HESI Medsurg (5 Versions) / HESI Medical Surgical
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(Newest, 2021/2022) | 750 Verified Questions and
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Answers, 100% Correct graded A+
ye ye ye ye
• Theyehealthyecareyeprovideryeprescribeyeayemedicationyeforyeanyeolderyeadult
clientyewhoyeisyecomplainingyeofyeinsomnia.yeAndyeinstructsyetheyeclientyetoyer
eturnyeinye2yeweeks.ye Theyenursey e shouldye questionye whichyeprescription?
a. Eszopliconeye(Lunesta)10yemgyeorallyyeatyebedyetime
b. Zolpidemye10yemgyeorallyyeatyebedyetime
c. Temazepanyeorallyyeatyebedyetime
d. Ramelteony e orallyy e aty e bedtime
• AyemaleyeclientyereportsyetoyetheyenurseyethatyeheyeisyeexperiencingyeGIyedistre
ssfromyehighye dosey e ofy e ay e corticosteroidy e andye isy e planningye toye stopye taking
ye the
medication.yeInyeresponseyetoyetheyeclient’syestatementyewhatyenursingyeactio
nyeisyemosty e importanty e fory e they e nursey e toye take?
a. Encouragey e they e clienty e toy e takey e medicationy e withy e foody e toy e dec
reaseyeGIyedistress
b. Advicey e they e clienty e thaty e they e medicationy e shouldy e beyestop
pedyegraduallyy e rathery e thany e abruptly.
c. Reviewy e they e clientsy e dosingy e scheduley e toy e ensurey e hey e isy e t
akingyetheyeprescribedy e amount
d. Assessy e they e clienty e fory e othery e indicationy e ofy e adversey e e
ffectsyeofyecorticosteroid
• Fifteenyeminutesyeafteryereceivingyesulfayeathenozole.yeAyemaleyeclientyerep
ortyeayeburningy e sensationy e overy e hisy e abdomeny e chesty e andy e groin.y e Whic
hyeinterventionyeisy e mosty e importanty e fory e they e nursey e toyeimplement?
a. Auscultateyelungyesoundsyeforyewheezing
b. Reviewyetheyeclientsyelistyeifyedrugsyeallergies
c. Addy e sulfamethinozoley e toy e clientsy e allergies
d. Checkyeneurologicalyevitalyesigns
• Antibioticy e resistanty e organismy e arey e ay e majory e infectiony e controly e proble
, ms.yeToyehelpyeminimizeyetheyeemergenceyeofyeresistantyebacteriayewhatyeins
tructionyeshouldy e they e nursey e providey e toy e theye clients?
a. stopyetakingyeprescribedyeantibioticsyewhenyesymptomsyedecrease
b. avoidy e usingy e antibioticsy e wheny e sufferingy e fromy e coldsy e ory e theyeflu
c. asky e they e healthcarey e providery e toy e prescribey e they e newesty e antibiotic
ye whenyeneeded
d. requestyeayeprescriptionyeforyefirstyetimeyevancomysinyeforyeayesoreyethroat
• Ay e clienty e withy e symptomsy e ofy e influenzay e thaty e startedy e they e previousy e da
yy e asktheyeclinicyenurseyeaboutyetakingyeoseltamivirye(Tamiflu)yeyetoyeyetreatyeyetheyey
e infection.yeWhichy e responsey e shouldy e they e nursey e provide?
a. Advisey e they e clienty e oncey e symptomsy e occury e isy e tooy e latey e toy e r
eceiveyeanyeinfluenzay e vaccination
b. Refery e they e clienty e toy e they e healthcarey e providery e aty e they e clinicy e toyeob
tainyeay e medicationy e prescription
c. Explainy e toy e they e clienty e thaty e antibioticsy e arey e noty e usefuly e iny e treati
ngyeviralyeinfectionsy e suchy e asy e influenza
d. Instructy e they e clienty e thaty e overy e they e countery e medicationsy e areyesu
fficientyetoy e managey e influenzay e symptoms
• Twentyyeminutesyeafteryetheyenurseyestartsyeaye secondaryyeIVye infusionyeofye
cafepimey e (maxipime)y e 2y e gramsy e usingy e any e infusiony e pumpy e toy e delivery e
theyedoseyeinyeoneyehour,yetheyeclientyereportsyefeelingyenauseated.yeWhatyeact
ionyeshouldyetheyenursey e implement?
a. stopy e medicationy e infusiony e andy e notifyy e they e healthcarey e providery
e ofyetheyeadversey e effect
b. increasey e they e ratey e ofy e they e infusiony e toy e completey e they e dos
ey e ofyetheyemedicationy e morey e rapidly
c. continuey e they e infusiony e andy e administery e ay e prnyeantiemeti
cyeprescription
d. reassureyetheyeclientyethatyetheyenauseayeisyenotyerelatedyetoyetheye ivyeinfusion
• They e nursey e administery e donepezily e hydrochloridey e (Aricept)y e toy e ay e clien
tyewithyeAlzheimer’syediseaseyeasyeanyeinterventionyeforyewhichyeclientyeprob
lem?
a. fluidyevolumeyeexcess
b. disturbedyethoughtyeprocesses
, c. chronicyepain
d. alteredy e breathingy e patterns
• Toyepreventyedeepyeveinyethrombosisyefollowingyekneeyereplacementyesurgery,
ye anyeadultyemaleyeclientyeisyereceivingyeenoxaparinye(Lovenox)yesubcutaneou
slyyedaily.yeWhichyelaboratoryyefindingyerequiresyeimmediateyeactionyebyyetheye
nurse?
a. bloodyeureaye nitrogenye (BUN)ye20mg/dlyeorye 7.1yemmol/Lye(SI)
b. Hematocritye45%
c. Serumy e creatininey e 1.0y e mg/dly e ory e 88.4y e mol/Ly e (SI)
d. Platelety e county e ofy e 100,000/mm3y e ory e 100x10??/y e Ly e (SI)
• Ayeclientyewithyetypeye2yediabetesyemellitusyeisyemanagedyewithyemetforminy
e (Glucophage),yeanyeoralyehypoglycemicyeagent.yeTheyeprimaryyehealthyec
areyeprovidery e prescribesy e ady e additionaly e medicationy e injectedy e exenatid
eye(byetta).yeWhichy e informationy e isy e mosty e importanty e fory e they e nursey e toy e t
eachy e thisyeclient?
a. Administeryesubcutaneouslyyeafteryemeals
, b. Consumeyeadditionalyesourcesyeofyepotassium
c. Notifyyetheyehealthcareyeprovideryeifyeanorexiayeoccurs
d. Watchy e fory e signsy e ofy e jitterinessy e ory e diaphoresisy e (y e POSSIBLEyeANSWER)
• Ay e clienty e diagnosey e withy e stabley e anginay e secondaryy e toy e ischemicy e hear
tyediseaseyehasy e ay e prescriptiony e fory e sublingualy e (SL)y e nitroglyceriny e (NTG).y e
They e nurseyeshouldyetellyetheyeclientyetoyefollowyewhichyeinstructionsyeifyechestye
painyeisyenotyerelievedy e aftery e takingy e 3y e NTGy e tablesy e 5y e miny e apart?
a. drivey e toy e they e nearesty e emergencyy e department
b. takey e anothery e NTGy e SLy e tablety e andy e liey e downy e untily e anginay e subsides
c. cally e primaryy e healthcarey e provider
d. callye911yepainyeisyeunrelievedyeandyechewyeayetabletyeofyeaspirinye325mg
• Aftery e takingy e orlistaty e (Xenical)y e fory e oney e weeky e ay e femelay e clienty e tellsy e th
ey e homeyehealthy e nursey e thaty e shey e isy e experiencingy e increasinglyy e frequen
ty e oilyy e stoolsyeandyeflatus.y e Whaty e actiony e shouldy e they e nursey e take?
a. obtainyestoolyespecimenyetoyeevaluateyeforyeoccultyebloodyeandyefatyecontent
b. instructyetheyeclientyetoyeincreaseyeheryeintakeyeofyesaturatedyefatsyeo
vertheyenextye week
c. asky e they e clienty e toy e describey e hery e dietaryy e intakey e historyy e fory e theye
lastyeseveraly e days
d. advicey e they e clienty e toy e stopy e takingy e they e drugy e andy e contacty e theyeh
ealthcareyeprovider
• Twoyedaysyeafteryeanyeabscessyeofyetheyechinyewasyedrainedyetheyeclientyeret
urnsyetoyetheyeclinicyewithyefeveryechillsyeandyeayemaculopapularyerashyewithye
pruritis.yeTheyeclientyehasyetakenyeanyeoralyeantibioticyeandyecleansedyetheye
woundyetodayyewithyeprovidey e iodiney e (Betadine)y e solution.y e Whichy e interv
entiony e shouldy e theyenurseyeimplementye first?
a. determiney e ify e they e clienty e hasy e ay e historyy e ofyediabetes
b. assessyeairwayyepatencyyeandyeoxygenyesaturation
c. reviewyerecentyemedicationyehistoryyeandyeallergiesye(yePOSSIBLEyeANS
WERyeTOO)
d. obtainyesamplesyeforyecompleteyebloodyecountyeandyecultures
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