HESI RN MED SURG EXAM PACK|LATEST UPDATE |
WITH ACTUAL QUESTIONS AND CORRECT VERIFIED
ANSWERS|PRE-EVALUATED A+ |BRAND NEW!!
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What is the best initial nursing action? - CORRECT ANSWER--Observe the
color, consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and is receiving 100% oxygen per
self-inflating (ambu) bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to obtain? - CORRECT
ANSWER--Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first? - CORRECT ANSWER--Reorient client to his room
,A male client with heart failure (HF) calls the clinic and reports that he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain? - CORRECT ANSWER--Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention should the nurse
implement? - CORRECT ANSWER--Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickened tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self-care? - CORRECT ANSWER--Increase the
daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and ?
% proximal right coronary artery (RCA). The client later asks the nurse "what does all
this mean for me?" What information should the nurse provide? - CORRECT ANSWER--
Three main arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The
heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the
nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest tenth.) -
CORRECT ANSWER--0.6 ml
What information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)? - CORRECT ANSWER--Minimize symptoms
by wearing loose, comfortable clothing
, The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position
should the nurse instruct the client to maintain? - CORRECT ANSWER--left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable
to eat or drink without becoming nauseated and vomiting. Which finding should the
nurse report to the healthcare provider. - CORRECT ANSWER--Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse? - CORRECT ANSWER--Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft graft to promote burn healing. Which information should the nurse provide
this client? - CORRECT ANSWER--The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscences and eviscerates. The
nurse moistens an available sterile dressing and places it over the wound. What
intervention should the nurse implement next? - CORRECT ANSWER--Prepare the client
to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium
level of 117 mEq/L. Which nursing problem should the nurse include in this client's plan
of care? - CORRECT ANSWER--Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous, and
reports a racing heart beat and recent weight loss of 15 pounds. After ruling out
substance withdrawal, the healthcare provider suspects hyperthyroidism and admits her
for further testing. Which action should the nurse implement? - CORRECT ANSWER--
Space the client's care to provide periods of rest
WITH ACTUAL QUESTIONS AND CORRECT VERIFIED
ANSWERS|PRE-EVALUATED A+ |BRAND NEW!!
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What is the best initial nursing action? - CORRECT ANSWER--Observe the
color, consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and is receiving 100% oxygen per
self-inflating (ambu) bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to obtain? - CORRECT
ANSWER--Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first? - CORRECT ANSWER--Reorient client to his room
,A male client with heart failure (HF) calls the clinic and reports that he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain? - CORRECT ANSWER--Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention should the nurse
implement? - CORRECT ANSWER--Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickened tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self-care? - CORRECT ANSWER--Increase the
daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and ?
% proximal right coronary artery (RCA). The client later asks the nurse "what does all
this mean for me?" What information should the nurse provide? - CORRECT ANSWER--
Three main arteries have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The
heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the
nurse administer?
(Enter numeric value only. If rounding is required, round to the nearest tenth.) -
CORRECT ANSWER--0.6 ml
What information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)? - CORRECT ANSWER--Minimize symptoms
by wearing loose, comfortable clothing
, The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position
should the nurse instruct the client to maintain? - CORRECT ANSWER--left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable
to eat or drink without becoming nauseated and vomiting. Which finding should the
nurse report to the healthcare provider. - CORRECT ANSWER--Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse? - CORRECT ANSWER--Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft graft to promote burn healing. Which information should the nurse provide
this client? - CORRECT ANSWER--The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscences and eviscerates. The
nurse moistens an available sterile dressing and places it over the wound. What
intervention should the nurse implement next? - CORRECT ANSWER--Prepare the client
to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium
level of 117 mEq/L. Which nursing problem should the nurse include in this client's plan
of care? - CORRECT ANSWER--Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous, and
reports a racing heart beat and recent weight loss of 15 pounds. After ruling out
substance withdrawal, the healthcare provider suspects hyperthyroidism and admits her
for further testing. Which action should the nurse implement? - CORRECT ANSWER--
Space the client's care to provide periods of rest
