Medical-Surgical HESI Study Questions (Saunders HESI 7th Edition) (Verified Answers) Already Graded A+

• | P a g e

Medical-Surgical HESI Study Questions (Saunders HESI 7th Edition) (Verified Answers) Already Graded A+

• A client with heart disease is on a continuous telemetry monitor and has developed

sinus bradycardia. In determining the possible cause of the bradycardia, the nurse assesses the client's medication record. Which medication is most likely the cause of the bradycardia?

• Propanolol (Inderal)
• Captopril (Capoten)
• Furosemide (Lasix)
• Dobutamine (Dobutrex)

Correct Answer: A

• A client has undergone insertion of a permanent pacemaker. When developing a

discharge teaching plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which symptoms are most important to teach the client?

• Facial flushing
• Fever
• Pounding headache
• Feelings of dizziness

Correct Answer: D

• After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw

blood samples to determine peak and trough levels. When are the best times to draw these samples?

• 15 minutes before and 15 minutes after the next dose

• | P a g e

• One hour before and one hour after the next dose
• 5 minutes before and 30 minutes after the next dose
• 30 minutes before and 30 minutes after the next dose

Correct Answer: C

• The nurse would be correct in withholding a dose of digoxin in a client with

congestive heart failure without specific instruction from the healthcare provider if

the client's:

• serum digoxin level is 1.5
• blood pressure is 104/68
• serum potassium level is 3
• apical pulse is 68/min

Correct Answer: C

• When preparing a client who has had a total laryngectomy for discharge, what

instruction is most important for the nurse to include in the discharge teaching?

• Recommend that the client carry suction equipment at all times.
• Instruct the client to have writing materials with him at all times.
• Tell the client to carry a medic alert card stating that he is a total neck breather.
• Tell the client not to travel alone.

Correct Answer: C

• A client is placed on a mechanical ventilator following a cerebral hemorrhage, and

vecuronium bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing diagnosis for this client?

• Impaired communication related to paralysis of skeletal muscles.
• High risk for infection related to increased intracranial pressure.
• Potential for injury related to impaired lung expansion.
• Social isolation related to inability to communicate.

Correct Answer: A

• | P a g e

• A client is admitted to the hospital with a medical diagnosis of pneumococcal

pneumonia. The nurse knows that the prognosis for gram-negative pneumonias

(such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because:

• They occur in the lower love alveoli which are more sensitive to infection
• Gram-negative organisms are more resistant to antibiotic therapy
• They occur in healthy young adults who have recently been debilitated by an upper

respiratory infection.

• Gram-negative pneumonias usually affect infants and small children.

Correct Answer: B

• During CPR, when attempting to ventilate a client's lungs, the nurse notes that the

chest is not moving. What action should the nurse take first?

• Use a laryngoscope to check for a foreign body lodged in the esophagus.
• Reposition the head to validate that the head is in the proper position to open the airway.
• Turn the client to the side and administer three back blows.
• Perform a finger sweep of the mouth to remove any vomitus

Correct Answer: B

• A client is admitted to the hospital with a diagnosis of severe acute diverticulitis.

Which assessment finding should the nurse expect this client to exhibit?

• Lower left quadrant pain and a low-grade fever
• Severe pain at McBurney's point and nausea.
• Abdominal pain and intermittent tenesmus
• Exacerbations of severe diarrhea

Correct Answer: A

• 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

• | P a g e

• Oxygen saturation of 90%
• Hemoglobin of 10 g/dl

Correct Answer: B

• In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's

disease (thromboangilitis obliterans), which referral is most important?

• Genetic counseling
• Twelve-step recovery program
• Clinical nutritionist
• Smoking cessation program

Correct Answer: D

• Which symptoms should the nurse expect a client to exhibit who is diagnosed with a

pheochromocytoma?

• Numbness, tingling, and cramps in the extremities
• Headache, diaphoresis, and palpitations.
• Cyanosis, fever, and classic signs of shock
• Nausea, vomiting, and muscular weakness

Correct Answer: B

• In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects

the laboratory test results to indicate a decreased serum level of which substance?

• sodium
• antidiuretic hormone
• potassium
• glucose

Correct Answer: C

• A middle-aged male client with diabetes continues to eat an abundance of foods

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?