MED-SURG HESI Exam Practice 2022, questions and answers. A+ guide.
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Course
Med Surg HESI
Institution
Med Surg HESI
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and s...
Med Surg HESI Practice Questions &
Answers Spring 2022.
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia
(tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing. ✅- B
A 67-year-old woman who lives alone is admitted after tripping on a rug in her home and
fractures her hip. Which predisposing factor probably led to the fracture in the proximal end of
her femur?
A) Failing eyesight resulting in an unsafe environment.
B) Renal osteodystrophy resulting from chronic renal failure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which impair mental acuity. ✅- C
The nurse is assisting a client out of bed for the first time after surgery. What action should the
nurse do first?
A) Place a chair at a right angle to the bedside.
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. ✅- D
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which
response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
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. ✅- B
A female client is brought to the clinic by her daughter for a flu shot. She has lost significant
weight since the last visit. She has poor personal hygiene and inadequate clothing for the
weather. The client states that she lives alone and denies 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. ✅- D
,A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction.
The client's history indicates the infarction occurred ten hours ago. Which laboratory test result
should the nurse expect this client to exhibit?
A) Elevated LDH.
B) Elevated serum amylase.
C) Elevated CK-MB.
D) Elevated hematocrit. ✅- C
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by
the nurse provides the most accurate explanation for use of the splints?
A) Prevention of deformities.
B) Avoidance of joint trauma.
C) Relief of joint inflammation.
D) Improvement in joint strength. ✅- A
The nurse should be correct in withholding a dose of digoxin in a client with congestive heart
failure without specific instruction from the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. ✅- C
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not
moving. What action should the nurse take first?
A) Use a laryngoscope to check for a foreign body lodged in the esophagus.
B) Reposition the head to 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. ✅- B
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision
problems. The visiting nurse is discussing painting the house with the client. The nurse suggests
that the edge of the steps should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. ✅- D
The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the
client may have developed septic emboli?
A) Cyanosis of the fingertips.
B) Bradycardia and bradypnea.
C) Presence of S3 and S4 heart sounds.
D) 3+ pitting edema of the lower extremities. ✅- A
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
, A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. ✅- C
A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the
priority for this client?
A) Fluid and electrolyte balance.
B) Prevention of water toxicity.
C) Reduced glucose in the urine.
D) Adequate cellular nourishment. ✅- D
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for
which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. ✅- C
Which information about mammograms is most important to provide a post-menopausal female
client?
A) Breast self-examinations are not needed if annual mammograms are obtained.
B) Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
C) Yearly mammograms should be done regardless of previous normal x-rays.
D) Women at high risk should have annual routine and ultrasound mammograms. ✅- C
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing
breast cancer?
A) A 35-year-old multipara who never breastfed.
B) A 50-year-old whose mother had unilateral breast cancer.
C) A 55-year-old whose mother-in-law had bilateral breast cancer.
D) A 20-year-old whose menarche occurred at age 9. ✅- B
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?
A) Stay out of direct sunlight.
B) Restrict intake of high protein foods.
C) Schedule extra rest periods.
D) Go to the emergency room immediately. ✅- C
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure. ✅- B
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