Page 1 of 158
HESI - MEDICAL SURGICAL NURSING LATEST EXAM
WITH 170 QUESTIONS AND CORRECT ANSWERS
(100% VERIFIED ANSWERS)/ HESI - MEDICAL
SURGICAL NURSING TEST CERTIFICATION REAL EXAM
QUESTIONS AND ANSWERS (BRAND NEW!!) WITH
RATIONALES
When describing patient education approaches, the nurse
educator would explain that informal teaching is an approach
that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs ......ANSWER........C. Informal teaching
is individualized one on one teaching which represents the
majority of patient education done by nurses that occurs when
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an intervention is explained or a question is answered. Group
needs are often the focus of formal patient education courses or
classes. Informal teaching does not necessarily follow a specific
formalized plan. It may be planned with specific content, but it is
individualized responses to patient needs. Formal teaching
involves the use of a curriculum/course plan with standardized
content.
A patient expresses a strong interest in returning to their work,
family, and hobbies after having a stroke. Which theory type
would the nurse use to develop a plan of care for the best
results of this patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic ......ANSWER........C. Cognitive theorists believe that
attention, relevance, confidence, and satisfaction (ARCS) are the
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conditions that, when integrated, motivate someone to learn.
Field theorists place significance on how achievement, power, the
need for affiliation, and avoidance motives influence individual
behavior. Sociologic theories are not involved in motivation.
The nurse is assessing a group of clients. Which clients are at
greater risk for hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic ......ANSWER........C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses
are at greater risk for hypothermia. Clients who smoke, consume
alcohol, or have impaired peripheral circulation have a higher
incidence of frostbite.
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Which statement made by a nurse represents the need for
further education regarding pain management in older adult
clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than
younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel
it as much ......ANSWER........D
There is no evidence to support the idea that older adult clients
perceive pain any differently than younger clients. The other
statements are accurate regarding older clients and pain.
The nurse is working at a first aid booth for a spring training
game on a hot day. A spectator comes in, reporting that he is
not feeling well. Vital signs are temp 104.1 F, pulse 132 BPM,
respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He
HESI - MEDICAL SURGICAL NURSING LATEST EXAM
WITH 170 QUESTIONS AND CORRECT ANSWERS
(100% VERIFIED ANSWERS)/ HESI - MEDICAL
SURGICAL NURSING TEST CERTIFICATION REAL EXAM
QUESTIONS AND ANSWERS (BRAND NEW!!) WITH
RATIONALES
When describing patient education approaches, the nurse
educator would explain that informal teaching is an approach
that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs ......ANSWER........C. Informal teaching
is individualized one on one teaching which represents the
majority of patient education done by nurses that occurs when
,Page 2 of 158
an intervention is explained or a question is answered. Group
needs are often the focus of formal patient education courses or
classes. Informal teaching does not necessarily follow a specific
formalized plan. It may be planned with specific content, but it is
individualized responses to patient needs. Formal teaching
involves the use of a curriculum/course plan with standardized
content.
A patient expresses a strong interest in returning to their work,
family, and hobbies after having a stroke. Which theory type
would the nurse use to develop a plan of care for the best
results of this patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic ......ANSWER........C. Cognitive theorists believe that
attention, relevance, confidence, and satisfaction (ARCS) are the
,Page 3 of 158
conditions that, when integrated, motivate someone to learn.
Field theorists place significance on how achievement, power, the
need for affiliation, and avoidance motives influence individual
behavior. Sociologic theories are not involved in motivation.
The nurse is assessing a group of clients. Which clients are at
greater risk for hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic ......ANSWER........C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses
are at greater risk for hypothermia. Clients who smoke, consume
alcohol, or have impaired peripheral circulation have a higher
incidence of frostbite.
, Page 4 of 158
Which statement made by a nurse represents the need for
further education regarding pain management in older adult
clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than
younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel
it as much ......ANSWER........D
There is no evidence to support the idea that older adult clients
perceive pain any differently than younger clients. The other
statements are accurate regarding older clients and pain.
The nurse is working at a first aid booth for a spring training
game on a hot day. A spectator comes in, reporting that he is
not feeling well. Vital signs are temp 104.1 F, pulse 132 BPM,
respirs 26 breaths/min, and blood pressure 106/66 mm Hg. He
