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2024-2025Med-Surg
HESI
Practice
Questions
What
instruction
should
the
nurse
include
in
the
discharge
teaching
plan
of
a
client
who
had
a
cataract
extraction
today?
a.
sexual
activities
may
be
resumed
upon
return
home
b.
light
housekeeping
is
permitted
but
avoid
heavy
lifting
c.
use
a
metal
eye
shield
on
operative
eye
during
the
day
d.
administer
eye
ointment
before
applying
eye
drops
-
ANSb.
light
housekeeping
is
permitted
but
avoid
heavy
lifting
A
male
adult
comes
to
the
urgent
care
clinic
5
days
after
being
diagnosed
with
influenza.
He
is
short
of
breath,
febrile,
and
coughing
green
colored
sputum.
Which
intervention
should
the
nurse
implement
first?
a.
Obtain
a
sputum
sample
for
culture
b.
Check
his
oxygen
saturation
level
c.
Administer
an
oral
antipyretic
d.
Auscultate
bilateral
lung
sound
-
ANSa.
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?
a.
collect
a
urine
specimen
for
culture
analysis
b.
obtain
a
fingerstick
blood
glucose
level
c.
palpate
the
bladder
above
the
symphysis
pubis
d.
review
the
client
fluid
intake
-
ANSc.
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?
a.
blood
ph
of
7.30
b.
glucose
of
350
mg
/dl
c.
white
blood
cell
count
of
15000mm
d.
potassium
of
2.5
meq/l
-
ANSd.
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?
a.
explain
specific
reason
for
urgent
notification b.
preface
the
report
by
stating
the
clients
name
and
admitting
diagnosis
c.
communicate
the
pre-transfusion
temperatures
d.
optain
prn
prescription
for
acetaminophen
for
fever
101f
-
ANSa.
explain
specific
reason
for
urgent
notification
An
adult
male
client
is
admitted
for
pneumocystis
carinil
pneumonia
(PCP)
secondary
to
aids.
While
hospitalized
he
receives
IV
pentamidine
isethionate
therapy.
In
preparing
this
client
for
discharge
what
important
aspect
regarding
his
medication
therapy
should
the
nurse
explain?
a.
AZT
therapy
must
be
stopped
when
IV
aerosol
pentamine
is
being
used.
b.
IV
pentamine
will
be
given
until
oral
pentamine
can
be
tolerated
c.
It
will
be
necessary
to
continue
prophylactic
doses
of
IV
or
aerosol
pentamine
every
month
d.
IV
pentamine
may
offer
protection
to
others
aids
related
conditions
such
as
kaposis
sarcoma
-
ANSc.
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?
a.
collect
a
clean
catch
specimen
b.
palpate
the
suprapubic
region
c.
instruct
to
wipe
from
front
to
back
d.
inquire
about
recent
sexual
activity
-
ANSa.
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?
a.
offer
the
client
reassurance
that
this
information
indicates
that
the
clients
cancer
cells
are
benign
b.
explain
that
these
tissue
cells
often
respond
more
effectively
to
radiation
than
to
chemotherapy
c.
ask
the
client
if
the
healthcare
provider
has
given
her
any
information
about
the
classification
of
her
cancer
d.
help
the
client
make
plans
to
begin
immediate
treatment
since
her
cancer
is
likely
to
spread
quickly
-
ANSc.
ask
the
client
if
the
healthcare
provider
has
given
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?
a.
monitor
bp
q45
minutes
b.
lower
the
head
of
the
chair
and
elevate
feet
c.
stop
dialysis
treatment
d.
administer
5%
albumin
IV
-
ANSc.
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
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