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HESI Med Surg Remediation Exam 2024/2025
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HESI Med Surg Remediation Exam 2024/2025 HESI Med Surg Remediation Exam 2024/2025 HESI Med Surg Remediation Exam 2024/2025
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HESI Med Surg RemediationAn adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. The
client appears anxious, restless, and mildly cyanotic. The nurse should further assess the client for which
condition?
-Pulmonary embolism.
-Heart failure.
-Tuberculosis.
-Bronchitis. - ANS Pulmonary Embolism
Which information should the nurse obtain when performing an initial assessment of a client who
presents to the emergency department with a painful ankle injury? (Select all that apply.)
-Quality of the pain.
-Signs of inflammation.
-Ankle range of motion.
-Muscle strength testing.
-Visible deformities of the joint - ANS Quality of the pain, Signs of inflammation, Ankle range of motion,
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
-Joint pain is worse in the morning and involves symmetric joints.
-Joint pain is better in the morning and worsens throughout the day.
-Joint pain is consistent throughout the day and is relieved by pain medication.
-Joint pain is worse during the day and involves unilateral joints. - ANS Joint pain is worse in the morning
and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)?
,-Hoarseness.
-Dry mouth.
-Mouth ulcers.
-Weight loss. - ANS Hoarseness, Dyspepsia and regurgitation are the main symptoms of
gastroesophageal reflux disease (GERD); however, hoarseness is one of the most common long-term
symptoms of GERD due to the irritation of the reflux of gastric secretions.
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate?
-Bilateral lower leg stasis dermatitis.
-Clubbing of fingers and toes.
-Intermittent claudication.
-Peripheral cyanosis. - ANS Bilateral lower leg stasis dermatitis, Clients who suffer from chroninc venous
insufficiency often develop statsis dermatitis in the lower extremities. Statis dermatitis appear as
brownish-red discoloration on the lower extremities at the ankles which can develop into stasis ulcers
due to the pooling of the venous blood flow back to the heart.
A client has been hospitalized with a femur fracture and is being treated with traction. Which action by
the nurse is the priority when caring for this client?
-Assess neurovascular status.
-Change the client's position.
-Inspect the traction equipment.
-Review pain medication orders. - ANS Assess neuromuscular status
Which statement made by a client with chronic pancreatitis indicates that further education is needed?
-I will cut back on smoking cigarettes daily.
-I will avoid drinking caffeinated beverages.
-I will rest frequently and avoid vigorous exercise.
,-I will eat a bland, low-fat, high-protein diet. - ANS I will cut back on smoking cigarettes daily, To prevent
exacerbations of chronic pancreatitis, clients should be instructed to avoid nicotine entirely. Additional
teaching includes avoiding caffeinated beverages, resting frequently as needed, and eating a bland diet
low fat and high in protein.
The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for
toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply.)
-Remove the diaphragm immediately after intercourse.
-Wash the diaphragm with an alcohol solution.
-Use the diaphragm to prevent conception during the menstrual cycle.
-Do not leave the diaphragm in place longer than 8 hours after intercourse.
-Replace the old diaphragm every 3 months. - ANS Do not leave the diaphragm in place longer than 8
hours after intercourse, Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is
contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if
other factors could be contributing to their difficulty. What information is best for the nurse to provide?
(Select all that apply.)
-Marijuana cigarettes do not affect sperm count.
-Alcohol consumption can cause erectile dysfunction.
-Low testosterone levels affect sperm production.
-Cessation of smoking improves general health and fertility.
-Obesity has no effect on sperm production. - ANS Alcohol consumption can cause erectile dysfunction,
Low testosterone levels affect sperm production, Cessation of smoking improves general health and
fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes
large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock?
-Faint pedal pulses.
, -Decrease in blood pressure. Incorrect
-Lethargy.
-Slow breathing. - ANS Lethargy, One of the early signs of hypovolemic shock is changes in the client's
level of consciousness due to the decrease perfusion to the brain which can manifests as lethargy or
confusion.
The registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. The RN discovers that the client has had 14 to 20 loose
stools with rectal bleeding. When taking the client's medical history, which information is most for the
nurse to obtain?
-Irritable bowel syndrome.
-Diverticulitis.
-Crohn's disease.
-Ulcerative colitis. - ANS Ulcerative colitis, The RN should ask the client if he has a history of ulcerative
colitis, which is characterized by severe abdominal cramping, pain, tenesmus, and dehydration .
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic
knowledge about the disease process. Which statement by the client conveys an understanding of the
etiology of diverticula?
-Over use of laxatives for bowel regularity result in loss of peristaltic tone.
-Inflammation of the colon mucosa cause growths that protrude into the colon lumen.
-Diverticulosis is the result of high fiber diet and sedentary life style.
-Chronic constipation causes weakening of colon wall which result in out-pouching sacs. - ANS Chronic
constipation causes weakening of colon wall which results in out-pouching sacs A client who has chronic
constipation often strains to pass constipated stool which increases intestinal pressure that weakens the
intestinal walls and causes out-pouching sacs, called diverticula which commonly occur in the sigmoid.
The registered nurse (RN) is assessing a client who was discharged home after management of chronic
hypertension. Which equipment should the RN instruct the client to use at home?
-Exercise bicycle.
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