UPDATED Med Surg 2023 Hesi Exam/ Med Surg Hesi test bank Updated Version
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Course
ATI
Institution
ATI
UPDATED Med Surg 2023 Hesi Exam/ Med
Surg Hesi test bank Updated
Version
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia --...
UPDATED Med Surg 2023 Hesi Exam/ Med
Surg Hesi test bank Updated 2023-2024
Version
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia --------ANSWER -------- A.
A nurse is reviewing the laboratory results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial blood gas (ABG) values include:
pH 7.22
PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg
Oxygen saturation 80%
Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the nurse make?
1) Metabolic acidosis
2) Respiratory acidosis
3) Metabolic alkalosis
4) Respiratory alkalosis --------ANSWER -------- B.
A nurse is collecting data from a client who has acute gastroenteritis. Which of the
following data collection findings should the nurse identify as the priority?
1) Weight loss of 3% of total body weight.
2) Blood glucose 150 mg/dL.
3) Potassium 2.5 mEq/L
4) Urine specific gravity 1.035 --------ANSWER -------- C.
A nurse is reinforcing discharge teaching with a client who had a total abdominal
hysterectomy and a vaginal repair. Which of the following statements by the client
indicates a need for further teaching?
1) "I should increase my intake of protein and vitamin C."
2) "I will no longer have menstrual periods."
3) "Once I am able to resume sexual activity, I can use a water-based lubricant if I
experience discomfort."
4) "I will take a tub bath instead of a shower." --------ANSWER -------- D.
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal
traction. Which of the following actions should the nurse take?
,1) Loosen the knots on the ropes if the client is experiencing pain. 2) Ensure the client's
weights are hanging freely from the bed.
3) Check the client's bony prominences every 12 hr.
4) Cleanse the client's pin sites with povidone-iodine. --------ANSWER -------- B.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication. --------ANSWER -------- A.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication. --------ANSWER -------- A.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of
the following interventions should the nurse recommend?
1) Apply topical antifungal agents.
2) Apply fresh ice packs every 4 hr.
3) Wash daily with an antibacterial soap.
4) Keep draining lesions uncovered to air dry. --------ANSWER -------- C.
A nurse is reinforcing teaching with a client who is postoperative after having an
ileostomy established. Which of the following instructions should the nurse include in
the teaching?
1) Empty the pouch immediately after meals.
2) Change the entire appliance once a day.
3) Limit fluid intake.
4) Avoid medications in capsule or enteric form. --------ANSWER -------- D.
A nurse is caring for a client with severe burns to both lower extremities. The client is
scheduled for an escharotomy and wants to know what the procedure involves. Which
of the following statements is appropriate for the nurse to make?
1) "An escharotomy surgically removes dead tissue."
2) "A cannula will be inserted into the bone to infuse fluids and antibiotics."
3) "A piece of skin will be removed and grafted over the burned area."
4) "Large incisions will be made in the burned tissue to improve circulation." --------
ANSWER -------- D.
, A nurse is collecting data from a client who has a possible cataract. Which of the
following manifestations should the nurse expect the client to report?
1) Decreased color perception
2) Loss of peripheral vision
3) Bright flashes of light
4) Eyestrain --------ANSWER -------- A
A nurse is contributing to the plan of care for a client who has an intestinal obstruction
and is receiving continuous gastrointestinal decompression using a nasogastric tube.
Which of the following interventions should the nurse include in the plan of care?
1) Measure abdominal girth daily.
2) Use sterile water to irrigate the nasogastric tube..
3) Maintain the client in Fowler's position.
4) Moisten the client's lips with lemon-glycerin swabs. --------ANSWER -------- C.
A nurse is caring for a client who has Cushing's syndrome. Which of the following
clinical manifestations should the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
4) Tremors
5) Obese extremities --------ANSWER -------- A, B, C
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of
the following actions should the nurse take?
1) Provide a diet high in protein.
2) Provide ibuprofen for retroperitoneal discomfort.
3) Monitor intake and output hourly
4) Encourage the client to consume at least 2 L of fluid daily. --------ANSWER -------- C.
A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
D. Wash dishes in warm water. --------ANSWER -------- A.
A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for
the nurse to use to thin this client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the airway.. --------
ANSWER -------- A.
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