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HESI RN Med-Surge Practice Exam
A 20 year old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
"Check it again in one month, and if it is still there schedule an
appointment."
"Most lumps are benign, but it is always best to come in for an
examination."
"Try not to worry too much about it, because usually, most lumps
are benign."
"If you are in your menstrual period it is not a good time to check
for lumps." - ...ANSWER✓✓✓Most lumps are benign, but it is
always best to come in form an examination.
A 32 year old female client complains of severe abdominal pain
each month before her menstrual period, painful intercourse,
and painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
Frequent urinary tract infections.
Inability to get pregnant.
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Premenstrual syndrome.
Chronic use of laxatives. - ...ANSWER✓✓✓Inability to get
pregnant
A 46 year old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration?
Serum creatinine.
Blood Urea Nitrogen (BUN).
Sedimentation rate.
Urine specific gravity. - ...ANSWER✓✓✓Serum creatinine
A 49 year old female client arrives at the clinic for an annual
exam and asks the nurse why she becomes excessively
diaphoretic and feels warm during nighttime. What is the nurse's
best response?
Explain the effect of the follicle-stimulating and luteinizing
hormones.
Discuss perimenopause and related comfort measures.
Assess lung fields and for a cough productive of blood-tinged
mucous.
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Ask if a fever above 101 F (38.3 C) has occurred in the last 24
hours. - ...ANSWER✓✓✓Discuss perimenopause and related
comfort measures
A 51 year old truck driver who smokes two packs of cigarettes a
day and is 30 pounds overweight is diagnosed with having a
gastric ulcer. Which content is most important for the nurse to
include in the discharge teaching for this client?
Information about smoking cessation.
Diet instructions for a low-residue diet.
Instructions on a weight-loss program.
The importance of increasing milk in the diet. -
...ANSWER✓✓✓Information about smoking cessation
A 57 year old male client is scheduled to have a stress thallium
test the following morning and is NPO after midnight. At 0130, he
is agitated because he cannot eat and is demanding food. Which
response is best for the nurse to provide to this client?
"I'm sorry sir, you have a prescription for nothing by mouth from
midnight tonight."
"I will let you have one cracker, but that is all you can have for
the rest of tonight."
"What did the healthcare provider tell you about the test you are
having tomorrow?"
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"The test you are having tomorrow requires that you have
nothing by mouth tonight." - ...ANSWER✓✓✓The test you are
having tomorrow requires that you have nothing by mouth
tonight
A 58 year old client who has been post menopausal for five years
is concerned about the risk of osteoporosis because her mother
has the condition. Which information should the nurse offer?
Osteoporosis is a progressive genetic disease with no effective
treatment.
Calcium loss from bones can be slowed by increasing calcium
intake and exercise.
Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
Low-dose corticosteroid treatment effectively halts the course of
osteoporosis. - ...ANSWER✓✓✓Calcium loss from bones can be
slowed by increasing calcium intake and exercise
A 58 year old client, who has no health problems, asks the nurse
about the Pneumovax vaccine. The nurse's response to the client
should be based on which information?
The vaccine is given annually before the flu season to those over
50 years of age.
HESI RN Med-Surge Practice Exam
A 20 year old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
"Check it again in one month, and if it is still there schedule an
appointment."
"Most lumps are benign, but it is always best to come in for an
examination."
"Try not to worry too much about it, because usually, most lumps
are benign."
"If you are in your menstrual period it is not a good time to check
for lumps." - ...ANSWER✓✓✓Most lumps are benign, but it is
always best to come in form an examination.
A 32 year old female client complains of severe abdominal pain
each month before her menstrual period, painful intercourse,
and painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
Frequent urinary tract infections.
Inability to get pregnant.
,2|Page
Premenstrual syndrome.
Chronic use of laxatives. - ...ANSWER✓✓✓Inability to get
pregnant
A 46 year old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration?
Serum creatinine.
Blood Urea Nitrogen (BUN).
Sedimentation rate.
Urine specific gravity. - ...ANSWER✓✓✓Serum creatinine
A 49 year old female client arrives at the clinic for an annual
exam and asks the nurse why she becomes excessively
diaphoretic and feels warm during nighttime. What is the nurse's
best response?
Explain the effect of the follicle-stimulating and luteinizing
hormones.
Discuss perimenopause and related comfort measures.
Assess lung fields and for a cough productive of blood-tinged
mucous.
,3|Page
Ask if a fever above 101 F (38.3 C) has occurred in the last 24
hours. - ...ANSWER✓✓✓Discuss perimenopause and related
comfort measures
A 51 year old truck driver who smokes two packs of cigarettes a
day and is 30 pounds overweight is diagnosed with having a
gastric ulcer. Which content is most important for the nurse to
include in the discharge teaching for this client?
Information about smoking cessation.
Diet instructions for a low-residue diet.
Instructions on a weight-loss program.
The importance of increasing milk in the diet. -
...ANSWER✓✓✓Information about smoking cessation
A 57 year old male client is scheduled to have a stress thallium
test the following morning and is NPO after midnight. At 0130, he
is agitated because he cannot eat and is demanding food. Which
response is best for the nurse to provide to this client?
"I'm sorry sir, you have a prescription for nothing by mouth from
midnight tonight."
"I will let you have one cracker, but that is all you can have for
the rest of tonight."
"What did the healthcare provider tell you about the test you are
having tomorrow?"
, 4|Page
"The test you are having tomorrow requires that you have
nothing by mouth tonight." - ...ANSWER✓✓✓The test you are
having tomorrow requires that you have nothing by mouth
tonight
A 58 year old client who has been post menopausal for five years
is concerned about the risk of osteoporosis because her mother
has the condition. Which information should the nurse offer?
Osteoporosis is a progressive genetic disease with no effective
treatment.
Calcium loss from bones can be slowed by increasing calcium
intake and exercise.
Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
Low-dose corticosteroid treatment effectively halts the course of
osteoporosis. - ...ANSWER✓✓✓Calcium loss from bones can be
slowed by increasing calcium intake and exercise
A 58 year old client, who has no health problems, asks the nurse
about the Pneumovax vaccine. The nurse's response to the client
should be based on which information?
The vaccine is given annually before the flu season to those over
50 years of age.
