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Hesi Med Surg 1 2026| Actual Latest
Exam With Correct Solutions
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should
the nurse inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required - correct-answer -B.
Just prior to tube feeding
The cuff should be inflated before the feeding to block the trachea and prevent
food from entering (B) if oral feedings are started while a cuffed tracheostomy
tube is in place. It should remain inflated throughout the feeding to prevent
aspiration of food into the respiratory system. (A and D) place the client at risk for
aspiration. (C) places the client at risk for tracheal wall necrosis.
,2
The nurse is caring for a client with a fractured right elbow. Which assessment
finding has the highest priority and requires immediate intervention?
A.
Ecchymosis over the right elbow area
B.
Deep unrelenting pain in the right arm
C.
An edematous right elbow
D.
The presence of crepitus in the right elbow - correct-answer -B.
Deep unrelenting pain in the right arm
Rationale:
Compartment syndrome is a condition involving increased pressure and
constriction of the nerves and vessels within an anatomic compartment, causing
pain uncontrolled by opioids, and neurovascular compromise (B). (A) is an
expected finding. (C) related to compartment syndrome cannot be seen, and any
visible edema is an expected finding related to the injury. (D) is an expected
finding.
Based on the clinical manifestations of Cushing's syndrome, which nursing
intervention would be appropriate for a client who is newly diagnosed with
Cushing's syndrome?
,3
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium.
C.
Encourage adequate rest between activities.
D.
Offer the client a sodium-enriched menu. - correct-answer -A.
Monitor blood glucose levels daily.
Rationale:
Cushing's syndrome results from a hypersecretion of glucocorticoids in the
adrenal cortex. Clients with Cushing's syndrome often develop diabetes mellitus.
Monitoring of serum glucose levels (A) assesses for increased blood glucose levels
so that treatment can begin early. A common finding in Cushing's syndrome is
generalized edema. Although potassium is needed, it is generally obtained from
food intake, not by offering potassium-enhanced fluids (B). Fatigue is usually not
an overwhelming factor in Cushing's syndrome, so an emphasis on the need for
rest (C) is not indicated A low-calorie, low-carbohydrate, low-sodium diet is not
recommended (D).
Which description of symptoms is characteristic of a client diagnosed with
trigeminal neuralgia (tic douloureux)?
A.
Tinnitus, vertigo, and hearing difficulties
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B.
Sudden, stabbing, severe pain over the lip and chin
C.
Unilateral facial weakness and paralysis
D.
Difficulty in chewing, talking, and swallowing - correct-answer -B.
Sudden, stabbing, severe pain over the lip and chin
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
(cranial V) (B). (A) would be characteristic of Ménière's syndrome (cranial nerve
VIII). (C) would be characteristic of Bell's palsy (cranial nerve VII). (D) would be
characteristic of disorders of the hypoglossal (cranial nerve XII).
During assessment of a client in the intensive care unit, the nurse notes that the
client's breath sounds are clear on auscultation, but jugular vein distention and
muffled heart sounds are present. Which intervention should the nurse
implement?
A.
Prepare the client for a pericardial tap.
B.
Administer intravenous furosemide (Lasix).
C.
Assist the client to cough and breathe deeply.
Hesi Med Surg 1 2026| Actual Latest
Exam With Correct Solutions
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should
the nurse inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required - correct-answer -B.
Just prior to tube feeding
The cuff should be inflated before the feeding to block the trachea and prevent
food from entering (B) if oral feedings are started while a cuffed tracheostomy
tube is in place. It should remain inflated throughout the feeding to prevent
aspiration of food into the respiratory system. (A and D) place the client at risk for
aspiration. (C) places the client at risk for tracheal wall necrosis.
,2
The nurse is caring for a client with a fractured right elbow. Which assessment
finding has the highest priority and requires immediate intervention?
A.
Ecchymosis over the right elbow area
B.
Deep unrelenting pain in the right arm
C.
An edematous right elbow
D.
The presence of crepitus in the right elbow - correct-answer -B.
Deep unrelenting pain in the right arm
Rationale:
Compartment syndrome is a condition involving increased pressure and
constriction of the nerves and vessels within an anatomic compartment, causing
pain uncontrolled by opioids, and neurovascular compromise (B). (A) is an
expected finding. (C) related to compartment syndrome cannot be seen, and any
visible edema is an expected finding related to the injury. (D) is an expected
finding.
Based on the clinical manifestations of Cushing's syndrome, which nursing
intervention would be appropriate for a client who is newly diagnosed with
Cushing's syndrome?
,3
A.
Monitor blood glucose levels daily.
B.
Increase intake of fluids high in potassium.
C.
Encourage adequate rest between activities.
D.
Offer the client a sodium-enriched menu. - correct-answer -A.
Monitor blood glucose levels daily.
Rationale:
Cushing's syndrome results from a hypersecretion of glucocorticoids in the
adrenal cortex. Clients with Cushing's syndrome often develop diabetes mellitus.
Monitoring of serum glucose levels (A) assesses for increased blood glucose levels
so that treatment can begin early. A common finding in Cushing's syndrome is
generalized edema. Although potassium is needed, it is generally obtained from
food intake, not by offering potassium-enhanced fluids (B). Fatigue is usually not
an overwhelming factor in Cushing's syndrome, so an emphasis on the need for
rest (C) is not indicated A low-calorie, low-carbohydrate, low-sodium diet is not
recommended (D).
Which description of symptoms is characteristic of a client diagnosed with
trigeminal neuralgia (tic douloureux)?
A.
Tinnitus, vertigo, and hearing difficulties
, 4
B.
Sudden, stabbing, severe pain over the lip and chin
C.
Unilateral facial weakness and paralysis
D.
Difficulty in chewing, talking, and swallowing - correct-answer -B.
Sudden, stabbing, severe pain over the lip and chin
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
(cranial V) (B). (A) would be characteristic of Ménière's syndrome (cranial nerve
VIII). (C) would be characteristic of Bell's palsy (cranial nerve VII). (D) would be
characteristic of disorders of the hypoglossal (cranial nerve XII).
During assessment of a client in the intensive care unit, the nurse notes that the
client's breath sounds are clear on auscultation, but jugular vein distention and
muffled heart sounds are present. Which intervention should the nurse
implement?
A.
Prepare the client for a pericardial tap.
B.
Administer intravenous furosemide (Lasix).
C.
Assist the client to cough and breathe deeply.
