Med-Surg HESI Practice Questions with Answers Rated A
The nurse would be correct in withholding a dose of
C. Hypokalemia can precipitate digitalis toxicity in per-
digoxin in a client with CHF without specific instruction
sons receiving digoxin which will increase the chance of
from the healthcare provider if the client's:
dangerous dysrhythmias (normal potassium level is 3.5 to
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2
A. Serum digoxin level is 1.5 ng/ml (toxic levels = >2 ng/ml);
B. Blood pressure is 104/68 (A) is within range
(B) would not warrant the nurse withholding the digoxin
C. Serum Potassium level is 3 (D) the nurse should withhold the digoxin if the apical
pulse is less than 60/min
D. Apical pulse is 68/min
The nurse assesses a client with advanced cirrhosis of the
liver for signs of hepatic encephalopathy. Which finding
would the nurse consider an indication of progressive D. A daily record in handwriting may provide evidence of
hepatic encephalopathy? progression or reversal of hepatic encephalopathy lead-
ing to coma
A. An increase in abdominal girth (A) is a sign of ascites
(B) are not seen with hepatic encephalopathy
B. Hypertension and a bounding pulse
(C) does not indicate an increase in serum ammonia level
C. Decreased bowel sounds which is the primary cause of hepatic encephalopathy
D. Diflculty in handwriting
The healthcare provider prescribes aluminum magnesium
hydroxide (Maalox), 1 tablet PO PRN, for a client with D. Magnesium agents are not usually used for clients
chronic kidney disease (CKD) who is complaining of indi- with CKD due to the risk of hypermagnesemia, so this
gestion. What intervention should the nurse implement? prescription should be questioned by the nurse
(A, B, and C) are not recommended nursing actions for the
A. Administer 30 minutes before eating
, Med-Surg HESI Practice Questions with Answers Rated A
B. Evaluate the ettectiveness 1 hour after administration
administration of aluminum and magnesium hydroxide
C. Instruct the client to swallow the table whole
(Maalox)
D. Question the healthcare provider's prescription
Two days postoperative, a male client reports aching pain
in his left leg. The nurse assesses redness and warmth D. The client is exhibiting symptoms of deep vein throm-
on the lower left calf. What intervention would be most bosis (DVT), a complication of immobility. The initial care
helpful to this client? includes bedrest and elevation of the extremity
(A) SCDs are used to prevent thrombophlebitis, not for
A. Apply sequential devices (SCDs) bilaterally treatment, when a clot might be dislodged
(B) Once a client has thrombophlebitis, this one is con-
B. Assess for a positive Homan's sign in each leg
traindicated because of the possibility of dislodging a clot
C. Pad all bony prominences on the attected lef (C) Is indicated to prevent pressure ulcers, but is not a
therapeutic action for thrombophlebitis
D. Advise the client to remain in bed with the leg elevated
A client taking a thiazide diuretic for the past six months
has a serum potassium level of 3. The nurse anticipates
which change inn prescription for the client? C. This client's potassium level is too low (normal is 3.5
to 5). Taking a thiazide diuretic often results in a loss
of potassium, so a potassium supplement needs to be
A. The dosage of the diuretic will be decreased
prescribed to restore a normal serum potassium level
B. The diuretic will be discontinued
(A, B, and D) are not recommended actions for restoring
C. A potassium supplement will be prescribed a normal serum potassium level
D. The dosage of the diuretic will be increased
Which milestone indicates to the nurse successful
B. Transitioning through young adulthood is characterized
achievement of young adulthood?
by establishing independence as an adult, and includes
The nurse would be correct in withholding a dose of
C. Hypokalemia can precipitate digitalis toxicity in per-
digoxin in a client with CHF without specific instruction
sons receiving digoxin which will increase the chance of
from the healthcare provider if the client's:
dangerous dysrhythmias (normal potassium level is 3.5 to
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2
A. Serum digoxin level is 1.5 ng/ml (toxic levels = >2 ng/ml);
B. Blood pressure is 104/68 (A) is within range
(B) would not warrant the nurse withholding the digoxin
C. Serum Potassium level is 3 (D) the nurse should withhold the digoxin if the apical
pulse is less than 60/min
D. Apical pulse is 68/min
The nurse assesses a client with advanced cirrhosis of the
liver for signs of hepatic encephalopathy. Which finding
would the nurse consider an indication of progressive D. A daily record in handwriting may provide evidence of
hepatic encephalopathy? progression or reversal of hepatic encephalopathy lead-
ing to coma
A. An increase in abdominal girth (A) is a sign of ascites
(B) are not seen with hepatic encephalopathy
B. Hypertension and a bounding pulse
(C) does not indicate an increase in serum ammonia level
C. Decreased bowel sounds which is the primary cause of hepatic encephalopathy
D. Diflculty in handwriting
The healthcare provider prescribes aluminum magnesium
hydroxide (Maalox), 1 tablet PO PRN, for a client with D. Magnesium agents are not usually used for clients
chronic kidney disease (CKD) who is complaining of indi- with CKD due to the risk of hypermagnesemia, so this
gestion. What intervention should the nurse implement? prescription should be questioned by the nurse
(A, B, and C) are not recommended nursing actions for the
A. Administer 30 minutes before eating
, Med-Surg HESI Practice Questions with Answers Rated A
B. Evaluate the ettectiveness 1 hour after administration
administration of aluminum and magnesium hydroxide
C. Instruct the client to swallow the table whole
(Maalox)
D. Question the healthcare provider's prescription
Two days postoperative, a male client reports aching pain
in his left leg. The nurse assesses redness and warmth D. The client is exhibiting symptoms of deep vein throm-
on the lower left calf. What intervention would be most bosis (DVT), a complication of immobility. The initial care
helpful to this client? includes bedrest and elevation of the extremity
(A) SCDs are used to prevent thrombophlebitis, not for
A. Apply sequential devices (SCDs) bilaterally treatment, when a clot might be dislodged
(B) Once a client has thrombophlebitis, this one is con-
B. Assess for a positive Homan's sign in each leg
traindicated because of the possibility of dislodging a clot
C. Pad all bony prominences on the attected lef (C) Is indicated to prevent pressure ulcers, but is not a
therapeutic action for thrombophlebitis
D. Advise the client to remain in bed with the leg elevated
A client taking a thiazide diuretic for the past six months
has a serum potassium level of 3. The nurse anticipates
which change inn prescription for the client? C. This client's potassium level is too low (normal is 3.5
to 5). Taking a thiazide diuretic often results in a loss
of potassium, so a potassium supplement needs to be
A. The dosage of the diuretic will be decreased
prescribed to restore a normal serum potassium level
B. The diuretic will be discontinued
(A, B, and D) are not recommended actions for restoring
C. A potassium supplement will be prescribed a normal serum potassium level
D. The dosage of the diuretic will be increased
Which milestone indicates to the nurse successful
B. Transitioning through young adulthood is characterized
achievement of young adulthood?
by establishing independence as an adult, and includes
