HESI Questions with Answers Best
Med-
Surg
Exam
Ne
w
20
23
Up
da
te
,1.Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
• Respiratory
• Unsteady effort. gait.
• Intensity of pain.
• Ability to eat.
, Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet
and progresses upwards. As the condition progresses, the nurse must ensure that
the client is able to breathe effectively.
Heuther, Understanding Pathophysiology, 6th ed. p. 412
2.
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the
nurse Collect a culture of the penileimplement?
• discharge.
• Palpate the inguinal lymph nodes gently.
• Observe for scrotal swelling and redness.
• Express the discharge to determine color.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of
these symptoms. The cause must be determined or confirmed through culture to
identify the organism and ensure effective treatment.
Jarvis Physical Examination and Health Assessment, 6th edition
3.
A client with history of atrial fibrillation is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular heart
rhythm and should perform which assessment at this time?
• Check for a pulse deficit.
• Palpate the apical impulse.
• Inspect jugular vein pulse.
• Examine for a carotid bruit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs
of atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.
Jarvis. (2016); Physical Examination and Health Assessment, (Chap 19) 7th ed., p. 481
4.
Which client should be further assessed for an ectopic pregnancy?
, • A 24-year-old with shoulder and lower abdominal quadrant
• A 33-year- pain. old with
intermittent
lower abdominal cramping.
• A 20-year-old with fever and right lower abdominal colic.
• A 40-year-old with jaundice and right lower abdominal pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain should be
assessed for an ectopic pregnancy. The pain can also be referred to the shoulder and
may be associated with vaginal bleeding.
Health Assessment for Nursing Practice, Wilson and Giddens.
p.269 5.
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
• Drinks a six pack of beer every day.
• Enjoys a hamburger once a month.
• Eats fortified breakfast cereal daily.
• Consumes beans and rice every day.
Drinking six beers every day is the dietary assessment finding most important for the
nurse to address when caring for a client with diabetic nephropathy. The usual can
of beer is 12 ounces (355 mL). Clients with diabetes are recommended to drink no
more than 12 ounces of beer per day because beer contains carbohydrates that can
create unhealthy fluctuations in blood glucose and promote poor glucose control.
Nephropathy is exacerbated by poor blood glucose control.
6.
Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
• Cough brought on by swallowing.
• Sore throat caused by speaking.
• Painful and dry oral cavity.
• Unintended weight loss.
A cough brought on by swallowing is a sign of dysphagia, which is a finding of
particular concern in a client with stomatitis. Dysphagia can cause numerous
problems, including airway obstruction, and should be reported to the healthcare
provider immediately.
Ignatavicius, (2016). Medical-surgical nursing: Patient-centered collaborative care,
eight edition., Ch. 53, p. 1100.
7.
Med-
Surg
Exam
Ne
w
20
23
Up
da
te
,1.Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
• Respiratory
• Unsteady effort. gait.
• Intensity of pain.
• Ability to eat.
, Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet
and progresses upwards. As the condition progresses, the nurse must ensure that
the client is able to breathe effectively.
Heuther, Understanding Pathophysiology, 6th ed. p. 412
2.
A male client comes into the clinic with a history of penile discharge with painful,
burning urination. Which action should the
nurse Collect a culture of the penileimplement?
• discharge.
• Palpate the inguinal lymph nodes gently.
• Observe for scrotal swelling and redness.
• Express the discharge to determine color.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of
these symptoms. The cause must be determined or confirmed through culture to
identify the organism and ensure effective treatment.
Jarvis Physical Examination and Health Assessment, 6th edition
3.
A client with history of atrial fibrillation is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular heart
rhythm and should perform which assessment at this time?
• Check for a pulse deficit.
• Palpate the apical impulse.
• Inspect jugular vein pulse.
• Examine for a carotid bruit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs
of atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.
Jarvis. (2016); Physical Examination and Health Assessment, (Chap 19) 7th ed., p. 481
4.
Which client should be further assessed for an ectopic pregnancy?
, • A 24-year-old with shoulder and lower abdominal quadrant
• A 33-year- pain. old with
intermittent
lower abdominal cramping.
• A 20-year-old with fever and right lower abdominal colic.
• A 40-year-old with jaundice and right lower abdominal pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain should be
assessed for an ectopic pregnancy. The pain can also be referred to the shoulder and
may be associated with vaginal bleeding.
Health Assessment for Nursing Practice, Wilson and Giddens.
p.269 5.
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
• Drinks a six pack of beer every day.
• Enjoys a hamburger once a month.
• Eats fortified breakfast cereal daily.
• Consumes beans and rice every day.
Drinking six beers every day is the dietary assessment finding most important for the
nurse to address when caring for a client with diabetic nephropathy. The usual can
of beer is 12 ounces (355 mL). Clients with diabetes are recommended to drink no
more than 12 ounces of beer per day because beer contains carbohydrates that can
create unhealthy fluctuations in blood glucose and promote poor glucose control.
Nephropathy is exacerbated by poor blood glucose control.
6.
Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
• Cough brought on by swallowing.
• Sore throat caused by speaking.
• Painful and dry oral cavity.
• Unintended weight loss.
A cough brought on by swallowing is a sign of dysphagia, which is a finding of
particular concern in a client with stomatitis. Dysphagia can cause numerous
problems, including airway obstruction, and should be reported to the healthcare
provider immediately.
Ignatavicius, (2016). Medical-surgical nursing: Patient-centered collaborative care,
eight edition., Ch. 53, p. 1100.
7.
