Med Surg HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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Med Surg HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• 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?

• Black.
• White.
• Light green.
• Medium yellow.

Correct Answer: D) Medium yellow.

• 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?

• Use a laryngoscope to check for a foreign body lodged in the esophagus.
• Reposition the head to validate that the head is in the proper position to open the airway.
• Turn the client to the side and administer three back blows.
• Perform a finger sweep of the mouth to remove any vomitus.

Correct Answer: B) Reposition the head to validate that the head is in the proper position to open the airway.

• 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:

• serum digoxin level is 1.5.

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• blood pressure is 104/68.
• serum potassium level is 3.
• apical pulse is 68/min.

Correct Answer: C) serum potassium level is 3.

• 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?

• Prevention of deformities.
• Avoidance of joint trauma.
• Relief of joint inflammation.
• Improvement in joint strength.

Correct Answer: A) Prevention of deformities.

• 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?

• Elevated LDH.
• Elevated serum amylase.
• Elevated CK-MB.
• Elevated hematocrit.

Correct Answer: C) Elevated CK-MB.

• 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?

• Notify social services immediately of suspected elderly abuse.
• Discuss the need for mental health counseling with the daughter.
• Explain to the client that she needs to take better care of herself.
• Collect further data to determine whether self-neglect is occurring.

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Correct Answer: D) Collect further data to determine whether self-neglect is

occurring.

• 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?

• Check it again in one month, and if it is still there schedule an appointment.
• Most lumps are benign, but it is always best to come in for an examination.
• Try not to worry too much about it, because usually, most lumps are benign.
• If you are in your menstrual period it is not a good time to check for lumps.

Correct Answer: B) Most lumps are benign, but it is always best to come in for an examination.

• The nurse is assisting a client out of bed for the first time after surgery. What action

should the nurse do first?

• Place a chair at a right angle to the bedside.
• Encourage deep breathing prior to standing.
• Help the client to sit and dangle legs on the side of the bed.
• Allow the client to sit with the bed in a high Fowler's position.

Correct Answer: D) Allow the client to sit with the bed in a high Fowler's position.

• 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?

• Failing eyesight resulting in an unsafe environment.
• Renal osteodystrophy resulting from chronic renal failure.
• Osteoporosis resulting from hormonal changes.
• Cardiovascular changes resulting in small strokes which impair mental acuity.

Correct Answer: C) Osteoporosis resulting from hormonal changes.

• Which description of symptoms is characteristic of a client diagnosed with

trigeminal neuralgia (tic douloureux)?

• Tinnitus, vertigo, and hearing difficulties.

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• Sudden, stabbing, severe pain over the lip and chin.
• Facial weakness and paralysis.
• Difficulty in chewing, talking, and swallowing.

Correct Answer: B) Sudden, stabbing, severe pain over the lip and chin.

• The nurse is assessing a client with bacterial meningitis. Which assessment

finding indicates the client may have developed septic emboli?

• Cyanosis of the fingertips.
• Bradycardia and bradypnea.
• Presence of S3 and S4 heart sounds.
• 3+ pitting edema of the lower extremities.

Correct Answer: A) Cyanosis of the fingertips.

• In assessing a client diagnosed with primary hyperaldosteronism, the nurse

expects the laboratory test results to indicate a decreased serum level of which substance?

• Sodium.
• Antidiuretic hormone.
• Potassium.
• Glucose.

Correct Answer: C) Potassium.

• A client with diabetes mellitus is experiencing polyphagia. Which outcome

statement is the priority for this client?

• Fluid and electrolyte balance.
• Prevention of water toxicity.
• Reduced glucose in the urine.
• Adequate cellular nourishment.

Correct Answer: D) Adequate cellular nourishment.