HESI ADV MED SURG 2022 v2STUDY GUIDE QUESTION/ANSWER(S) SHOWN ON 2022 HESI EXAM
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HESI
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HESI
*After a transurethral resection of the prostate (TURP), a client has
bloody urine output with large clots. The nurse implements the
postoperative prescription to irrigate the indwelling catheter PRN to
maintain the catheter’s patency. Which action should the nurse
implement?
Clamp the cathe...
hesi adv med surg 2022 v2study guide questionanswers shown on 2022 hesi exam
after a transurethral resection of the prostate turp
a client has bloody urine output wi
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HESI ADV MED SURG 2022 v2 STUDY
GUIDE
QUESTION/ANSWER(S) SHOWN
ON 2022 HESI EXAM
1. *After a transurethral resection of the prostate (TURP), a client has
bloody urine output with large clots. The nurse implements the
postoperative prescription to irrigate the indwelling catheter PRN to
maintain the catheter’s patency. Which action should the nurse
implement?
Clamp the catheter for 30 minutes prior to irrigating with saline
2. *A male client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising.
Which action should the nurse implement? (me salio)
a. Teach client to use pursed lip breathing when episodes occur
b. Assess client for signs and symptoms of upper airway infection
c. Determine if the client is using an inhaler before exercising
d. Review the client's routine asthma management prescriptions.
Determine if the client is using an inhaler before exercising (Using a
prescribed bronchodilator inhaler 10 minutes before participating in
aerobic activity can control exercise-induced asthma (EIA). The nurse
should assess if the client is using their inhaler before initiating exercise)
3. *A client with unstable asthma had an emergent cardiac
catheterization. Which complication should the nurse monitor for in the
initial 24 hours after the procedure?
a. angina at rest
b. thrombus formation
c. dizziness
d. falling blood pressure
Thrombus formation
, 4. *A client with chronic kidney disease (CDK) arrives at the clinic
reporting shortness of breath on exertion and extreme weakness. Vital
signs are temperature 100.4 F (38 C), heart rate 110 beats/minute,
respirations 28 breaths/minute, and blood pressure 175/98 mmHg. The
client usually receives dialysis three times a week but missed the last
treatment. STAT blood specimens are sent to the laboratory for
analysis. Which laboratory results should the nurse report to the
healthcare provider immediately?
Potassium 6.5 mEq/L (mmol/L)
5. *The healthcare provider prescribes an IV solution of regular insulin
(Hummulin-R) 100 units in 250 ml of 0.45% saline to infuse at 12
units/hour. The nurse should program the infusion pump to deliver how
many ml/hour?
30
6. *A client with ulcerative colitis is admitted to the medical unit during
an acute exacerbation. The nurse should instruct the unlicensed assistive
personnel (UAP) to report which finding related to the client’s bowel
movements?
a. Hard pellets of stool
b. Clay-colored stool
c. Stool with fatty streaks
d. Blood in the stool
Blood in the stool
7. *Which food is most important for the nurse to encourage a male
client with osteomalacia to include in his daily diet? Me salio
a. red meats and eggs
b. fortified milk and cereals
c. citrus fruits and juices
d. green leafy vegetables
Fortified milk and cereals
8. *The nurse assists a male client with Parkinson’s disease (PD) to
ambulate in the hallway. The client appears to “freeze” and then
carefully lifts one leg and steps forward. He tells the nurse that he is
pretending to step over a crack on the floor. How should the nurse
respond?
, a. Re-orient the client to his present location and circumstances
b. Confirm that this is an effective technique to help with ambulation
c. Assist the client to a carpeted area where he can walk more easily.
d. Plan to assess the client's cognition after returning to his room.
Confirm that this is an effective technique to help with ambulation
(Intentionally stepping over a real or imaginary line is an effective
technique for those with PD who experience bradykinesic “freezing”
during ambulation)
9. *The healthcare provider prescribes epoetin alfa (Procrit) 8,200 units
subcutaneously for a client with chronic kidney disease (CKD). The 2
ml multidose vial is labeled, “Each 1 ml of solution contains 10,000
units of epoetin alfa.” How many ml should the nurse administer?
0.8
10.*A client with pheochromocytoma reports the onset of a severe
headache. The nurse observes that the client is very diaphoretic. Which
assessment data should the nurse obtain next?
Blood pressure (Pheochromocytoma, a tumor of the adrenal gland,
causes several episodic hypertension and presents with a classic triad of
symptoms including a headache, diaphoresis, and tachycardia. The client
is exhibiting two of these three symptoms, so it is most important for
the nurse to assess the client’s blood pressure)
11.*What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs
Minimize symptoms by wearing loose, comfortable clothing
12.*An older adult with heart failure is hospitalized during an acute
exacerbation. To reduce cardiac workload, which intervention should the
nurse include in the client’s plan of care? (me salio)
A. Assist with ambulation in the hallway
B. Encourage active range of motion exercises
, C. Provide a bedside commode for toileting
D. Teach to sleep in a slide-laying position
Provide a bedside commode for toileting
13.*During preoperative teaching for a male client scheduled for repair of
an inguinal hernia, the client tells the nurse that he has had several
surgeries and understands the need to perform coughing and deep
breathing exercises after surgery. How should the nurse respond? (me
salio)
a. Ask for a demonstration of these exercises
b. Explain that coughing should be avoided
c. Review the client previous surgical history
d. Document the clients understanding of teaching
Explain that coughing should be avoided (Coughing exercises should be
avoided following herniorrhaphy to avoid undue intra-abdominal pressure
that can stress the suture line. The other actions do not reflect the need
to correct the client’s misunderstanding about postoperative coughing
exercises related to the surgery).
14.*A client with draining skin lesions of the lower extremity is admitted
with possible Methicillin-Resistant Staphylococcus Aureus (MRSA).
Which nursing interventions should the nurse include in the plan on
care? (Select all that apply.)
Institute contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the client’s white blood cell count
(MRSA infections in hospitals and other health care settings require
transmission precautions to prevent the spread of Healthcare-Associated
Infections (HAI). MRSA is transmitted by direct contact, so contact
precautions are paramount. Sending a sample of wound draining for
culture and sensitivity would confirm the type of infection. Monitoring
the client’s white blood cell count is helpful for assessing the severity of
immune response to the infection. The client would not be receiving a
bacteria diet, and standard precautions are insufficient for protecting
against the spread of infection).
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