HESI Medical-Surgical Practice Exam
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Which client should the practical C. 50-year-old with Prinzmetal's angina.
nurse question a PRN prescription
for sumatriptan (Imitrex) for migraine
headaches?
The practical nurse (PN) is D. A low-dose aspirin given daily.
reinforcing information to a older
male client with a history of coronary
artery disease about his prescribed
daily medication regimen. Which
medication is most likely to reduce
the client's risk factors?
An adult client with otitis media has A. Pain relief after ear drainage begins.
thick, yellow drainage from the right
ear canal. What additional findings
should the practical nurse (PN)
expect to identify?
,The practical nurse is caring for a C. Continue to monitor client's blood pressure.
client who is admitted with signs of
possible acute brain attack (Stroke)
three hours ago. The client's blood
pressure is 170/96, regular radial
pulse 76 beats/minute, respirations
are nonlabored at 11 breaths/minute,
and a Sp02 of 99%. What action is
most important for the PN to
implement?
A client who was hit in the head with D. Reports the hospital room is an office.
a baseball is admitted to the hospital
for observation. Which finding
requires the practical nurse (PN) to
follow-up with further assessment?
An older female client with D. It is a combination of wear and tear and calcium
osteoporosis asks the practical nurse loss that causes the change.
(PN) to explain why she is now 2
inches shorter than when she was
younger. What information is best for
the practical nurse (PN) to provide?
A practical nurse (PN) is coordinating A. 500/mm3.
the care of four clients on an
oncology unit. Which neutrophil
count should the PN identify as a risk
for a life-threatening infection in one
of the clients?
, An older client who has had a C. Surgery can restore vision with corrective lens
cataract in the right eye for several implants or glasses.
years tells the practical nurse (PN),
"Now I have lost the sight in my right
eye because I waited too long for
treatment." What information should
the PN provide?
The practical nurse (PN) is visiting a D. Elevate the arm above the level of the heart.
male client with diabetes who has a
new cast on his arm. The client's
fingers are pale, cool, slightly
swollen, and the radial pulse is
strong. What should the PN do first?
A client with epilepsy is having 1. Maintain the client's airway
bilateral rhythmic jerking movements 2. Apply pads to the bedside rails.
of all extremities. After calling for 3. Avoid stimulation during post-ictal phase.
help, which action should the 4. Observe the client for incontinence.
practical nurse (PN) do next?
The practical nurse (PN) should B. Sitting upright in a tripod position leaning on an
place a client in which position for a overbed table.
thoracentesis?
Which action should the practical A. Implement standard precautions with the CSF
nurse take when handling a sample specimen.
of cerebrospinal fluid (CSF)
collected for diagnostic testing from
a client?
Leave the first rating
Save
Terms in this set (99) Hide definitions
Which client should the practical C. 50-year-old with Prinzmetal's angina.
nurse question a PRN prescription
for sumatriptan (Imitrex) for migraine
headaches?
The practical nurse (PN) is D. A low-dose aspirin given daily.
reinforcing information to a older
male client with a history of coronary
artery disease about his prescribed
daily medication regimen. Which
medication is most likely to reduce
the client's risk factors?
An adult client with otitis media has A. Pain relief after ear drainage begins.
thick, yellow drainage from the right
ear canal. What additional findings
should the practical nurse (PN)
expect to identify?
,The practical nurse is caring for a C. Continue to monitor client's blood pressure.
client who is admitted with signs of
possible acute brain attack (Stroke)
three hours ago. The client's blood
pressure is 170/96, regular radial
pulse 76 beats/minute, respirations
are nonlabored at 11 breaths/minute,
and a Sp02 of 99%. What action is
most important for the PN to
implement?
A client who was hit in the head with D. Reports the hospital room is an office.
a baseball is admitted to the hospital
for observation. Which finding
requires the practical nurse (PN) to
follow-up with further assessment?
An older female client with D. It is a combination of wear and tear and calcium
osteoporosis asks the practical nurse loss that causes the change.
(PN) to explain why she is now 2
inches shorter than when she was
younger. What information is best for
the practical nurse (PN) to provide?
A practical nurse (PN) is coordinating A. 500/mm3.
the care of four clients on an
oncology unit. Which neutrophil
count should the PN identify as a risk
for a life-threatening infection in one
of the clients?
, An older client who has had a C. Surgery can restore vision with corrective lens
cataract in the right eye for several implants or glasses.
years tells the practical nurse (PN),
"Now I have lost the sight in my right
eye because I waited too long for
treatment." What information should
the PN provide?
The practical nurse (PN) is visiting a D. Elevate the arm above the level of the heart.
male client with diabetes who has a
new cast on his arm. The client's
fingers are pale, cool, slightly
swollen, and the radial pulse is
strong. What should the PN do first?
A client with epilepsy is having 1. Maintain the client's airway
bilateral rhythmic jerking movements 2. Apply pads to the bedside rails.
of all extremities. After calling for 3. Avoid stimulation during post-ictal phase.
help, which action should the 4. Observe the client for incontinence.
practical nurse (PN) do next?
The practical nurse (PN) should B. Sitting upright in a tripod position leaning on an
place a client in which position for a overbed table.
thoracentesis?
Which action should the practical A. Implement standard precautions with the CSF
nurse take when handling a sample specimen.
of cerebrospinal fluid (CSF)
collected for diagnostic testing from
a client?
