HESI Med Surg Final Exam Questions and Answers Latest (2023 / 2024) (Verified Answers
1) A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action?
○ Administer the first dose of prescribed antibiotic therapy
○ Observe ...
HESI Med Surg Final Exam Questions and Answers Latest ()
(Verified Answers
1) A client with a productive cough has obtained a sputum specimen for culture as instructed. What
is the best initial nursing action?
○ Administer the first dose of prescribed antibiotic therapy
○ Observe the color, consistency, and amount of sputum
○ Encourage the client to consume plenty of warm liquids
○ Send the specimen to the lab for analysis immediately
2) A client is brought to the emergency department by ambulance in cardiac arrest with CPR in
progress. The client is intubated in the field and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and diaphoretic. Which assessment is
most important for the nurse to obtain?
○ Breath sounds over bilateral lung fields
○ Carotid pulsation during compressions
○ Deep tendon reflexes
○ Core body temperature
3) After a hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention
should the nurse implement first?
○ Reorient client to his room
○ Place a patch on one eye
○ Evaluate the client's ability to swallow
○ Perform range of motion exercises
4) A male client with heart failure calls the clinic and reports that he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain?
○ What time did he take his last medications?
○ Has his weight changed in the last several days?
○ Is he still able to tighten his belt buckle?
○ How many hours did he sleep last night?
5) An older adult woman with a long history of COPD is admitted with progressive shortness of breath
and a persistent cough. She is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement?
○ Administer a prescribed sedative
○ Encourage client to drink water
○ Apply a high-flow venturi mask
○ Assist her to an upright position
6) A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickened, tenacious mucus, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most important for the nurse to instruct
the client about self care?
○ Increase the daily intake of oral fluids to liquefy secretions
○ Avoid crowded enclosed areas to reduce pathogen exposure
○ Call the clinic if undesirable side effects of medications occur
○ Teach anxiety reduction methods for feelings of suffocation
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