5/1/25, 12:36 PM Med Surg HESI REVIEW
MED SURG HESI REVIEW COMPREHENSIVE TEST BANK
ACTUAL EXAM COMPLETE VERSION WITH UPDATED
QUESTIONS AND ACCURATE DETAILED ANSWERS WITH
RATIONALES \\VERIFIED ANSWERS \\GRADED A+
B. A nurse is providing discharge teaching to the family of a client
who has a new
Protect the client's head
diagnosis of a seizure disorder. The nurse should instruct the
client's family to take which of the following actions first in the
The nurse should apply the event of a seizure?
A.
safety and risk reduction
Reorient the client B.
priority-setting framework,
Protect the client's head C.
which assigns priority to the Loosen constrictive clothing D.
factor or situation Turn the client onto his side
posing the greatest safety
risk to the client. When
there are several risks to
client safety, the one
posing the greatest threat
is the highest priority. The
nurse should use
Maslow's Hierarchy of
Needs, the ABC priority-
setting framework, and/or
nursing knowledge to
identify which risk poses
the greatest threat to the
client. This client is at
greatest risk for injury from
hitting his head; therefore,
the first action is to protect
the
client's head from injury
/ 1/105
,5/1/25, 1:20 PM MED SURG REVIEW
C) Episodes of vaginal bleeding.
Which postmenopausal Rationale: Postmenopausal vaginal bleeding (C) may be an
indication of endometrial cancer, which should be reported to the
client's complaint should healthcare provider. Compared to a new-
the nurse refer to the onset of a single lump, breasts that feel lumpy (A) overall may
healthcare provider? be a normal variant or a finding consistent with nonmalignant
A) Breasts feel lumpy when
fibrocystic disease. Up to 80% of women experience (B),
palpated. depending on sexual stimulation or hormonal levels, and is no
B) History of white nipple longer recommended as a reportable symptom when discovered
discharge. during breast self-exam (BSE). The client may need further
C) Episodes of vaginal
teaching concerning (D), a disturbing symptom,
bleeding. but it is not as important as (C).
D) Excessive diaphoresis
occurs at night.
During an interview with a C) Insurance coverage of employees is less expensive to
client planning elective employers.
Rationale: The financial advantage of (C) is the feature
surgery, the client asks the
of a PPO that is most relevant to the average
nurse, "What is the
consumer. The nurse must have knowledge about
advantage of having a
PPOs, which
preferred provider
provide discounted rates to large employers who provide
organization insurance insurance coverage for
plan?" Which response is their employees. In return, the insurance company
best for the nurse to receives a large pool of clients for their facilities. (A, B,
provide? and D) are not accurate representations of the PPO.
A) Long-term relationships
with healthcare providers
are more likely.
B) There are fewer
healthcare providers to
choose from than in an
HMO plan.
C) Insurance coverage of
employees is less
expensive to employers.
D) An individual can become a
member of
a PPO without belonging to a
group.
/ 2/105
,5/1/25, 1:20 PM MED SURG REVIEW
A client has taken steroids C) temperature.
for 12 years to help Rationale: It is very important to check the client's
manage chronic temperature (C). Infection is the most common factor
obstructive precipitating respiratory distress. Clients with COPD
pulmonary disease (COPD). who are on maintenance doses of corticosteroids are
When making a home visit, particularly predisposed to infection. (A and B) are
which nursing function is important data for baseline and ongoing assessment,
of but they are not as important as temperature
greatest importance to this measurement for this client who is taking steroids.
Assessment of skin color and turgor is less important (D).
client? Assess the client's
A) pulse rate, both apically and
radially.
B) blood pressure, both
standing and sitting.
C) temperature.
D) skin color and turgor.
/ 3/105
, 5/1/25, 1:20 PM MED SURG REVIEW
The nurse is teaching a Correct selections are (D and E). The diaphragm needs
female client who uses a to remain against the cervix for 6 to 8 hours to prevent
contraceptive diaphragm pregnancy but should not remain for longer than 8 hours
about (D) to avoid the risk of TSS. If a sudden fever occurs, the client
should notify the
reducing the risk for toxic healthcare provider (E). (A) increases the risk of
shock syndrome (TSS). pregnancy, and (B) can reduce the integrity of the
Which information should barrier contraceptive but neither prevents the risk of
the nurse include? (Select TSS. The
all that apply.) diaphragm should not be used during menses (C)
A) Remove the diaphragm because it obstructs the menstrual flow and is not
immediately after indicated because conception does not occur during this
intercourse. time. (F) is not necessary.
B) Wash the diaphragm
with an alcohol solution.
C) Use the diaphragm to
prevent conception
during the menstrual
cycle.
D) Do not leave the
diaphragm in place
longer than 8 hours
after intercourse.
E) Contact a healthcare
provider a sudden onset of
fever grater than 101º F
appears.
F) Replace the old diaphragm
every 3
months.
/ 4/105
MED SURG HESI REVIEW COMPREHENSIVE TEST BANK
ACTUAL EXAM COMPLETE VERSION WITH UPDATED
QUESTIONS AND ACCURATE DETAILED ANSWERS WITH
RATIONALES \\VERIFIED ANSWERS \\GRADED A+
B. A nurse is providing discharge teaching to the family of a client
who has a new
Protect the client's head
diagnosis of a seizure disorder. The nurse should instruct the
client's family to take which of the following actions first in the
The nurse should apply the event of a seizure?
A.
safety and risk reduction
Reorient the client B.
priority-setting framework,
Protect the client's head C.
which assigns priority to the Loosen constrictive clothing D.
factor or situation Turn the client onto his side
posing the greatest safety
risk to the client. When
there are several risks to
client safety, the one
posing the greatest threat
is the highest priority. The
nurse should use
Maslow's Hierarchy of
Needs, the ABC priority-
setting framework, and/or
nursing knowledge to
identify which risk poses
the greatest threat to the
client. This client is at
greatest risk for injury from
hitting his head; therefore,
the first action is to protect
the
client's head from injury
/ 1/105
,5/1/25, 1:20 PM MED SURG REVIEW
C) Episodes of vaginal bleeding.
Which postmenopausal Rationale: Postmenopausal vaginal bleeding (C) may be an
indication of endometrial cancer, which should be reported to the
client's complaint should healthcare provider. Compared to a new-
the nurse refer to the onset of a single lump, breasts that feel lumpy (A) overall may
healthcare provider? be a normal variant or a finding consistent with nonmalignant
A) Breasts feel lumpy when
fibrocystic disease. Up to 80% of women experience (B),
palpated. depending on sexual stimulation or hormonal levels, and is no
B) History of white nipple longer recommended as a reportable symptom when discovered
discharge. during breast self-exam (BSE). The client may need further
C) Episodes of vaginal
teaching concerning (D), a disturbing symptom,
bleeding. but it is not as important as (C).
D) Excessive diaphoresis
occurs at night.
During an interview with a C) Insurance coverage of employees is less expensive to
client planning elective employers.
Rationale: The financial advantage of (C) is the feature
surgery, the client asks the
of a PPO that is most relevant to the average
nurse, "What is the
consumer. The nurse must have knowledge about
advantage of having a
PPOs, which
preferred provider
provide discounted rates to large employers who provide
organization insurance insurance coverage for
plan?" Which response is their employees. In return, the insurance company
best for the nurse to receives a large pool of clients for their facilities. (A, B,
provide? and D) are not accurate representations of the PPO.
A) Long-term relationships
with healthcare providers
are more likely.
B) There are fewer
healthcare providers to
choose from than in an
HMO plan.
C) Insurance coverage of
employees is less
expensive to employers.
D) An individual can become a
member of
a PPO without belonging to a
group.
/ 2/105
,5/1/25, 1:20 PM MED SURG REVIEW
A client has taken steroids C) temperature.
for 12 years to help Rationale: It is very important to check the client's
manage chronic temperature (C). Infection is the most common factor
obstructive precipitating respiratory distress. Clients with COPD
pulmonary disease (COPD). who are on maintenance doses of corticosteroids are
When making a home visit, particularly predisposed to infection. (A and B) are
which nursing function is important data for baseline and ongoing assessment,
of but they are not as important as temperature
greatest importance to this measurement for this client who is taking steroids.
Assessment of skin color and turgor is less important (D).
client? Assess the client's
A) pulse rate, both apically and
radially.
B) blood pressure, both
standing and sitting.
C) temperature.
D) skin color and turgor.
/ 3/105
, 5/1/25, 1:20 PM MED SURG REVIEW
The nurse is teaching a Correct selections are (D and E). The diaphragm needs
female client who uses a to remain against the cervix for 6 to 8 hours to prevent
contraceptive diaphragm pregnancy but should not remain for longer than 8 hours
about (D) to avoid the risk of TSS. If a sudden fever occurs, the client
should notify the
reducing the risk for toxic healthcare provider (E). (A) increases the risk of
shock syndrome (TSS). pregnancy, and (B) can reduce the integrity of the
Which information should barrier contraceptive but neither prevents the risk of
the nurse include? (Select TSS. The
all that apply.) diaphragm should not be used during menses (C)
A) Remove the diaphragm because it obstructs the menstrual flow and is not
immediately after indicated because conception does not occur during this
intercourse. time. (F) is not necessary.
B) Wash the diaphragm
with an alcohol solution.
C) Use the diaphragm to
prevent conception
during the menstrual
cycle.
D) Do not leave the
diaphragm in place
longer than 8 hours
after intercourse.
E) Contact a healthcare
provider a sudden onset of
fever grater than 101º F
appears.
F) Replace the old diaphragm
every 3
months.
/ 4/105
