MEDSURG 1 HESI PRACTICE QUESTIONS WI
ANSWERS
A cnurse cis ccaring cfor ca cclient cwith cdiabetes cinsipidus c(DI). cWhich cdata cwarrants cthe cmost cimm
cnurse?
A. cSerum csodium cof c185 cmEq/L
B. cDry cskin cwith cinelastic cturgor
C. cApical crate cof c110 cbeats cper cminute
D. cPolyuria cand cexcessive cthirst c- cCORRECT cANS✔✔A.
The cnurse cis cobtaining cthe cadmission chistory cfor ca cclient cwith csuspected cpeptic culcer cdisease
creported cby cthe cclient csupports cthe cmedical cdiagnosis?
A. cFrequent cuse cof cchewable cand cliquid cantacids cfor cindigestion.
B. cSevere cabdominal ccramps cand cdiarrhea cafter ceating cspicy cfoods.
C. cUpper cmid-abdominal cpain cdescribed cas cgnawing cand cburning.
D. cMarked closs cof cweight cand cappetite cover cthe clast c3-4 cmonths c- cCORRECT cANS✔✔C.
The cnurse cassesses ca cclient cwho cis cnewly cdiagnosed cwith chyperthyroidism cand cobserves ctha
cprotuberant, ccausing ca cwide-eyed cappearance cand ceye cdiscomfort. cBased con cthis cfinding, cwh
cinclude cin cthis cclient's cplan cof ccare?
A. cAssess cfor csigns cof cincreased cintracranial cpressure.
B. cPrepare cto cadminister cintravenous clevothyroxine
C. cReview cthe cclient's cserum celectrolyte cvalues
D. cObtain ca cprescription cfor cartificial ctear cdrops. c- cCORRECT cANS✔✔D.
To creduce cthe crisk cfor cpulmonary ccomplication cfor ca cclient cwith cAmyotrophic cLateral cSclerosis
cshould cthe cnurse cimplement? cSATA
A. cPerform cchest cphysiotherapy
, D. cMonitor cleft cleg cfor cpain, cpallor, cparanesthesia, cparalysis, cpressure.
E. cAdminister coral cantispasmodics cand cnarcotic canalgesics c- cCORRECT cANS✔✔A., cB., cD.
The chealthcare cprovider cprescribes cdiagnostic ctests cfor ca cclient cwhose cchest cx-ray cindicates cp
ctest cshould cthe cnurse creview cfor cimplementation cin cthe cmost ctherapeutic ctreatment cof cthe cpn
A. cSputum cculture cand csensitivity
B. cBlood ccultures
C. cArterial cblood cgases
D. cComputerized cTomography c(CT) cof cthe cchest c- cCORRECT cANS✔✔A.
A cclient cwith ca chistory cof casthma cand cbronchitis carrives cat cthe cclinic cwith cSOB, cproductive cco
cmucous, cand cthe cinability cto cwalk cup ca cflight cof cstairs cwithout cexperiencing cbreathlessness. cW
cfor cthe cnurse cto cinstruct cthe cclient cabout cself-care?
A. cCall cthe cclinic cif cundesirable cside ceffects cof cmedications coccur.
B. cAvoid ccrowded cenclosed careas cto creduce cpathogen cexposure. c
C. cIncrease cthe cdaily cintake cor coral cfluids cto cliquefy csecretions.
D. cTeach canxiety creduction cmethods cfor cfeelings cof csuffocation c- cCORRECT cANS✔✔C.
The cnurse cobserves ca cincreased cnumber cof cblood cclots cin cthe cdrainage ctubing cof ca cclient cwi
cfollowing ca ctrans-urethral cresection cof cthe cprostate c(TURP). cWhat cis cthe cbest cinitial cnursing ca
A. cProvide cadditional coral cfluid cintake.
B. cMeasure cthe cclient's cintake cand coutput.
C. cIncrease cthe cflow cof cthe cbladder cirrigation.
D. cAdminister ca cPRN cdose cof can cantispasmodic cagent. c- cCORRECT cANS✔✔C.
Four cdays cfollowing can cabdominal caortic caneurysm crepair, cthe cclient cis cexhibiting cedema cof cb
cpedal cpulses care cnot cpalpable. cWhich caction cshould cthe cnurse cimplement cfirst?
A. cElevate cextremities con cpillows.
B. cEvaluate cedema cfor cpitting.
C. cAssess cpulses cwith ca cvascular cdoppler.
D. cWrap cthe cfeet cwith cwarmed cblankets. c- cCORRECT cANS✔✔C.
A cclient carrives cto cthe cmedical cunit c4 chours cafter ca ctransurethral cresection cof cthe cprostate. cA
ccontinuous cbladder cirrigation cwith cnormal csaline cis cinfusing cand cthe cnurse cobserves cdark, ctin
cin cthe ctubing cand ccollection cbag. cWhich caction cshould cthe cnurse ctake?
A. cMonitoring ccatheter cdrainage.
B. cDecreasing cthe cflow crate.
C. cIrrigating cthe ccatheter cmanually.
D. cDiscontinuing cinfusing csolution. c- cCORRECT cANS✔✔A.
The cnurse cis cplanning ccare cfor can colder cadult cclient cwho cexperienced ca ccerebrovascular cacci
cclient chas cexpressive caphasia cand coften cbecomes cfrustrated cwith cthe cnursing cstaff. cWhich cin
cimplement? c
A. cTeach cthe cclient cuse cof cbasic csign clanguage.
B. cSpeak cslowly cto cthe cclient.
C. cEncourage cclient's cuse cof cpicture ccharts.
D. cAsk cthe cclient csimple cquestions. c- cCORRECT cANS✔✔C.
After cthree cdays cof cpersistent cepigastric cpain, ca cfemale cclient cpresents cto cthe cclinic. cShe chas
ANSWERS
A cnurse cis ccaring cfor ca cclient cwith cdiabetes cinsipidus c(DI). cWhich cdata cwarrants cthe cmost cimm
cnurse?
A. cSerum csodium cof c185 cmEq/L
B. cDry cskin cwith cinelastic cturgor
C. cApical crate cof c110 cbeats cper cminute
D. cPolyuria cand cexcessive cthirst c- cCORRECT cANS✔✔A.
The cnurse cis cobtaining cthe cadmission chistory cfor ca cclient cwith csuspected cpeptic culcer cdisease
creported cby cthe cclient csupports cthe cmedical cdiagnosis?
A. cFrequent cuse cof cchewable cand cliquid cantacids cfor cindigestion.
B. cSevere cabdominal ccramps cand cdiarrhea cafter ceating cspicy cfoods.
C. cUpper cmid-abdominal cpain cdescribed cas cgnawing cand cburning.
D. cMarked closs cof cweight cand cappetite cover cthe clast c3-4 cmonths c- cCORRECT cANS✔✔C.
The cnurse cassesses ca cclient cwho cis cnewly cdiagnosed cwith chyperthyroidism cand cobserves ctha
cprotuberant, ccausing ca cwide-eyed cappearance cand ceye cdiscomfort. cBased con cthis cfinding, cwh
cinclude cin cthis cclient's cplan cof ccare?
A. cAssess cfor csigns cof cincreased cintracranial cpressure.
B. cPrepare cto cadminister cintravenous clevothyroxine
C. cReview cthe cclient's cserum celectrolyte cvalues
D. cObtain ca cprescription cfor cartificial ctear cdrops. c- cCORRECT cANS✔✔D.
To creduce cthe crisk cfor cpulmonary ccomplication cfor ca cclient cwith cAmyotrophic cLateral cSclerosis
cshould cthe cnurse cimplement? cSATA
A. cPerform cchest cphysiotherapy
, D. cMonitor cleft cleg cfor cpain, cpallor, cparanesthesia, cparalysis, cpressure.
E. cAdminister coral cantispasmodics cand cnarcotic canalgesics c- cCORRECT cANS✔✔A., cB., cD.
The chealthcare cprovider cprescribes cdiagnostic ctests cfor ca cclient cwhose cchest cx-ray cindicates cp
ctest cshould cthe cnurse creview cfor cimplementation cin cthe cmost ctherapeutic ctreatment cof cthe cpn
A. cSputum cculture cand csensitivity
B. cBlood ccultures
C. cArterial cblood cgases
D. cComputerized cTomography c(CT) cof cthe cchest c- cCORRECT cANS✔✔A.
A cclient cwith ca chistory cof casthma cand cbronchitis carrives cat cthe cclinic cwith cSOB, cproductive cco
cmucous, cand cthe cinability cto cwalk cup ca cflight cof cstairs cwithout cexperiencing cbreathlessness. cW
cfor cthe cnurse cto cinstruct cthe cclient cabout cself-care?
A. cCall cthe cclinic cif cundesirable cside ceffects cof cmedications coccur.
B. cAvoid ccrowded cenclosed careas cto creduce cpathogen cexposure. c
C. cIncrease cthe cdaily cintake cor coral cfluids cto cliquefy csecretions.
D. cTeach canxiety creduction cmethods cfor cfeelings cof csuffocation c- cCORRECT cANS✔✔C.
The cnurse cobserves ca cincreased cnumber cof cblood cclots cin cthe cdrainage ctubing cof ca cclient cwi
cfollowing ca ctrans-urethral cresection cof cthe cprostate c(TURP). cWhat cis cthe cbest cinitial cnursing ca
A. cProvide cadditional coral cfluid cintake.
B. cMeasure cthe cclient's cintake cand coutput.
C. cIncrease cthe cflow cof cthe cbladder cirrigation.
D. cAdminister ca cPRN cdose cof can cantispasmodic cagent. c- cCORRECT cANS✔✔C.
Four cdays cfollowing can cabdominal caortic caneurysm crepair, cthe cclient cis cexhibiting cedema cof cb
cpedal cpulses care cnot cpalpable. cWhich caction cshould cthe cnurse cimplement cfirst?
A. cElevate cextremities con cpillows.
B. cEvaluate cedema cfor cpitting.
C. cAssess cpulses cwith ca cvascular cdoppler.
D. cWrap cthe cfeet cwith cwarmed cblankets. c- cCORRECT cANS✔✔C.
A cclient carrives cto cthe cmedical cunit c4 chours cafter ca ctransurethral cresection cof cthe cprostate. cA
ccontinuous cbladder cirrigation cwith cnormal csaline cis cinfusing cand cthe cnurse cobserves cdark, ctin
cin cthe ctubing cand ccollection cbag. cWhich caction cshould cthe cnurse ctake?
A. cMonitoring ccatheter cdrainage.
B. cDecreasing cthe cflow crate.
C. cIrrigating cthe ccatheter cmanually.
D. cDiscontinuing cinfusing csolution. c- cCORRECT cANS✔✔A.
The cnurse cis cplanning ccare cfor can colder cadult cclient cwho cexperienced ca ccerebrovascular cacci
cclient chas cexpressive caphasia cand coften cbecomes cfrustrated cwith cthe cnursing cstaff. cWhich cin
cimplement? c
A. cTeach cthe cclient cuse cof cbasic csign clanguage.
B. cSpeak cslowly cto cthe cclient.
C. cEncourage cclient's cuse cof cpicture ccharts.
D. cAsk cthe cclient csimple cquestions. c- cCORRECT cANS✔✔C.
After cthree cdays cof cpersistent cepigastric cpain, ca cfemale cclient cpresents cto cthe cclinic. cShe chas
