HESI MED SURG 55 QUESTIONS ANSWERS 2018 RN V1-Clinical
Complex Med Surg (Updated)
1.Guaiac Occult Test. What lab is most important?
Platelet count
2.Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate
intervention?
Positive Gastro Occult
3.A patient with Parkinson's "Freezes". Pretends there is a crack on the floor and carefully lifts
leg and steps over.
Confirm that this is the correct and effective technique
4.Patient had Atrial Fibrillation and then AED was used. One minute later, patient sudden goes
in to ventricular tachycardia. What should the nurse do?
Administer adenosine over 1-2 seconds IV
5.Heart failure acute exacerbation. How to reduce cardiac workload?
Bedside commode
6.External fixation device- what should the nurse do first?
Assess for peripheral pulse at the foot
7.COPD patient is experience shortness of breath.
pursed lip breathing
8.Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.
What should the nurse tell the family?
, Demonstrate the use of visual scanning
9.A male client with asthma has bronchoconstriction and mucous production due to exercising.
What should the nurse do?
Determine if the client is using an inhaler before exercising.
10.A client with liver abscess and drainage of abscess. Which lab value?
WBC count
11.Suprapubic prostatectomy. Three-way catheter. Which assessment?
Urine leaking meatus
12.A client with ulcerative colitis. UAP report what finding?
Stool with fatty streaks
13.Flank pain and acute pyelonephritis. Priority nursing action.
Administer IV antibiotics
14.Long- standing pulmonary infection. Assess for hypoxia. Select all that apply
Breathing patterns
Check mentation
Color of skin
Nail beds
15.Traction applied, but client is frustrated because client keeps calling nurse for help with
repositioning.
Use a trapeze bar
16.Multiple sclerosis and urinary retention.
Self catheterization
17.Client works as a data desk job with Raynaud's syndrome. What to do to prevent wrist injury?
Complex Med Surg (Updated)
1.Guaiac Occult Test. What lab is most important?
Platelet count
2.Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate
intervention?
Positive Gastro Occult
3.A patient with Parkinson's "Freezes". Pretends there is a crack on the floor and carefully lifts
leg and steps over.
Confirm that this is the correct and effective technique
4.Patient had Atrial Fibrillation and then AED was used. One minute later, patient sudden goes
in to ventricular tachycardia. What should the nurse do?
Administer adenosine over 1-2 seconds IV
5.Heart failure acute exacerbation. How to reduce cardiac workload?
Bedside commode
6.External fixation device- what should the nurse do first?
Assess for peripheral pulse at the foot
7.COPD patient is experience shortness of breath.
pursed lip breathing
8.Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.
What should the nurse tell the family?
, Demonstrate the use of visual scanning
9.A male client with asthma has bronchoconstriction and mucous production due to exercising.
What should the nurse do?
Determine if the client is using an inhaler before exercising.
10.A client with liver abscess and drainage of abscess. Which lab value?
WBC count
11.Suprapubic prostatectomy. Three-way catheter. Which assessment?
Urine leaking meatus
12.A client with ulcerative colitis. UAP report what finding?
Stool with fatty streaks
13.Flank pain and acute pyelonephritis. Priority nursing action.
Administer IV antibiotics
14.Long- standing pulmonary infection. Assess for hypoxia. Select all that apply
Breathing patterns
Check mentation
Color of skin
Nail beds
15.Traction applied, but client is frustrated because client keeps calling nurse for help with
repositioning.
Use a trapeze bar
16.Multiple sclerosis and urinary retention.
Self catheterization
17.Client works as a data desk job with Raynaud's syndrome. What to do to prevent wrist injury?
