Medical Surgical HESI RN Exam with NGN Fall 2024
Verified Questions and answers with Rationale
1. nurse is preparing a client for a bronchoscopy. While
obtaining consent, the client complains of thirst and admits
drinking a small amount of orange juice two hours ago. What
action should the nurse take?
a. Increase intravenous flow rate
b. Administer an antiemetic
c. Delay procedure for 6 hours
d. Offer the client ice chips Correct Answer c. Delay procedure
for 6 hours
A 2 year old boy is having a routine health assessment at the
community clinic. Which statement made by the mother
warrants further assessment by the nurse?
a. "He always gets into things around the house so I put latches
on the doors."
b. "He refuses to feed himself, but I make him eat his meats and
vegetables."
c. He likes to undress himself, and I have to keep putting his
shoes back on."
d. "He likes to sit on the potty-chair, and he tells me when he
wants to use it." Correct Answer b. "He refuses to feed himself,
but I make him eat his meats and vegetables."
A 24-year-old female client diagnosed with a human
papillomavirus infection (HPV) is angry at her ex-boyfriend and
,says she is not going to tell him that he is infected. What
response is best for the nurse to provide?
A) You do not have to tell him because this is not a reportable
disease.
B) Because there is no cure for this disease, telling him is of no
benefit to him or to you.
C) Even though you are angry, he should be told, so he can take
precautions to prevent the spread of infection.
D) You should tell him, so he can feel as guilty and miserable as
you do now, knowing that you have this disease. Correct
Answer Correct Answer(s): C
* Anger is a common emotional reaction when confronted with
the diagnosis of a STI, and often lay blame and project this
anger at the sexual partner. Although HPV is not a reportable
disease in many states, all contacts should be informed of the
infection, treatment, transmission, and precautions to minimize
infecting others (C). (A and B) provide false information and
increase the risk of complications and transmission. (D) is not
therapeutic.
A 26-year-old male client with Hodgkin's disease is scheduled to
undergo radiation therapy. The client expresses concern about
the effect of radiation on his ability to have children. What
information should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary
infertility.
,C) Permanent sterility occurs in male clients who receive
radiation.
D) The client should restrict sexual activity during radiotherapy.
Correct Answer C) Permanent sterility occurs in male clients
who receive radiation.
* Low sperm count and loss of motility are seen in males with
Hodgkin's disease before any therapy. Radiotherapy often
results in permanent aspermia, or sterility (C). (A, B, and D) are
inaccurate.
A 32-year-old female client complains of severe abdominal pain
each month before her menstrual period, painful intercourse, and
painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. Correct Answer B) Inability to get
pregnant.
Rationale: Dysmenorrhea, dyspareunia, and difficulty or painful
defecation are common symptoms of endometriosis, which is
the abnormal displacement of endometrial tissue in the
dependent areas of the pelvic peritoneum. A history of infertility
(B) is another common finding associated with endometriosis.
Although (A, C, and D) are common, nonspecific gynecological
complaints, the most common complaints of the client with
endometriosis are pain and infertility.
, A 48-year-old client with endometrial cancer is being discharged
after a total hysterectomy and bilateral salpingo-oophorectomy.
Which client statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this
summer.
C) I know I will miss having sexual intercourse with my
husband.
D) I have asked my daughter to stay with me next week after I
am discharged. Correct Answer Correct Answer(s): C
* Further teaching is needed in response to the client's
misunderstanding of sexuality after a hysterectomy that is
reflected in statement (C). The client's knowledge about
reproduction (A), a positive outlook with plans for the future
(B), and her anticipated need for assistance and support during
recovery (D) indicate she understands the present status of her
recovery.
A client admitted to the surgical unit with symptoms of a
possible intestinal obstruction. When preparing to insert a
nasogastric (NG) tube, which intervention should the nurse
implement?
a. assess for a gag reflex
b. elevate the head of the bed 60 to 90 degrees
c. administer a PRN analgesic
d. measure from corner of mouth to angle of jaw Correct
Answer b. elevate the head of the bed 60 to 90 degrees
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.99. You're not tied to anything after your purchase.
