MEDSURG_HESI QUESTIONS &ANSWERS
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response.
Based on this finding, the nurse anticipates assisting the physician with which treatment?
Perform synchronized cardioversion.
A female client who received a nephrotoxic drug is admitted with acute renal failure and asks the nurse
if she will need dialysis for the rest of her life. Which pathophysiologic consequence should the nurse
explain that supports the need for temporary dialysis until acute tubular necrosis subsides?
Nephron obstruction
Which age-related change in the older adult has the highest safety implication for the client?
Stooped posture
A client is admitted to the hospital with a diagnosis of severe acute diverticulitis. Which nursing
intervention has the highest priority?
Place the client on NPO status.
When a nurse assesses a client receiving total parenteral nutrition (TPN), which laboratory value is most
important for the nurse to monitor regularly?
Glucose
After attending a class on reducing cancer risk factors, a client selects bran flakes with 2% milk and
orange slices from a breakfast menu. In evaluating the client's learning, the nurse affirms that the client
has made good choices and makes what additional recommendation?
Switch to skim milk.
Client census is often used to determine staffing needs. Which method of obtaining census
determination for a particular unit provides the best formula for determining long-range staffing
patterns?
Average daily census
The nurse is giving preoperative instructions to a 14-year-old client scheduled for surgery to correct a
spinal curvature. Which statement by the client best demonstrates that learning has taken place?
"Let me show you the method of turning I will use after surgery."
, A 77-year-old female client is admitted to the hospital with confusion and anorexia of several days'
duration. She has symptoms of nausea and vomiting and is currently complaining of a headache. The
client's pulse rate is 43 beats/min. The nurse is most concerned about the client's history related to
which medication?
Digoxin
The nurse is caring for a client who is one day post–acute myocardial infarction. The client is receiving
oxygen at 2 L/min via nasal cannula and has a peripheral saline lock. The nurse notes that the client is
having eight premature ventricular contractions (PVCs) per minute. Which intervention should the nurse
implement first?
Increase the client's oxygen flow rate.
A client with alcohol-related liver disease is admitted to the unit. Which prescription should the nurse
call the health care provider about for reverification for this client?
Nembutal sodium at bedtime for rest
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2 weeks and is
scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg. Which action
should the nurse take?
Administer the prescribed dose at the scheduled time.
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide,
0.04 mg/kg every 12 hours IV, is prescribed. What is the priority nursing diagnosis for this client?
Impaired communication related to paralysis of skeletal muscles
An older client is admitted with a diagnosis of bacterial pneumonia. Which symptom should the nurse
report to the health care provider after assessing the client?
Confusion and tachycardia
The nurse is conducting an osteoporosis screening clinic at a health fair. What information should the
nurse provide to individuals who are at risk for osteoporosis? (Select all that apply.)
Encourage alcohol and smoking cessation.
Promote regular weight-bearing exercises.
Implement a home safety plan to prevent falls.
A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor most likely contributed to the fracture in the proximal end of her femur?
Osteoporosis resulting from declining hormone levels
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