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Hesi Med Surg Practice mode naxlex Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
QUESTION 1
The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?
- High-pitched sound heard upon inspiration.
- Apical heart rate of 100 to 110 beats/minute.
- Redness and edema noted at the incision site.
- Pain rating of 8 on a scale of 0 to 10.
Correct Answer: A
QUESTION 2
A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?
- Increase physical activity.
- Take vitamin supplements.
- Consume a high protein diet.
- Obtain a prostate-specific antigen blood level test.
Correct Answer: A
QUESTION 3
Lactulose was prescribed two days ago for a client who was recently diagnosed with hepatic encephalopathy. The client is confused and experiencing frequent loose stools.Laboratory findings show an elevated serum ammonia (NH) level of 220 μg/dL (157.1
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μmol/dL). Which action should the nurse take? Reference Range: Ammonia [10 to 80 μg/dL (6 to 47 μmol/L)]
- Hold the next dose of lactulose.
- Continue the prescribed dose of lactulose.
- Replace total volume voided with oral or IV fluids.
- Report the number of diarrhea stools to the healthcare provider (HCP).
Correct Answer: B
QUESTION 4
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
- Fatigue.
- Lower extremity edema.
- Hepatomegaly.
- Jugular vein distension.
Correct Answer: A
QUESTION 5
The nurse is caring for a client receiving thrombolytic therapy following an acute myocardial infarction (MI). Which nursing problem should the nurse identify as priority for this client?
- Risk for injury related to effects of thrombolysis.
- Activity intolerance related to ischemia.
- Ineffective breathing pattern related to adverse drug effects.
- Deficient knowledge related to a new medication regimen.
Correct Answer: A
QUESTION 6
In assessing a client with skin ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
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- Absent pedal pulses and shiny skin.
- Irregular ulcer shapes and severe edema.
- Hairless lower extremities and cool feet.
- Black ulcers and dependent rubor.
Correct Answer: B
QUESTION 7
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?
- Severe abdominal cramps and diarrhea after eating spicy foods.
- Frequent use of chewable and liquid antacids for indigestion.
- Upper mid abdominal pain described as gnawing and burning.
- Marked loss of weight and appetite over the last 3 or 4 months.
Correct Answer: C
QUESTION 8
A client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness and palpitations. Which finding is most important for the nurse to monitor?
- Cold hands and feet.
- Myalgia in wrists and hands.
- Excessive perspiration.
- Dark yellow urine.
Correct Answer: C
QUESTION 9
A client with a right ulnar fracture and cast placement reports an increase in arm pain.Which action should the nurse take next?
- Implement distraction techniques.
- Assess right radial pulse volume.
- Administer a PRN analgesic.
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- Measure the blood pressure.
Correct Answer: B
QUESTION 10
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?
- Restrict physical activities.
- Use incentive spirometer.
- Report when hematuria becomes pink tinged.
- Monitor urinary stream for decrease in output.
Correct Answer: D
QUESTION 11
A family suspects that AIDS dementia is occurring in their adult child who is HIV positive.Which symptom confirms the suspicion?
- Exhibits angry outbursts when the subject of dying is approached.
- Increased intervals of sleep 18 out of 24 hours.
- A change has recently occurred in handwriting.
- Refuses to see friends or to return their phone calls.
Correct Answer: C
QUESTION 12
Five months following treatment for herpes zoster, an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?
- Teach the client about phantom pain symptoms.
- Perform a complete mental status exam.
- Determine if the client has had a shingles vaccination.
- Complete an assessment of the client's pain.
