Science Medicine Nursing
HESI RN MEDICAL SURGICAL FINAL EXAM
2025 ACTUAL EXAM COMPLETE 250
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
Save
Students also studied
EPA608 Universal 2025|COMPLETE ... Randomized Practice Final TCFP FF2... ACG 2021 Exam 1 Pa
160 terms Teacher 31 terms 65 terms
francis_thuo Preview KAREEN2334 Preview denniswambui150
An ER nurse is completing an A) A carotid bruit.
assessment on a patient that is
alert but struggles to answer Rationale: the carotid artery (artery to the brain) is narrowed in
questions. When she attempts to clients with a brain attack. A bruit is an abnormal sound heard on
talk, she slurs her speech and auscultation resulting from interference with normal blood flow.
appears very frightened. What Usually the blood pressure is hypertensive. Initially flaccid
additional clinical manifestation paralysis occurs, resulting in hyporefkexic deep tendon reflexes.
does the nurse expect to find if Bowel sounds are not indicative of a brain attack.
nacy's sysmptoms have been
caused by a brain attack
(stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon
relexes.
D. Decreased bowel sounds
Which clinical manifestation D) Global aphasia.
further supports an assessment
of a left-sided brain attack? Rationale: Global aphasia refers to difficulty speaking, listening,
and understanding, as well as difficulty reading and writing.
A) Visual field deficit on the left Symptoms vary from person to person. Aphasia may occur
side. secondary to any brain injury involving the left hemisphere. Visual
B) Spatial-perceptual deficits. field deficits, spatial-perceptual deficits, and paresthsia of the left
C) Paresthesia of the left side. side usually occur with right-sided brain attack.
D) Global aphasia.
D) Global aphasia.
,When preparing a patient for a B) Explain that the client will not be able to move her head
noncontrast computed throughout the CT scan.
tomography (CT) scan STAT,
what nursing intervention should Rationale: Because head motion will distort the images, Nancy
the nurse implement? will have to remain still throughout the procedure. Allergies to
iodine is important if contrast dye is being used for the CT scan.
A) Determine if the client has Premedicating the client to decrease pain prior to the procedure
any allergies to iodine is unnecessary because CT scanning is a noninvasive and painless
B) Explain that the client will not procedure. Providing an explanation of relaxation exercises prior
be able to move her head to the procedure is a worthwhile intervention to decrease
throughout the CT scan. anxiety but is not of highest priority.
C) Premedicate the client to
decrease pain prior to having
the procedure.
D) Provide an explanation of
relaxation exercises prior to the
procedure.
A neurologist prescribes a C) Right hip replacement.
magnetic resonance imaging
(MRI) of the head STAT for a The magnetic field generated by the MRI is so strong that metal-
patient. Which data warrants containing items are strongly attracted to the magnet. Because
immediate intervention by the the hip joint is made of metal, a lead shield must be used during
nurse concerning this diagnostic the procedure. Elevated blood pressure, an allergy to shell fish,
test? and a history of atrial fibrillation would not affect the MRI.
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
,A client's daughter is sitting by B) "Your mother has had a stroke, and the blood supply to the
her mother's bedside who was brain has been blocked."
recently transferred to the
Intermediate Care Unit. She Rationale: The nurse can discuss what a diagnosis means. Nancy
states "I don't understand what a is unable to make decisions, so the next of kin, her daughter, Gail,
brain attack is. The healthcare needs sufficient information to make informed decisions. The
provider told me my mother is in nurse has the knowledge, and the responsibility, to explain
serious condition and they are Nancy's condition to Gail. The nurse should give facts first, and
going to run several tests. I just then address her feelings after the information is provided.
don't know what is going on.
What happened to my mother?"
What is the best response by the
nurse?
A) "I am sorry, but according to
the Health Insurance Portability
and Accounting Act (HIPAA), I
cannot give you any
information."
B) "Your mother has had a
stroke, and the blood supply to
the brain has been blocked."
C) "How do you feel about what
the healthcare provider said?"
D) "I will call the healthcare
provider so he/she can talk to
you about your mother's serious
condition."
What is the normal range for The normal range for cardiac output to ensure cerebral blood
cardiac output? flow and oxygen delivery is 4 to 8 L/min.
A client was admitted with the Thrombolytic therapy is contraindicated in clients with symptom
diagnosis of a brain attack. Their onset longer than 3 hours prior to admission. This client had
symptoms began 24 hours symptoms for 24 hours before being brought to the medical
before being admitted. Why center
would this client not be a
candidate for for thrombolytic
therapy?
Plate guards prevent food from being pushed off the plate.
What are plate guards? Using plate guards and other assistive devices will encourage
independence in a client with a self-care deficit.
Which condition is considered a D) Advanced age.
non-modifiable risk factor for a
brain attack? Rationale: People over age 55 are a high-risk group for a brain
attack because the incidence of stroke more than doubles in
A) High cholesterol levels. each successive decade of life. Non-modifiable means the client
B) Obesity. cannot do anything to change the risk factor. All the other
C) History of atrial fibrillation. options are modifiable risk factors.
D) Advanced age.
, A client is experiencing B) Place the objects Nancy needs for activities of daily living on
homonymous hemianopsia as the left side of the table.
the result of a brain attack.
Which nursing intervention Rationale: Homonymous hemianopsia is loss of the visual field on
would the nurse implement to the same side as the paralyzed side. This results in the client
address this condition? neglecting that side of the body, so it is beneficial to place
objects on that side. Nancy had a left-hemisphere brain attack so
A) Turn Nancy every two hours her right side is the weak side. Speaking slowly and clearly would
and perform active range of address the client's verbal deficits due to aphasia. Requesting all
motion exercises. liquids to be thickened would address dysphagia. Turning the
B) Place the objects Nancy client every 2 hours and performing active range of motion
needs for activities of daily living exercises would address the client's risk for immobility due to
on the left side of the table. paralysis.
C) Speak slowly and clearly to
assist Nancy in forming sounds
to words.
D) Request that the dietary
department thicken all liquids on
Nancy's meal and snack trays.
A physical therapist (PT) places B) PT reported client complained of dizziness when getting out
a gait belt on a client and is of bed, and gait belt was used to allow client to fall back onto
assisting them with ambulation the bed.
from the bed to the chair. As
they get up out of the bed, they Rationale: This documentation provides the factual data of the
report being dizzy and begin to events that occurred. A)The nurse is making an assumption that
fall. The PT carefully allows them the dizziness was caused by orthostatic hypotension. C) Not all
to fall back to the bed and the pertinent facts are included in this documentation.
notifies the primary nurse. Which D) A variance report should never be documented in the client's
written documentation should record.
the nurse put in the client's
record?
A) Client experienced
orthostatic hypotension when
getting out of bed.
B) PT reported client
complained of dizziness when
getting out of bed, and gait belt
was used to allow client to fall
back onto the bed.
C) PT notified the primary nurse
that the client could not
ambulate at this time because of
dizziness.
D) Client had difficulty
ambulating from the bed to the
chair when accompanied by the
PT, variance report completed.
HESI RN MEDICAL SURGICAL FINAL EXAM
2025 ACTUAL EXAM COMPLETE 250
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
Save
Students also studied
EPA608 Universal 2025|COMPLETE ... Randomized Practice Final TCFP FF2... ACG 2021 Exam 1 Pa
160 terms Teacher 31 terms 65 terms
francis_thuo Preview KAREEN2334 Preview denniswambui150
An ER nurse is completing an A) A carotid bruit.
assessment on a patient that is
alert but struggles to answer Rationale: the carotid artery (artery to the brain) is narrowed in
questions. When she attempts to clients with a brain attack. A bruit is an abnormal sound heard on
talk, she slurs her speech and auscultation resulting from interference with normal blood flow.
appears very frightened. What Usually the blood pressure is hypertensive. Initially flaccid
additional clinical manifestation paralysis occurs, resulting in hyporefkexic deep tendon reflexes.
does the nurse expect to find if Bowel sounds are not indicative of a brain attack.
nacy's sysmptoms have been
caused by a brain attack
(stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon
relexes.
D. Decreased bowel sounds
Which clinical manifestation D) Global aphasia.
further supports an assessment
of a left-sided brain attack? Rationale: Global aphasia refers to difficulty speaking, listening,
and understanding, as well as difficulty reading and writing.
A) Visual field deficit on the left Symptoms vary from person to person. Aphasia may occur
side. secondary to any brain injury involving the left hemisphere. Visual
B) Spatial-perceptual deficits. field deficits, spatial-perceptual deficits, and paresthsia of the left
C) Paresthesia of the left side. side usually occur with right-sided brain attack.
D) Global aphasia.
D) Global aphasia.
,When preparing a patient for a B) Explain that the client will not be able to move her head
noncontrast computed throughout the CT scan.
tomography (CT) scan STAT,
what nursing intervention should Rationale: Because head motion will distort the images, Nancy
the nurse implement? will have to remain still throughout the procedure. Allergies to
iodine is important if contrast dye is being used for the CT scan.
A) Determine if the client has Premedicating the client to decrease pain prior to the procedure
any allergies to iodine is unnecessary because CT scanning is a noninvasive and painless
B) Explain that the client will not procedure. Providing an explanation of relaxation exercises prior
be able to move her head to the procedure is a worthwhile intervention to decrease
throughout the CT scan. anxiety but is not of highest priority.
C) Premedicate the client to
decrease pain prior to having
the procedure.
D) Provide an explanation of
relaxation exercises prior to the
procedure.
A neurologist prescribes a C) Right hip replacement.
magnetic resonance imaging
(MRI) of the head STAT for a The magnetic field generated by the MRI is so strong that metal-
patient. Which data warrants containing items are strongly attracted to the magnet. Because
immediate intervention by the the hip joint is made of metal, a lead shield must be used during
nurse concerning this diagnostic the procedure. Elevated blood pressure, an allergy to shell fish,
test? and a history of atrial fibrillation would not affect the MRI.
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
,A client's daughter is sitting by B) "Your mother has had a stroke, and the blood supply to the
her mother's bedside who was brain has been blocked."
recently transferred to the
Intermediate Care Unit. She Rationale: The nurse can discuss what a diagnosis means. Nancy
states "I don't understand what a is unable to make decisions, so the next of kin, her daughter, Gail,
brain attack is. The healthcare needs sufficient information to make informed decisions. The
provider told me my mother is in nurse has the knowledge, and the responsibility, to explain
serious condition and they are Nancy's condition to Gail. The nurse should give facts first, and
going to run several tests. I just then address her feelings after the information is provided.
don't know what is going on.
What happened to my mother?"
What is the best response by the
nurse?
A) "I am sorry, but according to
the Health Insurance Portability
and Accounting Act (HIPAA), I
cannot give you any
information."
B) "Your mother has had a
stroke, and the blood supply to
the brain has been blocked."
C) "How do you feel about what
the healthcare provider said?"
D) "I will call the healthcare
provider so he/she can talk to
you about your mother's serious
condition."
What is the normal range for The normal range for cardiac output to ensure cerebral blood
cardiac output? flow and oxygen delivery is 4 to 8 L/min.
A client was admitted with the Thrombolytic therapy is contraindicated in clients with symptom
diagnosis of a brain attack. Their onset longer than 3 hours prior to admission. This client had
symptoms began 24 hours symptoms for 24 hours before being brought to the medical
before being admitted. Why center
would this client not be a
candidate for for thrombolytic
therapy?
Plate guards prevent food from being pushed off the plate.
What are plate guards? Using plate guards and other assistive devices will encourage
independence in a client with a self-care deficit.
Which condition is considered a D) Advanced age.
non-modifiable risk factor for a
brain attack? Rationale: People over age 55 are a high-risk group for a brain
attack because the incidence of stroke more than doubles in
A) High cholesterol levels. each successive decade of life. Non-modifiable means the client
B) Obesity. cannot do anything to change the risk factor. All the other
C) History of atrial fibrillation. options are modifiable risk factors.
D) Advanced age.
, A client is experiencing B) Place the objects Nancy needs for activities of daily living on
homonymous hemianopsia as the left side of the table.
the result of a brain attack.
Which nursing intervention Rationale: Homonymous hemianopsia is loss of the visual field on
would the nurse implement to the same side as the paralyzed side. This results in the client
address this condition? neglecting that side of the body, so it is beneficial to place
objects on that side. Nancy had a left-hemisphere brain attack so
A) Turn Nancy every two hours her right side is the weak side. Speaking slowly and clearly would
and perform active range of address the client's verbal deficits due to aphasia. Requesting all
motion exercises. liquids to be thickened would address dysphagia. Turning the
B) Place the objects Nancy client every 2 hours and performing active range of motion
needs for activities of daily living exercises would address the client's risk for immobility due to
on the left side of the table. paralysis.
C) Speak slowly and clearly to
assist Nancy in forming sounds
to words.
D) Request that the dietary
department thicken all liquids on
Nancy's meal and snack trays.
A physical therapist (PT) places B) PT reported client complained of dizziness when getting out
a gait belt on a client and is of bed, and gait belt was used to allow client to fall back onto
assisting them with ambulation the bed.
from the bed to the chair. As
they get up out of the bed, they Rationale: This documentation provides the factual data of the
report being dizzy and begin to events that occurred. A)The nurse is making an assumption that
fall. The PT carefully allows them the dizziness was caused by orthostatic hypotension. C) Not all
to fall back to the bed and the pertinent facts are included in this documentation.
notifies the primary nurse. Which D) A variance report should never be documented in the client's
written documentation should record.
the nurse put in the client's
record?
A) Client experienced
orthostatic hypotension when
getting out of bed.
B) PT reported client
complained of dizziness when
getting out of bed, and gait belt
was used to allow client to fall
back onto the bed.
C) PT notified the primary nurse
that the client could not
ambulate at this time because of
dizziness.
D) Client had difficulty
ambulating from the bed to the
chair when accompanied by the
PT, variance report completed.
