The nurse knows that lab values sometimes vary for the older client. Which data would the nurse expect to find when reviewing laboratory values of an 80-year-old male?
A - Increased WBC, decreased RBC
B - Increased serum bilirubin, slightly increased liver enzymes
C - Increased protein in the ur...
The nurse knows that lab values sometimes vary for the older client. Which data would
the nurse expect to find when reviewing laboratory values of an 80-year-old male?
A - Increased WBC, decreased RBC
B - Increased serum bilirubin, slightly increased liver enzymes
C - Increased protein in the urine, slightly increased serum glucose levels
D - Decreased serum sodium, an increased urine specific gravity ANS: C
QUIZ: A 51-year-old truck driver who smokes two packs of cigarettes a day and is 30
pounds overweight is diagnosed with having a gastric ulcer. Which content is most
important for the nurse to include in the discharge teaching for this client?
A - Information about smoking cessation
B - Diet instructions for a low-residue diet
C - Instructions on a weight-loss program
D - The importance of increasing milk in the diet ANS: A
QUIZ: A client receiving cholestyramine for hyperlipidemia should be evaluated for
which vitamin deficiency?
A-K
B - B12
C - B6
D - C ANS: A
QUIZ: A client is admitted for further testing to confirm sarcoidosis. Which diagnostic
test provides definitive information that the nurse should report to the healthcare
provider?
A - Lung tissue biopsy
B - Positive blood cultures
C - MRI
D - CT of the thorax ANS: A
QUIZ: A client has been taking oral corticosteroids for the past 5 days because of
seasonal allergies. Which assessment finding is of most concern to the nurse?
A - White blood count of 10,000 mm3
B - Serum glucose of 115 mg/dl
C - Purulent sputum
D - Excessive hunger ANS: C
,HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
QUIZ: An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices that
his tongue is somewhat cracked and his eyeballs are sunken into his head. Which
nursing intervention is indicated?
A - Help the client to determine ways to increase his fluid intake
B - Obtain an appointment for the client to see an ear, nose, and throat specialist
C - Schedule an appointment with an allergist to determine if the client is allergic to the
cat
D - Encourage the client to slightly increase his use of oxygen at night and to always
use humidified oxygen ANS: A
QUIZ: A client with diabetes mellitus is experiencing polyphagia. Which outcome
statement is the priority for this client?
A - Fluid and electrolyte balance
B - Prevention of water toxicity
C - Reduced glucose in the urine
D - Adequate cellular nourishment ANS: D
QUIZ: What types of medications should the nurse expect to administer to a client
during an acute respiratory distress (ARDS) episode?
A - Vasodilators and hormones
B - Analgesics and sedatives
C - Anticoagulants and expectorants
D - Bronchodilators and steroids ANS: D
QUIZ: A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A - Avoid high carbohydrate foods
B - Decrease intake of fat soluble vitamins
C - Decrease caloric intake
D - Restrict salt and fluid intake ANS: D
QUIZ: A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which information
should the nurse offer?
A - Osteoporosis is a progressive genetic disease with no effective treatment
B - Calcium loss from bones can be slowed by increasing calcium intake and exercise
C - Estrogen replacement therapy should be started to prevent the progression
osteoporosis
,HESI MED- SURG EXAM LATEST
UPDATE QUESTIONS AND ANSWERS
2023/2024 100% A+ VERIFIED
D - Low-dose corticosteroid treatment effectively halts the course of osteoporosis ANS:
B
QUIZ: The nurse is taking a history of a newly diagnosed Type 2 diabetic who is
beginning treatment. Which subjective information is most important for the nurse to
note?
A - A history of obesity
B - An allergy to sulfa drugs
C - Cessation of smoking three years ago
D - Numbness in the soles of the feet ANS: B
QUIZ: A client taking a thiazide diuretic for the past six months has a serum potassium
level of 3. The nurse anticipates which change in prescription for the client?
A - The dosage of the diuretic will be decreased
B - The diuretic will be discontinued
C - A potassium supplement will be prescribed
D - The dosage of the diuretic will be increased ANS: C
QUIZ: While working in the emergency room, the nurse is exposed to a client with
active tuberculosis. When should the nurse plan to obtain a tuberculin skin test?
A - Immediately after the exposure
B - Within one week of the exposure
C - Four to six weeks after the exposure
D - Three months after the exposure ANS: C
QUIZ: Which intervention should the nurse implement for a female client diagnosed
with pelvic relaxation disorder?
A - Describe proper administration of vaginal suppositories and cream
B - Encourage the client to perform Kegel exercises 10 times daily
C - Explain the importance of using condoms when having sexual intercourse
D - Discuss the importance of keeping a diary of daily temperature and menstrual cycle
events ANS: B
QUIZ: The nurse is assessing a client's laboratory values following administration of
chemotherapy. Which lab value leads the nurse to suspect that the client is
experiencing tumor lysis syndrome (TLS)?
A - Serum PTT of 10 seconds
B - Serum calcium of 5 mg/dL
C - Oxygen saturation of 90%
D - Hemoglobin of 10 g/dL ANS: B
QUIZ: A female client taking oral contraceptives reports to the nurse that she is
experiencing calf pain. Which action should the nurse implement?
A - Determine if the client has also experienced breast tenderness and weight gain
B - Encourage the client to begin a regular, daily program of walking and exercise
C - Advise the client to notify the healthcare provider for immediate medical attention
D - Tell the client to stop taking the medication for a week to see if symptoms subside
ANS: C
QUIZ: Which assessment finding by the nurse during a client's clinical breast
examination requires follow-up?
A - Newly retracted nipple
B - A thickened area where the skin folds under the breast
C - Whitish nipple discharge
D - Tender lumpiness noted bilaterally throughout the breasts ANS: A
QUIZ: The nurse is assessing a client who has a history of Parkinson's disease for the
past 5 years. Which symptoms would this client most likely exhibit?
A - Loss of short-term memory, facial tics and grimaces, and constant writhing
movements
B - Shuffling gait, masklike facial expression, and tremors of the head
C - Extreme muscular weakness, easy fatigability, and ptosis
D - Numbness of the extremities, loss of balance, and visual disturbances ANS: B
QUIZ: Which finding should the nurse identify as an indication of carbon monoxide
poisoning in a client who experienced a burn injury during a house fire?
A - Pulse oximetry reading of 80%
B - Expiratory stridor and nasal flaring
C - Cherry red color to the mucous membranes
D - Presence of carbonaceous particles in sputum ANS: C
QUIZ: The nurse is preparing an adult client for an upper gastrointestinal (UGI) series.
Which information should the nurse include in the teaching plan?
A - The x-ray procedure may last for several hours
B - NG tube is inserted to instill the barium
C - Enemas are given to empty the bowel after the procedure
D - Nothing by mouth is allowed for 6 to 8 hours before the study ANS: D
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