N314 Med-Surg HESI Exam Test Questions with Answers Graded A+
K
Feedback:
A client receiving cholestyramine (Questran) for hyperlipi-
Clients should be monitored for an increased prothrom-
demia should be evaluated for what vitamin deficiency?
bin time and prolonged bleeding times which would alert
the nurse to a vitamin K deficiency. These drugs reduce
absorption of the fat soluble (lipid) vitamins A, D, E, and K.
Anticoagulation therapy.
Feedback:
Based on the analysis of the client's atrial fibrillation, the
The client is experiencing atrial fibrillation, and the nurse
nurse should prepare the client for which treatment pro-
should prepare the client for anticoagulation therapy (C)
tocol?
which should be prescribed before rhythm control ther-
apies to prevent cardioembolic events which result from
blood pooling in the fibrillating atria
Nocturia
A client with a 16-year history of diabetes mellitus is hav- Feedback:
ing renal function tests because of recent fatigue, weak- As the glomerular filtration rate decreases in early renal in-
ness, elevated blood urea nitrogen, and serum creatinine suflciency, metabolic waste products, including urea, cre-
levels. Which finding should the nurse conclude as an atinine, and other substances, such phenols, hormones,
early symptom of renal insuflciency? electrolytes, accumulate in the blood. In the early stage of
renal insuflciency, polyuria results from the inability of the
kidneys to concentrate urine and contribute to nocturia
Start an IV nitroglycerin infusion.
A female client receiving IV vasopressin (Pitressin) for
esophageal varice rupture reports to the nurse that she Feedback:
feels substernal tightness and pressure across her chest. Vasoconstriction of the coronary arteries can lead to angi-
Which PRN protocol should the nurse initiate? na and myocardial infarction, and should be counteracted
by IV nitroglycerin per prescribed protocol
,N314 Med-Surg HESI Exam Test Questions with Answers Graded A+
Have you ever been 'frozen' in one spot, unable to move?
The nurse is completing an admission interview and as-
Feedback:
sessment on a client with a history of Parkinson's disease.
Clients with Parkinson's disease frequently experience dif-
Which question should provide information relevant to
ficulty in initiating, maintaining, and performing motor
the client's plan of care?
activities. They may even experience being rooted to the
spot and unable to move
The nurse is assessing a client who has a history of Parkin-
Shuffling gait, masklike facial expression, and tremors of
son's disease for the past 5 years. What symptoms should
the head.
this client most likely exhibit?
An elderly male client comes to the geriatric screening
clinic complaining of pain in his left calf. The nurse notices
Pain in the calf upon exertion which is relieved by rest and
a reddened area on the calf of his right leg which is warm
elevating the extremity.
to the touch and suspects it might be thrombophlebitis.
Which type of pain should further confirm this suspicion?
The healthcare provider prescribes aluminum and mag-
nesium hydroxide (Maalox), 1 tablet PO PRN, for a client
Question the healthcare provider's prescription
with chronic renal failure who is complaining of indiges-
tion. What intervention should the nurse implement?
A 57-year-old male client is scheduled to have a
stress-thallium test the following morning and is NPO
The test you are having tomorrow requires that you have
after midnight. At 0130, he is agitated because he cannot
nothing by mouth tonight.
eat and is demanding food. Which response is best for
the nurse to provide to this client?
A middle-aged male client with diabetes continues to
eat an abundance of foods that are high in sugar and
He visits his diabetic brother who just had surgery to
fat. According to the Health Belief Model, which event is
amputate an infected foot.
most likely to increase the client's willingness to become
compliant with the prescribed diet?
,The nurse is planning to initiate a socialization group for
older residents of a long-term facility. Which information
The usual activity patterns of each member of the group.
is most useful to the nurse when planning activities for the
group?
A female client is brought to the clinic by her daughter for
a flu shot. She has lost significant weight since the last visit.
She has poor personal hygiene and inadequate clothing Collect further data to determine whether self-neglect is
for the weather. The client states that she lives alone and occurring.
denies problems or concerns. What action should the
nurse implement?
The nurse is planning care for a client who has a right
Risk for injury related to denial of deficits and impulsive-
hemispheric stroke. Which nursing diagnosis should the
ness.
nurse include in the plan of care?
Two days postoperative, a male client reports aching pain
in his left leg. The nurse assesses redness and warmth
Advise the client to remain in bed with the leg elevated.
on the lower left calf. What intervention should be most
helpful to this client?
Which reaction should the nurse identify in a client who
is responding to stimulation of the sympathetic nervous Increased heart rate.
system?
A client has taken steroids for 12 years to help man-
age chronic obstructive pulmonary disease (COPD). When
temperature.
making a home visit, which nursing function is of greatest
importance to this client? Assess the client's
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. What recommen- Initiate a weight-reduction diet to achieve a healthy body
dation should the nurse make that is most beneficial in weight.
protecting the client's joints?
, In preparing a discharge plan for a 22-year-old male
client diagnosed with Buerger's disease (thromboangiitis Smoking cessation program.
obliterans), which referral is most important?
A client has a staging procedure for cancer of the breast
and ask the nurse which type of breast cancer has the
Inflammatory with peau d'orange.
poorest prognosis. Which information should the nurse
otter the client?
A client has been taking oral corticosteroids for the past
five days because of seasonal allergies. Which assessment Purulent sputum.
finding is of most concern to the nurse?
Which postmenopausal client's complaint should the
Episodes of vaginal bleeding.
nurse refer to the healthcare provider?
Which description of symptoms is characteristic of a client
Sudden, stabbing, severe pain over the lip and chin.
diagnosed with trigeminal neuralgia (tic douloureux)?
A client with gastroesophageal reflux disease (GERD) has
been experiencing severe reflux during sleep. Which rec-
Raising the head of the bed on blocks.
ommendation by the nurse is most ettective to assist the
client?
What instruction should the nurse give a client who is
Perform a breast self-exam (BSE) procedure monthly.
diagnosed with fibrocystic changes of the breast?
During lung assessment, the nurse places a stethoscope
on a client's chest and instructs him/her to say "99" each
time the chest is touched with the stethoscope. What May indicate pneumonia.
should be the correct interpretation if the nurse hears the
spoken words "99" very clearly through the stethoscope?
The nurse is assessing a client with bacterial meningitis.
A) Cyanosis of the fingertips.
Which assessment finding indicates the client may have
Feedback: CORRECT
developed septic emboli?
Septic emboli secondary to meningitis commonly lodge in
A) Cyanosis of the fingertips.
K
Feedback:
A client receiving cholestyramine (Questran) for hyperlipi-
Clients should be monitored for an increased prothrom-
demia should be evaluated for what vitamin deficiency?
bin time and prolonged bleeding times which would alert
the nurse to a vitamin K deficiency. These drugs reduce
absorption of the fat soluble (lipid) vitamins A, D, E, and K.
Anticoagulation therapy.
Feedback:
Based on the analysis of the client's atrial fibrillation, the
The client is experiencing atrial fibrillation, and the nurse
nurse should prepare the client for which treatment pro-
should prepare the client for anticoagulation therapy (C)
tocol?
which should be prescribed before rhythm control ther-
apies to prevent cardioembolic events which result from
blood pooling in the fibrillating atria
Nocturia
A client with a 16-year history of diabetes mellitus is hav- Feedback:
ing renal function tests because of recent fatigue, weak- As the glomerular filtration rate decreases in early renal in-
ness, elevated blood urea nitrogen, and serum creatinine suflciency, metabolic waste products, including urea, cre-
levels. Which finding should the nurse conclude as an atinine, and other substances, such phenols, hormones,
early symptom of renal insuflciency? electrolytes, accumulate in the blood. In the early stage of
renal insuflciency, polyuria results from the inability of the
kidneys to concentrate urine and contribute to nocturia
Start an IV nitroglycerin infusion.
A female client receiving IV vasopressin (Pitressin) for
esophageal varice rupture reports to the nurse that she Feedback:
feels substernal tightness and pressure across her chest. Vasoconstriction of the coronary arteries can lead to angi-
Which PRN protocol should the nurse initiate? na and myocardial infarction, and should be counteracted
by IV nitroglycerin per prescribed protocol
,N314 Med-Surg HESI Exam Test Questions with Answers Graded A+
Have you ever been 'frozen' in one spot, unable to move?
The nurse is completing an admission interview and as-
Feedback:
sessment on a client with a history of Parkinson's disease.
Clients with Parkinson's disease frequently experience dif-
Which question should provide information relevant to
ficulty in initiating, maintaining, and performing motor
the client's plan of care?
activities. They may even experience being rooted to the
spot and unable to move
The nurse is assessing a client who has a history of Parkin-
Shuffling gait, masklike facial expression, and tremors of
son's disease for the past 5 years. What symptoms should
the head.
this client most likely exhibit?
An elderly male client comes to the geriatric screening
clinic complaining of pain in his left calf. The nurse notices
Pain in the calf upon exertion which is relieved by rest and
a reddened area on the calf of his right leg which is warm
elevating the extremity.
to the touch and suspects it might be thrombophlebitis.
Which type of pain should further confirm this suspicion?
The healthcare provider prescribes aluminum and mag-
nesium hydroxide (Maalox), 1 tablet PO PRN, for a client
Question the healthcare provider's prescription
with chronic renal failure who is complaining of indiges-
tion. What intervention should the nurse implement?
A 57-year-old male client is scheduled to have a
stress-thallium test the following morning and is NPO
The test you are having tomorrow requires that you have
after midnight. At 0130, he is agitated because he cannot
nothing by mouth tonight.
eat and is demanding food. Which response is best for
the nurse to provide to this client?
A middle-aged male client with diabetes continues to
eat an abundance of foods that are high in sugar and
He visits his diabetic brother who just had surgery to
fat. According to the Health Belief Model, which event is
amputate an infected foot.
most likely to increase the client's willingness to become
compliant with the prescribed diet?
,The nurse is planning to initiate a socialization group for
older residents of a long-term facility. Which information
The usual activity patterns of each member of the group.
is most useful to the nurse when planning activities for the
group?
A female client is brought to the clinic by her daughter for
a flu shot. She has lost significant weight since the last visit.
She has poor personal hygiene and inadequate clothing Collect further data to determine whether self-neglect is
for the weather. The client states that she lives alone and occurring.
denies problems or concerns. What action should the
nurse implement?
The nurse is planning care for a client who has a right
Risk for injury related to denial of deficits and impulsive-
hemispheric stroke. Which nursing diagnosis should the
ness.
nurse include in the plan of care?
Two days postoperative, a male client reports aching pain
in his left leg. The nurse assesses redness and warmth
Advise the client to remain in bed with the leg elevated.
on the lower left calf. What intervention should be most
helpful to this client?
Which reaction should the nurse identify in a client who
is responding to stimulation of the sympathetic nervous Increased heart rate.
system?
A client has taken steroids for 12 years to help man-
age chronic obstructive pulmonary disease (COPD). When
temperature.
making a home visit, which nursing function is of greatest
importance to this client? Assess the client's
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. What recommen- Initiate a weight-reduction diet to achieve a healthy body
dation should the nurse make that is most beneficial in weight.
protecting the client's joints?
, In preparing a discharge plan for a 22-year-old male
client diagnosed with Buerger's disease (thromboangiitis Smoking cessation program.
obliterans), which referral is most important?
A client has a staging procedure for cancer of the breast
and ask the nurse which type of breast cancer has the
Inflammatory with peau d'orange.
poorest prognosis. Which information should the nurse
otter the client?
A client has been taking oral corticosteroids for the past
five days because of seasonal allergies. Which assessment Purulent sputum.
finding is of most concern to the nurse?
Which postmenopausal client's complaint should the
Episodes of vaginal bleeding.
nurse refer to the healthcare provider?
Which description of symptoms is characteristic of a client
Sudden, stabbing, severe pain over the lip and chin.
diagnosed with trigeminal neuralgia (tic douloureux)?
A client with gastroesophageal reflux disease (GERD) has
been experiencing severe reflux during sleep. Which rec-
Raising the head of the bed on blocks.
ommendation by the nurse is most ettective to assist the
client?
What instruction should the nurse give a client who is
Perform a breast self-exam (BSE) procedure monthly.
diagnosed with fibrocystic changes of the breast?
During lung assessment, the nurse places a stethoscope
on a client's chest and instructs him/her to say "99" each
time the chest is touched with the stethoscope. What May indicate pneumonia.
should be the correct interpretation if the nurse hears the
spoken words "99" very clearly through the stethoscope?
The nurse is assessing a client with bacterial meningitis.
A) Cyanosis of the fingertips.
Which assessment finding indicates the client may have
Feedback: CORRECT
developed septic emboli?
Septic emboli secondary to meningitis commonly lodge in
A) Cyanosis of the fingertips.
