HESI Med-Surg Exam Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI Med-Surg Exam Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• A client with Meniere's disease is incapacitated by vertigo and is lying in bed

grasping the side rails and staring at the television. Which nursing intervention should the nurse implement?

Correct Answer: Turn off the television and darken the room.

• A client with sickle cell anemia is admitted with severe abdominal pain and the

diagnosis is sickle cell crisis. What is the most important nursing action to implement?

Correct Answer: Evaluate the effectiveness of narcotic analgesics.

• Which method elicits the most accurate information during a physical assessment

of an older client?

Correct Answer: Use reliable assessment tools for older adults.

• What assessment finding should the nurse identify that indicates a client with an

acute asthma exacerbation is beginning to improve after treatment?

Correct Answer: Wheezing becomes louder.

• The nurse is caring for a client with HIV who develops Mycobacterium avium

complex (MAC). What is the most significant desired outcome for this patient?

Correct Answer: Return to pre-illness weight.

• The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving

chemotherapy. Lab results reveal platelet count of 10,000/mL. What action should the nurse implement?

Correct Answer: Check stools for occult blood.

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• A client who has just tested positive for HIV does not appear to hear what the nurse

is saying during post-test counseling. Which information should the nurse offer to facilitate the client's adjustment to HIV infection?

Correct Answer: Discuss retesting to verify the results.

• A client who had abdominal surgery two days ago has prescriptions for IV morphine

sulfate 4 mg every 2 hours and clear liquid diet. Client complains of feeling distended and has sharp, cramping gas pains. What nursing intervention should be implemented?

Correct Answer: Assist the client to ambulate in the hall.

• The nurse is assessing a client with a cuffed tracheostomy tube in place who is

breathing spontaneously. To evaluate if the client can tolerate cuff deflation to promote speaking and swallowing, what action should the nurse implement?Correct Answer: Observe the client for coughing colored sputum after drinking a small amount of colored water.

• A client who has chronic cough with blood-tinged sputum returns to the unit after a

bronchoscopy. What nursing interventions should be implemented in the immediate post-procedural period?

Correct Answer: NPO until gag reflex returns.

• A client is admitted for complaints of chest pain and aching for the past 4 days. The

results for serum creatinine kinase-MB (CK-MB) and troponin levels are obtained.What rationale should the nurse use to evaluate lab findings?Correct Answer: Myocardial damage that occurred several days early is best validated by serum troponin levels.

• A male client with chronic atrial fibrillation and a slow ventricular response is

scheduled for surgical placement of a permanent pacemaker. The client asks the nurse how this device will help him. How should the nurse explain the action of a synchronous pacemaker?Correct Answer: An electrical stimulus is discharged when no ventricular response is sensed.

• A man who smokes two packs of cigarettes a day wants to know if smoking is

contributing to the difficulty that he and his wife are having getting pregnant. What information is best for the nurse to provide?

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Correct Answer: Smoking can decrease quantity and quality of sperm.

• The nurse is providing postoperative instructions for a female client after a

mastectomy. Which information should the nurse include in the teaching plan?

Correct Answer: Avoid lifting more than 4.5 kg (10lb) or reaching above head.

• A client in the preoperative holding area receives a prescription for midazolam

(Versed) IV. The nurse determines that the surgical consent form needs to be signed by the client. Which action should the nurse implement?Correct Answer: Withhold the drug until the client validates understanding of the surgical procedure and signs the consent form.

• A client with acute osteomyelitis has undergone surgical debridement of the

diseased bone and asks the nurse how long will antibiotics have to be administered.Which information should the nurse communicate?Correct Answer: Parenteral antibiotics for 4-8 weeks then oral antibiotics for 4-8 weeks.

• The nurse is preparing an adult client for an upper GI series. Which information

should the nurse include in the teaching plan?

Correct Answer: Nothing by mouth is allowed for 6-8 hours before the study.

• The nurse is caring for a client scheduled to undergo insertion of a percutaneous

endoscopic gastrostomy (PEG) tube. The client asked the nurse to explain how a PEG tube differs from a gastrostomy tube (GT). Which explanation best describes how they are different?

Correct Answer: Method of insertion.

• The HCP prescribes high-protein, high-fat, low-carbohydrate diet with limited

fluids during meals for a client recovering from gastric surgery. The client asks the nurse what the purpose is for this type of diet. Which rationale should be included in the nurse's explanation to this client?Correct Answer: This type of diet is slowly digested and is slow to leave the stomach.

• The nurse is caring for a client with a small bowel obstruction. The client is

vomiting foul smelling fecal-like material. What action should the nurse implement?

Correct Answer: Give IV fluids with electrolytes.

• What instruction should the nurse include in the discharge teaching for a client

who needs to perform self-catheterization technique at home?

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Correct Answer: Catheterize every 3-4 hours.

• A client's prostate-specific antigen (PSA) exam result showed a PSA density of 0.13

ng/ml. Which conclusion regarding this lab data is accurate?

Correct Answer: Low risk for prostate cancer.

• The nurse is caring for a client after transurethral resection of the prostate and

determines the client's urinary catheter is not draining. What should the nurse implement?

Correct Answer: Irrigate the catheter.

• A male client with a prostatic stent is preparing for discharge. What should the

nurse ensure the client understands?Correct Answer: The client should not be catheterized through the stent for at least 3 months.

• When teaching a client with breast cancer about the prescribed radiation therapy

for treatment, what information is important to include?

Correct Answer: Dry, itchy skin changes may occur.

• The nurse is caring for a client receiving tamoxifen (Nolvadex) for treatment of

breast cancer. Which action should the nurse include in the client's plan of care?

Correct Answer: Assist client in coping with hot flashes.

• The nurse is assessing a middle-aged male client for risk factors related to chronic

illness. Which finding should the nurse assess further?

Correct Answer: Increase in abdominal fat deposits.

• What is the priority nursing action while caring for a client on a ventilator when an

electrical fire occurs in the intensive care unit?Correct Answer: Use a bag-valve-mask resuscitator while removing the client from the area.

• In planning care for a client with an acute stroke resulting in right-sided

hemiplegia, which positioning should the nurse use to maintain optimal functioning?Correct Answer: Left lateral, supine, brief periods on the right side, and prone.