MedSurg HESI Practice Exam 1
x x x x x
2024 x
What xinstruction xshould xthe xnurse xinclude xin xthe xdischarge xteaching xplan xof xa
xclient xwho xhad xa xcataract xextraction xtoday? x
a. sexual xactivities xmay xbe xresumed xupon xreturn xhome x
b. light xhousekeeping xis xpermitted xbut xavoid xheavy xlifting x
c. use xa xmetal xeye xshield xon xoperative xeye xduring xthe xday x
d. administer xeye xointment xbefore xapplying xeye xdrops x- xb. xlight xhousekeeping xis
xpermitted xbut xavoid xheavy xlifting x
x
A xmale xadult xcomes xto xthe xurgent xcare xclinic x5 xdays xafter xbeing xdiagnosed
xwith xinfluenza. xHe xis xshort xof xbreath, xfebrile, xand xcoughing xgreen xcolored
xsputum. xWhich xintervention xshould xthe xnurse ximplement xfirst? xa. xObtain xa
xsputum xsample xfor xculture x
b. Check xhis xoxygen xsaturation xlevel x
c. Administer xan xoral xantipyretic x
d. Auscultate xbilateral xlung xsound x- xa. xobtain xa xsputum xsample xfor xculture x
x
An xelder xmale xclient xtells xthe xnurse xthat xhe xis xloosing xsleep xbecause xhe xhas xto
xget xup x
several xtimes xat xnight xto xgo xto xthe xbathroom xthat xhe xhas xtrouble xstarting xhisy x
xurinar
stream xand xthat xhe xdoes xnot xfeel xlike xhis xbladder xis xever xcompletely xempty.
xWhich x
x
intervention xshould xthe xnurse
ximplement? x
x
a. xcollect xa xurine xspecimen xfor xculture
xanalysis
x
b. xobtain xa xfingerstick xblood xglucose
xlevel
x
c. xpalpate xthe xbladder xabove xthe xsymphysis
xpubis
d. xreview xthe xclient xfluid xintake x- xc. xpalpate xthe xbladder xabove xthe xsymphysis
xpubis
x
An xadult xclient xis xadmitted xwith xdiabetic xketoacidosis x(DKA) xand xa xurinary xtract
xinfection x(UTI) xPrescriptions xfor xintravenous xantibiotics xand xinsulin xinfusion xare
xinitiated. xWhich xserum xlaboratory xvalue xwarrants xthe xmost ximmediate xintervention
xby xthe xnurse? x
a. blood xph xof x7.30 x
b. glucose xof x350 xmg x/dl x
c. white xblood xcell xcount xof x15000mm x
d. potassium xof x2.5 xmeq/l x- xd. xpotassium xof x2.5 xmeq/l x
x
A xclient xwith xsickle xcell xanemia xdevelops xa xfever xduring xthe xlast xhour xof
xadministration xof xa xunit xof xpacked xred xblood xcell. xWhen xnotifying xthe xhealthcare
, xprovider xwhat xinformation xshould xthe xnurse xprovide xfirst xusing xthe xSBAR
xcommunication xprocess? xa. xexplain xspecific xreason xfor xurgent xnotification x
b. preface xthe xreport xby xstating xthe xclients xname xand xadmitting xdiagnosis x
c. communicate xthe xpre-transfusion xtemperatures x
d. optain xprn xprescription xfor xacetaminophen xfor xfever x101f x- xa. xexplain xspecific
xreason xfor xurgent xnotification x
x
x
An xadult xmale xclient xis xadmitted xfor xpneumocystis xcarinil xpneumonia
x(PCP)
secondary xto xaids. xWhile xhospitalized xhe xreceives xIV xpentamidine
xisethionate x
therapy. xIn xpreparing xthis xclient xfor xdischarge xwhat ximportant xaspect xregarding xhis
xmedication xtherapy xshould xthe xnurse xexplain? x
a. AZT xtherapy xmust xbe xstopped xwhen xIV xaerosol xpentamine xis xbeing xused. x
b. IV xpentamine xwill xbe xgiven xuntil xoral xpentamine xcan xbe xtolerated x
c. It xwill xbe xnecessary xto xcontinue xprophylactic xdoses xof xIV xor xaerosol xpentamine
xevery xmonth x
d. IV xpentamine xmay xoffer xprotection xto xothers xaids xrelated xconditions xsuch xas
xkaposis xsarcoma x- xc. xit xwill xbe xnecessary xto xcontinue xprophylactic xdoses xof xIV
xor xaerosol xpentamine xevery xmonth x
x
A xclient xsubjective xdata xincludes xdysuria, xurgency, xand xurinary xfrequency.
xWhat xaction xshould xthe xnurse ximplement xnext? xa. xcollect xa xclean xcatch
xspecimen x
b. palpate xthe xsuprapubic xregion x
c. instruct xto xwipe xfrom xfront xto xback x
d. inquire xabout xrecent xsexual xactivity x- xa. xcollect xa xclean xcatch xspecimen x
x
A xclient xtells xthe xnurse xthat xher xbiopsy xresults xindicate xthat xthe xcancer xcells xare
xwell xdifferentiated xHow xshould xthe xnurse xrespond? x
a. offer xthe xclient xreassurance xthat xthis xinformation xindicates xthat xthe xclients
xcancer xcells xare xbenign x
b. explain xthat xthese xtissue xcells xoften xrespond xmore xeffectively xto xradiation
xthan xto xchemotherapy x
c. ask xthe xclient xif xthe xhealthcare xprovider xhas xgiven xher xany xinformation
xabout xthe xclassification xof xher xcancer x
d. help xthe xclient xmake xplans xto xbegin ximmediate xtreatment xsince xher xcancer
xis xlikely xto xspread xquickly x- xc. xask xthe xclient xif xthe xhealthcare xprovider xhas xgiven
xher xany xinformation xabout xthe xclassification xof xher xcancer x
x
A xclient xwith xa xchronic xkidney xdisease xis xtreated xon xhemodialysis. xDuring xthe x1
xtreatment xclients xblood xpressure xdrops xfrom x150/90 xto x80/30 xWhich xaction
xshould xthe xnurse xtake xfirst? x
a. monitor xbp xq45 xminutes x
b. lower xthe xhead xof xthe xchair xand xelevate xfeet x
c. stop xdialysis xtreatment x
d. administer x5% xalbumin xIV x- xc. xstop xdialysis xtreatment x
x
A xclient xwith xdeep xvain xthrombosis x(DVT) xis xreceiving xa xcontinues xinfusion xof
xheparin xsodium x25,000 xunit xin x5% xdextrose xinjection x250ml. xThe xprescription
x x x x x
2024 x
What xinstruction xshould xthe xnurse xinclude xin xthe xdischarge xteaching xplan xof xa
xclient xwho xhad xa xcataract xextraction xtoday? x
a. sexual xactivities xmay xbe xresumed xupon xreturn xhome x
b. light xhousekeeping xis xpermitted xbut xavoid xheavy xlifting x
c. use xa xmetal xeye xshield xon xoperative xeye xduring xthe xday x
d. administer xeye xointment xbefore xapplying xeye xdrops x- xb. xlight xhousekeeping xis
xpermitted xbut xavoid xheavy xlifting x
x
A xmale xadult xcomes xto xthe xurgent xcare xclinic x5 xdays xafter xbeing xdiagnosed
xwith xinfluenza. xHe xis xshort xof xbreath, xfebrile, xand xcoughing xgreen xcolored
xsputum. xWhich xintervention xshould xthe xnurse ximplement xfirst? xa. xObtain xa
xsputum xsample xfor xculture x
b. Check xhis xoxygen xsaturation xlevel x
c. Administer xan xoral xantipyretic x
d. Auscultate xbilateral xlung xsound x- xa. xobtain xa xsputum xsample xfor xculture x
x
An xelder xmale xclient xtells xthe xnurse xthat xhe xis xloosing xsleep xbecause xhe xhas xto
xget xup x
several xtimes xat xnight xto xgo xto xthe xbathroom xthat xhe xhas xtrouble xstarting xhisy x
xurinar
stream xand xthat xhe xdoes xnot xfeel xlike xhis xbladder xis xever xcompletely xempty.
xWhich x
x
intervention xshould xthe xnurse
ximplement? x
x
a. xcollect xa xurine xspecimen xfor xculture
xanalysis
x
b. xobtain xa xfingerstick xblood xglucose
xlevel
x
c. xpalpate xthe xbladder xabove xthe xsymphysis
xpubis
d. xreview xthe xclient xfluid xintake x- xc. xpalpate xthe xbladder xabove xthe xsymphysis
xpubis
x
An xadult xclient xis xadmitted xwith xdiabetic xketoacidosis x(DKA) xand xa xurinary xtract
xinfection x(UTI) xPrescriptions xfor xintravenous xantibiotics xand xinsulin xinfusion xare
xinitiated. xWhich xserum xlaboratory xvalue xwarrants xthe xmost ximmediate xintervention
xby xthe xnurse? x
a. blood xph xof x7.30 x
b. glucose xof x350 xmg x/dl x
c. white xblood xcell xcount xof x15000mm x
d. potassium xof x2.5 xmeq/l x- xd. xpotassium xof x2.5 xmeq/l x
x
A xclient xwith xsickle xcell xanemia xdevelops xa xfever xduring xthe xlast xhour xof
xadministration xof xa xunit xof xpacked xred xblood xcell. xWhen xnotifying xthe xhealthcare
, xprovider xwhat xinformation xshould xthe xnurse xprovide xfirst xusing xthe xSBAR
xcommunication xprocess? xa. xexplain xspecific xreason xfor xurgent xnotification x
b. preface xthe xreport xby xstating xthe xclients xname xand xadmitting xdiagnosis x
c. communicate xthe xpre-transfusion xtemperatures x
d. optain xprn xprescription xfor xacetaminophen xfor xfever x101f x- xa. xexplain xspecific
xreason xfor xurgent xnotification x
x
x
An xadult xmale xclient xis xadmitted xfor xpneumocystis xcarinil xpneumonia
x(PCP)
secondary xto xaids. xWhile xhospitalized xhe xreceives xIV xpentamidine
xisethionate x
therapy. xIn xpreparing xthis xclient xfor xdischarge xwhat ximportant xaspect xregarding xhis
xmedication xtherapy xshould xthe xnurse xexplain? x
a. AZT xtherapy xmust xbe xstopped xwhen xIV xaerosol xpentamine xis xbeing xused. x
b. IV xpentamine xwill xbe xgiven xuntil xoral xpentamine xcan xbe xtolerated x
c. It xwill xbe xnecessary xto xcontinue xprophylactic xdoses xof xIV xor xaerosol xpentamine
xevery xmonth x
d. IV xpentamine xmay xoffer xprotection xto xothers xaids xrelated xconditions xsuch xas
xkaposis xsarcoma x- xc. xit xwill xbe xnecessary xto xcontinue xprophylactic xdoses xof xIV
xor xaerosol xpentamine xevery xmonth x
x
A xclient xsubjective xdata xincludes xdysuria, xurgency, xand xurinary xfrequency.
xWhat xaction xshould xthe xnurse ximplement xnext? xa. xcollect xa xclean xcatch
xspecimen x
b. palpate xthe xsuprapubic xregion x
c. instruct xto xwipe xfrom xfront xto xback x
d. inquire xabout xrecent xsexual xactivity x- xa. xcollect xa xclean xcatch xspecimen x
x
A xclient xtells xthe xnurse xthat xher xbiopsy xresults xindicate xthat xthe xcancer xcells xare
xwell xdifferentiated xHow xshould xthe xnurse xrespond? x
a. offer xthe xclient xreassurance xthat xthis xinformation xindicates xthat xthe xclients
xcancer xcells xare xbenign x
b. explain xthat xthese xtissue xcells xoften xrespond xmore xeffectively xto xradiation
xthan xto xchemotherapy x
c. ask xthe xclient xif xthe xhealthcare xprovider xhas xgiven xher xany xinformation
xabout xthe xclassification xof xher xcancer x
d. help xthe xclient xmake xplans xto xbegin ximmediate xtreatment xsince xher xcancer
xis xlikely xto xspread xquickly x- xc. xask xthe xclient xif xthe xhealthcare xprovider xhas xgiven
xher xany xinformation xabout xthe xclassification xof xher xcancer x
x
A xclient xwith xa xchronic xkidney xdisease xis xtreated xon xhemodialysis. xDuring xthe x1
xtreatment xclients xblood xpressure xdrops xfrom x150/90 xto x80/30 xWhich xaction
xshould xthe xnurse xtake xfirst? x
a. monitor xbp xq45 xminutes x
b. lower xthe xhead xof xthe xchair xand xelevate xfeet x
c. stop xdialysis xtreatment x
d. administer x5% xalbumin xIV x- xc. xstop xdialysis xtreatment x
x
A xclient xwith xdeep xvain xthrombosis x(DVT) xis xreceiving xa xcontinues xinfusion xof
xheparin xsodium x25,000 xunit xin x5% xdextrose xinjection x250ml. xThe xprescription
