MEDSURG PRACTICE HESI QUESTIONS &A n n n n n
NSWERS (111 QUESTIONS AND n n n n
ANSWERS ) GRADED A/ LATEST VERSION n n n n n
/REAL 2023 APRIL EXAM n n n
1.
A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500
n n n n n n n n n n n n n n
mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (
n n n n n n n n n n n n n n
Tylenol) 325 mg every 12 hours. How many grams of acetaminophen is the patien
n n n n n n n n n n n n n
t taking daily? Record your answer using one decimal place.
n n n g n n n n n n
ANS:
3.3
The nurse should calculate the dosage taken via the first medication and add it tothe
n n n n n n n n n n n n n n n n
daily intake of the second medication. Then, convert milligrams to grams.
n n n n n n n n n n
500 mg × 6 doses a day = 3000 mg/day + (2 tablets × 325 mg) × 2 doses a day = 1300
n n n n n n n n n n n n n n n n n n n n n n
mg/day = 3300 mg/day total of acetaminophen; 3300 mg converted to grams
n n n n n n n n n n n n
= 3.3 grams.
n n
2. The nurse is administering 250 mg of a medication elixir to the patient.T
n n n n n n n n n n n n n
he medication comes in a dose of 1000 mg/5 mL. How many milliliters shouldthe
n n n n n n n n n n n n n n n
nurse administer? Record your answer using two decimal places. mL
n n n n n n n n n
ANS: n
1.25
,The nurse needs to first determine how many milligrams are in each milliliter of theeli
n n n n n n n n n n n n n n n
xir. Then the nurse calculates how many milliliters would contain 250 mg.
n n n n n n n n n n n
1000 mg/5 mL = 200 mg/1 mL
n n n n n n
250 mg/(X mL) = 200 mg/mL = 1.25 mL. OR Dose ordered over dose on hand(2
n n n n n n n n n n n n n n n n
50/1000) × volume or amount on hand (5). 250/1000 = 0.25 × 5 = 1.25 mL.
n n n n n n n n n n n n n n n
3. The
patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250m
n n n n n n n n n n n n n n
g/5 mL. How many milliliters will the nurse administer for one dose? Record you
n n n n n n n n n n n n n
r answer using a whole number.
n n n n mL n
ANS:
10
The drug is dispensed at 250 mg/5 mL. The nurse is to give 500 mg, which is 10 m
n n n n n n n n n n n n n n n n n n
L. OR Dose ordered over dose on hand (500/250) × volume or amount on hand
n n n n n n n n n n n n n n
, (5). 500/250 × 5 = 10 mL.
n n n n n n
1. A nurse is preparing to provide hygiene care. Which principle should then
n n n n n n n n n n n n
urse consider when planning hygiene care?
n n n n n
a. Hygiene care is always routine and expected. n n n n n n
b. No two individuals perform hygiene in the same manner.
n n n n n n n n
c. It is important to standardize a patient’s hygienic practices.
n n n n n n n n
d. During hygiene care do not take the time to learn about patient needs.
n n n n n n n n n n n n
ANS: B n
No two individuals perform hygiene in the same manner; it is important to individual
n n n n n n n n n n n n n
ize the patient’s care based on knowing about the patient’s unique hygiene practices a
n n n n n n n n n n n n n
nd preferences. Hygiene care is never routine; this care requiresintimate contact with
n n n n n n n n n n n n n
the patient and communication skills to promote the therapeutic relationship. In addit
n n n n n n n n n n n
ion, during hygiene, the nurse should take time tolearn about the patient’s health pro
n n n n n n n n n n n n n n
motion practices and needs, emotional needs, and health care education needs.
n n n n n n n n n n
2. A patient’s hygiene schedule of bathing and brushing teeth is largely
n n n n n n n n n n
influenced by family customs. For which age group is the nurse most likelypr
n n n n n n n n n n n n n
oviding care? n
a. Adolescent
b. Preschooler
c. Older adult n
d. Adult
ANS: B n
Family customs play a major role during childhood in determining hygiene
n n n n n n n n n n
NSWERS (111 QUESTIONS AND n n n n
ANSWERS ) GRADED A/ LATEST VERSION n n n n n
/REAL 2023 APRIL EXAM n n n
1.
A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500
n n n n n n n n n n n n n n
mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (
n n n n n n n n n n n n n n
Tylenol) 325 mg every 12 hours. How many grams of acetaminophen is the patien
n n n n n n n n n n n n n
t taking daily? Record your answer using one decimal place.
n n n g n n n n n n
ANS:
3.3
The nurse should calculate the dosage taken via the first medication and add it tothe
n n n n n n n n n n n n n n n n
daily intake of the second medication. Then, convert milligrams to grams.
n n n n n n n n n n
500 mg × 6 doses a day = 3000 mg/day + (2 tablets × 325 mg) × 2 doses a day = 1300
n n n n n n n n n n n n n n n n n n n n n n
mg/day = 3300 mg/day total of acetaminophen; 3300 mg converted to grams
n n n n n n n n n n n n
= 3.3 grams.
n n
2. The nurse is administering 250 mg of a medication elixir to the patient.T
n n n n n n n n n n n n n
he medication comes in a dose of 1000 mg/5 mL. How many milliliters shouldthe
n n n n n n n n n n n n n n n
nurse administer? Record your answer using two decimal places. mL
n n n n n n n n n
ANS: n
1.25
,The nurse needs to first determine how many milligrams are in each milliliter of theeli
n n n n n n n n n n n n n n n
xir. Then the nurse calculates how many milliliters would contain 250 mg.
n n n n n n n n n n n
1000 mg/5 mL = 200 mg/1 mL
n n n n n n
250 mg/(X mL) = 200 mg/mL = 1.25 mL. OR Dose ordered over dose on hand(2
n n n n n n n n n n n n n n n n
50/1000) × volume or amount on hand (5). 250/1000 = 0.25 × 5 = 1.25 mL.
n n n n n n n n n n n n n n n
3. The
patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250m
n n n n n n n n n n n n n n
g/5 mL. How many milliliters will the nurse administer for one dose? Record you
n n n n n n n n n n n n n
r answer using a whole number.
n n n n mL n
ANS:
10
The drug is dispensed at 250 mg/5 mL. The nurse is to give 500 mg, which is 10 m
n n n n n n n n n n n n n n n n n n
L. OR Dose ordered over dose on hand (500/250) × volume or amount on hand
n n n n n n n n n n n n n n
, (5). 500/250 × 5 = 10 mL.
n n n n n n
1. A nurse is preparing to provide hygiene care. Which principle should then
n n n n n n n n n n n n
urse consider when planning hygiene care?
n n n n n
a. Hygiene care is always routine and expected. n n n n n n
b. No two individuals perform hygiene in the same manner.
n n n n n n n n
c. It is important to standardize a patient’s hygienic practices.
n n n n n n n n
d. During hygiene care do not take the time to learn about patient needs.
n n n n n n n n n n n n
ANS: B n
No two individuals perform hygiene in the same manner; it is important to individual
n n n n n n n n n n n n n
ize the patient’s care based on knowing about the patient’s unique hygiene practices a
n n n n n n n n n n n n n
nd preferences. Hygiene care is never routine; this care requiresintimate contact with
n n n n n n n n n n n n n
the patient and communication skills to promote the therapeutic relationship. In addit
n n n n n n n n n n n
ion, during hygiene, the nurse should take time tolearn about the patient’s health pro
n n n n n n n n n n n n n n
motion practices and needs, emotional needs, and health care education needs.
n n n n n n n n n n
2. A patient’s hygiene schedule of bathing and brushing teeth is largely
n n n n n n n n n n
influenced by family customs. For which age group is the nurse most likelypr
n n n n n n n n n n n n n
oviding care? n
a. Adolescent
b. Preschooler
c. Older adult n
d. Adult
ANS: B n
Family customs play a major role during childhood in determining hygiene
n n n n n n n n n n