HESI MED- SURG EXAM (250 Questions, Correct Answers & Rationales)
1) A female client with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assesses that there has been no drainage through the nasogastric tube in the last 2
hours. Which action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube 5 cm.
D. Administer an intravenous antiemetic as prescribed.
B. The priority is to determined if the tube is functioning correctly, which would relieve the
client's nausea. The least invasive intervention is to reposition the client (B), should be
attempted first, followed by (A & C) if these are unsuccessful then (D).
2)When assigning clients on a medical-surgical floor to a RN and a LPN, it is best for the charge
nurse to assign which client to the LPN?
A. A child with bacterial meningitis with recent seizures.
B. An older adult client with pneumonia and viral meningitis.
C. A female client in isolation wiht meningococcal meningitis.
D. A male client 1 day post-op after drainage of a brain abscess.
B. Is the most stable. A, C, D have an increased risk for elevated ICP.
3)Which description ofsymptoms is characteristic of a client with diagnosed with trigeminal
neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties.
B. Sudden, stabbing, severe pain over the lip and chin.
C. Unilateral facial weakness and paralysis.
D. Difficulty in talking, chewing, and swallowing.
B. Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the
area innervated by one or more branches of the trigeminal nerve. A. Characteristic of Meniere's
C. Characteristic of Bell palsey D. Characteristic of disorders of the hypoglossal (12th cranial
nerve)
4)Which abnormal lab finding indicates that a client with diabetes needs further evaluation for
diabetic nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria
B. Microalbuminuria is the earliest sign of nephropathy and indicates the need for follow-up
evaluation. Hyperkalemia (A) is associated with end stage renal disease caused by diabetic
nephropathy. (C) may be elevated in end stage renal disease. (D) may signal the onset of DKA.
5) An older male client comesto the geriatric screening clinic complaining of pain in hisleft calf.
The nurse notices a reddened area on the calf of his right leg that is warm to touch and the
nurse suspects that the client may have thrombophlebitis. Which addition assessment is most
important for the nurse to perform?
A. Measure calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure.
B. Since the client may have a pulmonary embolus secondary to the thrombophlebitis. A. Would
support the nurses assessment. C. Least helpful since bruising is not associated with
thrombophlebitis. D. Less important then auscultation.
6)The nurse know that a client taking diuretics must be assessed for the development of
hypokalemia, and that hypokalemia will create changes in the client's normal ECG tracing. Which
ECG change would be an expected finding in the client with hypokalemia?
A. Tall,spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave
D. A U wave is a positive deflection following the T wave and is often present with hypokalemia.
A, B, C indicate hyperkalemia.
7)An older client is admitted with a diagnosis of bacterial pneumonia. The nurse's assessment of
the client will most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum production.
D. Confusion and tachycardia.
D. The onset of pneumonia is the older may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate. (A, B, C) are often absent in the older with
bacterial pneumonia.
8)The nurse observes ventricular fibrillation on telemetry and upon entering the clients
bathroom finds the client unconscious on the floor. What intervention should the nurse
implement first?
A. Administer an antidysrhythmic medication.
B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assessthe client's pulse oximetry.
B. Ventricular fibrillation is a life-threatening dysrhythmia and CPR should be started
immediately. A & C are appropriate but B is the priority. D does not address the seriousness of
the situation.
9)An older female client with dementia is transferred from a long term care unit to an acute care
unit. The client's children express concern that their mother's confusion is worsening. How
should the nurse respond?
A. "It is to be expected that older people will experience progressive confusion."
B. "Confusion in an older person often follows relocation to new surroundings."
C. "The dementia is progressing rapidly, but we will do everything we can to keep your mother
safe."
D. "The acute care staff is not as experienced as the long-term care staff at dealing with
dementia."
B. Relocation often results in confusion among older clients and is stressful to clients of all ages.
(A) is an inaccurate stereotype. (C) is most likely false there are many factors that cause
increased temporary confusion. (D) may be true but does not offer the family a sense of security
about the care.
10) The nurse plansto help an 18-year-old developmentally disabled female client ambulate on
the first postoperative day. When the nurse tells her it is time to get out of bed, the client
becomes angry and yells at the nurse. "Get out of here! I'll get up when I'm ready." Which
response should the nurse provide?
A. "Your healthcare provider has prescribed ambulation on the first postoperative day."
B. "You must ambulate to avoid serious complicationsthat are much more painful."
C. "I know how you feel; you're angry about having to do this, but it is required."
D. "I'll be back in 30 minutes to help you get out of bed and walk around the room."
D. Returning in 30 minutes provides a cooling off period, is firm, direct, nonthreatening, and
avoids argument with the client. B is threatening. C. assumes what the client is feeling. A. avoids
the nurse's responsibility to ambulate the client.
11) The nurse is performing hourly neurological check for a client with a head injury. Which new
assessment finding warrants the most immediate intervention by the nurse?
A. A unilateral pupil that is dilated and nonreactive to light.
B. Client cries out when awakened by a verbal stimulus.
C. Client demonstrates a loss of memory to the events leading up to the injury.
D. Onset of nausea, headache, and vertigo.
A. Any changes in pupil size and reactivity is an indication of increasing ICP and should be
reported immediately. (B) is normal for being awakened. (C & D) are common manifestations of
head injury and less of an immediacy than (A).
12) A male client with arterial peripheral vascular disease (PVD) complains of pain in his feet.
Which instruction should the nurse give to the UPA to quickly relieve the client's pain?
A. Help the client to dangle his legs.
B. Apply compression stockings.
C. Assist with passive leg exercises.
D. Ambulate three times daily.
A. A client who has arterial PVD may benefit from a dependent position which can be achieved
by dangling by improving blood flow and relieving pain. (B) is indicated for venousinsufficiency
and (C) is indicated for bed rest. (D) is indicated to facilitate collateral circulation and may
improve long term complaints of pain.
13) A 58-year-old client, who has no health problems, asks the nurse about taking the
pneumococcal vaccine (Pneumovax). Which statement give by the nurse would offer the client
accurate information about this vaccine?
A. "The vaccine is given annually before the flue season to those over 50 years of age."
B. "The immunization is administered once to older adults or persons with a history of chronic
illness."
C. "The vaccine is for all ages and is given primarily to those person traveling overseas to infected
areas."
D. "The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5 years."
B. It is usually recommended that persons over 65 years of age and those with a history of
chronic illness should receive the vaccine once in a lifetime. (A) the influenza vaccine is given
annually. (C) travel is not the main rationale for the vaccine. (D) The vaccine is usually given once
in a lifetime.
HESI MED SURG EXAM. QUESTIONS AND ANSWERS.LATEST 2021. A+ RATED
HESI MED SURG EXAM. QUESTIONS AND ANSWERS.LATEST 2021. A+ RATED
Med-Surg HESI Study Guide
Med-Surg HESI Study Guide
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
Med-Surg HESI Study Guide
Med-Surg HESI Study Guide
MED SURG HESI EXAM, Questions and Answers with Explanations, 100% Correct, Download to Score A
MED SURG HESI EXAM, Questions and Answers with Explanations, 100% Correct, Download to Score A
2021 HESI Med Surg 55 Questions (ALL Answers)
2021 HESI Med Surg 55 Questions (Most Answers) A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What should the nurse do first? Visualize the abdominal area A patient has been taking Kenalog (corticosteroid) with increase redness... Schedule an appointment A patient hd a BDP. What warrants further intervention? Positive gastro occult emesis A patient who has been taking B12 says he's fatigue. What lab to monitor?
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
Hundred thousands of people are searching for your content every day. You can easily upload your summaries to our platform and start earning money from your study notes.\n\nSign up for free today and start earning while helping others!
MED SURG HESI EXAM mostly tested questions super practice solution with answers
MED SURG HESI EXAM mostly tested questions super practice solution with answers A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way†in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse immediately: Contacts the physician Incorrect Documents the findings Places the client in a supine position with the legs flat Covers the abdominal wound with a sterile dressing ...
HESI RN MED SURG
HESI RN MED SURG
MED SURG HESI RN EXAM. QUESTIONS & ANSWERS. A GRADED. - EXAM ELABORATIONS. (2020)
A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way†in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse immediately: Contacts the physician Incorrect Documents the findings Places the client in a supine position with the legs flat Covers the abdominal wound with a sterile dressing moistened with sterile saline solution Correct Rationale: Wound dehiscence is th...
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI Med surg practice questions and answers latest 2022 with complete solution
HESI Med surg practice questions and answers latest 2022 with complete solution
ADVANCED Med SURG HESI Final RN V2 TEST BANK | VERIFIED SOLUTION
ADVANCED Med SURG HESI Final RN V2 TEST BANK
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI ADV MED SURG v2 QUESTION/ANSWER(S) HESI EXAM
HESI ADV MED SURG v2 QUESTION/ANSWER(S) HESI EXAM
Hundred thousands of people are searching for your content every day. You can easily upload your summaries to our platform and start earning money from your study notes.\n\nSign up for free today and start earning while helping others!
HESI RN NEW MED SURG EXAM 2022
HESI RN NEW MED SURG EXAM 2022 -MULTIPLE QUESTIONS -QUESTIONS&ANSWERS -55 QUESTIONS -TESTED 2022
HESI Med-Surg LVN/LPN Review
HESI Med-Surg LVN/LPN Review
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI LPN/LVN Med-Surg
HESI LPN/LVN Med-Surg
NUR 1234 HESI MED SURG REVIEW
NUR 1234 HESI MED SURG REVIEW1. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops 2. A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, f...
Hesi Med Surg Study Guide Hematemesis Information Nursing Processes.
Hesi Med Surg Study Guide Hematemesis Information Nursing Processes.
HESI MED SURG PROCTORED EXAM
HESI MED SURG PROCTORED EXAM 1. The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take? a. Turn on the television. b. Explain the procedure. c. Tell the patient “Close your eyes.†d. Ask the family to leave the room. ANS: B Explaining the procedure educates the patient regarding the dressing change and involves him in the care, thereby allowing the patient some control in decr...
HESI MED SURG Questions RN Version 1 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A
HESI MED SURG Questions RN Version 1 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A
Hundred thousands of people are searching for your content every day. You can easily upload your summaries to our platform and start earning money from your study notes.\n\nSign up for free today and start earning while helping others!
2021 HESI MED SURG MED SURG 55 QUESTIONS RN V1 (MOST ANSWER(S)
2021 HESI MED SURG MED SURG 55 QUESTIONS RN V1 (MOST ANSWER(S)
HESI MED SURG RN EXAM QUESTIONS AND ANSWERS V4
HESI MED SURG RN EXAM QUESTIONS AND ANSWERS V4
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
HESI MED SURG latest update 2021/2022 MED SURG 55 QUESTIONS RN V (MOST ANSWER(S))
Hesi Med Surg Practice Questions(Latest solution) 100% verified /Q&A
Hesi Med Surg Practice Questions(Latest solution) 100% verified /Q&A
HESI MED SURG EXAM 2021
HESI MED SURG EXAM 2021 HESI MED SURG EXAM 2021 HESI MED SURG EXAM 2021
HESI MED SURG Questions RN Version 1 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A
HESI MED SURG Questions RN Version 1 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A
ADVANCED Med SURG HESI Final RN V2 TEST BANK | VERIFIED SOLUTION
ADVANCED Med SURG HESI Final RN V2 TEST BANK
HESI MED SURG EXAM 2021
HESI MED SURG EXAM 2021 HESI MED SURG EXAM 2021 HESI MED SURG EXAM 2021
HESI MED SURG Questions RN Version 1 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A
HESI MED SURG Questions RN Version 1 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A
HESI MED SURG MED SURG 55 QUESTIONS RN V1 (MOST ANSWERS) ( NEWEST ,2021) (ANSWERS VERIFIED 100% CORRECT)
A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What should the nurse do first? Visualize the abdominal area A patient has been taking Kenalog (corticosteroid) with increase redness... Schedule an appointment A patient hd a BDP. What warrants further intervention? Positive gastro occult emesis A patient who has been taking B12 says he's fatigue. What lab to monitor? CBC A patient with Parkinson is walking....? Confirm that its e...
Hundred thousands of people are searching for your content every day. You can easily upload your summaries to our platform and start earning money from your study notes.\n\nSign up for free today and start earning while helping others!
HESI MED SURG EXAM REVIEW UPDATED 2022
HESI MED SURG EXAM REVIEW UPDATED 2022
Version | latest |
Category | Exam (elaborations) |
Authors | qwivy.com |
Pages | 60 |
Language | English |
Comments | 0 |
Sales | 0 |
{{ userMessage }}