1|Page
Med Surg HESI Practice Exam Test
Questions And Answers Verified 100%
Correct
A client experiencing uncontrolled atrial fibrillation is admitted to the
telemetry unit. What initial medication should the nurse anticipate
administering to the client? - ...ANSWER✓✓✓Digoxin (Lanoxin).
Rationale
Digoxin (Lanoxin) is administered for uncontrolled, symptomatic atrial
fibrillation resulting in a decreased cardiac output. Digoxin slows the
rate of conduction by prolonging the refractory period of the AV node,
thus slowing the ventricular response, decreasing the heart rate, and
effecting cardiac output.
A client has a staging procedure for cancer of the breast and ask the
nurse which type of breast cancer has the poorest prognosis. Which
information should the nurse offer the client? -
...ANSWER✓✓✓Inflammatory with peau d'orange.
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Rationale
Inflammatory breast cancer onset is very rapid and a very rare form of
breast cancer and is considered the most aggressive form of breast
malignancies. It is often mistaken for a breast infection because it has a
thickened appearance like an orange peel (peau d'orange), causing the
breast to become swollen and tender.
A client has been taking oral corticosteroids for the past five days
because of seasonal allergies. Which assessment finding is of most
concern to the nurse? - ...ANSWER✓✓✓Purulent sputum.
Rationale
Steroids cause immunosuppression, and a purulent sputum is an
indication of infection, so this symptom is of greatest concern.
A client has taken steroids for 12 years to help manage chronic
obstructive pulmonary disease (COPD). When making a home visit,
which nursing function is of greatest importance to this client? Assess
the client's - ...ANSWER✓✓✓temperature.
Rationale
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It is very important to check the client's temperature. Long term use of
steroids use COPD clients is effective in suppressing inflammation in
their airways making it easier for them to breath, but at the same time
suppresses the immune system, placing the client at risk for infection.
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?
- ...ANSWER✓✓✓Feelings of dizziness.
Rationale
Feelings of dizziness may occur as the result of a decreased heart rate,
leading to a decreased cardiac output which may be an indication of
pacemaker failure.
A client is admitted for further testing to confirm sarcoidosis. Which
diagnostic test provides definitive information that the nurse should
report to the healthcare provider? - ...ANSWER✓✓✓Lung tissue
biopsy.
Rationale
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Sarcoidosis is an inflammatory condition that is characterized by the
formation of widespread granulomatous lesions involving a pulmonary
primary site. Although chest radiography identifies sarcoidosis, lung
tissue biopsy obtained by bronchoscopy or bronchoalveolar lavage
provides definitive confirmation.
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? - ...ANSWER✓✓✓Lower left quadrant pain and a
lowgrade fever.
Rationale
Left lower quadrant pain occurs with diverticulitis because the sigmoid
colon is the most common area for diverticula, and the inflammation of
diverticula causes a low-grade fever.
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis for
gramnegative pneumonias (such as E. coli, Klebsiella,
Pseudomonas, and Proteus) is very poor because -
...ANSWER✓✓✓gram-negative organisms are more resistant to
antibiotic therapy.
Med Surg HESI Practice Exam Test
Questions And Answers Verified 100%
Correct
A client experiencing uncontrolled atrial fibrillation is admitted to the
telemetry unit. What initial medication should the nurse anticipate
administering to the client? - ...ANSWER✓✓✓Digoxin (Lanoxin).
Rationale
Digoxin (Lanoxin) is administered for uncontrolled, symptomatic atrial
fibrillation resulting in a decreased cardiac output. Digoxin slows the
rate of conduction by prolonging the refractory period of the AV node,
thus slowing the ventricular response, decreasing the heart rate, and
effecting cardiac output.
A client has a staging procedure for cancer of the breast and ask the
nurse which type of breast cancer has the poorest prognosis. Which
information should the nurse offer the client? -
...ANSWER✓✓✓Inflammatory with peau d'orange.
,2|Page
Rationale
Inflammatory breast cancer onset is very rapid and a very rare form of
breast cancer and is considered the most aggressive form of breast
malignancies. It is often mistaken for a breast infection because it has a
thickened appearance like an orange peel (peau d'orange), causing the
breast to become swollen and tender.
A client has been taking oral corticosteroids for the past five days
because of seasonal allergies. Which assessment finding is of most
concern to the nurse? - ...ANSWER✓✓✓Purulent sputum.
Rationale
Steroids cause immunosuppression, and a purulent sputum is an
indication of infection, so this symptom is of greatest concern.
A client has taken steroids for 12 years to help manage chronic
obstructive pulmonary disease (COPD). When making a home visit,
which nursing function is of greatest importance to this client? Assess
the client's - ...ANSWER✓✓✓temperature.
Rationale
,3|Page
It is very important to check the client's temperature. Long term use of
steroids use COPD clients is effective in suppressing inflammation in
their airways making it easier for them to breath, but at the same time
suppresses the immune system, placing the client at risk for infection.
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?
- ...ANSWER✓✓✓Feelings of dizziness.
Rationale
Feelings of dizziness may occur as the result of a decreased heart rate,
leading to a decreased cardiac output which may be an indication of
pacemaker failure.
A client is admitted for further testing to confirm sarcoidosis. Which
diagnostic test provides definitive information that the nurse should
report to the healthcare provider? - ...ANSWER✓✓✓Lung tissue
biopsy.
Rationale
, 4|Page
Sarcoidosis is an inflammatory condition that is characterized by the
formation of widespread granulomatous lesions involving a pulmonary
primary site. Although chest radiography identifies sarcoidosis, lung
tissue biopsy obtained by bronchoscopy or bronchoalveolar lavage
provides definitive confirmation.
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? - ...ANSWER✓✓✓Lower left quadrant pain and a
lowgrade fever.
Rationale
Left lower quadrant pain occurs with diverticulitis because the sigmoid
colon is the most common area for diverticula, and the inflammation of
diverticula causes a low-grade fever.
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis for
gramnegative pneumonias (such as E. coli, Klebsiella,
Pseudomonas, and Proteus) is very poor because -
...ANSWER✓✓✓gram-negative organisms are more resistant to
antibiotic therapy.
