Exam (elaborations)
Med-Surg HESI Practice Questions & Detailed Answers 2024
- Course
- NURS MEDSURG
- Institution
- Abilene Christian University
Med-Surg HESI Practice Questions & Detailed Answers 2024
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2022-23 Med-Surg HESI Practice QuestionsWhat 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 - correct answer b.
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 - correct answer a. 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 - correct answer c. 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 - correct answer d. 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 - correct
answer a. 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 - correct answer c. 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 - correct answer a. 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
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