2022-2023 Med-Surg HESI Practice
Questions Study Guide Exam Containing
46 Terms with Certified Answers Newly
Updated 2024-2025.
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. administers eye ointment before applying eye drops - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: a. explain
specific reason for urgent notification
Questions Study Guide Exam Containing
46 Terms with Certified Answers Newly
Updated 2024-2025.
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. administers eye ointment before applying eye drops - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: a. explain
specific reason for urgent notification
