Med Surg HESI Practice multiple
Questions with reviewed answers 2025
The nurse is planning to initiate a socialization group for older residents
of a long-term facility. Which information would be most useful to the
nurse when planning activities for the group?
A. The length of time each group member has resided at the nursing home.
B. A brief description of each resident's family life.
C. The age of each group member.
D. The usual activity patterns of each member of the group. - Ans-D
An older person's level of activity is a determining factor in adjustment
to aging as described by the Activity Theory of Aging. The most useful
information initially would be an assessment of each individual's
adjustment to the aging process.
A client has taken steroids for 12 years to help manage chronic
obstructive pulmonary disease (COPD). When making a home visit,
which nursing assessment is of greatest importance to this client?
A. pulse rate, both apically and radially.
B. blood pressure, both standing and sitting.
,C. temperature.
D. skin color and turgor. - Ans-C
Long term use of steroids by COPD clients is effective in suppressing
inflammation in their airways making it easier for them to breath, but at
the same time suppresses the immune system, placing the client at risk
for infection, so it is very important to obtain the client's temperature.
A client who is sexually active with several partners requests an
intrauterine device (IUD) as a contraceptive method. Which
information should the nurse provide?
A. Using an IUD offers no protection against sexually transmitted
diseases (STD), which increase the risk for pelvic inflammatory
disease (PID).
B. Getting pregnant while using an IUD is common and is not the
best contraceptive choice.
C. Relying on an IUD may be a safer choice for monogamous partners,
but a barrier method provides a better option in preventing STD
transmission.
D. Selecting a contraceptive device should consider choosing a
successful method used in the past. - Ans-A
The use of an intrauterine device (IUD) provides the client with no
protection from sexually transmitted diseases (STD).
Which symptoms should the nurse expect a client to exhibit who is
diagnosed with a pheochromocytoma?
A. Numbness, tingling, and cramps in the extremities.
B. Headache, diaphoresis, and palpitations.
C. Cyanosis, fever, and classic signs of shock.
D. Nausea, vomiting, and muscular weakness. - Ans-B
,Pheochromocytoma is a catecholamine secreting non-cancerous tumor of the
adrenal medulla, and a headache, profuse sweating and palpitations is
the typical triad of symptoms depending upon the relative proportions
of epinephrine and norepinephrine secretion. Surgical removal of the
tumor is the only treatment.
A middle-aged male client with diabetes continues to eat an abundance
of foods that are high in sugar and fat. According to the Health Belief
Model, which event is most likely to increase the client's willingness to
become compliant with the prescribed diet?
A. He visits his diabetic brother who just had surgery to amputate an
infected foot.
B. He is provided with the most current information about the
dangers of untreated diabetes.
C. He comments on the community service announcements about
preventing complications associated with diabetes.
D. His wife expresses a sincere willingness to prepare meals that are
within his prescribed diet. - Ans-A
The loss of a limb due to diabetes by a family member should be the
strongest event or "cue to action" and is most likely to increase the
client's perceived seriousness of the disease.
When preparing a client who has had a total laryngectomy for discharge,
which instruction is most important for the nurse to include in the
discharge teaching?
A. Recommend that the client carry suction equipment at all times.
B. Instruct the client to have writing materials with him at all times.
, C. Tell the client to carry a medic alert card stating that he is a total
neck breather.
D. Tell the client not to travel alone. - Ans-C
It is imperative that total neck breathers carry a medic alert notice so,
that if they have a cardiac arrest, mouth-to-neck breathing can be done.
During an interview with a client planning elective surgery, the client asks
the nurse, "What is the advantage of having a preferred provider
organization insurance plan?" Which response is best for the nurse to
provide?
A. Neither plan allows selections of healthcare providers or hospitals.
B. There are fewer healthcare providers to choose from than in an HMO
plan.
C. An individual may select healthcare providers from outside of the
PPO network.
D. An individual can become a member of a PPO without belonging
to a group. - Ans-C
The financial implication of selecting a provider from outside of the
network is the feature most relevant to the average consumer. The nurse
must have knowledge about preferred provider organizations (PPOs),
which provides the option for the consumer to select a Healthcare
Provider (HCP) from within the PPO network (in-network) at a reduced
cost versus a higher cost for selecting an out-of-network HCP.
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis for gram-
negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor. Which information relates most directly to the
prognosis for gram- negative pneumonias?
Questions with reviewed answers 2025
The nurse is planning to initiate a socialization group for older residents
of a long-term facility. Which information would be most useful to the
nurse when planning activities for the group?
A. The length of time each group member has resided at the nursing home.
B. A brief description of each resident's family life.
C. The age of each group member.
D. The usual activity patterns of each member of the group. - Ans-D
An older person's level of activity is a determining factor in adjustment
to aging as described by the Activity Theory of Aging. The most useful
information initially would be an assessment of each individual's
adjustment to the aging process.
A client has taken steroids for 12 years to help manage chronic
obstructive pulmonary disease (COPD). When making a home visit,
which nursing assessment is of greatest importance to this client?
A. pulse rate, both apically and radially.
B. blood pressure, both standing and sitting.
,C. temperature.
D. skin color and turgor. - Ans-C
Long term use of steroids by COPD clients is effective in suppressing
inflammation in their airways making it easier for them to breath, but at
the same time suppresses the immune system, placing the client at risk
for infection, so it is very important to obtain the client's temperature.
A client who is sexually active with several partners requests an
intrauterine device (IUD) as a contraceptive method. Which
information should the nurse provide?
A. Using an IUD offers no protection against sexually transmitted
diseases (STD), which increase the risk for pelvic inflammatory
disease (PID).
B. Getting pregnant while using an IUD is common and is not the
best contraceptive choice.
C. Relying on an IUD may be a safer choice for monogamous partners,
but a barrier method provides a better option in preventing STD
transmission.
D. Selecting a contraceptive device should consider choosing a
successful method used in the past. - Ans-A
The use of an intrauterine device (IUD) provides the client with no
protection from sexually transmitted diseases (STD).
Which symptoms should the nurse expect a client to exhibit who is
diagnosed with a pheochromocytoma?
A. Numbness, tingling, and cramps in the extremities.
B. Headache, diaphoresis, and palpitations.
C. Cyanosis, fever, and classic signs of shock.
D. Nausea, vomiting, and muscular weakness. - Ans-B
,Pheochromocytoma is a catecholamine secreting non-cancerous tumor of the
adrenal medulla, and a headache, profuse sweating and palpitations is
the typical triad of symptoms depending upon the relative proportions
of epinephrine and norepinephrine secretion. Surgical removal of the
tumor is the only treatment.
A middle-aged male client with diabetes continues to eat an abundance
of foods that are high in sugar and fat. According to the Health Belief
Model, which event is most likely to increase the client's willingness to
become compliant with the prescribed diet?
A. He visits his diabetic brother who just had surgery to amputate an
infected foot.
B. He is provided with the most current information about the
dangers of untreated diabetes.
C. He comments on the community service announcements about
preventing complications associated with diabetes.
D. His wife expresses a sincere willingness to prepare meals that are
within his prescribed diet. - Ans-A
The loss of a limb due to diabetes by a family member should be the
strongest event or "cue to action" and is most likely to increase the
client's perceived seriousness of the disease.
When preparing a client who has had a total laryngectomy for discharge,
which instruction is most important for the nurse to include in the
discharge teaching?
A. Recommend that the client carry suction equipment at all times.
B. Instruct the client to have writing materials with him at all times.
, C. Tell the client to carry a medic alert card stating that he is a total
neck breather.
D. Tell the client not to travel alone. - Ans-C
It is imperative that total neck breathers carry a medic alert notice so,
that if they have a cardiac arrest, mouth-to-neck breathing can be done.
During an interview with a client planning elective surgery, the client asks
the nurse, "What is the advantage of having a preferred provider
organization insurance plan?" Which response is best for the nurse to
provide?
A. Neither plan allows selections of healthcare providers or hospitals.
B. There are fewer healthcare providers to choose from than in an HMO
plan.
C. An individual may select healthcare providers from outside of the
PPO network.
D. An individual can become a member of a PPO without belonging
to a group. - Ans-C
The financial implication of selecting a provider from outside of the
network is the feature most relevant to the average consumer. The nurse
must have knowledge about preferred provider organizations (PPOs),
which provides the option for the consumer to select a Healthcare
Provider (HCP) from within the PPO network (in-network) at a reduced
cost versus a higher cost for selecting an out-of-network HCP.
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis for gram-
negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor. Which information relates most directly to the
prognosis for gram- negative pneumonias?
