2023-2024 Med-Surg HESI Practice
Questions
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract
extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops -ANS-b. light housekeeping is permitted but avoid
heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound -ANS-a. obtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up several times at
night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake -ANS-c. palpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
, c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l -ANS-d. potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f -ANS-a. explain specific reason for urgent
notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
d. IV pentamine may offer protection to others aids related conditions such as kaposis sarcoma -ANS-c.
it will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse
implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity -ANS-a. collect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How
should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to radiation than to chemotherapy
Questions
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract
extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops -ANS-b. light housekeeping is permitted but avoid
heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound -ANS-a. obtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up several times at
night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake -ANS-c. palpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
, c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l -ANS-d. potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f -ANS-a. explain specific reason for urgent
notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
d. IV pentamine may offer protection to others aids related conditions such as kaposis sarcoma -ANS-c.
it will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse
implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity -ANS-a. collect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How
should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to radiation than to chemotherapy
