HESI Med Surg Exam: Questions &
Answers
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?(Ans- Perform a bedside pregnancy test.
A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the health care provider?(Ans- Hematuria
The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information provided by the client indicates understanding?(Ans- Include no more than 1-2 alcoholic beverages in diet per day
A client is recovering from a transurethral prostatectomy. Which activity should we limited until the first postoperative visit with his health care provider?(Ans- Driving in a car.
The home health nurse provides teaching about insulin self injection to a client who was recently diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video which instruction should the nurse provide?(Ans- Continue with the insulin injection
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The family suspects that acquired immune deficiency syndrome (AIDS) dementia is occurring in their son who is human immunodeficiency virus (HIV) positive. Which symptom confirms their suspicious?(Ans- A change has recently occurred in his handwriting
The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signals, heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement?(Ans- Encourage the client to splint the incision with a pillow to cough and deep breathe
After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antacids without reflux. Her vital signs are heart rate 122 beats/minute, respiration 16 breaths/minute, oxygen saturation 96% and blood pressure 116/70 mmHg. The nurse obtains a 12 lead electrocardiogram. Which assessment finding is most critical?(Ans- ST elevation in three leads
A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?(Ans- Distended, hard, and rigid abdomen
A client with hyperparathyroidism reports a sudden onset of severe flank pain. Which intervention should the nurse include in the clients plan of care?(Ans- Begin straining all urine
. A client with chronic kidney disease is started on hemodialysis. During the first dialysis treatment, the clients blood pressure drops mmHg to 80/30 mmHg. Which action should the nurse take first?(Ans- Lower the head of the chair and elevate feet
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