N314 MED-SURG HESI NEWEST EXAM 2025
WITH MULTIPLE CHOICE OF QUESTIONS AND
ACTUAL CORRECT ANSWERS
Which intervention should the nurse implement for a female client diagnosed
with pelvic relaxation disorder?
A) Describe proper administration of vaginal suppositories and cream.
B) Encourage the client to perform Kegel exercises 10 times daily.
C) Explain the importance of using condoms when having sexual intercourse.
D) Discuss the importance of keeping a diary of daily temperature and
menstrual cycle events. - answer-B) Encourage the client to perform Kegel
exercises 10 times daily.
Feedback: CORRECT
Pelvic relaxation disorders are structural disorders resulting from weakening
support tissues of the pelvis. (B) helps strengthen the surrounding muscles.
Medication will not help correct a cystocele, rectocele, or uterine prolapse (A).
(C) will help prevent sexually transmitted diseases. (D) is used to identify fertile
times during the woman's menstrual cycle.
A client has a staging procedure for cancer of the breast and ask the nurse
which type of breast cancer has the poorest prognosis. Which information
should the nurse offer the client?
A) Stage II.
B) Invasive infiltrating ductal carcinoma.
,C) T1N0M0.
D) Inflammatory with peau d'orange. - answer-D) Inflammatory with peau
d'orange.
Feedback:
Inflammatory breast cancer, which has a thickened appearance like an orange
peel (peau d'orange), is the most aggressive form of breast malignancies (D).
Staging classifies cancer by the extension or spread of the disease, and (A)
indicates limited local spread. (B) indicates cancer cells have spread from the
ducts into the surrounding breast tissue only. TNM classification is used to
indicate the extent of the disease process according to tumor size, regional
spread lymph nodes involvement, and metastasis, and (C) indicates early
cancer with small in situ involvement, no lymph node involvement, and no
distant metastases.
A client has a staging procedure for cancer of the breast and ask the nurse
which type of breast cancer has the poorest prognosis. Which information
should the nurse offer the client? - answer-Inflammatory with peau d'orange.
A client has been taking oral corticosteroids for the past five days because of
seasonal allergies. Which assessment finding is of most concern to the nurse? -
answer-Purulent sputum.
A client has taken steroids for 12 years to help manage chronic obstructive
pulmonary disease (COPD). When making a home visit, which nursing function
is of greatest importance to this client? Assess the client's - answer-
temperature.
,A 57-year-old male client is scheduled to have a stress-thallium test the
following morning and is NPO after midnight. At 0130, he is agitated because
he cannot eat and is demanding food. Which response is best for the nurse to
provide to this client? - answer-The test you are having tomorrow requires that
you have nothing by mouth tonight.
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. - answer-B) Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
Feedback:
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 prevent further bone loss (B). Osteoporosis can be
managed with conservative therapy, such as bone metabolism regulators and
estrogen replacement therapy (ERT) to improve bone density, but it is not a
genetic disease (A). Although ERT is effective in managing osteoporosis, an
increased risk for cancer and heart disease should be considered for individual
clients. Corticosteroid therapy promotes bone resorption and is
counterproductive in maintaining or increasing bone density (D).
, A 32-year-old female client complains of severe abdominal pain each month
before her menstrual period, painful intercourse, and painful defecation.
Which additional history should the nurse obtain that is consistent with the
client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. - answer-B) Inability to get pregnant.
Feedback:
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common
symptoms of endometriosis, which is the abnormal displacement of
endometrial tissue in the dependent areas of the pelvic peritoneum. A history
of infertility (B) is another common finding associated with endometriosis.
Although (A, C, and D) are common, nonspecific gynecological complaints, the
most common complaints of the client with endometriosis are pain and
infertility.
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. - answer-B) Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
WITH MULTIPLE CHOICE OF QUESTIONS AND
ACTUAL CORRECT ANSWERS
Which intervention should the nurse implement for a female client diagnosed
with pelvic relaxation disorder?
A) Describe proper administration of vaginal suppositories and cream.
B) Encourage the client to perform Kegel exercises 10 times daily.
C) Explain the importance of using condoms when having sexual intercourse.
D) Discuss the importance of keeping a diary of daily temperature and
menstrual cycle events. - answer-B) Encourage the client to perform Kegel
exercises 10 times daily.
Feedback: CORRECT
Pelvic relaxation disorders are structural disorders resulting from weakening
support tissues of the pelvis. (B) helps strengthen the surrounding muscles.
Medication will not help correct a cystocele, rectocele, or uterine prolapse (A).
(C) will help prevent sexually transmitted diseases. (D) is used to identify fertile
times during the woman's menstrual cycle.
A client has a staging procedure for cancer of the breast and ask the nurse
which type of breast cancer has the poorest prognosis. Which information
should the nurse offer the client?
A) Stage II.
B) Invasive infiltrating ductal carcinoma.
,C) T1N0M0.
D) Inflammatory with peau d'orange. - answer-D) Inflammatory with peau
d'orange.
Feedback:
Inflammatory breast cancer, which has a thickened appearance like an orange
peel (peau d'orange), is the most aggressive form of breast malignancies (D).
Staging classifies cancer by the extension or spread of the disease, and (A)
indicates limited local spread. (B) indicates cancer cells have spread from the
ducts into the surrounding breast tissue only. TNM classification is used to
indicate the extent of the disease process according to tumor size, regional
spread lymph nodes involvement, and metastasis, and (C) indicates early
cancer with small in situ involvement, no lymph node involvement, and no
distant metastases.
A client has a staging procedure for cancer of the breast and ask the nurse
which type of breast cancer has the poorest prognosis. Which information
should the nurse offer the client? - answer-Inflammatory with peau d'orange.
A client has been taking oral corticosteroids for the past five days because of
seasonal allergies. Which assessment finding is of most concern to the nurse? -
answer-Purulent sputum.
A client has taken steroids for 12 years to help manage chronic obstructive
pulmonary disease (COPD). When making a home visit, which nursing function
is of greatest importance to this client? Assess the client's - answer-
temperature.
,A 57-year-old male client is scheduled to have a stress-thallium test the
following morning and is NPO after midnight. At 0130, he is agitated because
he cannot eat and is demanding food. Which response is best for the nurse to
provide to this client? - answer-The test you are having tomorrow requires that
you have nothing by mouth tonight.
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. - answer-B) Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
Feedback:
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 prevent further bone loss (B). Osteoporosis can be
managed with conservative therapy, such as bone metabolism regulators and
estrogen replacement therapy (ERT) to improve bone density, but it is not a
genetic disease (A). Although ERT is effective in managing osteoporosis, an
increased risk for cancer and heart disease should be considered for individual
clients. Corticosteroid therapy promotes bone resorption and is
counterproductive in maintaining or increasing bone density (D).
, A 32-year-old female client complains of severe abdominal pain each month
before her menstrual period, painful intercourse, and painful defecation.
Which additional history should the nurse obtain that is consistent with the
client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. - answer-B) Inability to get pregnant.
Feedback:
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common
symptoms of endometriosis, which is the abnormal displacement of
endometrial tissue in the dependent areas of the pelvic peritoneum. A history
of infertility (B) is another common finding associated with endometriosis.
Although (A, C, and D) are common, nonspecific gynecological complaints, the
most common complaints of the client with endometriosis are pain and
infertility.
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. - answer-B) Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
