Med Surg HESI Practice Questions
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HESI RN MEDICAL SURGICAL EXA... Inf.Orl 1 The Conditionals.
230 terms 12 terms Teacher 6 terms
quizlette674912113 Preview boranajacaj2001 Preview kristelagega05
Which description of symptoms B) Sudden, stabbing, severe pain over the lip and chin.
is characteristic of a client
diagnosed with trigeminal Trigeminal neuralgia is characterized by paroxysms of pain,
neuralgia (tic douloureux)? similar to an electric shock, in the area innervated by one or
A) Tinnitus, vertigo, and hearing more branches of the trigeminal nerve (5th cranial) (B). (A) would
difficulties. be characteristic of Méniére's disease (8th cranial nerve). (C)
B) Sudden, stabbing, severe would be characteristic of Bell's palsy (7th cranial nerve). (D)
pain over the lip and chin. would be characteristic of disorders of the hypoglossal cranial
C) Facial weakness and nerve (12th).
paralysis.
D) Difficulty in chewing, talking,
and swallowing.
See an expert-written answer!
A 67-year-old woman who lives C) Osteoporosis resulting from hormonal changes.
alone is admitted after tripping
on a rug in her home and The most common cause of a fractured hip in elderly women is
fractures her hip. Which osteoporosis, resulting from reduced calcium in the bones as a
predisposing factor probably result of hormonal changes in later life (C). (A) may or may not
led to the fracture in the have contributed to the accident, but it had nothing to do with
proximal end of her femur? the hip being involved. (B) is not a common condition of the
A) Failing eyesight resulting in elderly; it is common in chronic renal failure. (D) may occur in
an unsafe environment. some people, but does not affect the fragility of the bones as
B) Renal osteodystrophy osteoporosis does.
resulting from chronic renal
failure.
C) Osteoporosis resulting from
hormonal changes.
D) Cardiovascular changes
resulting in small strokes which
impair mental acuity.
,The nurse is assisting a client out D) Allow the client to sit with the bed in a high Fowler's position.
of bed for the first time after
surgery. What action should the The first step is to raise the head of the bed to a high Fowler's
nurse do first? position (D), which allow venous return to compensate from lying
A) Place a chair at a right angle flat and vasodilating effects of perioperative drugs. (A, B, and C)
to the bedside. are implemented after (D).
B) Encourage deep breathing
prior to standing.
C) Help the client to sit and
dangle legs on the side of the
bed.
D) Allow the client to sit with the
bed in a high Fowler's position.
See an expert-written answer!
A 20-year-old female client calls B) Most lumps are benign, but it is always best to come in for an
the nurse to report a lump she examination.
found in her breast. Which
response is the best for the (B) provides the best response because it addresses the client's
nurse to provide? anxiety most effectively and encourages prompt and immediate
A) Check it again in one month, action for a potential problem. (A) postpones treatment if the
and if it is still there schedule an lump is malignant, and does not relieve the client's anxiety. (C
appointment. and D) provide false reassurance and do not help relieve anxiety.
B) Most lumps are benign, but it
is always best to come in for an
examination.
C) Try not to worry too much
about it, because usually, most
lumps are benign.
D) If you are in your menstrual
period it is not a good time to
check for lumps.
,A female client is brought to the D) Collect further data to determine whether self-neglect is
clinic by her daughter for a flu occurring.
shot. She has lost significant
weight since the last visit. She Changes in weight and hygiene may be indicators of self-neglect
has poor personal hygiene and or neglect by family members. Further assessment is needed (D)
inadequate clothing for the before notifying social services (A) or discussing a need for
weather. The client states that counseling (B). Until further information is obtained, explanations
she lives alone and denies about the client's needs are premature (C).
problems or concerns. What
action should the nurse
implement?
A) Notify social services
immediately of suspected
elderly abuse.
B) Discuss the need for mental
health counseling with the
daughter.
C) Explain to the client that she
needs to take better care of
herself.
D) Collect further data to
determine whether self-neglect
is occurring.
See an expert-written answer!
A client is admitted to the C) Elevated CK-MB.
medical intensive care unit with
a diagnosis of myocardial The cardiac isoenzyme CK-MB (C) is the most sensitive and most
infarction. The client's history reliable indicator of myocardial damage of all the cardiac
indicates the infarction occurred enzymes. It peaks within 12 to 20 hours after myocardial
ten hours ago. Which laboratory infarction (MI). (A) is a cardiac enzyme that peaks around 48
test result should the nurse hours after an MI. (B) is expected with acute pancreatitis. (D)
expect this client to exhibit? would be expected in a client with a fluid volume deficit, which is
A) Elevated LDH. not a typical finding in MI.
B) Elevated serum amylase.
C) Elevated CK-MB.
D) Elevated hematocrit.
A splint is prescribed for A) Prevention of deformities.
nighttime use by a client with
rheumatoid arthritis. Which Splints may be used at night by clients with rheumatoid arthritis
statement by the nurse provides to prevent deformities (A) caused by muscle spasms and
the most accurate explanation contractures. Splints are not used for (B). (C) is usually treated
for use of the splints? with medications, particularly those classified as non-steroidal
A) Prevention of deformities. antiinflammatory drugs (NSAIDs). For (D), a prescribed exercise
B) Avoidance of joint trauma. program is indicated.
C) Relief of joint inflammation.
D) Improvement in joint
strength.
See an expert-written answer!
, The nurse should be correct in C) serum potassium level is 3.
withholding a dose of digoxin in
a client with congestive heart Hypokalemia (C) can precipitate digitalis toxicity in persons
failure without specific receiving digoxin which will increase the chance of dangerous
instruction from the healthcare dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The
provider if the client's therapeutic range for digoxin is 0.8 to 2 ng/ml (toxic levels= >2
A) serum digoxin level is 1.5. ng/ml); (A) is within this range. (B) would not warrant the nurse
B) blood pressure is 104/68. withholding the digoxin. The nurse should withhold the digoxin if
C) serum potassium level is 3. the apical pulse is less than 60/min (D).
D) apical pulse is 68/min.
During CPR, when attempting to B) Reposition the head to validate that the head is in the proper
ventilate a client's lungs, the position to open the airway.
nurse notes that the chest is not
moving. What action should the The most frequent cause of inadequate aeration of the client's
nurse take first? lungs during CPR is improper positioning of the head resulting in
A) Use a laryngoscope to check occlusion of the airway (B). A foreign body can occlude the
for a foreign body lodged in the airway, but this is not common unless choking preceded the
esophagus. cardiac emergency, and (A, C and D) should not be the nurse's
B) Reposition the head to first action.
validate that the head is in the
proper position to open the
airway.
C) Turn the client to the side and
administer three back blows.
D) Perform a finger sweep of the
mouth to remove any vomitus.
Despite several eye surgeries, a D) Medium yellow.
78-year-old client who lives
alone has persistent vision Yellow is the easiest for a person with failing vision to see (D). (A)
problems. The visiting nurse is will be almost impossible to see at night because the shadows of
discussing painting the house the steps will be too difficult to determine, and would pose a
with the client. The nurse safety hazard. (B) is very hard to see with a glare from the sun
suggests that the edge of the and it could hurt the eyes in the daytime to look at them. (C) is a
steps should be painted which pastel color and is difficult for elderly clients to see.
color?
A) Black.
B) White.
C) Light green.
D) Medium yellow.
The nurse is assessing a client A) Cyanosis of the fingertips.
with bacterial meningitis. Which
assessment finding indicates the Septic emboli secondary to meningitis commonly lodge in the
client may have developed small arterioles of the extremities, causing a decrease in
septic emboli? circulation to the hands (A) which may lead to gangrene. (B, C,
A) Cyanosis of the fingertips. and D) are abnormal findings, but do not indicate the
B) Bradycardia and bradypnea. development of septic emboli.
C) Presence of S3 and S4 heart
sounds.
D) 3+ pitting edema of the lower
extremities.
See an expert-written answer!
Save
Students also studied
Flashcard sets Study guides
HESI RN MEDICAL SURGICAL EXA... Inf.Orl 1 The Conditionals.
230 terms 12 terms Teacher 6 terms
quizlette674912113 Preview boranajacaj2001 Preview kristelagega05
Which description of symptoms B) Sudden, stabbing, severe pain over the lip and chin.
is characteristic of a client
diagnosed with trigeminal Trigeminal neuralgia is characterized by paroxysms of pain,
neuralgia (tic douloureux)? similar to an electric shock, in the area innervated by one or
A) Tinnitus, vertigo, and hearing more branches of the trigeminal nerve (5th cranial) (B). (A) would
difficulties. be characteristic of Méniére's disease (8th cranial nerve). (C)
B) Sudden, stabbing, severe would be characteristic of Bell's palsy (7th cranial nerve). (D)
pain over the lip and chin. would be characteristic of disorders of the hypoglossal cranial
C) Facial weakness and nerve (12th).
paralysis.
D) Difficulty in chewing, talking,
and swallowing.
See an expert-written answer!
A 67-year-old woman who lives C) Osteoporosis resulting from hormonal changes.
alone is admitted after tripping
on a rug in her home and The most common cause of a fractured hip in elderly women is
fractures her hip. Which osteoporosis, resulting from reduced calcium in the bones as a
predisposing factor probably result of hormonal changes in later life (C). (A) may or may not
led to the fracture in the have contributed to the accident, but it had nothing to do with
proximal end of her femur? the hip being involved. (B) is not a common condition of the
A) Failing eyesight resulting in elderly; it is common in chronic renal failure. (D) may occur in
an unsafe environment. some people, but does not affect the fragility of the bones as
B) Renal osteodystrophy osteoporosis does.
resulting from chronic renal
failure.
C) Osteoporosis resulting from
hormonal changes.
D) Cardiovascular changes
resulting in small strokes which
impair mental acuity.
,The nurse is assisting a client out D) Allow the client to sit with the bed in a high Fowler's position.
of bed for the first time after
surgery. What action should the The first step is to raise the head of the bed to a high Fowler's
nurse do first? position (D), which allow venous return to compensate from lying
A) Place a chair at a right angle flat and vasodilating effects of perioperative drugs. (A, B, and C)
to the bedside. are implemented after (D).
B) Encourage deep breathing
prior to standing.
C) Help the client to sit and
dangle legs on the side of the
bed.
D) Allow the client to sit with the
bed in a high Fowler's position.
See an expert-written answer!
A 20-year-old female client calls B) Most lumps are benign, but it is always best to come in for an
the nurse to report a lump she examination.
found in her breast. Which
response is the best for the (B) provides the best response because it addresses the client's
nurse to provide? anxiety most effectively and encourages prompt and immediate
A) Check it again in one month, action for a potential problem. (A) postpones treatment if the
and if it is still there schedule an lump is malignant, and does not relieve the client's anxiety. (C
appointment. and D) provide false reassurance and do not help relieve anxiety.
B) Most lumps are benign, but it
is always best to come in for an
examination.
C) Try not to worry too much
about it, because usually, most
lumps are benign.
D) If you are in your menstrual
period it is not a good time to
check for lumps.
,A female client is brought to the D) Collect further data to determine whether self-neglect is
clinic by her daughter for a flu occurring.
shot. She has lost significant
weight since the last visit. She Changes in weight and hygiene may be indicators of self-neglect
has poor personal hygiene and or neglect by family members. Further assessment is needed (D)
inadequate clothing for the before notifying social services (A) or discussing a need for
weather. The client states that counseling (B). Until further information is obtained, explanations
she lives alone and denies about the client's needs are premature (C).
problems or concerns. What
action should the nurse
implement?
A) Notify social services
immediately of suspected
elderly abuse.
B) Discuss the need for mental
health counseling with the
daughter.
C) Explain to the client that she
needs to take better care of
herself.
D) Collect further data to
determine whether self-neglect
is occurring.
See an expert-written answer!
A client is admitted to the C) Elevated CK-MB.
medical intensive care unit with
a diagnosis of myocardial The cardiac isoenzyme CK-MB (C) is the most sensitive and most
infarction. The client's history reliable indicator of myocardial damage of all the cardiac
indicates the infarction occurred enzymes. It peaks within 12 to 20 hours after myocardial
ten hours ago. Which laboratory infarction (MI). (A) is a cardiac enzyme that peaks around 48
test result should the nurse hours after an MI. (B) is expected with acute pancreatitis. (D)
expect this client to exhibit? would be expected in a client with a fluid volume deficit, which is
A) Elevated LDH. not a typical finding in MI.
B) Elevated serum amylase.
C) Elevated CK-MB.
D) Elevated hematocrit.
A splint is prescribed for A) Prevention of deformities.
nighttime use by a client with
rheumatoid arthritis. Which Splints may be used at night by clients with rheumatoid arthritis
statement by the nurse provides to prevent deformities (A) caused by muscle spasms and
the most accurate explanation contractures. Splints are not used for (B). (C) is usually treated
for use of the splints? with medications, particularly those classified as non-steroidal
A) Prevention of deformities. antiinflammatory drugs (NSAIDs). For (D), a prescribed exercise
B) Avoidance of joint trauma. program is indicated.
C) Relief of joint inflammation.
D) Improvement in joint
strength.
See an expert-written answer!
, The nurse should be correct in C) serum potassium level is 3.
withholding a dose of digoxin in
a client with congestive heart Hypokalemia (C) can precipitate digitalis toxicity in persons
failure without specific receiving digoxin which will increase the chance of dangerous
instruction from the healthcare dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The
provider if the client's therapeutic range for digoxin is 0.8 to 2 ng/ml (toxic levels= >2
A) serum digoxin level is 1.5. ng/ml); (A) is within this range. (B) would not warrant the nurse
B) blood pressure is 104/68. withholding the digoxin. The nurse should withhold the digoxin if
C) serum potassium level is 3. the apical pulse is less than 60/min (D).
D) apical pulse is 68/min.
During CPR, when attempting to B) Reposition the head to validate that the head is in the proper
ventilate a client's lungs, the position to open the airway.
nurse notes that the chest is not
moving. What action should the The most frequent cause of inadequate aeration of the client's
nurse take first? lungs during CPR is improper positioning of the head resulting in
A) Use a laryngoscope to check occlusion of the airway (B). A foreign body can occlude the
for a foreign body lodged in the airway, but this is not common unless choking preceded the
esophagus. cardiac emergency, and (A, C and D) should not be the nurse's
B) Reposition the head to first action.
validate that the head is in the
proper position to open the
airway.
C) Turn the client to the side and
administer three back blows.
D) Perform a finger sweep of the
mouth to remove any vomitus.
Despite several eye surgeries, a D) Medium yellow.
78-year-old client who lives
alone has persistent vision Yellow is the easiest for a person with failing vision to see (D). (A)
problems. The visiting nurse is will be almost impossible to see at night because the shadows of
discussing painting the house the steps will be too difficult to determine, and would pose a
with the client. The nurse safety hazard. (B) is very hard to see with a glare from the sun
suggests that the edge of the and it could hurt the eyes in the daytime to look at them. (C) is a
steps should be painted which pastel color and is difficult for elderly clients to see.
color?
A) Black.
B) White.
C) Light green.
D) Medium yellow.
The nurse is assessing a client A) Cyanosis of the fingertips.
with bacterial meningitis. Which
assessment finding indicates the Septic emboli secondary to meningitis commonly lodge in the
client may have developed small arterioles of the extremities, causing a decrease in
septic emboli? circulation to the hands (A) which may lead to gangrene. (B, C,
A) Cyanosis of the fingertips. and D) are abnormal findings, but do not indicate the
B) Bradycardia and bradypnea. development of septic emboli.
C) Presence of S3 and S4 heart
sounds.
D) 3+ pitting edema of the lower
extremities.
See an expert-written answer!
