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Medical-Surgical HESI Practice Questions Correct and Verified Answers Graded A
- A male client is admitted after falling from his bed. The healthcare provider (HCP)
- Straight fracture line that is also a simple, closed fracture.
- Nondisplaced fracture line that wraps around the bone.
- A complete fracture that also punctures the skin.
- A fracture that bends or splinters part of the bone.
tells the family that he has an incomplete fracture of the humerus. The family asks the nurse what this means. Which type of fracture should the RN explain from these findings?
Correct Answer: D. A fracture that bends or splinters part of the bone.
- The nurse is providing postoperative instructions for a female client after a
- Empty surgical drains once a week using procedure gloves.
- Report inflammation of the incision site or the affected arm.
- Wear clothing with snug sleeves over the arm on the operative side.
- Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
- A male client with chronic atrial fibrillation and slow ventricular response is
- Ventricular irritability is prevented by the constant rate setting of the pacemaker.
mastectomy. Which information should the nurse include in the teaching plan?(Select all that apply.)
Correct Answer: B. Report inflammation of the incision site or the affected arm; D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
scheduled for surgical placement of a permanent pacemaker. The client asks the nurse how this device will help him. How should the nurse explain the action of a synchronous pacemaker?
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- Ectopic stimulus in the atria is suppressed by the device usurping depolarization.
- An impulse is fired every second to maintain a heart rate of 60 beats per minute.
- An electrical stimulus is discharged when no ventricular response is sensed.
- A client with a chronic infection of Hepatitis C Virus (HCV) is scheduled for a liver
- Progress activity as soon as possible.
- Assess for signs of bleeding and hypovolemia.
- Place the client in the left lateral position.
- Monitor blood pressure, pulse and breathing every 4 hours.
Correct Answer: D. An electrical stimulus is discharged when no ventricular response is sensed.
biopsy. Which intervention should the nurse perform after the procedure?
Correct Answer: B. Assess for signs of bleeding and hypovolemia.
- A client arrives at the emergency department for treatment of injuries sustained in a
- Auscultate the lungs bilaterally.
- Inspect the overall skin color.
- Palpate for tactile fremitus.
- Percuss the chest for resonance.
motor vehicle collision. The nurse notes asymmetrical expansion of the chest wall during respiration. Which action should the nurse implement next?
Correct Answer: A. Auscultate the lungs bilaterally.
- During the assessment of a client who is 24 hours posthemicolectomy with a
- Notify the surgeon.
- Document the assessment.
- Secure a colostomy pouch over the stoma.
- Place petrolatum gauze dressing over the stoma.
temporary colostomy, the nurse determines that the client's stoma is dry and dark red in color. Which action should the nurse implement?
Correct Answer: A. Notify the surgeon.
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- A client with a history of hypertension, myocardial infarction, and heart failure is
- Notify the healthcare provider.
- Decrease the IV solution flow rate.
- Document the finding as the only action.
- Administer potassium replacement as prescribed.
admitted to the surgical intensive care unit after coronary artery bypass surgery graft (CABG). The nurse determines the client's serum potassium level is 4.5 mEq/L. Which action should the nurse implement?
Correct Answer: C. Document the finding as the only action.
- The nurse is assessing a client who is bedfast and refuses to turn or move from a
- Compress the flank and upper buttocks.
- Measure the client's abdominal girth.
- Gently palpate the lower abdomen.
- Apply light pressure over the shins.
supine position. How should the nurse assess the client for possible dependent edema?
Correct Answer: A. Compress the flank and upper buttocks.
- A female client with hyperesthesia on the oncology unit is using a transcutaneous
- Determine the client's level of discomfort using a pain rating scale.
- Ask the client about her past experience with chronic pain.
- Observe the client's facial expressions for pain and discomfort.
- Evaluate the client's ability to adjust the voltage to control pain.
- The nurse is teaching a client diagnosed with peripheral arterial disease. Which
- Altered sexual response.
electrical nerve stimulation (TENS) unit for chronic pain. What should the nurse evaluate?
Correct Answer: D. Evaluate the client's ability to adjust the voltage to control pain.
genitourinary system complication should the nurse include in the teaching?
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- Sterility.
- Urinary incontinence.
- Decreased pelvic muscle tone.
Correct Answer: A. Altered sexual response.
- The nurse is caring for a client who returns to the unit following a colonoscopy.
- Large amounts of expelled flatus with mucus.
- Tympanic abdomen and hyperactive bowel sounds.
- Increased abdominal pain with rebound tenderness.
- Complaint of feeling weak with watery diarrheal stools.
Which finding should the nurse report to the healthcare provider immediately?
Correct Answer: C. Increased abdominal pain with rebound tenderness.
- A college student who is diagnosed with a vaginal infection and vulva irritation
- Cleanse the perineum with warm soapy water 3 times per day.
- Instill the first dose of nystatin vaginally per applicator.
- Perform glucose measurement using a capillary blood sample.
- Obtain a blood specimen for sexually transmitted diseases (STDs).
describes the vaginal discharge as having a "cottage-cheese" appearance. Which prescription should the nurse implement first?
Correct Answer: B. Instill the first dose of nystatin vaginally per applicator.
- Which client should be further assessed for an ectopic pregnancy?
- A 24-year-old with shoulder and lower abdominal quadrant pain.
- A 33-year-old with intermittent lower abdominal cramping.
- A 20-year-old with fever and right lower abdominal colic.
- A 40-year-old with jaundice and right lower abdominal pain.
Correct Answer: A. A 24-year-old with shoulder and lower abdominal quadrant pain.
