2022-23 Med-Surg HESI Practice Questions
1.b. light housekeeping is permitted but avoid heavy lifting: 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
2.a. obtain a sputum sample for culture: 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
3.c. palpate the bladder above the symphysis pubis: 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
4.d. potassium of 2.5 meq/l: 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
5.a. explain specific reason for urgent notification: 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?
, 2022-23 Med-Surg HESI Practice Questions
a. explain specific reason for urgent notification
b.preface the report by stating the clients name and admitting diagnosis
, 2022-23 Med-Surg HESI Practice Questions
c. communicate the pre-transfusion temperatures
d.optain prn prescription for acetaminophen for fever 101f
6.c. it will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month: 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
7.a. collect a clean catch specimen: 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
8.c. ask the client if the healthcare provider has given her any information
about the classification of her cancer: 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
c. ask the client if the healthcare provider has given her any
information about the classification of her cancer
d.help the client make plans to begin immediate treatment since her
cancer is likely to spread quickly
9.c. stop dialysis treatment: A client with a chronic kidney disease is
treated on hemodialysis. During the 1 treatment clients blood pressure
drops from 150/90 to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b.lower the head of the chair and elevate feet
1.b. light housekeeping is permitted but avoid heavy lifting: 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
2.a. obtain a sputum sample for culture: 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
3.c. palpate the bladder above the symphysis pubis: 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
4.d. potassium of 2.5 meq/l: 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
5.a. explain specific reason for urgent notification: 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?
, 2022-23 Med-Surg HESI Practice Questions
a. explain specific reason for urgent notification
b.preface the report by stating the clients name and admitting diagnosis
, 2022-23 Med-Surg HESI Practice Questions
c. communicate the pre-transfusion temperatures
d.optain prn prescription for acetaminophen for fever 101f
6.c. it will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month: 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
7.a. collect a clean catch specimen: 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
8.c. ask the client if the healthcare provider has given her any information
about the classification of her cancer: 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
c. ask the client if the healthcare provider has given her any
information about the classification of her cancer
d.help the client make plans to begin immediate treatment since her
cancer is likely to spread quickly
9.c. stop dialysis treatment: A client with a chronic kidney disease is
treated on hemodialysis. During the 1 treatment clients blood pressure
drops from 150/90 to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b.lower the head of the chair and elevate feet
