2022-23 Med-Surg HESI Practice
/46 Questions And Answers (A+)
Quiz :What instruction should the nurse include in the
discharge teaching plan of a client who had a cataract
extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops -
√Answer :b. light housekeeping is permitted but avoid heavy
lifting
Quiz :A male adult comes to the urgent care clinic 5 days after
being diagnosed with influenza. He is short of breath, febrile,
and coughing green colored sputum. Which intervention should
the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound - √Answer :a. obtain a
sputum sample for culture
Quiz :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?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake - √Answer :c. palpate the
bladder above the symphysis pubis
Quiz :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?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l - √Answer :d. potassium of 2.5 meq/l
Quiz :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?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f -
√Answer :a. explain specific reason for urgent notification
Quiz :An adult male client is admitted for pneumocystis carinil
pneumonia (PCP) secondary to aids. While hospitalized he
receives IV pentamidine isethionate therapy. In preparing this
client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is
being used.
b. IV pentamine will be given until oral pentamine can be
tolerated
c. It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
d. IV pentamine may offer protection to others aids related
conditions such as kaposis sarcoma - √Answer :c. it will be
necessary to continue prophylactic doses of IV or aerosol
pentamine every month
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