MEDSURG HESI QUESTIONS WITH ANSWERS
Alternate IV & IM medications - ans- xz xz xz xz xz xz
A 73 year old patient with end stage cancer is in the hospital for pain control and rates pain a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
t a "12" on the numeric rating scale of 0 to 10. What is the appropriate method of pain control
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz x
for this patient?
z xz xz
A. Alternate acetaminophen & ibuprofen
xz xz xz xz
B. Only give PO medications on a scheduled basis
xz xz xz xz xz xz xz xz
C. Alternate IV & IM medications
xz xz xz xz xz
D. Wait for patient to request medication each time
xz xz xz xz xz xz xz xz
Dyspnea
Barrel chest xz
Tripod position xz
Pursed-lip breathing - ans- xz xz xz
What physical assessment findings would a nurse expect to find in a client with COPD?
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Increase fluid intake to 3L/day if tolerated - ans- xz xz xz xz xz xz xz xz
What is the priority nursing intervention in helping a patient expectorate thick lung secretion
xz xz xz xz xz xz xz xz xz xz xz xz xz
s?
A. Humidify the oxygen as able
xz xz xz xz xz
B. Administer cough suppressant Q24HR
xz xz xz xz
C. Teach patient to splint the affected area
xz xz xz xz xz xz xz
D. Increase fluid intake to 3L/Day if tolerated
xz xz xz xz xz xz xz
*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stress - ans-Risk factors for hypertension xz xz xz xz xz
Decrease calcium (milk, cheese, tofood) xz xz xz xz
Want them to get up and ambulate to get those stones down
xz xz xz xz xz xz xz xz xz xz xz
Increase water/fluid intake xz xz xz
Strain urine - ans-What interventions do you plan to include w/ a pt who has renal calculi?
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Increase water/fluid intake xz xz xz
Decrease calcium xz
Limit coffee, tea, & cola - ans-What are dietary considerations for renal calculi?
xz xz xz xz xz xz xz xz xz xz xz xz
C. Weak cough - ans-
xz xz xz xz
A patient is admitted to the ER with amyotrophic lateral sclerosis. Which nursing assessme
xz xz xz xz xz xz xz xz xz xz xz xz xz
nt warrants immediate intervention?
xz xz xz
, A. Muscle spasms
xz xz
B. Severe constipation
xz xz
C. Weak cough
xz xz
D. Slow urine stream
xz xz xz
massive protein in urine xz xz xz
hypoalbunemia (low protein in the blood) xz xz xz xz xz
hyperlipidemia
edema (anasarca; in ankles in feet) xz xz xz xz xz
Weight gain xz
make sure to do daily weights xz xz xz xz xz
monitor edema in lower legs and in abdomen (ascites occurs commonly w/
xz xz xz xz xz xz xz xz xz xz xz
nephrotic syndrome) - ans-Indicators of nephrotic syndrome
xz xz xz xz xz xz xz
C. Use picture charts to communicate (they can point out what they are trying to say) - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
A patient is admitted to the ER with expressive aphasia. To further assess the patient, the n
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
urse should include which of the following techniques:
xz xz xz xz xz xz xz
A. Speak slower to communicate
xz xz xz xz
B. Speak louder to communicate
xz xz xz xz
C. Use picture charts to communicate
xz xz xz xz xz
D. Type on computer screen to communicate
xz xz xz xz xz xz
amyotrophic lateral sclerosis (ALS) - ans- xz xz xz xz xz
condition of progressive deterioration of motor nerve cells resulting in total loss of voluntary
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
muscle control; symptoms advance from muscle weakness in the arms and legs, to the mu
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
scles of speech, swallowing, and breathing, to total paralysis and death; also known as Lou
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Gehrig disease xz
expressive aphasia - ans- xz xz xz
slurred speech or inability to speak; they're unable to get out what they want to say
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
No heavy lifting or bending over at the waste (nothing that will increase IOP )
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Wear bandage or shield to protect the eye
xz xz xz xz xz xz xz
Eyes will feel like scratchy sand-like feeling in their eyes
xz xz xz xz xz xz xz xz xz
Need to have someone to drive for them
xz xz xz xz xz xz xz
1st 24 hrs after surgery, they just need to relax (they can watch TV & read; nothing that will c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ause pressure) xz
Don't want patient rubbing or pressing on their eye
xz xz xz xz xz xz xz xz
Shouldn't drink alcohol for at least 24 hours - ans-Cataract extraction surgery education
xz xz xz xz xz xz xz xz xz xz xz xz
-Report if they are coughing up blood xz xz xz xz xz xz
-
Recognize if there is a rupture, there will be bleeding & immediate action needs to be taken
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
-No spicy foods!! xz xz
-To prevent pressure, you have to control their high blood pressure
xz xz xz xz xz xz xz xz xz xz
Alternate IV & IM medications - ans- xz xz xz xz xz xz
A 73 year old patient with end stage cancer is in the hospital for pain control and rates pain a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
t a "12" on the numeric rating scale of 0 to 10. What is the appropriate method of pain control
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz x
for this patient?
z xz xz
A. Alternate acetaminophen & ibuprofen
xz xz xz xz
B. Only give PO medications on a scheduled basis
xz xz xz xz xz xz xz xz
C. Alternate IV & IM medications
xz xz xz xz xz
D. Wait for patient to request medication each time
xz xz xz xz xz xz xz xz
Dyspnea
Barrel chest xz
Tripod position xz
Pursed-lip breathing - ans- xz xz xz
What physical assessment findings would a nurse expect to find in a client with COPD?
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Increase fluid intake to 3L/day if tolerated - ans- xz xz xz xz xz xz xz xz
What is the priority nursing intervention in helping a patient expectorate thick lung secretion
xz xz xz xz xz xz xz xz xz xz xz xz xz
s?
A. Humidify the oxygen as able
xz xz xz xz xz
B. Administer cough suppressant Q24HR
xz xz xz xz
C. Teach patient to splint the affected area
xz xz xz xz xz xz xz
D. Increase fluid intake to 3L/Day if tolerated
xz xz xz xz xz xz xz
*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stress - ans-Risk factors for hypertension xz xz xz xz xz
Decrease calcium (milk, cheese, tofood) xz xz xz xz
Want them to get up and ambulate to get those stones down
xz xz xz xz xz xz xz xz xz xz xz
Increase water/fluid intake xz xz xz
Strain urine - ans-What interventions do you plan to include w/ a pt who has renal calculi?
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Increase water/fluid intake xz xz xz
Decrease calcium xz
Limit coffee, tea, & cola - ans-What are dietary considerations for renal calculi?
xz xz xz xz xz xz xz xz xz xz xz xz
C. Weak cough - ans-
xz xz xz xz
A patient is admitted to the ER with amyotrophic lateral sclerosis. Which nursing assessme
xz xz xz xz xz xz xz xz xz xz xz xz xz
nt warrants immediate intervention?
xz xz xz
, A. Muscle spasms
xz xz
B. Severe constipation
xz xz
C. Weak cough
xz xz
D. Slow urine stream
xz xz xz
massive protein in urine xz xz xz
hypoalbunemia (low protein in the blood) xz xz xz xz xz
hyperlipidemia
edema (anasarca; in ankles in feet) xz xz xz xz xz
Weight gain xz
make sure to do daily weights xz xz xz xz xz
monitor edema in lower legs and in abdomen (ascites occurs commonly w/
xz xz xz xz xz xz xz xz xz xz xz
nephrotic syndrome) - ans-Indicators of nephrotic syndrome
xz xz xz xz xz xz xz
C. Use picture charts to communicate (they can point out what they are trying to say) - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
A patient is admitted to the ER with expressive aphasia. To further assess the patient, the n
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
urse should include which of the following techniques:
xz xz xz xz xz xz xz
A. Speak slower to communicate
xz xz xz xz
B. Speak louder to communicate
xz xz xz xz
C. Use picture charts to communicate
xz xz xz xz xz
D. Type on computer screen to communicate
xz xz xz xz xz xz
amyotrophic lateral sclerosis (ALS) - ans- xz xz xz xz xz
condition of progressive deterioration of motor nerve cells resulting in total loss of voluntary
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
muscle control; symptoms advance from muscle weakness in the arms and legs, to the mu
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
scles of speech, swallowing, and breathing, to total paralysis and death; also known as Lou
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Gehrig disease xz
expressive aphasia - ans- xz xz xz
slurred speech or inability to speak; they're unable to get out what they want to say
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
No heavy lifting or bending over at the waste (nothing that will increase IOP )
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Wear bandage or shield to protect the eye
xz xz xz xz xz xz xz
Eyes will feel like scratchy sand-like feeling in their eyes
xz xz xz xz xz xz xz xz xz
Need to have someone to drive for them
xz xz xz xz xz xz xz
1st 24 hrs after surgery, they just need to relax (they can watch TV & read; nothing that will c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ause pressure) xz
Don't want patient rubbing or pressing on their eye
xz xz xz xz xz xz xz xz
Shouldn't drink alcohol for at least 24 hours - ans-Cataract extraction surgery education
xz xz xz xz xz xz xz xz xz xz xz xz
-Report if they are coughing up blood xz xz xz xz xz xz
-
Recognize if there is a rupture, there will be bleeding & immediate action needs to be taken
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
-No spicy foods!! xz xz
-To prevent pressure, you have to control their high blood pressure
xz xz xz xz xz xz xz xz xz xz
