Exam (elaborations)
2022-23 Med-Surg HESI Practice Questions
Course
SAUNDERS HESI MED SURG
Institution
SAUNDERS HESI MED SURG
2022-23 Med-Surg HESI Practice Questions
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August 22, 2024
Number of pages
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Written in
2024/2025
Type
Exam (elaborations)
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Institution
SAUNDERS HESI MED SURG
Course
SAUNDERS HESI MED SURG
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2022-23 Med-Surg HESI Practice
Questions
Whatxinstructionxshouldxthexnursexincludexinxthexdischargexteachingxplanxofxaxclientxwhoxh
adxaxcataractxextractionxtoday?
a.xsexualxactivitiesxmayxbexresumedxuponxreturnxhome
b.xlightxhousekeepingxisxpermittedxbutxavoidxheavyxlifting
c.xusexaxmetalxeyexshieldxonxoperativexeyexduringxthexday
d.xadministerxeyexointmentxbeforexapplyingxeyexdropsx-xans--
b.xlightxhousekeepingxisxpermittedxbutxavoidxheavyxlifting
Axmalexadultxcomesxtoxthexurgentxcarexclinicx5xdaysxafterxbeingxdiagnosedxwithxinfluenza.x
Hexisxshortxofxbreath,xfebrile,xandxcoughingxgreenxcoloredxsputum.xWhichxinterventionxsh
ouldxthexnurseximplementxfirst?
a.xObtainxaxsputumxsamplexforxculture
b.xCheckxhisxoxygenxsaturationxlevel
c.xAdministerxanxoralxantipyretic
d.xAuscultatexbilateralxlungxsoundx-xans--a.xobtainxaxsputumxsamplexforxculture
Anxelderxmalexclientxtellsxthexnursexthatxhexisxloosingxsleepxbecausexhexhasxtoxgetxupxsev
eralxtimesxatxnightxtoxgoxtoxthexbathroomxthatxhexhasxtroublexstartingxhisxurinaryxstreamxan
dxthatxhexdoesxnotxfeelxlikexhisxbladderxisxeverxcompletelyxempty.xWhichxinterventionxshou
ldxthexnurseximplement?
a.xcollectxaxurinexspecimenxforxculturexanalysis
b.xobtainxaxfingerstickxbloodxglucosexlevel
c.xpalpatexthexbladderxabovexthexsymphysisxpubis
d.xreviewxthexclientxfluidxintakex-xans--c.xpalpatexthexbladderxabovexthexsymphysisxpubis
Anxadultxclientxisxadmittedxwithxdiabeticxketoacidosisx(DKA)xandxaxurinaryxtractxinfectionx(
UTI)xPrescriptionsxforxintravenousxantibioticsxandxinsulinxinfusionxarexinitiated.xWhichxser
umxlaboratoryxvaluexwarrantsxthexmostximmediatexinterventionxbyxthexnurse?
a.xbloodxphxofx7.30
b.xglucosexofx350xmgx/dl
c.xwhitexbloodxcellxcountxofx15000mm
d.xpotassiumxofx2.5xmeq/lx-xans--d.xpotassiumxofx2.5xmeq/l
Axclientxwithxsicklexcellxanemiaxdevelopsxaxfeverxduringxthexlastxhourxofxadministrationxofx
axunitxofxpackedxredxbloodxcell.xWhenxnotifyingxthexhealthcarexproviderxwhatxinformationxs
houldxthexnursexprovidexfirstxusingxthexSBARxcommunicationxprocess?
, a.xexplainxspecificxreasonxforxurgentxnotification
b.xprefacexthexreportxbyxstatingxthexclientsxnamexandxadmittingxdiagnosis
c.xcommunicatexthexpre-transfusionxtemperatures
d.xoptainxprnxprescriptionxforxacetaminophenxforxfeverx101fx-xans--
a.xexplainxspecificxreasonxforxurgentxnotification
Anxadultxmalexclientxisxadmittedxforxpneumocystisxcarinilxpneumoniax(PCP)xsecondaryxtox
aids.xWhilexhospitalizedxhexreceivesxIVxpentamidinexisethionatextherapy.xInxpreparingxthis
xclientxforxdischargexwhatximportantxaspectxregardingxhisxmedicationxtherapyxshouldxthexn
ursexexplain?
a.xAZTxtherapyxmustxbexstoppedxwhenxIVxaerosolxpentaminexisxbeingxused.
b.xIVxpentaminexwillxbexgivenxuntilxoralxpentaminexcanxbextolerated
c.xItxwillxbexnecessaryxtoxcontinuexprophylacticxdosesxofxIVxorxaerosolxpentaminexeveryxm
onth
d.xIVxpentaminexmayxofferxprotectionxtoxothersxaidsxrelatedxconditionsxsuchxasxkaposisxsa
rcomax-xans--
c.xitxwillxbexnecessaryxtoxcontinuexprophylacticxdosesxofxIVxorxaerosolxpentaminexeveryxm
onth
Axclientxsubjectivexdataxincludesxdysuria,xurgency,xandxurinaryxfrequency.xWhatxactionxsh
ouldxthexnurseximplementxnext?
a.xcollectxaxcleanxcatchxspecimen
b.xpalpatexthexsuprapubicxregion
c.xinstructxtoxwipexfromxfrontxtoxback
d.xinquirexaboutxrecentxsexualxactivityx-xans--a.xcollectxaxcleanxcatchxspecimen
Axclientxtellsxthexnursexthatxherxbiopsyxresultsxindicatexthatxthexcancerxcellsxarexwellxdiffer
entiatedxHowxshouldxthexnursexrespond?
a.xofferxthexclientxreassurancexthatxthisxinformationxindicatesxthatxthexclientsxcancerxcellsx
arexbenign
b.xexplainxthatxthesextissuexcellsxoftenxrespondxmorexeffectivelyxtoxradiationxthanxtoxchem
otherapy
c.xaskxthexclientxifxthexhealthcarexproviderxhasxgivenxherxanyxinformationxaboutxthexclassifi
cationxofxherxcancer
d.xhelpxthexclientxmakexplansxtoxbeginximmediatextreatmentxsincexherxcancerxisxlikelyxtoxs
preadxquicklyx-xans--
c.xaskxthexclientxifxthexhealthcarexproviderxhasxgivenxherxanyxinformationxaboutxthexclassifi
cationxofxherxcancer
Axclientxwithxaxchronicxkidneyxdiseasexisxtreatedxonxhemodialysis.xDuringxthex1xtreatmentx
clientsxbloodxpressurexdropsxfromx150/90xtox80/30xWhichxactionxshouldxthexnursextakexfir
st?
a.xmonitorxbpxq45xminutes
b.xlowerxthexheadxofxthexchairxandxelevatexfeet
c.xstopxdialysisxtreatment
d.xadministerx5%xalbuminxIVx-xans--c.xstopxdialysisxtreatment