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HESI Med Surgical Practice (evolve) Correct and Verified Answers Graded A
- A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a liver
- Progress activity as soon as possible.
- Assess for signs of bleeding and hypovolemia.
- Place the client in the left lateral position.
- Monitor blood pressure, pulse and breathing every 4 hours.
biopsy. Which intervention should the nurse perform after the procedure?
Correct Answer: b. Assess for signs of bleeding and hypovolemia.
- The unlicensed assistive personnel (UAP) reports that an 87-year-old female client
- Document the temperature reading on the vital sign graphic sheet.
- Report the temperature to the healthcare provider immediately.
- Instruct the UAP to take the client's temperature again in 30 minutes.
- Advise the UAP to assist the client in returning to her bed.
- Which assessment is most important for the nurse to perform on a client who is
- Respiratory effort.
- Unsteady gait.
- Intensity of pain.
- Ability to eat.
who is sitting in a chair at the bedside has an oral temperature of 97.2 °F (36.2 °C).Which intervention should the nurse implement?
Correct Answer: a. Document the temperature reading on the vital sign graphic sheet.
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
Correct Answer: a. Respiratory effort.
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- When planning care for a client with right renal calculi, which nursing problem has
- Acute pain related to movement of the stone.
- Impaired urinary elimination related to the obstructed flow of urine.
- Risk for infection related to urinary stasis.
- Deficient knowledge related to the need for prevention of recurrence of calculi.
the highest priority?
Correct Answer: a. Acute pain related to movement of the stone.
- While caring for a client who has esophageal varices, which nursing intervention is
- Monitor infusing IV fluids and any replacement blood products.
- Prepare for esophagogastroduodenoscopy (EGD).
- Maintain the client on strict bedrest.
- Insert a nasogastric tube (NGT) for intermittent suction.
- The nurse is caring for a client scheduled to undergo the insertion of a percutaneous
- Method of insertion.
- Location of the tubes.
- Diameter of the tubes.
- Procedure for feedings.
most important for the nurse to implement?
Correct Answer: a. Monitor infusing IV fluids and any replacement blood products.
endoscopic gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a gastrostomy tube (GT). Which explanation best describes how they are different?
Correct Answer: a. Method of insertion.
- A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
- Creatine Kinase (CK-MB).
- Serum troponin.
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the nurse anticipate to be elevated if the client experienced myocardial damage?
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- Myoglobin.
- Ischemia-modified albumin.
Correct Answer: b. Serum troponin
- Which dietary assessment finding is most important for the nurse to address when
- Drinks a six-pack of beer every day.
- Enjoys a hamburger once a month.
- Eats fortified breakfast cereal daily.
- Consumes beans and rice every day.
caring for a client with diabetic nephropathy?
Correct Answer: a. Drinks a six-pack of beer every day.
- A nurse is preparing a teaching plan for a client who is postmenopausal. Which
- Take a multivitamin daily.
- Use only low fat milk products.
- Perform weight resistance exercises.
- Bicycle for at least 3 miles every day.
measure is most important for the nurse to include to prevent osteoporosis?
Correct Answer: c. Perform weight resistance exercises.
- Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should
- Diuretic therapy.
- Pacemaker implantation.
- Anticoagulation therapy.
- Cardiac catheterization.
prepare the client for which treatment protocol?
Correct Answer: c. Anticoagulation therapy.
- 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?
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- Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
- Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
- Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
- Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks.
- The nurse should explain to a client with lung cancer that pleurodesis is performed
- Prevent the formation of effusion fluid.
- Remove fluid from the intrapleural space.
- Debulk tumor to maintain patency of air passages.
- Relieve empyema after pneumonectomy.
Correct Answer: c. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
to achieve which expected outcome?
Correct Answer: a. Prevent the formation of effusion fluid.
- A client, who speaks very little English, is being discharged following surgery.
- A graduate registered nurse (RN) with three weeks of experience.
- The registered nurse (RN) case manager for the unit with 1 year's experience.
- A "floating" registered nurse (RN) with five years of nursing experience.
- A Korean-American practical nurse (PN) with six years of nursing experience.
- Which is the priority nursing action while caring for a client on a ventilator when an
- Tell another staff member to bring extinguishing equipment to the bedside.
- Close the doors to the client's area when attempting to extinguish the fire.
- Use a bag-valve-mask resuscitator while removing the client from the area.
- Implement an emergency protocol to remove the client from the ventilator.
Which nurse should the nurse manager assign to provide the discharge instructions for the client?
Correct Answer: b. The registered nurse (RN) case manager for the unit with 1 year's experience.
electrical fire occurs in the intensive care unit?
