MED-SURG II HESI UPDATED EVALUATION
QUESTIONS AND ANSWERS SURE A+
✔✔What therapeutic effect should the nurse identify as the reason for administration of
neomycin sulfate to a client before colon surgery? - ✔✔Destroy intestinal bacteria
✔✔A client newly diagnosed with myasthenia gravis is concerned about fluctuations in
physical condition and generalized weakness. When caring for this client it is most
important for the nurse to plan to: - ✔✔Space activities throughout the day
✔✔A client is diagnosed with myasthenia gravis, and the anticholinesterase medication
pyridostigmine (Mestinon) is prescribed. When teaching the client about this medication,
the nurse explains that the desired effect is to increase: - ✔✔Contraction of skeletal
muscles
✔✔A client with a history of a pulmonary embolus is to receive 3 mg of warfarin
(Coumadin) daily. The client has blood drawn twice weekly to ascertain that the
international normalized ratio (INR) stays within a therapeutic range. The nurse provides
dietary teaching. Which food selected by the client indicates that further teaching is
necessary? - ✔✔Spinach salad
✔✔A client with advanced bone cancer is experiencing cachexia. The nurse discusses
the nutritional aspect of palliative care with the family. Why is it important to explain
these nutritional interventions to the family? - ✔✔Enhance the quality of the client's life
✔✔When providing discharge teaching to a client who had a total hip replacement, the
nurse should instruct the client to avoid: - ✔✔Sitting in a low chair
✔✔A client comes to the clinic for a physical and asks to be tested for acquired
immunodeficiency syndrome (AIDS). Which test should the nurse explain will be used
for the initial screening for AIDS? - ✔✔Enzyme-linked immunosorbent assay (ELISA)
, ✔✔A nurse is caring for a client who is receiving total parenteral nutrition. Which
responses indicate that the client is experiencing hyperglycemia? (Select all that apply.)
- ✔✔-Polyuria
-Polydipsia
✔✔Tuberculosis is confirmed and isoniazid (INH), rifampin (Rifadin), and pyridoxine
(vitamin B6) are prescribed for a client. The client says, "I've never had to take so many
medicines for an infection before." What is the nurse's best reply? - ✔✔"This type of
organism is difficult to destroy."
✔✔A nurse in a rehabilitation center teaches clients with quadriplegia to use an
adaptive wheelchair. Why is it important that the nurse provide this instruction? - ✔✔It is
unlikely that the client will regain the ability to walk.
✔✔A male client has discharge from his penis. Gonorrhea is suspected. To obtain a
specimen for a culture, the nurse should: - ✔✔Swab the drainage directly from the
urethra to obtain a specimen
✔✔A nurse teaches the signs of organ rejection to a client who had a kidney transplant.
What should be included in the education? - ✔✔Elevated blood pressure
✔✔Which relationship does the nurse consider reflective of the relationship of naloxone
(Narcan) to morphine sulfate? - ✔✔Protamine sulfate to parenteral heparin
✔✔On the first postoperative day following a thyroidectomy, a client tolerates a full-fluid
diet. This is changed to a soft diet on the second postoperative day. The client reports
having a sore throat when swallowing. What should the nurse do first? - ✔✔Administer
analgesics as prescribed before meals
✔✔When caring for an anxious patient, the nurse should monitor for which signs of
hyperventilation? - ✔✔Respiratory alkalosis
✔✔A nurse obtains daily stool specimens for a client with chronic bowel inflammation.
The nurse concludes that these stool examinations were prescribed to determine: -
✔✔Occult blood.
✔✔Which clinical indicator is the nurse most likely to identify when assessing a client
with a ruptured cerebral aneurysm? - ✔✔Sudden severe headache
✔✔A nurse is evaluating a client's response to fluid replacement therapy. Which clinical
finding indicates adequate tissue perfusion to vital organs? - ✔✔Urinary output of 30 mL
in an hour
QUESTIONS AND ANSWERS SURE A+
✔✔What therapeutic effect should the nurse identify as the reason for administration of
neomycin sulfate to a client before colon surgery? - ✔✔Destroy intestinal bacteria
✔✔A client newly diagnosed with myasthenia gravis is concerned about fluctuations in
physical condition and generalized weakness. When caring for this client it is most
important for the nurse to plan to: - ✔✔Space activities throughout the day
✔✔A client is diagnosed with myasthenia gravis, and the anticholinesterase medication
pyridostigmine (Mestinon) is prescribed. When teaching the client about this medication,
the nurse explains that the desired effect is to increase: - ✔✔Contraction of skeletal
muscles
✔✔A client with a history of a pulmonary embolus is to receive 3 mg of warfarin
(Coumadin) daily. The client has blood drawn twice weekly to ascertain that the
international normalized ratio (INR) stays within a therapeutic range. The nurse provides
dietary teaching. Which food selected by the client indicates that further teaching is
necessary? - ✔✔Spinach salad
✔✔A client with advanced bone cancer is experiencing cachexia. The nurse discusses
the nutritional aspect of palliative care with the family. Why is it important to explain
these nutritional interventions to the family? - ✔✔Enhance the quality of the client's life
✔✔When providing discharge teaching to a client who had a total hip replacement, the
nurse should instruct the client to avoid: - ✔✔Sitting in a low chair
✔✔A client comes to the clinic for a physical and asks to be tested for acquired
immunodeficiency syndrome (AIDS). Which test should the nurse explain will be used
for the initial screening for AIDS? - ✔✔Enzyme-linked immunosorbent assay (ELISA)
, ✔✔A nurse is caring for a client who is receiving total parenteral nutrition. Which
responses indicate that the client is experiencing hyperglycemia? (Select all that apply.)
- ✔✔-Polyuria
-Polydipsia
✔✔Tuberculosis is confirmed and isoniazid (INH), rifampin (Rifadin), and pyridoxine
(vitamin B6) are prescribed for a client. The client says, "I've never had to take so many
medicines for an infection before." What is the nurse's best reply? - ✔✔"This type of
organism is difficult to destroy."
✔✔A nurse in a rehabilitation center teaches clients with quadriplegia to use an
adaptive wheelchair. Why is it important that the nurse provide this instruction? - ✔✔It is
unlikely that the client will regain the ability to walk.
✔✔A male client has discharge from his penis. Gonorrhea is suspected. To obtain a
specimen for a culture, the nurse should: - ✔✔Swab the drainage directly from the
urethra to obtain a specimen
✔✔A nurse teaches the signs of organ rejection to a client who had a kidney transplant.
What should be included in the education? - ✔✔Elevated blood pressure
✔✔Which relationship does the nurse consider reflective of the relationship of naloxone
(Narcan) to morphine sulfate? - ✔✔Protamine sulfate to parenteral heparin
✔✔On the first postoperative day following a thyroidectomy, a client tolerates a full-fluid
diet. This is changed to a soft diet on the second postoperative day. The client reports
having a sore throat when swallowing. What should the nurse do first? - ✔✔Administer
analgesics as prescribed before meals
✔✔When caring for an anxious patient, the nurse should monitor for which signs of
hyperventilation? - ✔✔Respiratory alkalosis
✔✔A nurse obtains daily stool specimens for a client with chronic bowel inflammation.
The nurse concludes that these stool examinations were prescribed to determine: -
✔✔Occult blood.
✔✔Which clinical indicator is the nurse most likely to identify when assessing a client
with a ruptured cerebral aneurysm? - ✔✔Sudden severe headache
✔✔A nurse is evaluating a client's response to fluid replacement therapy. Which clinical
finding indicates adequate tissue perfusion to vital organs? - ✔✔Urinary output of 30 mL
in an hour
