HESI MedSurg Exam Test Questions with Answers Graded A
Which assessment is most important for the nurse to · Respiratory ettort.
perform on a client who is hospitalized for Guillain-Barre Guillain-Barre syndrome causes paralysis or weakness
syndrome that is rapidly progressing? that typically starts at the feet and progresses upwards. As
· Respiratory ettort. the condition progresses, the nurse must ensure that the
· Unsteady gait. client is able to breathe ettectively.
· Intensity of pain.
· Ability to eat. Heuther, Understanding Pathophysiology, 6th ed. p. 412
· Collect a culture of the penile discharge.
Penile discharge with painful urination is commonly asso-
A male client comes into the clinic with a history of penile
ciated with gonorrhea. The nurse should collect a culture
discharge with painful, burning urination. Which action
of the penile discharge to determine the cause of these
should the nurse implement?
symptoms. The cause must be determined or confirmed
· Collect a culture of the penile discharge.
through culture to identify the organism and ensure ettec-
· Palpate the inguinal lymph nodes gently.
tive treatment.
· Observe for scrotal swelling and redness.
· Express the discharge to determine color.
Jarvis Physical Examination and Health Assessment, 6th
edition
· Check for a pulse deficit.
A client with history of atrial fibrillation is admitted to the
A client with a past history of atrial fibrillation may return to
telemetry unit with sudden onset of shortness of breath.
that rhythm. Any signs of atrial fibrillation, such as sudden
The nurse observes a new irregular heart rhythm and
onset shortness of breath, requires further investigation.
should perform which assessment at this time?
The nurse should assess this client for a pulse deficit
· Check for a pulse deficit.
because this condition occurs with atrial fibrillation.
· Palpate the apical impulse.
· Inspect jugular vein pulse.
Jarvis. (2016); Physical Examination and Health Assess-
· Examine for a carotid bruit.
ment, (Chap 19) 7th ed., p. 481
Which client should be further assessed for an ectopic
· A 24-year-old with shoulder and lower abdominal quad-
pregnancy?
rant pain.
· A 24-year-old with shoulder and lower abdominal quad-
A 24-year-old with sudden onset of lower abdominal
rant pain.
quadrant pain should be assessed for an ectopic preg-
· A 33-year-old with intermittent lower abdominal cramp-
,HESI MedSurg Exam Test Questions with Answers Graded A
ing. nancy. The pain can also be referred to the shoulder and
· A 20-year-old with fever and right lower abdominal col- may be associated with vaginal bleeding.
ic.
· A 40-year-old with jaundice and right lower abdominal Health Assessment for Nursing Practice, Wilson and Gid-
pain. dens. p.269
· Drinks a six pack of beer every day.
Drinking six beers every day is the dietary assessment
Which dietary assessment finding is most important for
finding most important for the nurse to address when
the nurse to address when caring for a client with diabetic
caring for a client with diabetic nephropathy. The usual
nephropathy?
can of beer is 12 ounces (355 mL). Clients with diabetes
· Drinks a six pack of beer every day.
are recommended to drink no more than 12 ounces of
· Enjoys a hamburger once a month.
beer per day because beer contains carbohydrates that
· Eats fortified breakfast cereal daily.
can create unhealthy fluctuations in blood glucose and
· Consumes beans and rice every day.
promote poor glucose control. Nephropathy is exacerbat-
ed by poor blood glucose control.
· Cough brought on by swallowing.
A cough brought on by swallowing is a sign of dysphagia,
Which assessment finding is of greatest concern to the which is a finding of particular concern in a client with
nurse who is caring for a client with stomatitis? stomatitis. Dysphagia can cause numerous problems, in-
· Cough brought on by swallowing. cluding airway obstruction, and should be reported to the
· Sore throat caused by speaking. healthcare provider immediately.
· Painful and dry oral cavity.
· Unintended weight loss. Ignatavicius, (2016). Medical-surgical nursing: Pa-
tient-centered collaborative care, eight edition., Ch. 53, p.
1100.
· Altered sexual response.
The nurse is teaching a client diagnosed with peripheral Peripheral arterial disease (PAD) is a cardiovascular con-
arterial disease. Which genitourinary system complication dition characterized by narrowing of the arteries and re-
should the nurse include in the teaching? duced blood flow to the extremities. PAD is known to alter
· Altered sexual response. the blood flow to the male's penis and is associated with
erectile dysfunction in men.
, HESI MedSurg Exam Test Questions with Answers Graded A
· Sterility.
Ignatavicius,. (2016). Medical-surgical nursing: Pa-
· Urinary incontinence.
tient-centered collaborative care, eight edition., Ch. 69, p.
· Decreased pelvic muscle tone.
1452.
A 40-year-old female client has a history of smoking. · Oral contraceptives.
Which finding should the nurse identify as a risk factor for Women older than 35 years old who smoke and take
myocardia infarction? oral contraceptives have an increased risk of myocardial
· Oral contraceptives. infarction or stroke.
· Senile osteopenia.
· Levothyroxine therapy. Ignatavicius, (2013). Medical-surgical nursing: Pa-
· Pernicious anemia. tient-centered collaborative care, 7th ed.., Ch. 35, p. 694.
· Decreased color perception.
A client has been told that there is cataract formation over
Decreased color perception occurs with cataract forma-
both eyes. Which finding should the nurse expect when
tion. Cataract formation is also associated with blurred
assessing the client?
vision and a global loss of vision so gradual that the client
· Decreased color perception.
may not be aware of it.
· Presence of floaters.
· Loss of central vision.
Ignatavicius, (2016). Medical-surgical nursing: Pa-
· Reduced peripheral vision.
tient-centered collaborative care, eight edition., Ch. 47,
· New onset of coughing.
Which assessment finding should most concern the nurse A pneumothorax (partial or complete lung collapse) is the
who is monitoring a client two hours after a thoracente- potential complication of a thoracentesis. Manifestations
sis? of a pneumothorax include new onset of a nagging cough,
· New onset of coughing. tachycardia, and an increased shallow respiration rate.
· Low resting heart rate.
· Distended neck veins. Ignatavicius,(2016). Medical-surgical nursing: Pa-
· Decreased shallow respirations. tient-centered collaborative care, eight edition., Ch. 27,
pp. 511-13.
While caring for a client who has esophageal varices,
· Monitor infusing IV fluids and any replacement blood
which nursing intervention is most important for the reg-
products.
istered nurse (RN) to implement?
Which assessment is most important for the nurse to · Respiratory ettort.
perform on a client who is hospitalized for Guillain-Barre Guillain-Barre syndrome causes paralysis or weakness
syndrome that is rapidly progressing? that typically starts at the feet and progresses upwards. As
· Respiratory ettort. the condition progresses, the nurse must ensure that the
· Unsteady gait. client is able to breathe ettectively.
· Intensity of pain.
· Ability to eat. Heuther, Understanding Pathophysiology, 6th ed. p. 412
· Collect a culture of the penile discharge.
Penile discharge with painful urination is commonly asso-
A male client comes into the clinic with a history of penile
ciated with gonorrhea. The nurse should collect a culture
discharge with painful, burning urination. Which action
of the penile discharge to determine the cause of these
should the nurse implement?
symptoms. The cause must be determined or confirmed
· Collect a culture of the penile discharge.
through culture to identify the organism and ensure ettec-
· Palpate the inguinal lymph nodes gently.
tive treatment.
· Observe for scrotal swelling and redness.
· Express the discharge to determine color.
Jarvis Physical Examination and Health Assessment, 6th
edition
· Check for a pulse deficit.
A client with history of atrial fibrillation is admitted to the
A client with a past history of atrial fibrillation may return to
telemetry unit with sudden onset of shortness of breath.
that rhythm. Any signs of atrial fibrillation, such as sudden
The nurse observes a new irregular heart rhythm and
onset shortness of breath, requires further investigation.
should perform which assessment at this time?
The nurse should assess this client for a pulse deficit
· Check for a pulse deficit.
because this condition occurs with atrial fibrillation.
· Palpate the apical impulse.
· Inspect jugular vein pulse.
Jarvis. (2016); Physical Examination and Health Assess-
· Examine for a carotid bruit.
ment, (Chap 19) 7th ed., p. 481
Which client should be further assessed for an ectopic
· A 24-year-old with shoulder and lower abdominal quad-
pregnancy?
rant pain.
· A 24-year-old with shoulder and lower abdominal quad-
A 24-year-old with sudden onset of lower abdominal
rant pain.
quadrant pain should be assessed for an ectopic preg-
· A 33-year-old with intermittent lower abdominal cramp-
,HESI MedSurg Exam Test Questions with Answers Graded A
ing. nancy. The pain can also be referred to the shoulder and
· A 20-year-old with fever and right lower abdominal col- may be associated with vaginal bleeding.
ic.
· A 40-year-old with jaundice and right lower abdominal Health Assessment for Nursing Practice, Wilson and Gid-
pain. dens. p.269
· Drinks a six pack of beer every day.
Drinking six beers every day is the dietary assessment
Which dietary assessment finding is most important for
finding most important for the nurse to address when
the nurse to address when caring for a client with diabetic
caring for a client with diabetic nephropathy. The usual
nephropathy?
can of beer is 12 ounces (355 mL). Clients with diabetes
· Drinks a six pack of beer every day.
are recommended to drink no more than 12 ounces of
· Enjoys a hamburger once a month.
beer per day because beer contains carbohydrates that
· Eats fortified breakfast cereal daily.
can create unhealthy fluctuations in blood glucose and
· Consumes beans and rice every day.
promote poor glucose control. Nephropathy is exacerbat-
ed by poor blood glucose control.
· Cough brought on by swallowing.
A cough brought on by swallowing is a sign of dysphagia,
Which assessment finding is of greatest concern to the which is a finding of particular concern in a client with
nurse who is caring for a client with stomatitis? stomatitis. Dysphagia can cause numerous problems, in-
· Cough brought on by swallowing. cluding airway obstruction, and should be reported to the
· Sore throat caused by speaking. healthcare provider immediately.
· Painful and dry oral cavity.
· Unintended weight loss. Ignatavicius, (2016). Medical-surgical nursing: Pa-
tient-centered collaborative care, eight edition., Ch. 53, p.
1100.
· Altered sexual response.
The nurse is teaching a client diagnosed with peripheral Peripheral arterial disease (PAD) is a cardiovascular con-
arterial disease. Which genitourinary system complication dition characterized by narrowing of the arteries and re-
should the nurse include in the teaching? duced blood flow to the extremities. PAD is known to alter
· Altered sexual response. the blood flow to the male's penis and is associated with
erectile dysfunction in men.
, HESI MedSurg Exam Test Questions with Answers Graded A
· Sterility.
Ignatavicius,. (2016). Medical-surgical nursing: Pa-
· Urinary incontinence.
tient-centered collaborative care, eight edition., Ch. 69, p.
· Decreased pelvic muscle tone.
1452.
A 40-year-old female client has a history of smoking. · Oral contraceptives.
Which finding should the nurse identify as a risk factor for Women older than 35 years old who smoke and take
myocardia infarction? oral contraceptives have an increased risk of myocardial
· Oral contraceptives. infarction or stroke.
· Senile osteopenia.
· Levothyroxine therapy. Ignatavicius, (2013). Medical-surgical nursing: Pa-
· Pernicious anemia. tient-centered collaborative care, 7th ed.., Ch. 35, p. 694.
· Decreased color perception.
A client has been told that there is cataract formation over
Decreased color perception occurs with cataract forma-
both eyes. Which finding should the nurse expect when
tion. Cataract formation is also associated with blurred
assessing the client?
vision and a global loss of vision so gradual that the client
· Decreased color perception.
may not be aware of it.
· Presence of floaters.
· Loss of central vision.
Ignatavicius, (2016). Medical-surgical nursing: Pa-
· Reduced peripheral vision.
tient-centered collaborative care, eight edition., Ch. 47,
· New onset of coughing.
Which assessment finding should most concern the nurse A pneumothorax (partial or complete lung collapse) is the
who is monitoring a client two hours after a thoracente- potential complication of a thoracentesis. Manifestations
sis? of a pneumothorax include new onset of a nagging cough,
· New onset of coughing. tachycardia, and an increased shallow respiration rate.
· Low resting heart rate.
· Distended neck veins. Ignatavicius,(2016). Medical-surgical nursing: Pa-
· Decreased shallow respirations. tient-centered collaborative care, eight edition., Ch. 27,
pp. 511-13.
While caring for a client who has esophageal varices,
· Monitor infusing IV fluids and any replacement blood
which nursing intervention is most important for the reg-
products.
istered nurse (RN) to implement?
