HESI 101- MED SURGE HESI RN 2 LATEST
VERSIONS 2024-2025 WITH 55 QUESTIONS
AND CORRECT ANSWERS|A GRADE
The nurse is assessing a client with bacterial meningitis. Which
assessment finding indicates the client may have developed septic
emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
D. 3+ pitting edema of the lower extremities.
A. Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in the small arterioles of the
extremities, causing a decrease in circulation to the hands which may lead to
gangrene.
A 77-year-old female client is admitted to the hospital. She is confused,
has no appetite, is nauseated and vomiting, and is complaining of a
headache. Her pulse rate is 43 beats per minute. It is most important for
the nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis.
D. Takes digitalis.
Although it is important to obtain a complete medication history, the symptoms
described are classic for digitalis toxicity, and assessment of this problem should be
made promptly. Elderly persons are particularly susceptible to digitalis intoxication
which manifests itself in such symptoms as anorexia, nausea, vomiting, diarrhea,
headache, and fatigue.
A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective
treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
C. Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
, D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing
exercise can help prevent further bone loss.
A client with heart disease is on a continuous telemetry monitor and has
developed sinus bradycardia. In determining the possible cause of the
bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
D. Dobutamine.
A. Propanolol.
Propanolol is a beta adrenergic blocking agent, which causes decreased heart rate
and decreased contractility.
The nurse assesses a client with advanced cirrhosis of the liver for signs of
hepatic encephalopathy. Which finding would the nurse consider an
indication of progressive hepatic encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
C. Decreased bowel sounds.
D. Difficulty in handwriting.
D. Difficulty in handwriting.
A daily record in handwriting may provide evidence of progression of hepatic
encephalopathy leading to coma.
An older adult male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area on
the calf of his right leg which is warm to the touch and suspects it might
be thrombophlebitis. Which type of pain would further confirm this
suspicion?
A. Pain in the calf awakening him from a sound sleep.
B. Calf pain on exertion which stops when standing in one place.
C. Pain in the calf upon exertion which is relieved by rest and elevating
the extremity.
VERSIONS 2024-2025 WITH 55 QUESTIONS
AND CORRECT ANSWERS|A GRADE
The nurse is assessing a client with bacterial meningitis. Which
assessment finding indicates the client may have developed septic
emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
D. 3+ pitting edema of the lower extremities.
A. Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in the small arterioles of the
extremities, causing a decrease in circulation to the hands which may lead to
gangrene.
A 77-year-old female client is admitted to the hospital. She is confused,
has no appetite, is nauseated and vomiting, and is complaining of a
headache. Her pulse rate is 43 beats per minute. It is most important for
the nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis.
D. Takes digitalis.
Although it is important to obtain a complete medication history, the symptoms
described are classic for digitalis toxicity, and assessment of this problem should be
made promptly. Elderly persons are particularly susceptible to digitalis intoxication
which manifests itself in such symptoms as anorexia, nausea, vomiting, diarrhea,
headache, and fatigue.
A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective
treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
C. Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
, D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
Post-menopausal females are at risk for osteoporosis due to the cessation of
estrogen secretion, but a regimen including calcium, vitamin D, and weight-bearing
exercise can help prevent further bone loss.
A client with heart disease is on a continuous telemetry monitor and has
developed sinus bradycardia. In determining the possible cause of the
bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
D. Dobutamine.
A. Propanolol.
Propanolol is a beta adrenergic blocking agent, which causes decreased heart rate
and decreased contractility.
The nurse assesses a client with advanced cirrhosis of the liver for signs of
hepatic encephalopathy. Which finding would the nurse consider an
indication of progressive hepatic encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
C. Decreased bowel sounds.
D. Difficulty in handwriting.
D. Difficulty in handwriting.
A daily record in handwriting may provide evidence of progression of hepatic
encephalopathy leading to coma.
An older adult male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area on
the calf of his right leg which is warm to the touch and suspects it might
be thrombophlebitis. Which type of pain would further confirm this
suspicion?
A. Pain in the calf awakening him from a sound sleep.
B. Calf pain on exertion which stops when standing in one place.
C. Pain in the calf upon exertion which is relieved by rest and elevating
the extremity.
