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N491 Med-Surg HESI Practice Exam Questions and Correct Answers | Latest Update $13.49   Add to cart

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N491 Med-Surg HESI Practice Exam Questions and Correct Answers | Latest Update

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Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation disorder? A. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events. B. Describe proper administration of vaginal suppositories and cream. C. Encourage the clie...

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  • October 4, 2024
  • 55
  • 2024/2025
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  • N491
  • N491
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1 | P a g e | © copyright 2024/2025 | Grade A+



N491 Med-Surg HESI Practice Exam
Questions and Correct Answers | Latest
Update
Which intervention should the nurse implement for a female client diagnosed with pelvic

relaxation disorder?

A. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events.

B. Describe proper administration of vaginal suppositories and cream.

C. Encourage the client to perform Kegel exercises 10 times daily.

D. Explain the importance of using condoms when having sexual intercourse.

 C. Encourage the client to perform Kegel exercises 10 times daily.



Pelvic relaxation disorders are structural disorders resulting from weakening support tissues of

the pelvis. Kegel exercises help strengthen the surrounding muscles.



The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most

important for the nurse to respond to first?

A. Peripheral neuropathy.

B. Potassium 6.0 mEq.

C. Uremic fetor.

D. Daily urine output of 400 ml.

 B. Potassium 6.0 mEq.



During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the

nurse identify when planning care for this client?

A. Muscle weakness.

B. A decline in cognitive function.

Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

C. Abnormal involuntary movements.

D. Urinary frequency.

 A. Muscle weakness.



A client with multiple sclerosis has experienced an exacerbation of symptoms, including

paresthesias, diplopia, and nystagmus. Which instruction should the nurse provide?

A. Restrict intake of high protein foods.

B. Schedule extra rest periods.

C. Stay out of direct sunlight.

D. Go to the emergency room immediately.

 B. Schedule extra rest periods.



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. Oxygen saturation of 90%.

B. Serum calcium of 5 mg/dL.

C. Hemoglobin of 10 g/dL.

D. Serum PTT of 10 seconds.

 B. Serum calcium of 5 mg/dL



TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia.



A middle-aged male client with diabetes continues to eat an abundance of foods that are

high in sugar and fat. According to the Health Belief Model, which event is most likely to

increase the client's willingness to become compliant with the prescribed diet?

Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

A. His wife expresses a sincere willingness to prepare meals that are within his prescribed

diet.

B. He comments on the community service announcements about preventing complications

associated with diabetes.

C. He is provided with the most current information about the dangers of untreated diabetes.

D. He visits his diabetic brother who just had surgery to amputate an infected foot.

 D. He visits his diabetic brother who just had surgery to amputate an

infected foot.



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. Shuffling gait, masklike facial expression, and tremors of the head.

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.

 A. Shuffling gait, masklike facial expression, and tremors of the head.



A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. Which

initial medication should the nurse anticipate administering to the client?

A. Procainamide.

B. Phenytoin.

C. Digoxin.

D. Xylocaine.

 C. Digoxin.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

Which assessment finding 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.

 A. Newly retracted nipple.



The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care provider

(HCP) has prescribed 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

 D. Draw the trough 5 minutes before and the peak 30 minutes after the

next dose



During an interview with a client planning elective surgery, the client asks the nurse, "What is

the advantage of having a preferred provider organization insurance plan?" Which response

is best for the nurse to provide?

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 healthcare providers to choose from than in an HMO plan.




Master01 | September, 2024/2025 | Latest update

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