MED SURG HESI EXAM QUESTIONS 2022-2023
WITH All Answers Verified Correct
What instruction should the nurse include in the discharge teaching plan of a client who had a
cataract extraction today? - CORRECT ANSWERSLight housekeeping is permitted but avoid heavy
lifting
A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first? - CORRECT ANSWERSObtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up several times at
night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel
like his bladder is ever completely empty. Which intervention should the nurse implement? -
CORRECT ANSWERSpalpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory
value warrants the most immediate intervention by the nurse? - CORRECT ANSWERSpotassium of 2.5
meq/l
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process? - CORRECT ANSWERSexplain specific reason for
urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse explain? - CORRECT ANSWERSIt
will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should the
nurse implement next? - CORRECT ANSWERScollect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated
How should the nurse respond? - CORRECT ANSWERSask the client in the healthcare provider has
giving her any information about the classification of her cancer
,MED SURG HESI EXAM QUESTIONS 2022-2023
WITH All Answers Verified Correct
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients
blood pressure drops from 150/90 to 80/30 Which action should the nurse take first? - CORRECT
ANSWERSstop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000
unit in 5% dextrose injection 250ml. The prescription indicates the dosage should be increase 900
units/hr. The nurse should program the infusion pump to deliver how many ml/hr? - CORRECT
ANSWERS9
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD).
Which subjective data reported by the client supports this diagnosis? - CORRECT ANSWERSupper mid
abdominal gnawing and burning pain
The nurse is providing preoperative education for a jewish client schedule to receive a xenograft graft
to promote burn healing. Which information should the nurse provide this client? - CORRECT
ANSWERSthe xenograft is taken from nonhuman sources
A client who took a camping vacation two weeks ago in a country with a tropical climate comes to
the clinic describing vague symptoms and diarrhea for the past week. Which finding is most
important for the nurse to report? - CORRECT ANSWERSjaundice sclera
During a home visit the nurse assesses the skin of a client with eczema who reports than an
exacerbation of symptoms has occurred during the last week. Which information is most useful in
determining the possible cause of the symptoms? - CORRECT ANSWERSa grandson and his new dog
recently visited
When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which instruction
should the nurse include in the dietary teaching - CORRECT ANSWERSrestrict sodium intake
A male client who is 24hr post operative for an exploratory laparoctomy complains that he is starving
because he has had no real food since before surgery. Prior to advancing his diet which intervention
should the nurse implememt? - CORRECT ANSWERSAuscultate bowel sound in all four quadrants
A client diagnose with stable angina secondary to ischemic heart disease has a prescription for
sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to follow which instructions if
chest pain is not relieved after taking 3 NTG tables 5 min apart - CORRECT ANSWERScall 911 pain is
unrelieved and chew a tablet of aspirin 325mg
, MED SURG HESI EXAM QUESTIONS 2022-2023
WITH All Answers Verified Correct
After taking orlistat (Xenical) for one week a femela client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. What action should the nurse take? -
CORRECT ANSWERSask the client to describe her dietary intake history for the last several days
Two days after an abscess of the chin was drained the client returns to the clinic with fever chills and
a maculopapular rash with pruritis. The client has taken an oral antibiotic and cleansed the wound
today with provide iodine (Betadine) solution. Which intervention should the nurse implement first?
- CORRECT ANSWERSassess airway patency and oxygen saturation
A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the health care provider? - CORRECT ANSWERSlow back pain
and hypotension
1.A young adult male who has had type 2 diabetes mellitus (DM) is admitted to the intensive care
unit with hyperglycemic nonketotic syndrome (HHNS). A sliding scale protocol for an isotonic IV
solution with regular insulin is prescribed based on the results of a continuous blood glucose
monitoring device that is attached to the client's central venous catheter. When the client's
respirations become labored and his lungs sound indicate crackles what action should the nurse
take? - CORRECT ANSWERSdecrease infusion rate to address fluid overload
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that the
previously applied patch is intact on the client's upper back and the client denies pain. What action
should the nurse take? - CORRECT ANSWERSApply a new patch in a different location after removing
the original patch
A client who had a myocardial infarction is admitted to the coronary critical care unit (CCU) with a
nitroglycerin drip infusing. The clients last blood pressure measurements was 78/36.What action
should the nurse implement? - CORRECT ANSWERSreduce the rate of the nitroglycerin infusion
An adolescent is admitted to the hospital because of a suicide attempt with an overdose of
acetaminophen (Tylenol). Which blood values are most important for the nurse to monitor during
the first 72 hours following ingestion of this overdose? - CORRECT ANSWERSLDH OR LD, SGOT OR
ALT, SGPT OR AST
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Tsavorite. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $29.99. You're not tied to anything after your purchase.
