HESI MED SURG #1 TEST, Adult Health HESI review questions, HESI Medical-Surgical Practice Test Correct and Verified Answers Graded A

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HESI MED SURG #1 TEST, Adult Health HESI review questions, HESI Medical-Surgical Practice Test Correct and Verified Answers Graded A

• A resident in a long-term care facility is diagnosed with hepatitis B. Which action

should the nurse take with the staff caring for this client?

• Determine if all employees have had the hepatitis B vaccine series.

Correct Answer: A. Determine if all employees have had the hepatitis B vaccine series.

• The clinic nurse is providing post-operative teaching for a client scheduled for a

myringoplasty. Which client statements indicate to the nurse that the teaching has been effective? (Select all that apply.)

• "I will avoid forceful and deep coughing until my post-op checkup."
• "I must lay flat on my non-operative side for the first 12 hours after surgery."
• "My hearing may be less or muffled until the packing comes out."

Correct Answer: B, C, and D.

• In assessing a client diagnosed with primary aldosteronism, the nurse expects the

laboratory test results to indicate a decreased serum level of which substance?

• Potassium

Correct Answer: C. Potassium

• The nurse teaches a client with type 2 diabetes nutritional strategies to decrease

obesity. Which food items chosen by the client indicate understanding of the teaching? (Select all that apply.)

• Salmon
• Broccoli
• Banana

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Correct Answer: B, C, and E.

• The nurse is providing care to a client after a percutaneous transluminal coronary

angioplasty (PTCA). What actions will the nurse include in the client's plan of care?(Select all that apply.)

• Frequent vital signs.
• Determine if the client is allergic to aspirin.
• Offer fluids of choice.
• Monitor infusion of IV nitroglycerine.

Correct Answer: A, B, D, and F.

• Which nursing action would be appropriate for a client who is newly diagnosed with

Cushing syndrome?

• Monitor blood glucose levels daily.

Correct Answer: A. Monitor blood glucose levels daily.

• The nurse is providing care for a client diagnosed with trigeminal neuralgia (tic

douloureux). Which symptoms will the nurse be looking for in the focused assessment related to this condition? (Select all that apply.)

• Facial muscle spasms
• Sudden facial pain

Correct Answer: A and B.

• During the shift report, the charge nurse informs a nurse of a reassignment to

another unit for the day. The nurse begins to sigh deeply and tosses about her belongings when preparing to leave. What is the best immediate action for the charge nurse to take?

• Continue with the shift report and talk to the nurse about the incident at a later time.

Correct Answer: A. Continue with the shift report and talk to the nurse about the incident at a later time.

• A 74-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis

of respiratory failure secondary to pneumonia. Currently, the client is ventilator- dependent. Arterial blood gas (ABG) results are as follows: pH, 7.48; PaCO2, 30 mm

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Hg; PaO2, 64 mm Hg; HCO3, 25 mEq/L; and FiO2, 0.80. Which action should the nurse take first?

• Add 5 cm positive end-expiratory pressure (PEEP)

Correct Answer: D. Add 5 cm positive end-expiratory pressure (PEEP)

• The nurse is completing an admission interview for a client with Parkinson disease.

Which question will provide additional information about manifestations that the client is likely to experience?

• "Have you ever been frozen in one spot, unable to move?"

Correct Answer: C. "Have you ever been frozen in one spot, unable to move?"

• A client in the emergency department is bleeding profusely from a gunshot wound

to the abdomen. What action should the nurse immediately take?

• Maintain the client in a supine position to reduce diaphragmatic pressure and visualize

the wound.Correct Answer: C. Maintain the client in a supine position to reduce diaphragmatic pressure and visualize the wound.

• While at a home game, the mother of a 6-year-old is heard screaming, "My child is

having an asthma attack! Can anyone help?" The nurse arrives and finds the child gasping for breath with circumoral cyanosis. What are the nurse's next actions?(Select all that apply.)

• Yell, "Call 911."
• Ask the mother if she has the child's bronchodilator.
• Stay with the child and mother until the ambulance arrives.
• Sit the child straight up in Fowler's position.

Correct Answer: A, B, E, and F.

• A client is diagnosed with an acute small bowel obstruction and suddenly spikes a

temperature of 102°F/38.9°C. What other assessments should the nurse include in the client's focused assessment? (Select all that apply.)

• Nausea and vomiting

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• Loss of appetite
• Abdominal cramping
• Guarding with abdominal palpation

Correct Answer: A, B, C, and D.

• The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which

symptom of hyperglycemia is an older adult most likely to exhibit?

• Infection

Correct Answer: D. Infection

• An older client comes to the outpatient clinic complaining of left calf pain. The

nurse notices a reddened area on the calf of the 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?

• Auscultate the client's breath sounds.

Correct Answer: B. Auscultate the client's breath sounds.

• The nurse receives the client's next scheduled bag of TPN labeled with the additive

NPH insulin. Which action should the nurse implement?

• Return the solution to the pharmacy.

Correct Answer: D. Return the solution to the pharmacy.

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

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

• Urinalysis reveals slight protein in the urine and bacteriuria, with pyuria.

Correct Answer: C. Urinalysis reveals slight protein in the urine and bacteriuria, with pyuria.

• A client with chronic asthma is admitted to the PACU complaining of pain at a level

of 8 on a 1 to 10 scale. The PACU recovery prescription is "Morphine, 2 to 4 mg IV push, while in recovery for pain level over 5." Which action should the nurse take first?

• Call the anesthesia provider for a different medication for pain.

Correct Answer: B. Call the anesthesia provider for a different medication for pain.