Medical Surgical Nursing HESI Practice Exam Correct and Verified Answers Graded A

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Medical Surgical Nursing HESI Practice Exam Correct and Verified Answers Graded A

• The nurse is assessing a client with a history of Parkinson's disease for the past five

years. What symptoms would this client most likely exhibit?

• Numbness of the extremities, loss of balance, and visual disturbances.
• Shuffeling gait, masklike facial expressions, and tremors of the head.
• Extreme muscular weakness, easy fatigability, and ptosis.
• Loss of short-term memory, facial tics and grimaces, and constant writhing movements.

Correct Answer: B

• The nurse is assessing a clients laboratory values following the administration of

chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome?

• Hemoglobin of 10 g/dl
• Serum calcium of 5mg/dl
• Serum PTT of 10 seconds
• Oxygen saturation of 90%

Correct Answer: B

• A client is admitted to the hospital with severe acute diverticulitis. Which

assessment finding should the nurse expect this client to exhibit?

• Severe pain at McBurney's point and nausea.
• Lower left quadrant pain and a low grade fever.
• Abdominal pain and intermittent tenesmus.
• Exacerbations of severe diarrhea.

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Correct Answer: B

• A client is placed on a mechanical ventilator following a cerebral hemorrhage, and

vecuronium bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing diagnosis for this client?

• Potential for injury related to impaired lung expansion.
• Impaired communication related to paralysis of skeletal muscles.
• High risk for infection related to increased intracranial pressure.
• Social isolation related to inability to communicate.

Correct Answer: B

• The nurse would be correct in withholding a dose of digoxin in a client with

congestive heart failure without specific instrucions from the healthcare provider if the client's

• Serum potassium level is a 3
• Blood pressure is 104/68
• Serum digoxin level is 1.5
• apical pulse is 68/min

Correct Answer: A

• After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw

blood samples to determine peak and trough levels. When are the best times to draw these samples?

• 15 minutes before and 15 minutes after the next dose.
• One hour before and one hour after the next dose.
• 5 minutes before and 30 minutes after the next dose.
• 30 minutes before and 30 minutes after the next dose.

Correct Answer: C

• In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's

disease (thromboangiitis obliterans), which referral is most important?

• A twelve step recovery program.

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• Smoking cessation program.
• Genetic counseling.
• Clinical nutritionist.

Correct Answer: B

• Which symptoms should the nurse expect a client to exhibit who is known to have a

pheochromocytoma?

• Numbness, tingling, and cramps in the extremities.
• Headache, diaphoresis, and palpitations.
• Cyanosis, fever, and classic signs of shock.
• Nausea, vomiting, and muscular weakness.

Correct Answer: B

• A middle-aged male client with diabetes continues to eat an abundance of foods

that are high in sugar and fat. According to the Health Belief Model, which event is most likely to increase the client's willingness to become compliant with the prescribed diet?

• He visits his diabetic brother who just had surgery to amputate an infected foot.
• He is provided with the most current information about the dangers of untreated

diabetes.

• He comments on the community service announcements about preventing

complications associated with diabetes.

• His wife expresses a sincere willingness to prepare meals that are within his prescribed

diet.

Correct Answer: A

• The nurse is taking the history of a newly diagnosed Type 2 diabetic patient who is

beginning treatment. Which subjective information is most important for the nurse to note?

• An allergy to sulfa drugs.
• Cessation of smoking three years ago.
• A history of obesity.

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• Numbness in the soles of the feet.

Correct Answer: A

• The nurse is completing an admission interview and assessment on a client with a

history of Parkinson's disease. Which question provides information relevant to the client's plan of care?

• "Have you ever experienced any paralysis of your arms or legs?"
• "Have you ever been frozen in one spot, unable to move?"
• "Do you have headaches, especially ones with throbbing pain?"
• "Have you ever sustained a severe head injury?"

Correct Answer: A

• The nurse is completing an admission interview and assessment on a client with a

history of Parkinson's disease. Which question provides information relevant to the client's plan of care?

• "Have you ever experienced any paralysis of your arms or legs?"
• "Have you ever been frozen in one spot, unable to move?"
• "Do you have headaches, especially ones with throbbing pain?"
• "Have you ever sustained a severe head injury?"

Correct Answer: B

• What is the correct procedure for performing an opthalmoscopic examination on a

client's right retnia?

• For optimum visualization, keep the opthalmoscope at least three inches from the

client's eye.

• Set opthalmoscope on the plus 2 to 3 lens and hold it in front of the examiner's right eye.
• From a distance of 12 to 15 inches and slightly to the side, shine the light into the client's

pupil.

• Instruct the client to look at the examiner's nose and not move his/her eyes during the

exam.

Correct Answer: C