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N491 Med-Surg HESI Practice Exam 100% Correct Answers
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N491 Med-Surg HESI Practice Exam 100% CorrectAnswers 2024-2025
Choose the correct intervention the nurse would implement while caring for a female
client who was diagnosed with pelvic relaxation disorder.
A. Instruct her about the use of a daily record of temperature and events of the
menstrual cycle
B. Instruct her in the use of suppositories and cream administered vaginally
C. Teach her to do Kegel exercises 10 times daily.
D. Explain the use of condoms with sexual intercourse. - Answer C. Teach the client to
perform Kegel exercises 10 times a day.
Pelvic floor disorders are structural disorders that result from weakening of tissues that
support the structures of the pelvis. The Kegel exercises strengthen surrounding
muscles.
The nurse is performing an assessment on a client who has been diagnosed with
chronic kidney disease (CKD). Which of the following findings should be of most
concern to the nurse for initial follow-through?
A. Peripheral neuropathy.
B. Potassium 6.0 mEq.
C. Uremic fetor.
D. Daily urine output of 400 ml. - Answer B. Potassium 6.0 mEq.
On admission, the nurse should find which of the following during assessment of a client
diagnosed with amyotrophic lateral sclerosis (ALS) while preparing a plan of care for
this client?
A. Muscle weakness.
B. A decrease in cognitive functioning.
,C. Abnormal involuntary movements.
D. Urinary frequency. - Answer A. Muscle weakness.
A client is diagnosed with multiple sclerosis and is having an exacerbation of
symptoms including paresthesias, diplopia, and nystagmus. Which is the nurse's best
instruction for this client?
A. Limit food intake that is high in protein.
B. Plan for additional rest.
C. Avoid direct sunlight.
D. Proceed to the emergency department immediately. ANSWER B. Plan for additional
rest.
The nurse is reviewing a client's laboratory values following chemotherapy
administration. Which lab value would the nurse suspect the client is developing tumor
lysis syndrome?
A. Oxygen saturation of 90%.
B. Serum calcium of 5 mg/dL.
C. Hemoglobin of 10 g/dL.
D. Serum PTT of 10 seconds. - Answer B. Serum calcium of 5 mg/dL
TLS increases the potassium, uric acid and phosphorus levels while the level of calcium
is decreased.
A middle-aged male client has been diagnosed with diabetes and continues to consume
large quantities of foods containing high levels of sugar and fat. Based on the Health
Belief Model, which of the following would most likely lead to the client's compliance
with the diet as it has been prescribed?
A. His wife expresses a genuine willingness to prepare only those meals that fall within
his prescribed diet.
B. He comments on the community service announcements regarding the prevention of
complications related to diabetes.
,C. He is given the latest information regarding the risks of diabetes if left untreated.
D. He visits his diabetic brother who has just undergone surgery to amputate an
infected foot Answer D. He visits his diabetic brother who has just undergone surgery to
amputate an infected foot.
The nurse is caring for a client who has had Parkinson's disease for 5 years. The client
is most likely to manifest which symptoms?
A. Shuffling gait, masklike facial expression, and head tremors.
B. Numbness of the extremities, loss of balance, and visual disturbances.
C. Extreme muscular weakness, easy fatigability, and ptosis.
D. Loss of short-term memory, facial tics and grimaces, and constant writhing
movements. - Answer A. Shuffling gait, masklike facial expression, and tremors of the
head.
A client is admitted to the telemetry unit with uncontrolled atrial fibrillation. The nurse
would expect the initial medication to be administered to the client to be what?
A. Procainamide.
B. Phenytoin.
C. Digoxin.
D. Xylocaine. - Answer C. Digoxin.
Which of the following physical assessment findings below by the nurse during a client's
clinical breast examination requires follow-up?
A. Newly retracted nipple.
B. Whitish nipple discharge.
C. A thickened area where the skin folds under the breast.
D. Tender lumpiness noted bilaterally throughout the breasts. - Answer A. Newly
retracted nipple.
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care
provider (HCP) has ordered peak and trough levels. Which is the most important action
, for the nurse to implement next?
A. Draw the peak 15 minutes before and the trough 15 minutes after the next dose.
B. Draw the peak one hour before and one hour after the next dose.
C. Draw the trough 30 minutes before and 30 minutes after the next dose.
D. Draw the trough 5 minutes before and the peak 30 minutes after the next dose -
Answer D. Draw the trough 5 minutes before and the peak 30 minutes after the next
dose
The nurse is interviewing a client who is going to have elective surgery. The client asks
the nurse, "What is the advantage of having a preferred provider organization insurance
plan?" Which is the best response by the nurse?
A. Neither plan allows selections of healthcare providers or hospitals.
B. An individual can become a member of a PPO without belonging to a group.
C. An individual may select healthcare providers from outside of the PPO network.
D. There are fewer health care providers to choose from than in an HMO plan. - Answer
C. An individual may select health care providers from outside of the PPO network.
The client is diagnosed with early breast cancer and presents the nurse with the results
of a breast biopsy. The client asks the nurse to explain what is meant by staging and
receptor type present on the malignancy cell. Which explanation must the nurse
provide?
A. Estrogen receptor of the tumor guides the treatment option.
B. Lymph node involvement is not important.
C. Stage I describes metastasis.
D. The tumors are small and aggressive, and their presence reflects poor prognosis.
-Answer A. The estrogen receptor status of the tumor dictates the treatment modalities.
An older adult male client presents to the geriatric screening clinic with a complaint of
pain in his left calf. The nurse observes an area of redness on the right leg calf that is
warm to palpation and suspects thrombophlebitis. What kind of pain would lead the
nurse to further suspect thrombophlebitis?
A. Pain in the calf upon exertion relieved by standing in one spot.
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