2022 HESI Med-Surg v2

1. Which problem, reported to the nurse by a 70-year-old male client, requires the most immediate intervention by the nurse? A. Urinary hesitancy B. Slow urinary stream C. Frequent nocturia D. Painless hematuria Downloaded by: CHRISJAY | S - The Marketplace to Buy and Sell your Study Material Downloaded by: CHRISJAY | Distribution of this document is illegal 2. when conducting assessments at an assisted living community, the nurse finds that an older adult client for the nurse to implement? a) obtain a clean voided urine sample using a urinal hat b) evaluate the client’s response to bladder training efforts c) place a protective undergarment on the client d) encourage increased fluid for 24 hours 3. A is receiving procarpme hydrochlonde ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night explanation should the nurse provide? a) The medication causes pupils to dilate, which reduces night vision b) The drops increase the in the eyes and cloud the visual field c) The eye drops slow pupil response to accommodate for darkness d) The drug can cause the lens to become more opaque 4. A patient who is receiving external beam radiation therapy to the spine for cancer palliation develops a reddened area on the back and 5. A client is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention? 6. The nurse observes a newly admitted older adult client take short steps and walk very slowly while pushing a walker. Which action 7. When reviewing an older client’s daily laboratory findings, the nurse notes the blood urea nitrogen (BUN) level is 23mg / d * L; (8.2 mmoll) should the nurse take first 8. An older female who is complaining of pain in her arm and back is brought to the Emergency Department last year for a variety of superficial injuries. Which nursing action has the highest priority? Ask if she has considered living in an assisted living facility 9. On the postoperative day the nurse an older client and the bed The first S - The Marketplace to Buy and Sell your Study Material Downloaded by: CHRISJAY | Distribution of this document is illegal 10.The nurse is caring for a client with the sexually transmitted infection (STI) chlamydia. The client reports having sex with multiple partners which response the nurse provide 11.A 55-yearold client reports a sudden onset of seeing flashing lights and floating spots Which is the best nursing action? common physiological change that occurs with aging is likely to influence an older adult's nutritional status? 13.An older client being admitted to a using acute care hospital following a cerebrovascular accident (CVA) When reviewing the client's prescribed implement first? 14.An older adult male is admitted three days a because his wife called 911 this morning when he became confused The has a history of kidney disease a 120 beats 12 breaths minute, and blood pressure 180/96. assessment finding warrants immediate Intervention by the nurse 15.A. female client returns to the clinic after being treated for chlamydia with azithromycin IM and reports that she still has symptoms. The client reports maintaining a monogamous relationship when the laboratory results are positive for the sexually transmitted infection Ask the client if the complete course of antibiotics was taken