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

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

Nursing & Medical Study Questions

• The nurse knows that lab values sometimes vary for the older client. Which data

would the nurse expect to find when reviewing laboratory values of an 80-year-old male?

• Increased WBC, decreased RBC.
• Increased serum bilirubin, slightly increased liver enzymes.
• Increased protein in the urine, slightly increased serum glucose levels.
• Decreased serum sodium, an increased urine specific gravity.

Correct Answer: Increased protein in the urine, slightly increased serum glucose levels.

• While working in the emergency room, the nurse is exposed to a client with active

tuberculosis. When should the nurse plan to obtain a tuberculin skin test?

• Immediately after the exposure.
• Within one week of the exposure.
• Four to six weeks after the exposure.
• Three months after the exposure.

Correct Answer: Four to six weeks after the exposure.

• A client’s susceptibility to ulcerative colitis is most likely due to which aspect in the

client’s history?

• Jewish European ancestry.
• H. pylori bowel infection.
• Family history of irritable bowel syndrome.
• Age between 25 and 55 years.

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Correct Answer: Jewish European ancestry.

• Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
• Joint pain is worse in the morning and involves symmetric joints.
• Joint pain is better in the morning and worsens throughout the day.
• Joint pain is consistent throughout the day and is relieved by pain medication.
• Joint pain is worse during the day and involves unilateral joints.

Correct Answer: Joint pain is worse in the morning and involves symmetric joints.

• Two days postoperative, a male client reports aching pain in his left leg. The nurse

assesses redness and warmth on the lower left calf. Which intervention would be most helpful to this client?

• Apply sequential compression devices (SCDs) bilaterally.
• Assess for a positive Homan's sign in each leg.
• Pad all bony prominences on the affected leg.
• Advise the client to remain in bed with the leg elevated.

Correct Answer: Advise the client to remain in bed with the leg elevated.

• After checking the urinary drainage system for kinks in the tubing, the nurse

determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 mL for the last 2 hours. Which priority nursing action should be implemented?

• Report the findings to the surgeon.
• Irrigate the indwelling urinary catheter.
• Apply manual pressure to the bladder.
• Increase the IV flow rate for 15 minutes.

Correct Answer: Report the findings to the surgeon.

• A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L

(2.9 mmol/L). Which action is most important for the nurse to implement?

• Give 20 mEq of potassium chloride.
• Initiate continuous cardiac monitoring.

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• Arrange a consultation with the dietician.
• Teach about the side effects of diuretics.

Correct Answer: Initiate continuous cardiac monitoring.

• In preparing to administer intravenous albumin to a client following surgery, which

are the priority nursing interventions? (Select all that apply.)

• Set the infusion pump to infuse the albumin within four hours.
• Compare the client's blood type with the label on the albumin.
• Assign a UAP to monitor blood pressure q15 minutes.
• Administer through a large gauge catheter.
• Monitor hemoglobin and hematocrit levels.
• Assess for increased bleeding after administration.

Correct Answer:

• Set the infusion pump to infuse the albumin within four hours.• Administer through a large gauge catheter.• Monitor hemoglobin and hematocrit levels.• Assess for increased bleeding after administration.

• How should the nurse position the electrodes for modified chest lead one (MCL I)

telemetry monitoring?

• Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest

nipple line.

• Positive electrode mid-chest right of sternum, negative electrode upper left chest,

ground lower left chest.Correct Answer: Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line.

• Which statement made by a client with chronic pancreatitis indicates that further

education is needed?

• I will cut back on smoking cigarettes daily.
• I will avoid drinking caffeinated beverages.

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• I will rest frequently and avoid vigorous exercise.
• I will eat a bland, low-fat, high-protein diet.

Correct Answer: I will cut back on smoking cigarettes daily.

(Rationale: Clients should avoid nicotine entirely, not just cut back.)

• The nurse is assessing a client's laboratory values following administration of

chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)?

• Serum PTT of 10 seconds.
• Serum calcium of 5 mg/dL.
• Oxygen saturation of 90%.
• Hemoglobin of 10 g/dL.

Correct Answer: Serum calcium of 5 mg/dL.

• Which intervention should the nurse plan to implement when caring for a client

who has just undergone a right above-the-knee amputation?

• Maintain the residual limb on three pillows at all times.
• Place a large tourniquet at the client's bedside.
• Apply constant, direct pressure to the residual limb.
• Do not allow the client to lie in the prone position.

Correct Answer: Place a large tourniquet at the client's bedside.

• Which nail color alteration should the nurse expect to observe in a client with

chronic kidney disease?

• Horizontal white banding.
• Diffuse blue discoloration.
• Diffuse brown discoloration.
• Thin, dark red vertical lines.

Correct Answer: Horizontal white banding.