Exam (elaborations)
2024-26 MED-SURG HESI PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS
2024-26 MED-SURG HESI PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS
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2024-26 MED-SURG HESI PRACTICE
QUESTIONS AND ANSWERS WITH
SOLUTIONS
WhatQinstructionQshouldQtheQnurseQincludeQinQtheQdischargeQteachingQplanQofQaQclientQwhoQhadQaQcatara
ctQextractionQtoday?
a.QsexualQactivitiesQmayQbeQresumedQuponQreturnQhome
b.QlightQhousekeepingQisQpermittedQbutQavoidQheavyQlifting
c.QuseQaQmetalQeyeQshieldQonQoperativeQeyeQduringQtheQday
d.QadministerQeyeQointmentQbeforeQapplyingQeyeQdropsQ-
QANSWERQb.QlightQhousekeepingQisQpermittedQbutQavoidQheavyQlifting
AQmaleQadultQcomesQtoQtheQurgentQcareQclinicQ5QdaysQafterQbeingQdiagnosedQwithQinfluenza.QHeQisQshortQ
ofQbreath,Qfebrile,QandQcoughingQgreenQcoloredQsputum.QWhichQinterventionQshouldQtheQnurseQimpleme
ntQfirst?
a.QObtainQaQsputumQsampleQforQculture
b.QCheckQhisQoxygenQsaturationQlevel
c.QAdministerQanQoralQantipyretic
d.QAuscultateQbilateralQlungQsoundQ-QANSWERQa.QobtainQaQsputumQsampleQforQculture
AnQelderQmaleQclientQtellsQtheQnurseQthatQheQisQloosingQsleepQbecauseQheQhasQtoQgetQupQseveralQtimesQatQ
nightQtoQgoQtoQtheQbathroomQthatQheQhasQtroubleQstartingQhisQurinaryQstreamQandQthatQheQdoesQnotQfeelQ
likeQhisQbladderQisQeverQcompletelyQempty.QWhichQinterventionQshouldQtheQnurseQimplement?
a.QcollectQaQurineQspecimenQforQcultureQanalysis
b.QobtainQaQfingerstickQbloodQglucoseQlevel
c.QpalpateQtheQbladderQaboveQtheQsymphysisQpubis
d.QreviewQtheQclientQfluidQintakeQ-QANSWERQc.QpalpateQtheQbladderQaboveQtheQsymphysisQpubis
AnQadultQclientQisQadmittedQwithQdiabeticQketoacidosisQ(DKA)QandQaQurinaryQtractQinfectionQ(UTI)QPrescrip
tionsQforQintravenousQantibioticsQandQinsulinQinfusionQareQinitiated.QWhichQserumQlaboratoryQvalueQwarra
ntsQtheQmostQimmediateQinterventionQbyQtheQnurse?
a.QbloodQphQofQ7.30
, b.QglucoseQofQ350QmgQ/dl
c.QwhiteQbloodQcellQcountQofQ15000mm
d.QpotassiumQofQ2.5Qmeq/lQ-QANSWERQd.QpotassiumQofQ2.5Qmeq/l
AQclientQwithQsickleQcellQanemiaQdevelopsQaQfeverQduringQtheQlastQhourQofQadministrationQofQaQunitQofQpac
kedQredQbloodQcell.QWhenQnotifyingQtheQhealthcareQproviderQwhatQinformationQshouldQtheQnurseQprovide
QfirstQusingQtheQSBARQcommunicationQprocess?
a.QexplainQspecificQreasonQforQurgentQnotification
b.QprefaceQtheQreportQbyQstatingQtheQclientsQnameQandQadmittingQdiagnosis
c.QcommunicateQtheQpre-transfusionQtemperatures
d.QoptainQprnQprescriptionQforQacetaminophenQforQfeverQ101fQ-
QANSWERQa.QexplainQspecificQreasonQforQurgentQnotification
AnQadultQmaleQclientQisQadmittedQforQpneumocystisQcarinilQpneumoniaQ(PCP)QsecondaryQtoQaids.QWhileQh
ospitalizedQheQreceivesQIVQpentamidineQisethionateQtherapy.QInQpreparingQthisQclientQforQdischargeQwhatQi
mportantQaspectQregardingQhisQmedicationQtherapyQshouldQtheQnurseQexplain?
a.QAZTQtherapyQmustQbeQstoppedQwhenQIVQaerosolQpentamineQisQbeingQused.
b.QIVQpentamineQwillQbeQgivenQuntilQoralQpentamineQcanQbeQtolerated
c.QItQwillQbeQnecessaryQtoQcontinueQprophylacticQdosesQofQIVQorQaerosolQpentamineQeveryQmonth
d.QIVQpentamineQmayQofferQprotectionQtoQothersQaidsQrelatedQconditionsQsuchQasQkaposisQsarcomaQ-
QANSWERQc.QitQwillQbeQnecessaryQtoQcontinueQprophylacticQdosesQofQIVQorQaerosolQpentamineQeveryQmont
h
AQclientQsubjectiveQdataQincludesQdysuria,Qurgency,QandQurinaryQfrequency.QWhatQactionQshouldQtheQnurs
eQimplementQnext?
a.QcollectQaQcleanQcatchQspecimen
b.QpalpateQtheQsuprapubicQregion
c.QinstructQtoQwipeQfromQfrontQtoQback
d.QinquireQaboutQrecentQsexualQactivityQ-QANSWERQa.QcollectQaQcleanQcatchQspecimen
AQclientQtellsQtheQnurseQthatQherQbiopsyQresultsQindicateQthatQtheQcancerQcellsQareQwellQdifferentiatedQHo
wQshouldQtheQnurseQrespond?