MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
1. A client with a productive cough has obtained a spu- B. Observe the color, con-
tum specimen for culture as sistency, and
instructed. What is the best initial nursing action? amount of sputum
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of spu-
tum
C. Encourage the client to consume plenty of warm
liquids
D. Send the specimen to the lab for analysis
2. A client is brought to the ED by ambulance in cardiac A. Breath sounds over bi-
arrest with cardiopulmonary lateral lung fields
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?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature
3. After a hospitalization for Syndrome of Inappropriate A. Reorient client to his
Antidiuretic Hormone (SIADH), a room
client develops pontine myselinolysis. Which interven-
tion should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises
, MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
4. A male client with heart failure (HF) calls the clinic and B. Has his weight changed
reports that he cannot put his in the last several days?
shoes on because they are too tight. Which additional
information should the nurse
obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?
5. An older adult woman with a long history of chronic D. Assign her to an upright
obstructive pulmonary disease position
(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?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position
6. A client with a history of asthma and bronchitis arrives A. Increase the daily intake
at the clinic with shortness of of oral fluids to liquefy se-
breath, productive cough with thickened tenacious cretions
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?
A. Increase the daily intake of oral fluids to liquefy
secretions
, MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
B. Avoid crowded enclosed areas to reduce pathogen
exposure
C. Call the clinic if undesirable side effects of media-
tions occur
D. Teach anxiety reduction methods for feelings of
suffocation
7. A cardiac catherterization of a client with heart dis- C. Three main arteries
ease indicates the following have major blockages,
blockages: 95% proximal left anterior descending with only 1 to 5% of blood
(LAD), 99% proximal circumflex, and flow getting through to
? % proximal right coronary artery (RCA). The client the heart muscle
later asks the nurse "what does all
this mean for me?" What information should the
nurse provide?
A. Blood supply to the heart is diminished by
artherosclerotic lesions, which necessitate
lifestyle changes.
B. Blood vessels supplying the pumping chamber
have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with
only 1 to 5% of blood flow getting
through to the heart muscle.
D. The heart is not receiving enough blood, so there is
a risk of heart failure and fluid
retention.
8. A client who weighs 175 pounds is receiving IV bolus C. Minimize symptoms by
dose of heparin 80 units/kg. The wearing loose, comfort-
heparin is available in a 2 ml vial, labeled 10,000 able clothing
units/ml. How many ml should the
, MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
nurse administer? (Enter numeric value only. If round-
ing is required, round to the
nearest tenth.) - 0.6 ml
What information should the nurse include in the
teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck
alignment.
B. Adjust food intake to three full meals per day and
no snacks.
C. Minimize symptoms by wearing loose, comfortable
clothing
D. Avoid participation in any aerobic exercise pro-
grams
9. The nurse is caring for a client with a lower left lobe A. Left lateral
pulmonary abscess. Which position
should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest
10. A client with cholelithiasis has a gallstone lodged in C. Yellow Sclera
the common bile duct and is unable
to eat or drink without becoming nauseated and vom-
iting. Which finding should the
nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
Study online at https://quizlet.com/_c1bemp
1. A client with a productive cough has obtained a spu- B. Observe the color, con-
tum specimen for culture as sistency, and
instructed. What is the best initial nursing action? amount of sputum
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of spu-
tum
C. Encourage the client to consume plenty of warm
liquids
D. Send the specimen to the lab for analysis
2. A client is brought to the ED by ambulance in cardiac A. Breath sounds over bi-
arrest with cardiopulmonary lateral lung fields
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?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature
3. After a hospitalization for Syndrome of Inappropriate A. Reorient client to his
Antidiuretic Hormone (SIADH), a room
client develops pontine myselinolysis. Which interven-
tion should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises
, MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
4. A male client with heart failure (HF) calls the clinic and B. Has his weight changed
reports that he cannot put his in the last several days?
shoes on because they are too tight. Which additional
information should the nurse
obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?
5. An older adult woman with a long history of chronic D. Assign her to an upright
obstructive pulmonary disease position
(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?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position
6. A client with a history of asthma and bronchitis arrives A. Increase the daily intake
at the clinic with shortness of of oral fluids to liquefy se-
breath, productive cough with thickened tenacious cretions
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?
A. Increase the daily intake of oral fluids to liquefy
secretions
, MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
B. Avoid crowded enclosed areas to reduce pathogen
exposure
C. Call the clinic if undesirable side effects of media-
tions occur
D. Teach anxiety reduction methods for feelings of
suffocation
7. A cardiac catherterization of a client with heart dis- C. Three main arteries
ease indicates the following have major blockages,
blockages: 95% proximal left anterior descending with only 1 to 5% of blood
(LAD), 99% proximal circumflex, and flow getting through to
? % proximal right coronary artery (RCA). The client the heart muscle
later asks the nurse "what does all
this mean for me?" What information should the
nurse provide?
A. Blood supply to the heart is diminished by
artherosclerotic lesions, which necessitate
lifestyle changes.
B. Blood vessels supplying the pumping chamber
have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with
only 1 to 5% of blood flow getting
through to the heart muscle.
D. The heart is not receiving enough blood, so there is
a risk of heart failure and fluid
retention.
8. A client who weighs 175 pounds is receiving IV bolus C. Minimize symptoms by
dose of heparin 80 units/kg. The wearing loose, comfort-
heparin is available in a 2 ml vial, labeled 10,000 able clothing
units/ml. How many ml should the
, MED SURG HESI 2023- LATEST exam questions
Study online at https://quizlet.com/_c1bemp
nurse administer? (Enter numeric value only. If round-
ing is required, round to the
nearest tenth.) - 0.6 ml
What information should the nurse include in the
teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck
alignment.
B. Adjust food intake to three full meals per day and
no snacks.
C. Minimize symptoms by wearing loose, comfortable
clothing
D. Avoid participation in any aerobic exercise pro-
grams
9. The nurse is caring for a client with a lower left lobe A. Left lateral
pulmonary abscess. Which position
should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest
10. A client with cholelithiasis has a gallstone lodged in C. Yellow Sclera
the common bile duct and is unable
to eat or drink without becoming nauseated and vom-
iting. Which finding should the
nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
