Med-
Surg HESI Test Questions and All Answer 20 p p p p p p p
24
A female client with a nasogastric tube attached to low suction states t
p p p p p p p p p p p p
hat she is nauseated. The nurse assesses that there has been no draina
p p p p p p p p p p p p
ge through the nasogastric tube in the last 2 hours. Which action shoul
p p p p p p p p p p p p
d the nurse take first? - answer-
p p p p p p
Reposition the client on her side. The priority is to determined if the tu
p p p p p p p p p p p p p
be is functioning correctly, which would relieve the client's nausea. The
p p p p p p p p p p
least invasive intervention is to reposition the client (B), should be atte
p p p p p p p p p p p p
mpted first, followed by (A & C) if these are unsuccessful then (D).
p p p p p p p p p p p p
When assigning clients on a medical-
p p p p p
surgical floor to a RN and a LPN, it is best for the charge nurse to assign
p p p p p p p p p p p p p p p p p
which client to the LPN? p p p p
A. A child with bacterial meningitis with recent seizures.
p p p p p p p p
B. An older adult client with pneumonia and viral meningitis.
p p p p p p p p p
C. A female client in isolation wiht meningococcal meningitis.
p p p p p p p p
D. A male client 1 day post-op after drainage of a brain abscess. -
p p p p p p p p p p p p p
answer-
p
B. Is the most stable. A, C, D have an increased risk for elevated ICP.
p p p p p p p p p p p p p p
Which description of symptoms is characteristic of a client diagnosed
p p p p p p p p p p
with trigeminal neuralgia (tic douloureux)?
p p p p
A. Tinnitus, vertigo, and hearing difficulties.
p p p p p
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
B. Sudden, stabbing, severe pain over the lip and chin.
p p p p p p p p p
C. Unilateral facial weakness and paralysis.
p p p p p
D. Difficulty in talking, chewing, and swallowing. - answer-
p p p p p p p p
B. Trigeminal neuralgia is characterized by paroxysms of pain, similar to
p p p p p p p p p p
an electric shock, in the area innervated by one or more branches of th
p p p p p p p p p p p p p p
e trigeminal nerve.
p p
A. Characteristic of Meniere's
p p p
C. Characteristic of Bell palsey
p p p p
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
p p p p p p p p p
Which abnormal lab finding indicates that a client with diabetes needs
p p p p p p p p p p p
further evaluation for diabetic nephropathy?
p p p p
A. Hypokalemia
p
B. Microalbuminauria
p
C. Elevated serum lipids
p p p
D. Ketonuria - answer-
p p p
B. Microalbuminuria is the earliest sign of nephropathy and indicates t
p p p p p p p p p p
he need for follow-
p p p
up evaluation. Hyperkalemia (A) is associated with end stage renal dise
p p p p p p p p p p
ase caused by diabetic nephropathy. (C) may be elevated in end stage r
p p p p p p p p p p p p
enal disease. (D) may signal the onset of DKA.
p p p p p p p p
An older male client comes to the geriatric screening clinic complaining
p p p p p p p p p p
of pain in his left calf. The nurse notices a reddened area on the calf of
p p p p p p p p p p p p p p p p p
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
his right leg that is warm to touch and the nurse suspects that the clien
p p p p p p p p p p p p p p
t may have thrombophlebitis. Which addition assessment is most impo
p p p p p p p p p
rtant for the nurse to perform?
p p p p p
A. Measure calf circumference.
p p p
B. Auscultate the client's breath sounds.
p p p p p
C. Observe for ecchymosis and petechiae.
p p p p p
D. Obtain the client's blood pressure. - answer-
p p p p p p p
B. Since the client may have a pulmonary embolus secondary to the thr
p p p p p p p p p p p p
ombophlebitis. p
A. Would support the nurses assessment.
p p p p p
C. Least helpful since bruising is not associated with thrombophlebitis.
p p p p p p p p p
D. Less important then auscultation.
p p p p
The nurse know that a client taking diuretics must be assessed for the d
p p p p p p p p p p p p p
evelopment of hypokalemia, and that hypokalemia will create changes
p p p p p p p p p
in the client's normal ECG tracing. Which ECG change would be an expe
p p p p p p p p p p p p
cted finding in the client with hypokalemia?
p p p p p p
A. Tall, spiked T waves
p p p p
B. A prolonged QT interval
p p p p
C. A widening QRS complex
p p p p
, Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
D. Presence of a U wave - answer-
p p p p p p p
D. A U wave is a positive deflection following the T wave and is often pr
p p p p p p p p p p p p p p p
esent with hypokalemia. A, B, C indicate hyperkalemia.
p p p p p p p
An older client is admitted with a diagnosis of bacterial pneumonia. Th
p p p p p p p p p p p
e nurse's assessment of the client will most likely reveal which S/SX?
p p p p p p p p p p p
A. Leukocytosis and febrile.
p p p
B. Polycythemia and crackles.
p p p
C. Pharyngitis and sputum production.
p p p p
D. Confusion and tachycardia. - answer-
p p p p p
D. The onset of pneumonia is the older may be signaled by general det
p p p p p p p p p p p p p
erioration, confusion, increased heart rate or increased respiratory rat
p p p p p p p p
e. p
(A, B, C) are often absent in the older with bacterial pneumonia.
p p p p p p p p p p p
The nurse observes ventricular fibrillation on telemetry and upon ente
p p p p p p p p p
ring the clients bathroom finds the client unconscious on the floor. Wh
p p p p p p p p p p p
at intervention should the nurse implement first?
p p p p p p
A. Administer an antidysrhythmic medication.
p p p p
B. Start cardiopulmonary resuscitation.
p p p
C. Defibrillate the client at 200 joules.
p p p p p p
D. Assess the client's pulse oximetry. - answer-
p p p p p p p
B. Ventricular fibrillation is a life-
p p p p p
Surg HESI Test Questions and All Answer 20 p p p p p p p
24
A female client with a nasogastric tube attached to low suction states t
p p p p p p p p p p p p
hat she is nauseated. The nurse assesses that there has been no draina
p p p p p p p p p p p p
ge through the nasogastric tube in the last 2 hours. Which action shoul
p p p p p p p p p p p p
d the nurse take first? - answer-
p p p p p p
Reposition the client on her side. The priority is to determined if the tu
p p p p p p p p p p p p p
be is functioning correctly, which would relieve the client's nausea. The
p p p p p p p p p p
least invasive intervention is to reposition the client (B), should be atte
p p p p p p p p p p p p
mpted first, followed by (A & C) if these are unsuccessful then (D).
p p p p p p p p p p p p
When assigning clients on a medical-
p p p p p
surgical floor to a RN and a LPN, it is best for the charge nurse to assign
p p p p p p p p p p p p p p p p p
which client to the LPN? p p p p
A. A child with bacterial meningitis with recent seizures.
p p p p p p p p
B. An older adult client with pneumonia and viral meningitis.
p p p p p p p p p
C. A female client in isolation wiht meningococcal meningitis.
p p p p p p p p
D. A male client 1 day post-op after drainage of a brain abscess. -
p p p p p p p p p p p p p
answer-
p
B. Is the most stable. A, C, D have an increased risk for elevated ICP.
p p p p p p p p p p p p p p
Which description of symptoms is characteristic of a client diagnosed
p p p p p p p p p p
with trigeminal neuralgia (tic douloureux)?
p p p p
A. Tinnitus, vertigo, and hearing difficulties.
p p p p p
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
B. Sudden, stabbing, severe pain over the lip and chin.
p p p p p p p p p
C. Unilateral facial weakness and paralysis.
p p p p p
D. Difficulty in talking, chewing, and swallowing. - answer-
p p p p p p p p
B. Trigeminal neuralgia is characterized by paroxysms of pain, similar to
p p p p p p p p p p
an electric shock, in the area innervated by one or more branches of th
p p p p p p p p p p p p p p
e trigeminal nerve.
p p
A. Characteristic of Meniere's
p p p
C. Characteristic of Bell palsey
p p p p
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
p p p p p p p p p
Which abnormal lab finding indicates that a client with diabetes needs
p p p p p p p p p p p
further evaluation for diabetic nephropathy?
p p p p
A. Hypokalemia
p
B. Microalbuminauria
p
C. Elevated serum lipids
p p p
D. Ketonuria - answer-
p p p
B. Microalbuminuria is the earliest sign of nephropathy and indicates t
p p p p p p p p p p
he need for follow-
p p p
up evaluation. Hyperkalemia (A) is associated with end stage renal dise
p p p p p p p p p p
ase caused by diabetic nephropathy. (C) may be elevated in end stage r
p p p p p p p p p p p p
enal disease. (D) may signal the onset of DKA.
p p p p p p p p
An older male client comes to the geriatric screening clinic complaining
p p p p p p p p p p
of pain in his left calf. The nurse notices a reddened area on the calf of
p p p p p p p p p p p p p p p p p
,Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
his right leg that is warm to touch and the nurse suspects that the clien
p p p p p p p p p p p p p p
t may have thrombophlebitis. Which addition assessment is most impo
p p p p p p p p p
rtant for the nurse to perform?
p p p p p
A. Measure calf circumference.
p p p
B. Auscultate the client's breath sounds.
p p p p p
C. Observe for ecchymosis and petechiae.
p p p p p
D. Obtain the client's blood pressure. - answer-
p p p p p p p
B. Since the client may have a pulmonary embolus secondary to the thr
p p p p p p p p p p p p
ombophlebitis. p
A. Would support the nurses assessment.
p p p p p
C. Least helpful since bruising is not associated with thrombophlebitis.
p p p p p p p p p
D. Less important then auscultation.
p p p p
The nurse know that a client taking diuretics must be assessed for the d
p p p p p p p p p p p p p
evelopment of hypokalemia, and that hypokalemia will create changes
p p p p p p p p p
in the client's normal ECG tracing. Which ECG change would be an expe
p p p p p p p p p p p p
cted finding in the client with hypokalemia?
p p p p p p
A. Tall, spiked T waves
p p p p
B. A prolonged QT interval
p p p p
C. A widening QRS complex
p p p p
, Med-
Surg HESI Test Questions and All Answer 20
p p p p p p p
24
D. Presence of a U wave - answer-
p p p p p p p
D. A U wave is a positive deflection following the T wave and is often pr
p p p p p p p p p p p p p p p
esent with hypokalemia. A, B, C indicate hyperkalemia.
p p p p p p p
An older client is admitted with a diagnosis of bacterial pneumonia. Th
p p p p p p p p p p p
e nurse's assessment of the client will most likely reveal which S/SX?
p p p p p p p p p p p
A. Leukocytosis and febrile.
p p p
B. Polycythemia and crackles.
p p p
C. Pharyngitis and sputum production.
p p p p
D. Confusion and tachycardia. - answer-
p p p p p
D. The onset of pneumonia is the older may be signaled by general det
p p p p p p p p p p p p p
erioration, confusion, increased heart rate or increased respiratory rat
p p p p p p p p
e. p
(A, B, C) are often absent in the older with bacterial pneumonia.
p p p p p p p p p p p
The nurse observes ventricular fibrillation on telemetry and upon ente
p p p p p p p p p
ring the clients bathroom finds the client unconscious on the floor. Wh
p p p p p p p p p p p
at intervention should the nurse implement first?
p p p p p p
A. Administer an antidysrhythmic medication.
p p p p
B. Start cardiopulmonary resuscitation.
p p p
C. Defibrillate the client at 200 joules.
p p p p p p
D. Assess the client's pulse oximetry. - answer-
p p p p p p p
B. Ventricular fibrillation is a life-
p p p p p
