HESI - Medical Surgical Practice Exam 2026
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Terms in this set (33)
The nurse is assessing a client's B. Serum calcium of 5 mg/dl.
laboratory values following
administration of chemotherapy. TLS results in hyperkalemia, hypocalcemia,
Which lab value leads the nurse to hyperuricemia, and hyperphosphatemia.
suspect that the client is
experiencing tumor lysis syndrome
(TLS)?
A. Serum PTT of 10 seconds
B. Serum calcium of 5 mg/dl
C. Oxygen saturation of 90%
D. Hemoglobin of 10 g/dl
,A client is admitted to the hospital A. Lower left quadrant pain and a low-grade fever.
with a diagnosis of severe acute
diverticulitis. Which assessment Left lower quadrant pain occurs with diverticulitis
finding should the nurse expect this because the sigmoid colon is the most common
client to exhibit? area for diverticula, and the inflammation of
diverticula causes a low-grade fever.
A. Lower left quadrant pain and a
low-grade fever
B. Severe pain at McBurney's point
and nausea.
C. Abdominal pain and intermittent
tenesmus
D. Exacerbations of severe diarrhea
During CPR, when attempting to B. Reposition the head to validate that the head is
ventilate a client's lungs, the nurse in the proper position to open the airway.
notes that the chest is not moving.
What action should the nurse take The most frequent cause of inadequate aeration of
first? the client's lungs during CPR is improper
positioning of the head resulting in occlusion of the
A. Use a laryngoscope to check for a airway. A foreign body can occlude the airway, but
foreign body lodged in the this is not common unless choking preceded the
esophagus. cardiac emergency, and should not be the nurse's
first action.
B. Reposition the head to validate
that the head is in the proper
position to open the airway.
C. Turn the client to the side and
administer three back blows.
D. Perform a finger sweep of the
mouth to remove any vomitus
, A client is admitted to the hospital B. Gram-negative organisms are more resistant to
with a medical diagnosis of antibiotic therapy
pneumococcal pneumonia. The
nurse knows that the prognosis for The gram-negative organisms are resistant to drug
gram-negative pneumonias (such as therapy which makes recovery very difficult. Gram-
E. coli, Klebsiella, Pseudomonas, and negative pneumonias affect all lobes of the lung.
Proteus) is very poor because: The mean age for contracting this type of
pneumonia is 50 years, and it usually strikes
A. They occur in the lower love debilitated persons such as alcoholics, diabetics,
alveoli which are more sensitive to and those with chronic lung diseases.
infection
B. Gram-negative organisms are
more resistant to antibiotic therapy
C. They occur in healthy young
adults who have recently been
debilitated by an upper respiratory
infection.
D. Gram-negative pneumonias
usually affect infants and small
children.
updated
Save
Terms in this set (33)
The nurse is assessing a client's B. Serum calcium of 5 mg/dl.
laboratory values following
administration of chemotherapy. TLS results in hyperkalemia, hypocalcemia,
Which lab value leads the nurse to hyperuricemia, and hyperphosphatemia.
suspect that the client is
experiencing tumor lysis syndrome
(TLS)?
A. Serum PTT of 10 seconds
B. Serum calcium of 5 mg/dl
C. Oxygen saturation of 90%
D. Hemoglobin of 10 g/dl
,A client is admitted to the hospital A. Lower left quadrant pain and a low-grade fever.
with a diagnosis of severe acute
diverticulitis. Which assessment Left lower quadrant pain occurs with diverticulitis
finding should the nurse expect this because the sigmoid colon is the most common
client to exhibit? area for diverticula, and the inflammation of
diverticula causes a low-grade fever.
A. Lower left quadrant pain and a
low-grade fever
B. Severe pain at McBurney's point
and nausea.
C. Abdominal pain and intermittent
tenesmus
D. Exacerbations of severe diarrhea
During CPR, when attempting to B. Reposition the head to validate that the head is
ventilate a client's lungs, the nurse in the proper position to open the airway.
notes that the chest is not moving.
What action should the nurse take The most frequent cause of inadequate aeration of
first? the client's lungs during CPR is improper
positioning of the head resulting in occlusion of the
A. Use a laryngoscope to check for a airway. A foreign body can occlude the airway, but
foreign body lodged in the this is not common unless choking preceded the
esophagus. cardiac emergency, and should not be the nurse's
first action.
B. Reposition the head to validate
that the head is in the proper
position to open the airway.
C. Turn the client to the side and
administer three back blows.
D. Perform a finger sweep of the
mouth to remove any vomitus
, A client is admitted to the hospital B. Gram-negative organisms are more resistant to
with a medical diagnosis of antibiotic therapy
pneumococcal pneumonia. The
nurse knows that the prognosis for The gram-negative organisms are resistant to drug
gram-negative pneumonias (such as therapy which makes recovery very difficult. Gram-
E. coli, Klebsiella, Pseudomonas, and negative pneumonias affect all lobes of the lung.
Proteus) is very poor because: The mean age for contracting this type of
pneumonia is 50 years, and it usually strikes
A. They occur in the lower love debilitated persons such as alcoholics, diabetics,
alveoli which are more sensitive to and those with chronic lung diseases.
infection
B. Gram-negative organisms are
more resistant to antibiotic therapy
C. They occur in healthy young
adults who have recently been
debilitated by an upper respiratory
infection.
D. Gram-negative pneumonias
usually affect infants and small
children.
