Adult Health HESI review questions, HESI Medical-Surgical Practice Test Correct and Verified Answers Graded A

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Adult Health HESI review questions, HESI Medical-Surgical Practice Test Correct and Verified Answers Graded A

• 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?

• Leukocytosis and febrile
• Polycythemia and crackles
• Pharyngitis and sputum production
• Confusion and tachycardia

Correct Answer: D

• Which data would the nurse expect to find when reviewing laboratory values of an

80-year-old man who is in good health overall?

• Complete blood count reveals increased white blood cell (WBC) and decreased red

blood cell (RBC) counts.

• Chemistries reveal an increased serum bilirubin level with slightly increased liver

enzyme levels.

• Urinalysis reveals slight protein in the urine and bacteriuria, with pyuria.
• Serum electrolytes reveal a decreased sodium level and increased potassium level.

Correct Answer: C

• The nurse is administering a nystatin suspension for stomatitis. Which instruction

will the nurse provide to the client when administering this medication?

• "Hold the medication in your mouth for a few minutes before swallowing it."
• "Do not drink or eat milk products for 1 hour prior to taking this medication."

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• "Dilute the medication with juice to reduce the unpleasant taste and odor."
• "Take the medication before meals to promote increased absorption."

Correct Answer: A

• [Question text missing from source input - Likely: Which goal is appropriate for the

client?]

• Reduce the daily intake of animal fat to 10% of the diet within 6 weeks.
• Exhibit regular, soft-formed stool within 1 month.
• Demonstrate the irrigation procedure correctly within 1 week.
• Attend an ostomy support group within 2 weeks.

Correct Answer: D

• Signs of hyperkalemia

Correct Answer: Tall/spiked T waves, prolonged QT interval, widening QRS wave

• What is digoxin

Correct Answer: Blood pressure medication with high toxicity

• The nurse is caring for a critically ill client with cirrhosis of the liver who has a

nasogastric tube draining bright red blood. The nurse notes that the client's serum hemoglobin and hematocrit levels are decreased. Which additional change in laboratory data should the nurse expect?

• Increased serum albumin level
• Decreased serum creatinine
• Decreased serum ammonia level
• Increased liver function test results

Correct Answer: C

• An older male client comes to the outpatient clinic complaining of pain in his left

calf. The nurse notices a reddened area on the calf of his right leg that is warm to the touch, and the nurse suspects that the client may have thrombophlebitis. Which additional assessment is most important for the nurse to perform?

• Measure the client's calf circumference.

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• Auscultate the client's breath sounds.
• Observe for ecchymosis and petechiae.
• Obtain the client's blood pressure.

Correct Answer: B

• A client is ready for discharge following the creation of an ileostomy. Which

instruction should the nurse include in discharge teaching?

• Replace the stoma appliance every day.
• Use warm tap water to irrigate the ileostomy.
• Change the bag when the seal is broken.
• Measure and record the ileostomy output.

Correct Answer: C

• A central venous catheter has been inserted via a jugular vein, and a radiograph

has confirmed placement of the catheter. A prescription has been received for a medication STAT, but IV fluids have not yet been started. Which action should the nurse take prior to administering the prescribed medication?

• Assess for signs of jugular venous distention.
• Obtain the needed intravenous solution.
• Flush the line with heparinized solution.
• Flush the line with normal saline.

Correct Answer: D

• The nurse is assessing a male client with acute pancreatitis. Which finding

requires the most immediate intervention by the nurse?

• The client's amylase level is three times higher than the normal level.
• While the nurse is taking the client's blood pressure, he has a carpal spasm.
• On a 1 to 10 scale, the client tells the nurse that his epigastric pain is at 7.
• The client states that he will continue to drink alcohol after going home.

Correct Answer: B

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• A male client has just undergone a laryngectomy and has a cuffed tracheostomy

tube in place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the cuff?

• Immediately after feeding
• Just prior to tube feeding
• Continuous inflation is required
• Inflation is not required

Correct Answer: B

• The nurse initiates neurologic checks for a client who is at risk for neurologic

compromise. Which manifestation typically provides the first indication of altered neurologic function?

• Change in level of consciousness
• Increasing muscular weakness
• Changes in pupil size bilaterally
• Progressive nuchal rigidity

Correct Answer: A

• Based on the clinical manifestations of Cushing syndrome, which nursing

intervention would be appropriate for a client who is newly diagnosed with Cushing syndrome?

• Monitor blood glucose levels daily.
• Increase intake of fluids high in potassium.
• Encourage adequate rest between activities.
• Offer the client a sodium-enriched menu.

Correct Answer: A

• What can insulin do?

Correct Answer: Increase serum potassium level (and blood glucose of course)