MedSurg HESI Practice Exam 6
x x x x x
2024 x
x
The xnurse xis xcompleting xthe xadmission xassessment xof xa x3-year xold xwho xis
xadmitted
with xbacterial xmeningitis xand xhydrocephalus. xWhich xassessment xfinding xis
xevidence x
x
that xthe xchild xis xexperiencing xincreased xintracranial xpressure
x(ICP)?
x
A. xTachycardia xand
xtachypnea
x
B. xSluggish xand xunequal xpupillary
xresponses
x
C. xIncreased xhead xcircumference xand xbulging
xfontanels
x
D. xBlood xpressure xfluctuations xand xsyncope x- xB. xSluggish xand xunequal
xpupillary
x
responses
x
A xclient xwith xacute xpancreatitis xis xadmitted xwith xsevere, xpiercing xabdominal xpain
xand xan xelevated xserum xamylase. xWhich xadditional xinformation xis xthe xclient xmost
xlikely xto xreport xto xthe xnurse? x
A. Abdominal xpain xdecreases xwhen xlying xsupine x
B. Pain xlasts xan xhour xand xleaves xthe xabdomen xtender x
C. Right xupper xquadrant xpain xrefers xto xright xscapula x
D. Drinks xalcohol xuntil xintoxicated xat xleast xtwice xweekly. x- xA. xAbdominal xpain
xdecreases xwhen xlying xsupine x
x
A xchild xnewly xdiagnosed xwith xsickle xcell xanemia x(SCA) xis xbeing xdischarged xfrom
xthe xhospital. xWhich xinformation xis xmost ximportant xfor xthe xnurse xto xprovide xthe
xparents xprior xto xdischarge? x
A. Instructions xabout xhow xmuch xfluid xthe xchild xshould xdrink xdaily. x
B. Signs xof xaddiction xto xopioid xpain xmedications x
C. Information xabout xnon-pharmaceutical xpain xrelief xmeasures x
D. Referral xfor xsocial xservices xfor xthe xchild xand xfamily x- xA. xInstructions xabout xhow
xmuch xfluid xthe xchild xshould xdrink xdaily x
x
To xauscultate xfor xa xcarotid xbruit, xthe xnurse xplaces xthe xstethoscope xat xwhat
xlocation. x(Select xthe xlocation xon xthe ximage xwith xa xred xdot). x- xI xplaced xthe xred
xdot xon xthe xbase xof xthe xneck xon xthe xright xside x
x
After xreceiving xreport xon xan xinpatient xacute xcare xunit, xwhich xclient xshould xthe
xnurse xassess xfirst? x
A. The xclient xwith xan xobstruction xof xthe xlarge xintestine xwho xis xexperiencing
xabdominal xdistention x
B. The xclient xwho xhad xsurgery xyesterday xand xis xexperiencing xa xparalytic xileus
xwith xabsent xbowel xsounds x
,C. The xclient xwith xa xsmall xbowel xobstruction xwho xhas xa xnasogastric xtube xthat
xis xdraining xgreenish xfluid x
D. The xclient xwith xa xbowel xobstruction xdue xto xa xvolvulus xwho xis xexperiencing
xabdominal xrigidity x- xD. xThe xclient xwith xa xbowel xobstruction xdue xto xa xvolvulus
xwho xis xexperiencing xabdominal xrigidity x
x
A xteenager xpresents xto xthe xemergency xdepartment xwith xpalpitations xafter xvaping
xat xa xparty. xThe xclient xis xanxious, xfearful, xand xhyperventilating. xThe xnurse
xanticipates xthe xclient xdeveloping xwhich xacid xbase ximbalance? x
A. Respiratory xacidosis x
B. Metabolic xalkalosis x
C. Metabolic xacidosis x
D. Respiratory xalkalosis x- xD. xRespiratory xalkalosis x
x
A xclient xwith xdyspnea xis xbeing xadmitted xto xthe xmedical xunit. xTo xbest xprepare xfor
xthe x
x
client's xarrival, xthe xnurse xshould xensure xthat xthe xclient's xbed xis xin xwhich
xposition?
x
A.
xSupine
x
B. xsupine; xfeet xelevated xhigher xthan x
xhead
C. xsupine; xhead xelevated xhigher xthan
xfeet
x
D. xFowlers x-
xFowlers
x
The xnurse xis xtaking xthe xblood xpressure xmeasurement xof xa xclient xwith xParkinson's
xdisease. xWhich xinformation xin xthe xclient's xadmission xassessment xis xrelevant xto
xthe xnurse's xplan xfor xtaking xthe xblood xpressure xreading? x(Select xall xthe xapply) x
A. Frequent xsyncope x
B. Occasional xnocturia x
C. Flat xaffect x
D. Blurred xvision x
E. Frequent xdrooling x- xA. xFrequent xsyncope x
C. Flat xaffect x
D. Blurred xvision x
x
While xcaring xfor xa xclient's xpostoperative xdressing, xthe xnurse xobserves xpurulent
xdrainage xat xthe xwound. xBefore xreporting xthis xfinding xto xthe xhealthcare xprovider,
xthe xnurse xshould xreview xwhich xof xthe xclient's xlaboratory xvalues? x
A. Serum xalbumin x
B. Culture xfor xsensitive xorganisms x
C. Serum xblood xglucose xlevel x
D. Creatinine xlevel x- xB. xCulture xfor xsensitive xorganisms x
x
A xpreschool-aged xboy xis xadmitted xto xthe xpediatric xunit xfollowing xsuccessful
xresuscitation xfrom xa xnear-drowning xincident. xWhile xproviding xcare xto xthe xchild,
xthe xnurse xbegins xtalking xwith xhis xpreadolescent xbrother xwho xrescued xthe xchild
,xfrom xthe xswimming xpool xand xinitiated xresuscitation. xThe xnurse xnotices xthe xolder
xboy xbecomes xwithdrawn xwhen xasked xabout xwhat xhappened. xWhich xaction xshould
xthe xnurse xtake? x
A. Develop xa xwater xsafety xteaching xplan xfor xthe xfamily x
B. Ask xthe xolder xbrother xhow xhe xfelt xduring xthe xincident x
C. Tell xthe xolder xbrother xthat xhe xseems xdepressed x
D. Commend xthe xolder xbrother xfor xhis xheroic xactions x- xB. xAsk xthe xolder xbrother
xhow xhe xfelt xduring xthe xincident x
x
A xmale xclient xwith xcirrhosis xhas xjaundice xand xpruritus. xHe xtells xthe xnurse xthat xhe
xhas x
x
been xsoaking xin xhot xbaths xat xnight xwith xno xrelief xof xhis xdiscomfort. xWhich
xaction
x
should xthe xnurse
xtake?
A. xEncourage xthe xclient xto xuse xcooler xwater xand xapply xcalamine xlotion xafter
xsoaking
B. Obtain xa xPRN xprescription xfor xan xanalgesic xthat xthe xclient xcan xuse xfor
xsymptom xrelief x
C. Suggest xthat xthe xclient xtake xbrief xshowers xand xapply xoil-based xlotion xafter
xshowering x
D. Explain xthat xthe xsymptoms xare xcaused xby xliver xdamage xand xcannot xbe
xrelieved x- xA. xEncourage xthe xclient xto xuse xcooler xwater xand xapply xcalamine xlotion
xafter xsoaking x
x
An xolder xclient xwith xa xlong xhistory xof xcoronary xartery xdisease x(CAD),
xhypertension x(HTN), xand xheart xfailure x(HF) xarrives xin xthe xEmergency xDepartment
x(ED) xin xrespiratory xdistress. xThe xhealthcare xprovider xprescribes xfurosemide xIV.
xWhich xtherapeutic xresponse xto xfurosemide xshould xthe xnurse xexpected xin xthe
xclient xwith xacute xHF? x
A. Increased xcardiac xcontractility x
B. Reduced xpreload x
C. Relaxed xvascular xtone x
D. Decreased xafterload x- xB. xReduced xpreload x
x
Which xintervention xshould xthe xnurse xinclude xin xthe xplan xof xcare xfor xa xchild xwith
xtetanus? x
A. Encourage xcoughing xand xdeep xbreathing x
B. Minimize xthe xamount xof xstimuli xin xthe xroom x
C. Reposition xfrom xside xto xside xevery xhour x
D. Open xwindow xshades xto xprovide xnatural xlight x- xB. xMinimize xthe xamount xof
xstimuli xin xthe xroom x
x
An xadolescent xwho xwas xdiagnosed xwith xdiabetes xmellitus xType x1 xat xthe xage xof
x9, xis xadmitted xto xthe xhospital xin xdiabetic xketoacidosis. xWhich xoccurrence xis xthe
xmost xlikely xcause xof xthe xketoacidosis? x
A. Ate xan xextra xpeanut xbutter xsandwich xbefore xgym xclass x
B. incorrectly xadministered xtoo xmuch xinsulin x x
C. Had xa xcold xand xear xinfection xfor xthe xpast xtwo xdays x x
, D. Skipped xeating xlunch x- xC. xHad xa xcold xand xear xinfection xfor xthe xpast xtwo xdays x
x
A xclient xwith xa xprescription xfor x"do xnot xresuscitate" x(DNR) xbegins xto xmanifest
xsigns xof ximpending xdeath. xAfter xnotifying xthe xfamily xof xthe xclient's xstatus, xwhat
xpriority xaction xshould xthe xnurse ximplement? x
A. The ximpending xsigns xof xdeath xshould xbe xdocumented x
B. The xclient's xstatus xshould xbe xconveyed xto xthe xchaplain x
C. The xclient's xneed xfor xpain xmedication xshould xbe xdetermined x x
D. The xnurse xmanager xshould xbe xupdated xon xthe xclient's xstatus x- xC. xThe xclient's
xneed xfor xpain xmedication xshould xbe xdetermined x
x
Which xself xcare xmeasure xis xmost ximportant xfor xthe xnurse xto xinclude xin xthe xplan
xof xcare xof xa xclient xrecently xdiagnosed xwith xtype x2 xdiabetes xmellitus? x
A. Self-injection xtechniques x
B. Blood xglucose xmonitoring x
C. Diabetic xdiet xmeal xplanning x
D. A xrealistic xexercise xplan x- xB. xBlood xglucose xmonitoring x
x
A xclient xwho xgave xbirth x48 xhours xago xhas xdecided xto xbottle xfeed xthe xinfant.
xDuring xthe xassessment, xthe xnurse xobserves xthat xboth xbreasts xare xswollen,
xwarm, xand xtender xon xpalpation. xWhich xinstruction xshould xthe xnurse xprovide? x
A. Apply xice xto xthe xbreasts xfor xcomfort x
B. Wear xa xloose-fitting xbra xduring xthe xday xto xprevent xnipple xirritation x
C. Run xwarm xwater xover xbreasts x
D. Express xsmall xamounts xof xmilk xfrom xthe xbreasts xto xrelieve xpressure x- xA. xApply
xice xto xthe xbreasts xfor xcomfort x
x
The xnurse xis xpreparing xa xclient xwho xhad xa xbelow-the-knee x(BKA) xamputation xfor
xdischarge xto xhome. xWhich xrecommendations xshould xthe xnurse xprovide xthis
xclient? x(Select xall xthat xapply) x
A. Avoid xrange xof xmotion xexercises x
B. Use xa xresidual xlimb xshrinker x
C. Apply xalcohol xto xthe xstump xafter xbathing x x
D. Inspect xskin xfor xredness x
E. Wash xthe xstump xwith xsoap xand xwater x- xB. xUse xa xresidual xlimb xshrinker x
D. Inspect xskin xfor xredness x
E. Wash xthe xstump xwith xsoap xand xwater x
x
A xtoddler xpresenting xwith xa xhistory xof xintermittent xskin xrashes, xhives, xabdominal
xpain, xand xvomiting xthat xoccurs xafter xingesting xof xmilk xproducts xarrives xto xthe
xclinic xaccompanied xby xthe xparents. xWhich xtype xof xtesting xshould xthe xnurse
xprovide xeducation xto xthe xtoddler's xfamily xabout? x
A. Serum ximmunoglobulin xE x(IgE) x
B. Intradermal xtest x
C. Atopy xpatch xtest x
D. Placebo-controlled xfood xchallenge x- xA. xSerum ximmunoglobulin xE x(IgE) x
x
A xclient xwho xis xscheduled xfor xa xbronchoscopy xin xthe xmorning xis xanxious xand
xasking xthe xnurse xnumerous xquestions xabout xthe xprocedure. xIn xpreparing xthe
xclient xfor xthe xprocedure, xwhich xintervention xhas xthe xhighest xpriority? x
x x x x x
2024 x
x
The xnurse xis xcompleting xthe xadmission xassessment xof xa x3-year xold xwho xis
xadmitted
with xbacterial xmeningitis xand xhydrocephalus. xWhich xassessment xfinding xis
xevidence x
x
that xthe xchild xis xexperiencing xincreased xintracranial xpressure
x(ICP)?
x
A. xTachycardia xand
xtachypnea
x
B. xSluggish xand xunequal xpupillary
xresponses
x
C. xIncreased xhead xcircumference xand xbulging
xfontanels
x
D. xBlood xpressure xfluctuations xand xsyncope x- xB. xSluggish xand xunequal
xpupillary
x
responses
x
A xclient xwith xacute xpancreatitis xis xadmitted xwith xsevere, xpiercing xabdominal xpain
xand xan xelevated xserum xamylase. xWhich xadditional xinformation xis xthe xclient xmost
xlikely xto xreport xto xthe xnurse? x
A. Abdominal xpain xdecreases xwhen xlying xsupine x
B. Pain xlasts xan xhour xand xleaves xthe xabdomen xtender x
C. Right xupper xquadrant xpain xrefers xto xright xscapula x
D. Drinks xalcohol xuntil xintoxicated xat xleast xtwice xweekly. x- xA. xAbdominal xpain
xdecreases xwhen xlying xsupine x
x
A xchild xnewly xdiagnosed xwith xsickle xcell xanemia x(SCA) xis xbeing xdischarged xfrom
xthe xhospital. xWhich xinformation xis xmost ximportant xfor xthe xnurse xto xprovide xthe
xparents xprior xto xdischarge? x
A. Instructions xabout xhow xmuch xfluid xthe xchild xshould xdrink xdaily. x
B. Signs xof xaddiction xto xopioid xpain xmedications x
C. Information xabout xnon-pharmaceutical xpain xrelief xmeasures x
D. Referral xfor xsocial xservices xfor xthe xchild xand xfamily x- xA. xInstructions xabout xhow
xmuch xfluid xthe xchild xshould xdrink xdaily x
x
To xauscultate xfor xa xcarotid xbruit, xthe xnurse xplaces xthe xstethoscope xat xwhat
xlocation. x(Select xthe xlocation xon xthe ximage xwith xa xred xdot). x- xI xplaced xthe xred
xdot xon xthe xbase xof xthe xneck xon xthe xright xside x
x
After xreceiving xreport xon xan xinpatient xacute xcare xunit, xwhich xclient xshould xthe
xnurse xassess xfirst? x
A. The xclient xwith xan xobstruction xof xthe xlarge xintestine xwho xis xexperiencing
xabdominal xdistention x
B. The xclient xwho xhad xsurgery xyesterday xand xis xexperiencing xa xparalytic xileus
xwith xabsent xbowel xsounds x
,C. The xclient xwith xa xsmall xbowel xobstruction xwho xhas xa xnasogastric xtube xthat
xis xdraining xgreenish xfluid x
D. The xclient xwith xa xbowel xobstruction xdue xto xa xvolvulus xwho xis xexperiencing
xabdominal xrigidity x- xD. xThe xclient xwith xa xbowel xobstruction xdue xto xa xvolvulus
xwho xis xexperiencing xabdominal xrigidity x
x
A xteenager xpresents xto xthe xemergency xdepartment xwith xpalpitations xafter xvaping
xat xa xparty. xThe xclient xis xanxious, xfearful, xand xhyperventilating. xThe xnurse
xanticipates xthe xclient xdeveloping xwhich xacid xbase ximbalance? x
A. Respiratory xacidosis x
B. Metabolic xalkalosis x
C. Metabolic xacidosis x
D. Respiratory xalkalosis x- xD. xRespiratory xalkalosis x
x
A xclient xwith xdyspnea xis xbeing xadmitted xto xthe xmedical xunit. xTo xbest xprepare xfor
xthe x
x
client's xarrival, xthe xnurse xshould xensure xthat xthe xclient's xbed xis xin xwhich
xposition?
x
A.
xSupine
x
B. xsupine; xfeet xelevated xhigher xthan x
xhead
C. xsupine; xhead xelevated xhigher xthan
xfeet
x
D. xFowlers x-
xFowlers
x
The xnurse xis xtaking xthe xblood xpressure xmeasurement xof xa xclient xwith xParkinson's
xdisease. xWhich xinformation xin xthe xclient's xadmission xassessment xis xrelevant xto
xthe xnurse's xplan xfor xtaking xthe xblood xpressure xreading? x(Select xall xthe xapply) x
A. Frequent xsyncope x
B. Occasional xnocturia x
C. Flat xaffect x
D. Blurred xvision x
E. Frequent xdrooling x- xA. xFrequent xsyncope x
C. Flat xaffect x
D. Blurred xvision x
x
While xcaring xfor xa xclient's xpostoperative xdressing, xthe xnurse xobserves xpurulent
xdrainage xat xthe xwound. xBefore xreporting xthis xfinding xto xthe xhealthcare xprovider,
xthe xnurse xshould xreview xwhich xof xthe xclient's xlaboratory xvalues? x
A. Serum xalbumin x
B. Culture xfor xsensitive xorganisms x
C. Serum xblood xglucose xlevel x
D. Creatinine xlevel x- xB. xCulture xfor xsensitive xorganisms x
x
A xpreschool-aged xboy xis xadmitted xto xthe xpediatric xunit xfollowing xsuccessful
xresuscitation xfrom xa xnear-drowning xincident. xWhile xproviding xcare xto xthe xchild,
xthe xnurse xbegins xtalking xwith xhis xpreadolescent xbrother xwho xrescued xthe xchild
,xfrom xthe xswimming xpool xand xinitiated xresuscitation. xThe xnurse xnotices xthe xolder
xboy xbecomes xwithdrawn xwhen xasked xabout xwhat xhappened. xWhich xaction xshould
xthe xnurse xtake? x
A. Develop xa xwater xsafety xteaching xplan xfor xthe xfamily x
B. Ask xthe xolder xbrother xhow xhe xfelt xduring xthe xincident x
C. Tell xthe xolder xbrother xthat xhe xseems xdepressed x
D. Commend xthe xolder xbrother xfor xhis xheroic xactions x- xB. xAsk xthe xolder xbrother
xhow xhe xfelt xduring xthe xincident x
x
A xmale xclient xwith xcirrhosis xhas xjaundice xand xpruritus. xHe xtells xthe xnurse xthat xhe
xhas x
x
been xsoaking xin xhot xbaths xat xnight xwith xno xrelief xof xhis xdiscomfort. xWhich
xaction
x
should xthe xnurse
xtake?
A. xEncourage xthe xclient xto xuse xcooler xwater xand xapply xcalamine xlotion xafter
xsoaking
B. Obtain xa xPRN xprescription xfor xan xanalgesic xthat xthe xclient xcan xuse xfor
xsymptom xrelief x
C. Suggest xthat xthe xclient xtake xbrief xshowers xand xapply xoil-based xlotion xafter
xshowering x
D. Explain xthat xthe xsymptoms xare xcaused xby xliver xdamage xand xcannot xbe
xrelieved x- xA. xEncourage xthe xclient xto xuse xcooler xwater xand xapply xcalamine xlotion
xafter xsoaking x
x
An xolder xclient xwith xa xlong xhistory xof xcoronary xartery xdisease x(CAD),
xhypertension x(HTN), xand xheart xfailure x(HF) xarrives xin xthe xEmergency xDepartment
x(ED) xin xrespiratory xdistress. xThe xhealthcare xprovider xprescribes xfurosemide xIV.
xWhich xtherapeutic xresponse xto xfurosemide xshould xthe xnurse xexpected xin xthe
xclient xwith xacute xHF? x
A. Increased xcardiac xcontractility x
B. Reduced xpreload x
C. Relaxed xvascular xtone x
D. Decreased xafterload x- xB. xReduced xpreload x
x
Which xintervention xshould xthe xnurse xinclude xin xthe xplan xof xcare xfor xa xchild xwith
xtetanus? x
A. Encourage xcoughing xand xdeep xbreathing x
B. Minimize xthe xamount xof xstimuli xin xthe xroom x
C. Reposition xfrom xside xto xside xevery xhour x
D. Open xwindow xshades xto xprovide xnatural xlight x- xB. xMinimize xthe xamount xof
xstimuli xin xthe xroom x
x
An xadolescent xwho xwas xdiagnosed xwith xdiabetes xmellitus xType x1 xat xthe xage xof
x9, xis xadmitted xto xthe xhospital xin xdiabetic xketoacidosis. xWhich xoccurrence xis xthe
xmost xlikely xcause xof xthe xketoacidosis? x
A. Ate xan xextra xpeanut xbutter xsandwich xbefore xgym xclass x
B. incorrectly xadministered xtoo xmuch xinsulin x x
C. Had xa xcold xand xear xinfection xfor xthe xpast xtwo xdays x x
, D. Skipped xeating xlunch x- xC. xHad xa xcold xand xear xinfection xfor xthe xpast xtwo xdays x
x
A xclient xwith xa xprescription xfor x"do xnot xresuscitate" x(DNR) xbegins xto xmanifest
xsigns xof ximpending xdeath. xAfter xnotifying xthe xfamily xof xthe xclient's xstatus, xwhat
xpriority xaction xshould xthe xnurse ximplement? x
A. The ximpending xsigns xof xdeath xshould xbe xdocumented x
B. The xclient's xstatus xshould xbe xconveyed xto xthe xchaplain x
C. The xclient's xneed xfor xpain xmedication xshould xbe xdetermined x x
D. The xnurse xmanager xshould xbe xupdated xon xthe xclient's xstatus x- xC. xThe xclient's
xneed xfor xpain xmedication xshould xbe xdetermined x
x
Which xself xcare xmeasure xis xmost ximportant xfor xthe xnurse xto xinclude xin xthe xplan
xof xcare xof xa xclient xrecently xdiagnosed xwith xtype x2 xdiabetes xmellitus? x
A. Self-injection xtechniques x
B. Blood xglucose xmonitoring x
C. Diabetic xdiet xmeal xplanning x
D. A xrealistic xexercise xplan x- xB. xBlood xglucose xmonitoring x
x
A xclient xwho xgave xbirth x48 xhours xago xhas xdecided xto xbottle xfeed xthe xinfant.
xDuring xthe xassessment, xthe xnurse xobserves xthat xboth xbreasts xare xswollen,
xwarm, xand xtender xon xpalpation. xWhich xinstruction xshould xthe xnurse xprovide? x
A. Apply xice xto xthe xbreasts xfor xcomfort x
B. Wear xa xloose-fitting xbra xduring xthe xday xto xprevent xnipple xirritation x
C. Run xwarm xwater xover xbreasts x
D. Express xsmall xamounts xof xmilk xfrom xthe xbreasts xto xrelieve xpressure x- xA. xApply
xice xto xthe xbreasts xfor xcomfort x
x
The xnurse xis xpreparing xa xclient xwho xhad xa xbelow-the-knee x(BKA) xamputation xfor
xdischarge xto xhome. xWhich xrecommendations xshould xthe xnurse xprovide xthis
xclient? x(Select xall xthat xapply) x
A. Avoid xrange xof xmotion xexercises x
B. Use xa xresidual xlimb xshrinker x
C. Apply xalcohol xto xthe xstump xafter xbathing x x
D. Inspect xskin xfor xredness x
E. Wash xthe xstump xwith xsoap xand xwater x- xB. xUse xa xresidual xlimb xshrinker x
D. Inspect xskin xfor xredness x
E. Wash xthe xstump xwith xsoap xand xwater x
x
A xtoddler xpresenting xwith xa xhistory xof xintermittent xskin xrashes, xhives, xabdominal
xpain, xand xvomiting xthat xoccurs xafter xingesting xof xmilk xproducts xarrives xto xthe
xclinic xaccompanied xby xthe xparents. xWhich xtype xof xtesting xshould xthe xnurse
xprovide xeducation xto xthe xtoddler's xfamily xabout? x
A. Serum ximmunoglobulin xE x(IgE) x
B. Intradermal xtest x
C. Atopy xpatch xtest x
D. Placebo-controlled xfood xchallenge x- xA. xSerum ximmunoglobulin xE x(IgE) x
x
A xclient xwho xis xscheduled xfor xa xbronchoscopy xin xthe xmorning xis xanxious xand
xasking xthe xnurse xnumerous xquestions xabout xthe xprocedure. xIn xpreparing xthe
xclient xfor xthe xprocedure, xwhich xintervention xhas xthe xhighest xpriority? x
