care for all people by addressing societal inequalities and historical and
contemporary injustices. Cultural identity is the norms, values, beliefs, and
behaviors of a culture learned through families and group members.
The emphasis on understanding cultural influence on health care is important
because of:
A) disability entitlements.
B) HIPAA requirements.
C) litigious society.
, 4|Page
D) increasing global diversity. - correct-answer-D
Culture is an essential aspect of health care because of increasing diversity.
Disability entitlements refer to defined benefits for eligible mental or physically
disabled beneficiaries in relation to housing, employment, and health care. HIPAA
requirements refers to the HIPAA Privacy Rule, which protects the privacy of
individually identifiable health information; the HIPAA Security Rule, which sets
national standards for the security of electronic protected health information;
and the confidentiality provisions of the Patient Safety Rule, which protect
identifiable information being used to analyze patient safety events and improve
patient safety.
Litigious society refers to excessively ready to go to law or initiate a lawsuit.
The patient's laboratory report today indicates severe hypokalemia, and the nurse
has notified the physician. Nursing assessment indicates that heart rhythm is
regular. What is the most important nursing intervention for this patient now?
