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MedSurg HESI Test Question 2023 and All Answers Verified Correct Exam Question And Answers 2024
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MedSurg HESI Test Question 2023 andAll Answers Verified Correct Exam
Question And Answers 2024
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last 2 hours. Which action should the nurse take first? -
correct answers✅Reposition the client on her side. The priority is to determined if
the tube is functioning correctly, which would relieve the client's nausea. The least
invasive intervention is to reposition the client (B), should be attempted first,
followed by (A & C) if these are unsuccessful then (D).
When assigning clients on a medical-surgical floor to a RN and a LPN, it is best for
the charge nurse to assign which client to the LPN?
A. A child with bacterial meningitis with recent seizures.
B. An older adult client with pneumonia and viral meningitis.
C. A female client in isolation wiht meningococcal meningitis.
D. A male client 1 day post-op after drainage of a brain abscess. - correct
answers✅B. Is the most stable. A, C, D have an increased risk for elevated ICP.
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. Unilateral facial weakness and paralysis.
D. Difficulty in talking, chewing, and swallowing. - correct answers✅B. Trigeminal
neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the
area innervated by one or more branches of the trigeminal nerve.
A. Characteristic of Meniere's
C. Characteristic of Bell palsey
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
,MedSurg HESI Test Question 2023 and
All Answers Verified Correct Exam
Question And Answers 2024
Which abnormal lab finding indicates that a client with diabetes needs further
evaluation for diabetic nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria - correct answers✅B. Microalbuminuria is the earliest sign of
nephropathy and indicates the need for follow-up evaluation. Hyperkalemia (A) is
associated with end stage renal disease caused by diabetic nephropathy. (C) may be
elevated in end stage renal disease. (D) may signal the onset of DKA.
An older male client comes to the geriatric screening clinic complaining of pain in
his left calf. The nurse notices a reddened area on the calf of his right leg that is
warm to touch and the nurse suspects that the client may have thrombophlebitis.
Which addition assessment is most important for the nurse to perform?
A. Measure calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure. - correct answers✅B. Since the client may
have a pulmonary embolus secondary to the thrombophlebitis.
A. Would support the nurses assessment.
C. Least helpful since bruising is not associated with thrombophlebitis.
D. Less important then auscultation.
The nurse know that a client taking diuretics must be assessed for the development
of hypokalemia, and that hypokalemia will create changes in the client's normal
ECG tracing. Which ECG change would be an expected finding in the client with
hypokalemia?
A. Tall, spiked T waves
B. A prolonged QT interval
,MedSurg HESI Test Question 2023 and
All Answers Verified Correct Exam
Question And Answers 2024
C. A widening QRS complex
D. Presence of a U wave - correct answers✅D. A U wave is a positive deflection
following the T wave and is often present with hypokalemia. A, B, C indicate
hyperkalemia.
An older client is admitted with a diagnosis of bacterial pneumonia. The nurse's
assessment of the client will most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum production.
D. Confusion and tachycardia. - correct answers✅D. The onset of pneumonia is
the older may be signaled by general deterioration, confusion, increased heart rate
or increased respiratory rate.
(A, B, C) are often absent in the older with bacterial pneumonia.
The nurse observes ventricular fibrillation on telemetry and upon entering the
clients bathroom finds the client unconscious on the floor. What intervention should
the nurse implement first?
A. Administer an antidysrhythmic medication.
B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assess the client's pulse oximetry. - correct answers✅B. Ventricular fibrillation
is a life-threatening dysrhythmia and CPR should be started immediately. A & C are
appropriate but B is the priority. D does not address the seriousness of the situation.
An older female client with dementia is transferred from a long term care unit to an
acute care unit. The client's children express concern that their mother's confusion
is worsening. How should the nurse respond?
A. "It is to be expected that older people will experience progressive confusion."
, MedSurg HESI Test Question 2023 and
All Answers Verified Correct Exam
Question And Answers 2024
B. "Confusion in an older person often follows relocation to new surroundings."
C. "The dementia is progressing rapidly, but we will do everything we can to keep
your mother safe."
D. "The acute care staff is not as experienced as the long-term care staff at dealing
with dementia." - correct answers✅B. Relocation often results in confusion among
older clients and is stressful to clients of all ages. (A) is an inaccurate stereotype.
(C) is most likely false there are many factors that cause increased temporary
confusion. (D) may be true but does not offer the family a sense of security about
the care.
The nurse plans to help an 18-year-old developmentally disabled female client
ambulate on the first postoperative day. When the nurse tells her it is time to get
out of bed, the client becomes angry and yells at the nurse. "Get out of here! I'll get
up when I'm ready." Which response should the nurse provide?
A. "Your healthcare provider has prescribed ambulation on the first postoperative
day."
B. "You must ambulate to avoid serious complications that are much more painful."
C. "I know how you feel; you're angry about having to do this, but it is required."
D. "I'll be back in 30 minutes to help you get out of bed and walk around the room."
- correct answers✅D. Returning in 30 minutes provides a cooling off period, is
firm, direct, nonthreatening, and avoids argument with the client. B is threatening.
C. assumes what the client is feeling. A. avoids the nurse's responsibility to
ambulate the client.
The nurse is performing hourly neurological check for a client with a head injury.
Which new assessment finding warrants the most immediate intervention by the
nurse?
A. A unilateral pupil that is dilated and nonreactive to light.
B. Client cries out when awakened by a verbal stimulus.
C. Client demonstrates a loss of memory to the events leading up to the injury.
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