1
Hesi Level 3 med surge
1. Pt with fibromyalgia taking Lyrica and is experiencing hand tremors. What should the
nurse do?
AN: Report or notify the Dr.
Check this answer
2. Pt diagnosed with Lyme disease had gone camping with a group. What is nurse respond.
Tell the pt to make sure other ppl that were also camping seek medical tx because
they might be exposed or go to the Dr.
3. Pt takin Sildenafil(Viagra). What should the nurse question ?
Pt taking nitrates(nitroglyverin) for chest pain.
4. Nurse knows the difference between arterial and venous ulcers upon assessment.
Venous ulcers are?
Irregular edges (uneven borders)
5. Upon assessment of aortic aneurysm what should the nurse do?
Assess or take the B/P
6. Obese pt, nurse LPN measuring waist circumference why and what should nurse say to
RN?
Waist circumference measures to detect pt obese.
7. Right sided heart failure symptoms
Observe for peripheral edema
Measure jugular venous distention/pressure (we both picked this one)
Both are signs of right sided heart failure. Pay attention to the question
8. How can the nurse know if pt has left sided heart failure?
Pt complains of difficulty breathing when lying down/ supine
9. Systemic Lupus Erythematosus, Manifestations?
Hematuria
10. Pt with osteoarthritis, what is the diet management?
Instruct pt to loose weight
11. Osteoporosis more prevalent in?
Caucasian white thin female
12. Pt has trichomonas and taking flagyl. What should nurse instruct pt or inform?
Partners to also be treated to prevent reinfection
Page 1|5
, 2
13. Pt with BPH and taking Flomax. What nurse instruct?
Assist pt sitting up
14. What is the purpose of pursed lip breathing exercises?
Helps relax and breathe better.
No sure go over
HINKLE -Pursed-lip breathing, which improves oxygen transport, helps induce a slow, deep
breathing pattern and assists the patient to control breathing, even during periods of stress.
This type of breathing helps prevent airway collapse secondary to loss of lung elasticity in
emphysema.
15. Heat stroke pt in the ER what is nurses first action?
Spray the pts face with water
16. Pt does not want any measures to be done to save his life and is refusing to sign a DNR,
Dr knows pt has a good chance of survival. What is Dr or nurses next action?
Ethics committee
17. Pt for follow up on knee injections (name of med), but tells the nurse that pain swelling,
redness and tenderness to site. What should nurse do?
Administer NSAIDS prior to injection
18. Pt opened envelope which contained anthrax, is now in the ER. What should nurse
instruct pt to do?
Tell the pt to return to the clinic if flu like symptoms occur
19. Gout manifestations
Increased Uric acid
20. Uric acid (med starts with Probenccid). How do you know med is working?
Increased uric acid excretion in the urine.
probenecid Uricosuric agent; inhibits Be alert for
(Benemid) renal reabsorption of nausea
urates and increases and
the urinary excretion rash.
of uric acid; prevents
tophi formation
21. Math = 45mL
22. Math = 28gtt/min
Page 2|5
Hesi Level 3 med surge
1. Pt with fibromyalgia taking Lyrica and is experiencing hand tremors. What should the
nurse do?
AN: Report or notify the Dr.
Check this answer
2. Pt diagnosed with Lyme disease had gone camping with a group. What is nurse respond.
Tell the pt to make sure other ppl that were also camping seek medical tx because
they might be exposed or go to the Dr.
3. Pt takin Sildenafil(Viagra). What should the nurse question ?
Pt taking nitrates(nitroglyverin) for chest pain.
4. Nurse knows the difference between arterial and venous ulcers upon assessment.
Venous ulcers are?
Irregular edges (uneven borders)
5. Upon assessment of aortic aneurysm what should the nurse do?
Assess or take the B/P
6. Obese pt, nurse LPN measuring waist circumference why and what should nurse say to
RN?
Waist circumference measures to detect pt obese.
7. Right sided heart failure symptoms
Observe for peripheral edema
Measure jugular venous distention/pressure (we both picked this one)
Both are signs of right sided heart failure. Pay attention to the question
8. How can the nurse know if pt has left sided heart failure?
Pt complains of difficulty breathing when lying down/ supine
9. Systemic Lupus Erythematosus, Manifestations?
Hematuria
10. Pt with osteoarthritis, what is the diet management?
Instruct pt to loose weight
11. Osteoporosis more prevalent in?
Caucasian white thin female
12. Pt has trichomonas and taking flagyl. What should nurse instruct pt or inform?
Partners to also be treated to prevent reinfection
Page 1|5
, 2
13. Pt with BPH and taking Flomax. What nurse instruct?
Assist pt sitting up
14. What is the purpose of pursed lip breathing exercises?
Helps relax and breathe better.
No sure go over
HINKLE -Pursed-lip breathing, which improves oxygen transport, helps induce a slow, deep
breathing pattern and assists the patient to control breathing, even during periods of stress.
This type of breathing helps prevent airway collapse secondary to loss of lung elasticity in
emphysema.
15. Heat stroke pt in the ER what is nurses first action?
Spray the pts face with water
16. Pt does not want any measures to be done to save his life and is refusing to sign a DNR,
Dr knows pt has a good chance of survival. What is Dr or nurses next action?
Ethics committee
17. Pt for follow up on knee injections (name of med), but tells the nurse that pain swelling,
redness and tenderness to site. What should nurse do?
Administer NSAIDS prior to injection
18. Pt opened envelope which contained anthrax, is now in the ER. What should nurse
instruct pt to do?
Tell the pt to return to the clinic if flu like symptoms occur
19. Gout manifestations
Increased Uric acid
20. Uric acid (med starts with Probenccid). How do you know med is working?
Increased uric acid excretion in the urine.
probenecid Uricosuric agent; inhibits Be alert for
(Benemid) renal reabsorption of nausea
urates and increases and
the urinary excretion rash.
of uric acid; prevents
tophi formation
21. Math = 45mL
22. Math = 28gtt/min
Page 2|5
