MED-SURG HESI PRACTICE QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
1. 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
mailto:https://www.stuvia.com/user/techgrades
, d. administer eye ointment before applying eye drops ANS >>> b. light
housekeeping is permitted but avoid heavy lifting
2. 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 ANS >>> a. obtain a sputum sample for culture
3. 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
mailto:https://www.stuvia.com/user/techgrades
, b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake ANS >>> c. palpate the bladder above the symphys
pubis
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary
tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infu-
sion 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 ANS >>> d. potassium of 2.5 meq/l
5. 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
mailto:https://www.stuvia.com/user/techgrades
, provider what information should the nurse provide first using the SBAR
communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f ANS >>> a. explain
specific reason for urgent notification
mailto:https://www.stuvia.com/user/techgrades
GRADED A+ 100% VERIFIED.
1. 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
mailto:https://www.stuvia.com/user/techgrades
, d. administer eye ointment before applying eye drops ANS >>> b. light
housekeeping is permitted but avoid heavy lifting
2. 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 ANS >>> a. obtain a sputum sample for culture
3. 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
mailto:https://www.stuvia.com/user/techgrades
, b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake ANS >>> c. palpate the bladder above the symphys
pubis
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary
tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infu-
sion 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 ANS >>> d. potassium of 2.5 meq/l
5. 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
mailto:https://www.stuvia.com/user/techgrades
, provider what information should the nurse provide first using the SBAR
communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f ANS >>> a. explain
specific reason for urgent notification
mailto:https://www.stuvia.com/user/techgrades
