HESI PN MED SURG EXAM 2026 COMPLETE
TEST BANK FOUR HUNDRED PLUS
QUESTIONS AND ANSWERS VERIFIED
EXPERT NGN STYLE SCENARIOS GRADED
A+
⩥ Which clinical manifestation further supports an assessment of a left-
sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia.
Answer: D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and
understanding, as well as difficulty reading and writing. Symptoms vary
from person to person. Aphasia may occur secondary to any brain injury
involving the left hemisphere. Visual field deficits, spatial-perceptual
deficits, and paresthsia of the left side usually occur with right-sided
brain attack.
,⩥ When preparing a patient for a noncontrast computed tomography
(CT) scan STAT, what nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout
the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
Answer: B) Explain that the client will not be able to move her head
throughout the CT scan.
Rationale: Because head motion will distort the images, Nancy will have
to remain still throughout the procedure. Allergies to iodine is important
if contrast dye is being used for the CT scan. Premedicating the client to
decrease pain prior to the procedure is unnecessary because CT scanning
is a noninvasive and painless procedure. Providing an explanation of
relaxation exercises prior to the procedure is a worthwhile intervention
to decrease anxiety but is not of highest priority.
⩥ A neurologist prescribes a magnetic resonance imaging (MRI) of the
head STAT for a patient. Which data warrants immediate intervention by
the nurse concerning this diagnostic test?
A) Elevated blood pressure.
B) Allergy to shell fish.
,C) Right hip replacement.
D) History of atrial fibrillation..
Answer: C) Right hip replacement.
The magnetic field generated by the MRI is so strong that metal-
containing items are strongly attracted to the magnet. Because the hip
joint is made of metal, a lead shield must be used during the procedure.
Elevated blood pressure, an allergy to shell fish, and a history of atrial
fibrillation would not affect the MRI.
⩥ A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand
what a brain attack is. The healthcare provider told me my mother is in
serious condition and they are going to run several tests. I just don't
know what is going on. What happened to my mother?" What is the best
response by the nurse?
A) "I am sorry, but according to the Health Insurance Portability and
Accounting Act (HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has
been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about
your mother's serious condition.".
Answer: B) "Your mother has had a stroke, and the blood supply to the
brain has been blocked."
, Rationale: The nurse can discuss what a diagnosis means. Nancy is
unable to make decisions, so the next of kin, her daughter, Gail, needs
sufficient information to make informed decisions. The nurse has the
knowledge, and the responsibility, to explain Nancy's condition to Gail.
The nurse should give facts first, and then address her feelings after the
information is provided.
⩥ What is the normal range for cardiac output?.
Answer: The normal range for cardiac output to ensure cerebral blood
flow and oxygen delivery is 4 to 8 L/min.
⩥ A client was admitted with the diagnosis of a brain attack. Their
symptoms began 24 hours before being admitted. Why would this client
not be a candidate for for thrombolytic therapy?.
Answer: Thrombolytic therapy is contraindicated in clients with
symptom onset longer than 3 hours prior to admission. This client had
symptoms for 24 hours before being brought to the medical center
⩥ What are plate guards?.
Answer: Plate guards prevent food from being pushed off the plate.
Using plate guards and other assistive devices will encourage
independence in a client with a self-care deficit.
TEST BANK FOUR HUNDRED PLUS
QUESTIONS AND ANSWERS VERIFIED
EXPERT NGN STYLE SCENARIOS GRADED
A+
⩥ Which clinical manifestation further supports an assessment of a left-
sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia.
Answer: D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and
understanding, as well as difficulty reading and writing. Symptoms vary
from person to person. Aphasia may occur secondary to any brain injury
involving the left hemisphere. Visual field deficits, spatial-perceptual
deficits, and paresthsia of the left side usually occur with right-sided
brain attack.
,⩥ When preparing a patient for a noncontrast computed tomography
(CT) scan STAT, what nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout
the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
Answer: B) Explain that the client will not be able to move her head
throughout the CT scan.
Rationale: Because head motion will distort the images, Nancy will have
to remain still throughout the procedure. Allergies to iodine is important
if contrast dye is being used for the CT scan. Premedicating the client to
decrease pain prior to the procedure is unnecessary because CT scanning
is a noninvasive and painless procedure. Providing an explanation of
relaxation exercises prior to the procedure is a worthwhile intervention
to decrease anxiety but is not of highest priority.
⩥ A neurologist prescribes a magnetic resonance imaging (MRI) of the
head STAT for a patient. Which data warrants immediate intervention by
the nurse concerning this diagnostic test?
A) Elevated blood pressure.
B) Allergy to shell fish.
,C) Right hip replacement.
D) History of atrial fibrillation..
Answer: C) Right hip replacement.
The magnetic field generated by the MRI is so strong that metal-
containing items are strongly attracted to the magnet. Because the hip
joint is made of metal, a lead shield must be used during the procedure.
Elevated blood pressure, an allergy to shell fish, and a history of atrial
fibrillation would not affect the MRI.
⩥ A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand
what a brain attack is. The healthcare provider told me my mother is in
serious condition and they are going to run several tests. I just don't
know what is going on. What happened to my mother?" What is the best
response by the nurse?
A) "I am sorry, but according to the Health Insurance Portability and
Accounting Act (HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has
been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about
your mother's serious condition.".
Answer: B) "Your mother has had a stroke, and the blood supply to the
brain has been blocked."
, Rationale: The nurse can discuss what a diagnosis means. Nancy is
unable to make decisions, so the next of kin, her daughter, Gail, needs
sufficient information to make informed decisions. The nurse has the
knowledge, and the responsibility, to explain Nancy's condition to Gail.
The nurse should give facts first, and then address her feelings after the
information is provided.
⩥ What is the normal range for cardiac output?.
Answer: The normal range for cardiac output to ensure cerebral blood
flow and oxygen delivery is 4 to 8 L/min.
⩥ A client was admitted with the diagnosis of a brain attack. Their
symptoms began 24 hours before being admitted. Why would this client
not be a candidate for for thrombolytic therapy?.
Answer: Thrombolytic therapy is contraindicated in clients with
symptom onset longer than 3 hours prior to admission. This client had
symptoms for 24 hours before being brought to the medical center
⩥ What are plate guards?.
Answer: Plate guards prevent food from being pushed off the plate.
Using plate guards and other assistive devices will encourage
independence in a client with a self-care deficit.
