HESI case studies EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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HESI RN Case Studies Med Surg Exam(Rationales) 2026
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A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (11F01) zm zm




QUESTION 1 zm




An adult client who is hospitalized after surgery reports sudden onset of chest pain a
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nd dyspnea. The client appears anxious, restless, and mildly cyanotic. The nurse shoul
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d further assess the client for which condition?
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A. Pulmonary embolism.
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B. Heart failure.
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C. Tuberculosis.
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D. Bronchitis.
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ANSWER

A. Pulmonary embolism. Post-
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surgical clients are at an increased risk for deep vein thrombosis (DVT), which may result in pulmo
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nary embolism if the clot breaks off and travels to the lungs. Signs and symptoms of pulmonary em
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bolism include chest pain, dyspnea, anxiety, restlessness, and - in severe cases - cyanosis.
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QUESTION 2 zm




Which information should the nurse obtain when performing an initial assessment of
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a client who presents to the emergency department with a painful ankle injury? (Selec
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t all that apply.)
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A. Quality of the pain.
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B. Signs of inflammation.
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C. Ankle range of motion.
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D. Muscle strength testing.
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E. Visible deformities of the joint.
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ANSWER

A,B,C,E
A. Quality of the pain.
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B. Signs of inflammation.
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C. Ankle range of motion.
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, E. Visible deformities of the joint. Initial assessment of a joint injury is performed to determine the
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extent of the damage. The nurse's initial assessment of a painful ankle injury should include pain qu
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ality, the presence of deformities, evidence of inflammation, and range of motion.
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QUESTION 3 zm




Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
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A. Joint pain is worse in the morning and involves symmetric joints.
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B. Joint pain is better in the morning and worsens throughout the day.
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C. Joint pain is consistent throughout the day and is relieved by pain medication.
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D. Joint pain is worse during the day and involves unilateral joints.
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ANSWER

A. Joint pain is worse in the morning and involves symmetric joints. Rheumatoid arthritis (RA) is an
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autoimmune disease that causes joint pain and swelling. RA is characterized by pain that is worse
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when arising and involves symmetric joints.
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QUESTION 4 zm




Which physical assessment finding should the nurse anticipate in a client with long-
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term gastroesophagealreflux disease (GERD)?
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A. Hoarseness.
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B. Dry mouth.
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C. Mouth ulcers.
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D. Weight loss.
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ANSWER

A. Hoarseness. Dyspepsia and regurgitation are the main symptoms of gastroesophageal reflux diseas
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e (GERD); however, hoarseness is one of the most common long-
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term symptoms of GERD due to the irritation of the reflux of gastric secretions.
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QUESTION 5 zm




A client presents with chronic venous insufficiency. Which assessment finding should t
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he nurse anticipate?
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A. Bilateral lower leg stasis dermatitis.
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B. Clubbing of fingers and toes.
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C. Intermittent claudication.
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D. Peripheral cyanosis.
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ANSWER

A. Bilateral lower leg stasis dermatitis. Clients who suffer from chroninc venous insufficiency often d
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evelop statsis dermatitis in the lower extremities. Statis dermatitis appear as brownish-
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red discoloration on the lower extremities at the ankles which can develop into stasis ulcers due to
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the pooling of the venous blood flow back to the heart.
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