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2024-25 third set MEDSURG HESI important QUESTIONS WITH COMPLETE SOLUTIONS
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2024-25 third set MEDSURG HESI important QUESTIONS WITH COMPLETE SOLUTIONS
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2024-25 third set MEDSURG HESI important QUESTIONSWITH COMPLETE SOLUTIONS
A client has an absolute neutrophil count (ANC) of 500/mm^3
after completing chemotherapy. Which intervention is most
important for the nurse to implement?
A. Implement bleeding precautions
B. Place the client in protective isolation
C. Assess vital signs every 4 hours
D. Review need for pneumococcal vaccine Correct Answer B
A client is admitted with a deep and productive cough,
hemoptysis, and a low-grade fever. The client's Mantoux skin
test has a 15mm induration. Which intervention should the nurse
implement first?
A. Administer the initial dose of rifampin and isoniazid
B. Collect a sputum specimen for acid-fast bacillus
C. Provide a mask for the client to wear in public areas
D. Initiate airborne particulate isolation precautions Correct
Answer D
A client is being treated for acute kidney injury. On
examination, the client has a weight gain of 4.4 lbs (2kg) in 24
hours and exhibits changes in mental status. Which intervention
should the nurse implement?
A. Monitor daily sodium intake
B. Assess for dependent pitting edema
C. Record usual eating patterns
D. Obtain serum creatine levels daily Correct Answer D
,A client is diagnosed with diverticulosis following a
colonoscopy. The client denies any symptoms, and asks the
nurse what to expect. Which is the best response by the nurse?
A. Episodes of burning pain are commonly experienced
B. Appetite loss, with resultant feelings of weakness, are
common problems
C. Symptoms may not occur unless sacs become inflamed
D. As the sacs enlarge pain may be experienced in the lower
abdomen Correct Answer C
A client is receiving chemotherapy for treatment of metastatic
carcinoma. When monitoring the client for systemic side effects,
which assessment finding warrants intervention by the nurse?
A. Leukopenia
B. Polycythemia
C. Ascites
D. Nystagmus Correct Answer A
A client who fractured the right femur from a fall at home is
placed in a skeletal traction while awaiting surgery. When the
client tells the nurse the need to urinate, which intervention
should the nurse implement?
A. Insert an indwelling catheter preoperatively
B.Release the traction so the client can use a bedpan
C. Log roll the client and place adult disposable briefs beneath
the client
D. Maintain traction while the client uses a female urinal
Correct Answer D
A client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning
, the client, the wound dehiscences and eviscerates. The nurse
moistens an available sterile dressing and places it over the
wound. Which intervention should the nurse implement next?
A. Prepare the client to return to the operating room
B. Obtain a sample of the drainage to send to the lab
C. Auscultate the abdomen for bowel sound activity
D. Bring additional sterile dressing supplies to the room Correct
Answer A
A client with chronic cirrhosis has esophageal varies. It is most
important for the nurse to monitor the client for the onset of
which problem?
A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis Correct Answer A
A client with chronic kidney disease is started on hemodialysis.
During the first dialysis treatment, the client's blood pressure
drops from 150/90 mmHg to 80/30 mmHg. Which action should
the nurse take first?
A. Lower the head of the chair and elevate feet
B. Monitor blood pressure q45 minutes
C. Administer 5% albumin IV
D. Stop the dialysis treatment Correct Answer A
A client with Cushing's syndrome is recovering from an elective
laparoscopic procedure. Which assessment finding warrants
immediate intervention by the nurse?
A. Irregular apical pulse
B. Pitting ankle edema
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