HESI PN MED SURGE PROCTORED EXAM 14
VERSIONS COMPREHENSIVE EXAM SCRIPT
2026 SOLVED QUESTIONS FULL SOLUTION
◉ Interrelated concepts to the professional nursing role a nurse
manager would consider when addressing concerns about the
quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology. Answer: D
The interrelated concepts to the professional role of a nurse include
health promotion, leadership, technology/informatics, quality,
collaboration, and communication. Adherence, culture,
developmental level, family dynamics, and motivation are
considered interrelated concepts to patient attributes and
preference.
◉ During orientation to an emergency department, the nurse
educator would be concerned if the new nurse listed which of the
following as a risk factor for impaired thermoregulation?
,A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
D) Physical agility. Answer: D
Physical agility is not a risk factor for impaired thermoregulation.
The nurse educator would use this information to plan additional
teaching to include medical conditions and gait disturbance as risk
factors for hypothermia, because their bodies have a reduced ability
to generate heat. Impaired cognition is a risk factor. Recreational or
occupational exposure is a risk factor. Temperature extremes are
risk factors for impaired thermoregulation.
◉ An older adult client is in physical restraints. Which intervention
by the nurse is the priority?
A) Assess the client hourly while keeping the restraints in place.
B) Assess the client once each shift, releasing the restraints for
feeding.
C) Assess the client twice each shift while keeping the restraints in
place.
D) Assess the client every 30 to 60 minutes, releasing restraints
every 2 hours.. Answer: D
,The application of restraints can have serious consequences. Thus,
the nurse should check the client every 30 to 60 minutes, releasing
the restraints every 2 hours for positioning and toileting. The other
answers would not be appropriate because the client would not be
assessed frequently enough, and circulation to the limbs could be
compromised. Assessing every hour and releasing the restraints
every 2 hours is in compliance with federal policy for monitoring
clients in restraints.
◉ The nurse is assessing a client with a long-term history of arthritic
pain. Assessment reveals a heart rate of 115 beats/min and blood
pressure of 170/80 mm Hg. Which intervention will the nurse carry
out first?
A) Administer blood pressure medication.
B) Administer a drug to lower the heart rate.
C) Continue to assess for possible causes of elevated vital signs.
D) Assess whether the client needs anti-arthritis medication..
Answer: C
Arthritis is categorized as chronic pain. With chronic pain, the body
adapts by blocking the sympathetic nervous system; this normally
causes tachycardia and increased blood pressure. Therefore, this
client's high blood pressure and heart rate are not caused by chronic
pain and may be a result of a more acute type of pain. Therefore, the
best intervention is for the nurse to establish whether the client is
, having pain other than arthritic pain, and then to decide which
intervention should be carried out.
◉ The nurse is assigned to care for the following four clients who
have the potential for having pain. Which client is most likely not to
be treated adequately for this problem?
A) Middle-aged woman with a fractured arm
B) Client with expressive aphasia
C) Younger adult with metastatic cancer
D) Client who has undergone an appendectomy. Answer: B
Populations at highest risk for inadequate pain treatment include
older adults, minorities, and those with a history of substance abuse.
Nonverbal clients are very difficult to assess for pain because self-
report is not possible, and the nurse needs to rely on client
behaviors or surrogate reporting.
◉ Before surgery, the nurse observes the client listening to music on
the radio. Based on this observation, the nurse may try which
nonpharmacologic intervention for pain relief in the postoperative
setting?
A) Cutaneous skin stimulation
VERSIONS COMPREHENSIVE EXAM SCRIPT
2026 SOLVED QUESTIONS FULL SOLUTION
◉ Interrelated concepts to the professional nursing role a nurse
manager would consider when addressing concerns about the
quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology. Answer: D
The interrelated concepts to the professional role of a nurse include
health promotion, leadership, technology/informatics, quality,
collaboration, and communication. Adherence, culture,
developmental level, family dynamics, and motivation are
considered interrelated concepts to patient attributes and
preference.
◉ During orientation to an emergency department, the nurse
educator would be concerned if the new nurse listed which of the
following as a risk factor for impaired thermoregulation?
,A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
D) Physical agility. Answer: D
Physical agility is not a risk factor for impaired thermoregulation.
The nurse educator would use this information to plan additional
teaching to include medical conditions and gait disturbance as risk
factors for hypothermia, because their bodies have a reduced ability
to generate heat. Impaired cognition is a risk factor. Recreational or
occupational exposure is a risk factor. Temperature extremes are
risk factors for impaired thermoregulation.
◉ An older adult client is in physical restraints. Which intervention
by the nurse is the priority?
A) Assess the client hourly while keeping the restraints in place.
B) Assess the client once each shift, releasing the restraints for
feeding.
C) Assess the client twice each shift while keeping the restraints in
place.
D) Assess the client every 30 to 60 minutes, releasing restraints
every 2 hours.. Answer: D
,The application of restraints can have serious consequences. Thus,
the nurse should check the client every 30 to 60 minutes, releasing
the restraints every 2 hours for positioning and toileting. The other
answers would not be appropriate because the client would not be
assessed frequently enough, and circulation to the limbs could be
compromised. Assessing every hour and releasing the restraints
every 2 hours is in compliance with federal policy for monitoring
clients in restraints.
◉ The nurse is assessing a client with a long-term history of arthritic
pain. Assessment reveals a heart rate of 115 beats/min and blood
pressure of 170/80 mm Hg. Which intervention will the nurse carry
out first?
A) Administer blood pressure medication.
B) Administer a drug to lower the heart rate.
C) Continue to assess for possible causes of elevated vital signs.
D) Assess whether the client needs anti-arthritis medication..
Answer: C
Arthritis is categorized as chronic pain. With chronic pain, the body
adapts by blocking the sympathetic nervous system; this normally
causes tachycardia and increased blood pressure. Therefore, this
client's high blood pressure and heart rate are not caused by chronic
pain and may be a result of a more acute type of pain. Therefore, the
best intervention is for the nurse to establish whether the client is
, having pain other than arthritic pain, and then to decide which
intervention should be carried out.
◉ The nurse is assigned to care for the following four clients who
have the potential for having pain. Which client is most likely not to
be treated adequately for this problem?
A) Middle-aged woman with a fractured arm
B) Client with expressive aphasia
C) Younger adult with metastatic cancer
D) Client who has undergone an appendectomy. Answer: B
Populations at highest risk for inadequate pain treatment include
older adults, minorities, and those with a history of substance abuse.
Nonverbal clients are very difficult to assess for pain because self-
report is not possible, and the nurse needs to rely on client
behaviors or surrogate reporting.
◉ Before surgery, the nurse observes the client listening to music on
the radio. Based on this observation, the nurse may try which
nonpharmacologic intervention for pain relief in the postoperative
setting?
A) Cutaneous skin stimulation
