©BRAINBARTER 2024/2025
N491 Med-Surg HESI Practice Exam
Questions With 100% Verified Answers.
Which intervention should the nurse implement for a female client diagnosed with pelvic
relaxation disorder?
A. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events.
B. Describe proper administration of vaginal suppositories and cream.
C. Encourage the client to perform Kegel exercises 10 times daily.
D. Explain the importance of using condoms when having sexual intercourse. - answer✔C.
Encourage the client to perform Kegel exercises 10 times daily.
Pelvic relaxation disorders are structural disorders resulting from weakening support tissues of
the pelvis. Kegel exercises help strengthen the surrounding muscles.
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most
important for the nurse to respond to first?
A. Peripheral neuropathy.
B. Potassium 6.0 mEq.
, ©BRAINBARTER 2024/2025
C. Uremic fetor.
D. Daily urine output of 400 ml. - answer✔B. Potassium 6.0 mEq.
During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the
nurse identify when planning care for this client?
A. Muscle weakness.
B. A decline in cognitive function.
C. Abnormal involuntary movements.
D. Urinary frequency. - answer✔A. Muscle weakness.
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
A. Restrict intake of high protein foods.
B. Schedule extra rest periods.
C. Stay out of direct sunlight.
D. Go to the emergency room immediately. - answer✔B. Schedule extra rest periods.
The nurse is assessing a client's laboratory values following administration of chemotherapy.
Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
A. Oxygen saturation of 90%.
, ©BRAINBARTER 2024/2025
B. Serum calcium of 5 mg/dL.
C. Hemoglobin of 10 g/dL.
D. Serum PTT of 10 seconds. - answer✔B. Serum calcium of 5 mg/dL
TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
A. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet.
B. He comments on the community service announcements about preventing complications
associated with diabetes.
C. He is provided with the most current information about the dangers of untreated diabetes.
D. He visits his diabetic brother who just had surgery to amputate an infected foot. - answer✔D.
He visits his diabetic brother who just had surgery to amputate an infected foot.
The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years.
Which symptoms would this client most likely exhibit?
A. Shuffling gait, masklike facial expression, and tremors of the head.
B. Numbness of the extremities, loss of balance, and visual disturbances.
, ©BRAINBARTER 2024/2025
C. Extreme muscular weakness, easy fatigability, and ptosis.
D. Loss of short-term memory, facial tics and grimaces, and constant writhing movements. -
answer✔A. Shuffling gait, masklike facial expression, and tremors of the head.
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. Which
initial medication should the nurse anticipate administering to the client?
A. Procainamide.
B. Phenytoin.
C. Digoxin.
D. Xylocaine. - answer✔C. Digoxin.
Which assessment finding by the nurse during a client's clinical breast examination requires
follow-up?
A. Newly retracted nipple.
B. Whitish nipple discharge.
C. A thickened area where the skin folds under the breast.
D. Tender lumpiness noted bilaterally throughout the breasts. - answer✔A. Newly retracted
nipple.
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care provider
(HCP) has prescribed peak and trough levels. Which is the most important action for the nurse to
implement next?
N491 Med-Surg HESI Practice Exam
Questions With 100% Verified Answers.
Which intervention should the nurse implement for a female client diagnosed with pelvic
relaxation disorder?
A. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events.
B. Describe proper administration of vaginal suppositories and cream.
C. Encourage the client to perform Kegel exercises 10 times daily.
D. Explain the importance of using condoms when having sexual intercourse. - answer✔C.
Encourage the client to perform Kegel exercises 10 times daily.
Pelvic relaxation disorders are structural disorders resulting from weakening support tissues of
the pelvis. Kegel exercises help strengthen the surrounding muscles.
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most
important for the nurse to respond to first?
A. Peripheral neuropathy.
B. Potassium 6.0 mEq.
, ©BRAINBARTER 2024/2025
C. Uremic fetor.
D. Daily urine output of 400 ml. - answer✔B. Potassium 6.0 mEq.
During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the
nurse identify when planning care for this client?
A. Muscle weakness.
B. A decline in cognitive function.
C. Abnormal involuntary movements.
D. Urinary frequency. - answer✔A. Muscle weakness.
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
A. Restrict intake of high protein foods.
B. Schedule extra rest periods.
C. Stay out of direct sunlight.
D. Go to the emergency room immediately. - answer✔B. Schedule extra rest periods.
The nurse is assessing a client's laboratory values following administration of chemotherapy.
Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
A. Oxygen saturation of 90%.
, ©BRAINBARTER 2024/2025
B. Serum calcium of 5 mg/dL.
C. Hemoglobin of 10 g/dL.
D. Serum PTT of 10 seconds. - answer✔B. Serum calcium of 5 mg/dL
TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
A. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet.
B. He comments on the community service announcements about preventing complications
associated with diabetes.
C. He is provided with the most current information about the dangers of untreated diabetes.
D. He visits his diabetic brother who just had surgery to amputate an infected foot. - answer✔D.
He visits his diabetic brother who just had surgery to amputate an infected foot.
The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years.
Which symptoms would this client most likely exhibit?
A. Shuffling gait, masklike facial expression, and tremors of the head.
B. Numbness of the extremities, loss of balance, and visual disturbances.
, ©BRAINBARTER 2024/2025
C. Extreme muscular weakness, easy fatigability, and ptosis.
D. Loss of short-term memory, facial tics and grimaces, and constant writhing movements. -
answer✔A. Shuffling gait, masklike facial expression, and tremors of the head.
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. Which
initial medication should the nurse anticipate administering to the client?
A. Procainamide.
B. Phenytoin.
C. Digoxin.
D. Xylocaine. - answer✔C. Digoxin.
Which assessment finding by the nurse during a client's clinical breast examination requires
follow-up?
A. Newly retracted nipple.
B. Whitish nipple discharge.
C. A thickened area where the skin folds under the breast.
D. Tender lumpiness noted bilaterally throughout the breasts. - answer✔A. Newly retracted
nipple.
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care provider
(HCP) has prescribed peak and trough levels. Which is the most important action for the nurse to
implement next?
