This Exam contains:
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 200 questions and answers with
Rationale:s
MEDICAL SURGICAL HESI EXAM
QUESTIONS AND Answers ALL 100%
VERIFIED
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?
A) Frequent urinary tract infections.
,B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. - B) Inability to get pregnant.
Rationale::: Dysmenorrhea, dyspareunia, and difficulty or painful
defecation are common symptoms of endometriosis, which is the
abnormal displacement of endometrial tissue in the dependent
areas of the pelvic peritoneum. A history of infertility (B) is another
common finding associated with endometriosis. Although (A, C, and
D) are common, nonspecific gynecological complaints, the most
common complaints of the client with endometriosis are pain and
infertility.
A client with a 16-year history of diabetes mellitus is having renal
function tests because of recent fatigue, weakness, elevated blood
urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
A) Dyspnea.
B) Nocturia.
C) Confusion.
D) Stomatitis. - B) Nocturia.
Rationale::: As the glomerular filtration rate decreases in early
renal insufficiency, metabolic waste products, including urea,
, creatinine, and other substances, such phenols, hormones,
electrolytes, accumulate in the blood. In the early stage of renal
insufficiency, polyuria results from the inability of the kidneys to
concentrate urine and contribute to nocturia (B). (A, C, and D) are
more common in the later stages of renal
failure.
A client with heart disease is on a continuous telemetry monitor
and has developed sinus bradycardia. In determining the possible
cause of the bradycardia, the nurse assesses the client's medication
record. Which medication is most likely the cause of the
bradycardia?
A) Propanolol (Inderal).
B) Captopril (Capoten).
C) Furosemide (Lasix).
D) Dobutamine (Dobutrex). - A) Propanolol (Inderal).
Rationale::: Inderal (A) is a beta adrenergic blocking agent, which
causes decreased heart rate and decreased contractility. Neither
(B), an ACE inhibitor, nor (C), a loop diuretic, causes bradycardia.
(D) is a sympathomimetic, direct acting cardiac stimulant, which
would increase the heart rate.
A client has been taking oral corticosteroids for the past five days
, because of seasonal allergies. Which assessment finding is of most
concern to the nurse?
A) White blood count of 10,000 mm3.
B) Serum glucose of 115 mg/dl.
C) Purulent sputum.
D) Excessive hunger. - C) Purulent sputum.
Rationale::: Steroids cause immunosuppression, and a purulent
sputum (C) is an indication of infection, so this symptom is of
greatest concern. Oral steroids may increase (A) and often cause
(D). (B) may remain normal, borderline, or increase while taking
oral steroids.
A female client receiving IV vasopressin (Pitressin) for esophageal
varice rupture reports to the nurse that she feels substernal
tightness and pressure across her chest. Which PRN protocol
should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool saline.
C) Increase the vasopressin infusion.
D) Prepare for endotracheal intubation. - A) Start an IV nitroglycerin
infusion.
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 200 questions and answers with
Rationale:s
MEDICAL SURGICAL HESI EXAM
QUESTIONS AND Answers ALL 100%
VERIFIED
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?
A) Frequent urinary tract infections.
,B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. - B) Inability to get pregnant.
Rationale::: Dysmenorrhea, dyspareunia, and difficulty or painful
defecation are common symptoms of endometriosis, which is the
abnormal displacement of endometrial tissue in the dependent
areas of the pelvic peritoneum. A history of infertility (B) is another
common finding associated with endometriosis. Although (A, C, and
D) are common, nonspecific gynecological complaints, the most
common complaints of the client with endometriosis are pain and
infertility.
A client with a 16-year history of diabetes mellitus is having renal
function tests because of recent fatigue, weakness, elevated blood
urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
A) Dyspnea.
B) Nocturia.
C) Confusion.
D) Stomatitis. - B) Nocturia.
Rationale::: As the glomerular filtration rate decreases in early
renal insufficiency, metabolic waste products, including urea,
, creatinine, and other substances, such phenols, hormones,
electrolytes, accumulate in the blood. In the early stage of renal
insufficiency, polyuria results from the inability of the kidneys to
concentrate urine and contribute to nocturia (B). (A, C, and D) are
more common in the later stages of renal
failure.
A client with heart disease is on a continuous telemetry monitor
and has developed sinus bradycardia. In determining the possible
cause of the bradycardia, the nurse assesses the client's medication
record. Which medication is most likely the cause of the
bradycardia?
A) Propanolol (Inderal).
B) Captopril (Capoten).
C) Furosemide (Lasix).
D) Dobutamine (Dobutrex). - A) Propanolol (Inderal).
Rationale::: Inderal (A) is a beta adrenergic blocking agent, which
causes decreased heart rate and decreased contractility. Neither
(B), an ACE inhibitor, nor (C), a loop diuretic, causes bradycardia.
(D) is a sympathomimetic, direct acting cardiac stimulant, which
would increase the heart rate.
A client has been taking oral corticosteroids for the past five days
, because of seasonal allergies. Which assessment finding is of most
concern to the nurse?
A) White blood count of 10,000 mm3.
B) Serum glucose of 115 mg/dl.
C) Purulent sputum.
D) Excessive hunger. - C) Purulent sputum.
Rationale::: Steroids cause immunosuppression, and a purulent
sputum (C) is an indication of infection, so this symptom is of
greatest concern. Oral steroids may increase (A) and often cause
(D). (B) may remain normal, borderline, or increase while taking
oral steroids.
A female client receiving IV vasopressin (Pitressin) for esophageal
varice rupture reports to the nurse that she feels substernal
tightness and pressure across her chest. Which PRN protocol
should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool saline.
C) Increase the vasopressin infusion.
D) Prepare for endotracheal intubation. - A) Start an IV nitroglycerin
infusion.
