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RN Evolve Hesi Medical Surgical Exam Versions A &
B Each Version with 100 questions and Correct
answers with Rationales/ RN Hesi Med Surg Exam
Prep Test Bank / Hesi Medical Surgical Practice
Test Bank
An ER nurse is completing an assessment on a patient
that is alert but struggles to answer questions. When she
attempts to talk, she slurs her speech and appears very
frightened. What additional clinical manifestation does the
nurse expect to find if 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 - ...ANSWER...✓✓ A) A
carotid bruit.
Rationale: the carotid artery (artery to the brain) is
narrowed in clients with a brain attack. A bruit is an
abnormal sound heard on auscultation resulting from
interference with normal blood flow. Usually the blood
pressure is hypertensive. Initially flaccid paralysis occurs,
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resulting in hyporefkexic deep tendon reflexes. Bowel
sounds are not indicative of a brain attack.
Which clinical manifestation further supports an
assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - ...ANSWER...✓✓ D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking,
listening, and understanding, as well as difficulty reading
and writing. Symptoms vary from person to person.
Aphasia may occur secondary to any brain injury
involving the left hemisphere. Visual field deficits, spatial-
perceptual deficits, and paresthsia of the left side usually
occur with right-sided brain attack.
When preparing a patient for a noncontrast computed
tomography (CT) scan STAT, what nursing intervention
should the nurse implement?
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A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her
head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having
the procedure.
D) Provide an explanation of relaxation exercises prior to
the procedure. - ...ANSWER...✓✓ B) Explain that the client
will not be able to move her head throughout the CT scan.
Rationale: Because head motion will distort the images,
Nancy will have to remain still throughout the procedure.
Allergies to iodine is important if contrast dye is being
used for the CT scan. Premedicating the client to
decrease pain prior to the procedure is unnecessary
because CT scanning is a noninvasive and painless
procedure. Providing an explanation of relaxation
exercises prior to the procedure is a worthwhile
intervention to decrease anxiety but is not of highest
priority.
A neurologist prescribes a magnetic resonance imaging
(MRI) of the head STAT for a patient. Which data warrants
immediate intervention by the nurse concerning this
diagnostic test?
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A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation. - ...ANSWER...✓✓ C) Right
hip replacement.
The magnetic field generated by the MRI is so strong that
metal-containing items are strongly attracted to the
magnet. Because the hip joint is made of metal, a lead
shield must be used during the procedure. Elevated blood
pressure, an allergy to shell fish, and a history of atrial
fibrillation would not affect the MRI.
A client's daughter is sitting by her mother's bedside who
was recently transferred to the Intermediate Care Unit.
She states "I don't understand what a brain attack is. The
healthcare provider told me my mother is in serious
condition and they are going to run several tests. I just
don't know what is going on. What happened to my
mother?" What is the best response by the nurse?
RN Evolve Hesi Medical Surgical Exam Versions A &
B Each Version with 100 questions and Correct
answers with Rationales/ RN Hesi Med Surg Exam
Prep Test Bank / Hesi Medical Surgical Practice
Test Bank
An ER nurse is completing an assessment on a patient
that is alert but struggles to answer questions. When she
attempts to talk, she slurs her speech and appears very
frightened. What additional clinical manifestation does the
nurse expect to find if 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 - ...ANSWER...✓✓ A) A
carotid bruit.
Rationale: the carotid artery (artery to the brain) is
narrowed in clients with a brain attack. A bruit is an
abnormal sound heard on auscultation resulting from
interference with normal blood flow. Usually the blood
pressure is hypertensive. Initially flaccid paralysis occurs,
,2|Page
resulting in hyporefkexic deep tendon reflexes. Bowel
sounds are not indicative of a brain attack.
Which clinical manifestation further supports an
assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - ...ANSWER...✓✓ D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking,
listening, and understanding, as well as difficulty reading
and writing. Symptoms vary from person to person.
Aphasia may occur secondary to any brain injury
involving the left hemisphere. Visual field deficits, spatial-
perceptual deficits, and paresthsia of the left side usually
occur with right-sided brain attack.
When preparing a patient for a noncontrast computed
tomography (CT) scan STAT, what nursing intervention
should the nurse implement?
,3|Page
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her
head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having
the procedure.
D) Provide an explanation of relaxation exercises prior to
the procedure. - ...ANSWER...✓✓ B) Explain that the client
will not be able to move her head throughout the CT scan.
Rationale: Because head motion will distort the images,
Nancy will have to remain still throughout the procedure.
Allergies to iodine is important if contrast dye is being
used for the CT scan. Premedicating the client to
decrease pain prior to the procedure is unnecessary
because CT scanning is a noninvasive and painless
procedure. Providing an explanation of relaxation
exercises prior to the procedure is a worthwhile
intervention to decrease anxiety but is not of highest
priority.
A neurologist prescribes a magnetic resonance imaging
(MRI) of the head STAT for a patient. Which data warrants
immediate intervention by the nurse concerning this
diagnostic test?
, 4|Page
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation. - ...ANSWER...✓✓ C) Right
hip replacement.
The magnetic field generated by the MRI is so strong that
metal-containing items are strongly attracted to the
magnet. Because the hip joint is made of metal, a lead
shield must be used during the procedure. Elevated blood
pressure, an allergy to shell fish, and a history of atrial
fibrillation would not affect the MRI.
A client's daughter is sitting by her mother's bedside who
was recently transferred to the Intermediate Care Unit.
She states "I don't understand what a brain attack is. The
healthcare provider told me my mother is in serious
condition and they are going to run several tests. I just
don't know what is going on. What happened to my
mother?" What is the best response by the nurse?
