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Med Surg HESI Bundle V1, V Bundle 241 pages overall. This Bundle contains the two versions of the HESI MED SURG exams (over 500+ hint questions)$30.99
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v2 2018 2021 bundle 241 pages overall this bundle contains the two versions of the hesi med surg 2018 2021 exams over 500 hint questions
when describing patient education
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Med Surg HESI Bundle V1, V2 2018-2021 Bundle 241 pages overall. This
Bundle contains the two versions of the HESI MED SURG 2018-2021
exams (over 500+ hint questions)
A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the
best initial nursing action? Correct Answer: Observe the color, consistency, and amount of sputum
A client presents to the emergency department after prolonged exposure to the cold. The client is
shivering, has slurred speech, and is slow to respond to questions. Which intervention will the nurse
prepare for this client FIRST?
A) Continuous arteriovenous rewarming
B) Dry clothing and warm blankets
C) Peritoneal lavage with warmed normal saline
D) Administration of warmed IV fluids Correct Answer: B
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract
extraction today? Correct Answer: Light housekeeping is permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first? Correct Answer: Obtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up several times at
night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which intervention should the nurse implement? Correct Answer:
palpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse? Correct Answer: potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process? Correct Answer: explain specific reason for urgent
notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse explain? Correct Answer: It will be
necessary to continue prophylactic doses of IV or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse
implement next? Correct Answer: collect a clean catch specimen
,A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How
should the nurse respond? Correct Answer: ask the client in the healthcare provider has giving her any
information about the classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood
pressure drops from 150/90 to 80/30 Which action should the nurse take first? Correct Answer: stop
dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000 unit
in 5% dextrose injection 250ml. The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many ml/hr? Correct Answer: 9
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD).
Which subjective data reported by the client supports this diagnosis? Correct Answer: upper mid
abdominal gnawing and burning pain
The nurse is providing preoperative education for a jewish client schedule to receive a xenograft graft to
promote burn healing. Which information should the nurse provide this client? Correct Answer: the
xenograft is taken from nonhuman sources
A client who took a camping vacation two weeks ago in a country with a tropical climate comes to the
clinic describing vague symptoms and diarrhea for the past week. Which finding is most important for
the nurse to report? Correct Answer: jaundice sclera
During a home visit the nurse assesses the skin of a client with eczema who reports than an
exacerbation of symptoms has occurred during the last week. Which information is most useful in
determining the possible cause of the symptoms? Correct Answer: a grandson and his new dog recently
visited
When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which instruction
should the nurse include in the dietary teaching Correct Answer: restrict sodium intake
A male client who is 24hr post operative for an exploratory laparoctomy complains that he is starving
because he has had no real food since before surgery. Prior to advancing his diet which intervention
should the nurse implememt? Correct Answer: Auscultate bowel sound in all four quadrants
A client diagnose with stable angina secondary to ischemic heart disease has a prescription for
sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to follow which instructions if chest
pain is not relieved after taking 3 NTG tables 5 min apart Correct Answer: call 911 pain is unrelieved and
chew a tablet of aspirin 325mg
After taking orlistat (Xenical) for one week a femela client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. What action should the nurse take? Correct
Answer: ask the client to describe her dietary intake history for the last several days
Two days after an abscess of the chin was drained the client returns to the clinic with fever chills and a
maculopapular rash with pruritis. The client has taken an oral antibiotic and cleansed the wound today
,with provide iodine (Betadine) solution. Which intervention should the nurse implement first? Correct
Answer: assess airway patency and oxygen saturation
A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the health care provider? Correct Answer: low back pain and
hypotension
1.A young adult male who has had type 2 diabetes mellitus (DM) is admitted to the intensive care unit
with hyperglycemic nonketotic syndrome (HHNS). A sliding scale protocol for an isotonic IV solution with
regular insulin is prescribed based on the results of a continuous blood glucose monitoring device that is
attached to the client's central venous catheter. When the client's respirations become labored and his
lungs sound indicate crackles what action should the nurse take? Correct Answer: decrease infusion
rate to address fluid overload
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that the previously
applied patch is intact on the client's upper back and the client denies pain. What action should the
nurse take? Correct Answer: Apply a new patch in a different location after removing the original patch
A client who had a myocardial infarction is admitted to the coronary critical care unit (CCU) with a
nitroglycerin drip infusing. The clients last blood pressure measurements was 78/36.What action should
the nurse implement? Correct Answer: reduce the rate of the nitroglycerin infusion
An adolescent is admitted to the hospital because of a suicide attempt with an overdose of
acetaminophen (Tylenol). Which blood values are most important for the nurse to monitor during the
first 72 hours following ingestion of this overdose? Correct Answer: LDH OR LD, SGOT OR ALT, SGPT OR
AST
An elderly post-operative female client is receiving morphine sulfate via a PCA pump. Which assessment
finding should prompt a nurse to administer the prescribed PRN medication naloxone? Correct Answer:
her respiratory rate is 7 breath/minute
Which assessment finding indicates to the nurse that the muscarinic agent bethanechol (Urecholine) is
effective for a client diagnose with urinary retention? Correct Answer: urinary output equal to intake
Following involvement in a motor vehicle collision, a middle aged adult client is admitted to the hospital
with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN
prescription should be administer if the clients begins to exhibit signs and symptoms of delirium
tremens (DT s)? Correct Answer: Lorazepam (Ativan) 2mg IM
Which instructions should the nurse include in the teaching plan of a client who is taking the diuretic
spironolactone (Aldactone)? Correct Answer: Take the medication in the morning
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse
instruct the client to take the glucagon? Correct Answer: when recognized signs of severe hypoglycemia
occur
, A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which explanation should
be included in preparing this client for this treatment? Correct Answer: describe radioactive iodine as a
tasteless, colorless medication administered by the healthcare provide
A client is discharged with a prescription for warfarin (Coumadin). What discharge instructions should
the nurse emphasize to the client? Correct Answer: avoid going barefoot especially outside
In caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasal which
serum lab test is most important for the nurse to monitor? Correct Answer: osmolality
After administering dihydroergotamine (Migranal) 1 mg subcutaneously to a client with a severe
migraine headache the nurse should explain that relief can be expected within what time frame?
Correct Answer: 15 minutes
A client with hypertension who has been taking labetalol for two weeks, reports a five pound (2.2 kg)
weight gain. Which follow up assessment is most important for the nurse to obtain? Correct Answer:
breath sounds
A male client is receiving pilocarpine hydrochloride (Isopto Carpine) ophthalmic drops for glaucoma. He
calls the clinic and ask the nurse why he has difficulty seeing at night. What explanation should the nurse
provide? Correct Answer: The eye drops slow pupil response to accommodate for darkness
A client who is taking and oral dose of tetracycline complains of gastrointestinal upset. What snack
should the nurse instruct the client to take with the tetracycline? Correct Answer: toasted wheat bread
and jelly
The therapeutic effect of insulin in treating type 1 diabetes mellitus is based on which physiologic
action? Correct Answer: Facilitates transport of glucose into the cell
A female client is being treated for tuberculosis with rifampin (rifadin) which statement indicates that
further teaching is needed? Correct Answer: I will take my usual contraceptive for birth control
The health care provider prescribe a medication for an older adult client who is complaining of insomnia.
And instructs the client to return in 2 weeks. The nurse should question which prescription? Correct
Answer: Eszoplicone (Lunesta)10 mg orally at bed time
A male client reports to the nurse that he is experiencing GI distress from high dose of a corticosteroid
and is planning to stop taking the medication. In response to the client's statement what nursing action
is most important for the nurse to take? Correct Answer: Advice the client that the medication should
be stopped gradually rather than abruptly
Fifteen minutes after receiving sulfa athenozole. A male client report a burning sensation over his
abdomen chest and groin. Which intervention is most important for the nurse to implement?
a. Auscultate lung sounds for wheezing Correct Answer: Review the clients list if drugs allergies
Antibiotic resistant organism are a major infection control problems. To help minimize the emergence of
resistant bacteria what instruction should the nurse provide to the clients? Correct Answer: avoid using
antibiotics when suffering from colds or the flu
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