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HESI Med-Surg Practice Questions #2 {ALREADY
GRADED A+ } NEWEST VERSION
- A young adult female reports that she is experiencing a lack of appetite,
hypersomnia, stress incontinence, and heart palpitations. Which symptom is characteristic of premenstrual syndrome?• A) Heart palpitations.• B) Anorexia.• C) Hypersomnia.
• D) Stress incontinence. Correct Answer: A
- A nurse is preparing to insert an IV catheter after applying an eutectic mixture of
lidocaine and prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize its therapeutic effect?• A) Rub a liberal amount of cream into the skin thoroughly.• B) Cover the skin with a gauze dressing after applying the cream.• C) Leave the cream on the skin for 1 to 2 hours before the procedure.• D) Use the smallest amount of cream necessary to numb the skin surface. Correct
Answer: C
- The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago.
The nurse determines the client's lower abdomen is distended and assesses dullness to percussion. What is the priority nursing action?• A) Assessment of the client's vital signs.• B) Document the finding as the only action.• C) Determine the time the client last voided.
• D) Insert a rectal tube for the passage of flatus. Correct Answer: C
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- A client with Meniere's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing intervention should the nurse implement?• A) Encourage fluids to 3000 ml per day.• B) Change the client's position every two hours.• C) Keep the head of the bed elevated 30 degrees.
• D) Turn off the television and darken the room. Correct Answer: D
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- The nurse directs an unlicensed assistive personnel (UAP) to obtain the vital signs
for a client who returns to the unit after having a mastectomy for cancer. What information should the nurse provide the UAP?
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• A) Elevate the arm with an IV infusing on the operative side with a pillow.• B) Apply the blood pressure cuff to the arm on the non-operative side.• C) Position the arm on the operative side close to the body.• D) Collect a fingerstick blood specimen from the arm on the operative side. Correct
Answer: B
- A client with acute appendicitis is experiencing anxiety and loss of sleep about
missing final examination week at college. Which outcome is most important for the nurse to include in the plan of care?• A) Sleeping six to eight hours.• B) Achieve a sense of control.• C) Utilize problem solving skills.
• D) Increased focus of attention. Correct Answer: B
- A client who has a chronic cough with blood-tinged sputum returns to the unit after
a bronchoscopy. What nursing interventions should be implemented in the immediate post-procedural period?• A) Keep the client on bed rest for eight hours.• B) Check vital signs every 15 minutes for two hours.• C) Allow the client nothing by mouth until the gag reflex returns.• D) Encourage fluid intake to promote elimination of the contrast media. Correct
Answer: C
- The nurse is assessing a client with a cuffed tracheostomy tube in place who is
breathing spontaneously. To evaluate if the client can tolerate cuff deflation to promote speaking and swallowing, what action should the nurse implement?• A) Ask the client to try to speak.• B) Assess for respiratory distress.• C) Auscultate for pulmonary crackles after the client drinks a small amount of clear water.• D) Observe the client for coughing colored sputum after drinking a small amount of
