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Medical Surgical HESI Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- While working in the emergency room, the nurse is exposed to a client with active
- Immediately after the exposure.
- Within one week of the exposure.
- Four to six weeks after the exposure.
- Three months after the exposure.
tuberculosis. When should the nurse plan to obtain a tuberculin skin test?
Correct Answer: C
- A client has been hospitalized with a femur fracture and is being treated with
- Assess neurovascular status.
- Change the client's position.
- Inspect the traction equipment.
- Review pain medication orders.
traction. Which action by the nurse is the priority when caring for this client?
Correct Answer: A
- During a health fair, a 72-year-old male client tells the nurse that he is experiencing
- Racing pulse with exertion.
- Clubbing of the fingers.
- An increased chest diameter.
shortness of breath. Auscultation reveals crackles and wheezing in both lungs.Suspecting that the client might have chronic bronchitis, which classic symptom would the nurse expect this client to have?
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- Productive cough with grayish-white sputum.
Correct Answer: D
- The nurse is planning care to prevent complications for a client with multiple
- Safety precautions during activity.
- Assess for changes in size of lymph nodes.
- Maintain a fluid intake of 3 to 4 L per day.
- Administer narcotic analgesic around the clock.
myeloma. Which intervention is most important for the nurse to include?
Correct Answer: C
- A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg.
- Position the head of the bed (HOB) flat.
- Withhold intravenous fluids.
- Administer a bolus of IV fluids.
- Give an antihypertensive medication.
Which action should the nurse implement?
Correct Answer: D
- A client who is HIV positive asks the nurse, "How will I know when I have AIDS?"
- "Diagnosis of AIDS is made when you have 2 positive ELISA test results."
- "Diagnosis is made when both the ELISA and the Western Blot tests are positive."
- "I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call
- "AIDS is diagnosed when a specific opportunistic infection is found in an otherwise
Which response is best for the nurse to provide?
your minister?"
healthy individual."
Correct Answer: D
- The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning
- A history of obesity.
treatment. Which subjective information is most important for the nurse to note?
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- An allergy to sulfa drugs.
- Cessation of smoking three years ago.
- Numbness in the soles of the feet.
Correct Answer: B
- The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA)
- Increase the amount of calcium intake in the diet.
- Apply alternating heat and cold therapies.
- Initiate a weight-reduction diet to achieve a healthy body weight.
- Use a walker for ambulation to lessen weight-bearing on the hips.
of the hips. Which recommendation should the nurse make that is most beneficial in protecting the client's joints?
Correct Answer: C
- An adult client is admitted to the hospital burn unit with partial-thickness and full-
- Regenerative function of the skin is absent because the dermal layer has been
- Tissue regeneration will begin several days following return of normal circulation.
- Debridement of eschar will delay the body's ability to regenerate normal tissue.
- Normal tissue formation will be preceded by scar formation for the first year.
thickness burns over 40% of the body surface area. In assessing the potential for skin regeneration, which should the nurse remember about full-thickness burns?
destroyed.
Correct Answer: A
- An older adult female client is brought to the clinic by her daughter for a flu shot.
- Notify social services immediately of suspected elderly abuse.
- Discuss the need for mental health counseling with the daughter.
- Explain to the client that she needs to take better care of herself.
She has lost significant weight since the last visit. She has poor personal hygiene and inadequate clothing for the weather. The client states that she lives alone and denies problems or concerns. Which action should the nurse implement?
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- Collect further data to determine whether self-neglect is occurring.
Correct Answer: D
- A female client taking oral contraceptives reports to the nurse that she is
- Determine if the client has also experienced breast tenderness and weight gain.
- Encourage the client to begin a regular, daily program of walking and exercise.
- Advise the client to notify the healthcare provider for immediate medical attention.
- Tell the client to stop taking the medication for a week to see if symptoms subside.
experiencing calf pain. Which action should the nurse implement?
Correct Answer: C
- A female client requests information about using the calendar method of
- Amount of weight gain or weight loss during the previous year.
- An accurate menstrual cycle diary for the past 6 to 12 months.
- Skin pigmentation and hair texture for evidence of hormonal changes.
- Previous birth-control methods and beliefs about the calendar method.
contraception. Which assessment is most important for the nurse to obtain?
Correct Answer: B
- A middle-aged male client with diabetes continues to eat an abundance of foods
- He visits his diabetic brother who just had surgery to amputate an infected foot.
- He is provided with the most current information about the dangers of untreated
- He comments on the community service announcements about preventing
- His wife expresses a sincere willingness to prepare meals that are within his prescribed
that are high in sugar and fat. According to the Health Belief Model, which event is most likely to increase the client's willingness to become compliant with the prescribed diet?
diabetes.
complications associated with diabetes.
diet.
