MED-SURG HESI FINAL EXAM |COMPLETE QUESTIONS WITH
100% RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2 weeks and
is scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg.
Which action should the nurse take? - (answer)Administer the prescribed dose at the scheduled
time
Rationale: The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered
Which instruction should the nurse teach a female client about the prevention of toxic shock
syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination - (answer)"Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently reduces the exposure
,to these toxins, which are the primary cause of toxic shock syndrome. Option A helps prevent
cervical cancer, not toxic shock syndrome. Option C can lessen the incidence of urinary tract
infection. Option D can help prevent some individuals from contracting the flu and pneumonia,
but no relationship to toxic shock syndrome has been proven.
The home health nurse is assessing a male client being treated for Parkinson disease with
carbidopa-levodopa. The nurse observes that he does not demonstrate any apparent emotion
when speaking and rarely blinks. Which intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation - (answer)Document the presence of
these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical features of
parkinsonism. The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, and psychosis
, A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours.
Which action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed - (answer)Reposition the client on her side
Rationale: The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention, repositioning the client,
should be attempted first, followed by options A and C, unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may require option D.
The nurse teaches a client with type 2 diabetes nutritional strategies to decrease obesity. Which
food items chosen by the client indicate understanding of the teaching? (Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
100% RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2 weeks and
is scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg.
Which action should the nurse take? - (answer)Administer the prescribed dose at the scheduled
time
Rationale: The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered
Which instruction should the nurse teach a female client about the prevention of toxic shock
syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination - (answer)"Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently reduces the exposure
,to these toxins, which are the primary cause of toxic shock syndrome. Option A helps prevent
cervical cancer, not toxic shock syndrome. Option C can lessen the incidence of urinary tract
infection. Option D can help prevent some individuals from contracting the flu and pneumonia,
but no relationship to toxic shock syndrome has been proven.
The home health nurse is assessing a male client being treated for Parkinson disease with
carbidopa-levodopa. The nurse observes that he does not demonstrate any apparent emotion
when speaking and rarely blinks. Which intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation - (answer)Document the presence of
these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical features of
parkinsonism. The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, and psychosis
, A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours.
Which action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed - (answer)Reposition the client on her side
Rationale: The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention, repositioning the client,
should be attempted first, followed by options A and C, unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may require option D.
The nurse teaches a client with type 2 diabetes nutritional strategies to decrease obesity. Which
food items chosen by the client indicate understanding of the teaching? (Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
