HESI Medical-Surgical Practice Test
A patron arrives on the oncology hospital for the subsequent remedy in the prescribed direction
of chemotherapy (CT). The practical nurse (PN) evaluations the customer's laboratory results:
white blood cells seven hundred/mm three , crimson blood cells 2.8 million/mm three ,
hemoglobin 7.Nine grams/dl, hematocrit 25.Five%, and platelet count number 14,000/mm 3 .
Which movement must the PN take first?
A) Obtain the CT from the drugstore for administration.
B) Place an isolation mask at the customer.
C) Collect a blood sample for type and crossmatch.
D) Notify the rate nurse of the patron's results. - ANS-B) Place an isolation mask on the
customer.
A customer is scheduled for a transurethral resection of the prostate (TURP). What
announcement with the aid of the consumer reveals to the practical nurse that the patron needs
additional facts?
A) "I want to drink loads after surgical procedure."
B) "My urine should be pink after surgical operation."
C) "My incision will possibly be painful."
D) "I should have a catheter after surgery." - ANS-C) "My incision will possibly be painful."
A purchaser who skilled a thrombolic stroke has obtained recombinant tissue plasminogen
activator (TPA)( Alteplase) two hours in the past in the emergency middle. Which precedence
precaution need to the realistic nurse implement for this patron on admission to the medical
unit?
A) Disuse syndrome.
B) Risk for infection.
C) Fall precautions.
D) Bleeding precautions. - ANS-D) Bleeding precautions.
A patron who had an belly cholecystectomy these days has a T-tube that has tired 2 hundred ml
of greenish-brown fluid within the past 12 hours. What movement must the realistic nurse (PN)
take?
A) Irrigate the T-tube with 100 ml of warm ordinary saline.
B) Document the findings inside the digital clinical record.
C) Clamp the T-tube and notify the healthcare provider.
, D) Assess the client's crucial symptoms for early signs of shock. - ANS-B) Document the
findings in the digital medical report.
A customer who has vomiting, dysuria, and urinary tract infection (UTI) arrives inside the clinic
and gets an IV antiemetic and a liter of IV fluids. The healthcare provider prescribes oral
antibiotics for the customer's discharge. Which locating is crucial for the practical nurse to
determine earlier than the patron is discharged?
A) Temperature under 100.Four F (38 C).
B) No vomiting with oral fluid consumption.
C) White blood mobile (WBC) rely beneath thirteen,000 mm3.
D) Minimal dysuria with voiding. - ANS-B) No vomiting with oral fluid intake.
A customer who's three days postoperative after a laminectomy is coughing up thick
inexperienced sputum and wheezing. What action is most vital for the practical nurse (PN) to
put in force?
A) Review want for regular use of incentive spirometer.
B) Encourage intake of oral fluids up to 3,000 ml day by day.
C) Reinforce the technique for powerful coughing.
D) Report the change in condition to the healthcare issuer. - ANS-D) Report the exchange in
situation to the healthcare company.
A consumer who is 12 hours postoperative for a right total knee substitute (TKR) is receiving
epidural ache management. Which finding requires extra observe-up with the aid of the sensible
nurse (PN)?
A) Reports knee ache as a "6" on a ten factor scale.
B) Nonproductive cough after incentive spirometer use.
C) Feet are cool to the touch and protected with 2 blankets.
D) Right dorsal pedal pulse absent upon palpation. - ANS-D) Right dorsal pedal pulse absent
upon palpation.
A patron who is one-day post-thyroidectomy begins to develop a stridor. Which priority
movement must the realistic nurse put in force?
A) Prepare for emergency tracheotomy on the bedside.
B) Insert a large bore needle for IV get entry to.
C) Give the purchaser oxygen per face mask.
D) Assess the consumer for symptoms of hypocalcemia. - ANS-A) Prepare for emergency
tracheotomy at the bedside.
A patron with cholelithiasis is admitted with jaundice due to obstruction of the not unusual bile
duct. Which locating is most important for the realistic nurse to file to the healthcare company?
A patron arrives on the oncology hospital for the subsequent remedy in the prescribed direction
of chemotherapy (CT). The practical nurse (PN) evaluations the customer's laboratory results:
white blood cells seven hundred/mm three , crimson blood cells 2.8 million/mm three ,
hemoglobin 7.Nine grams/dl, hematocrit 25.Five%, and platelet count number 14,000/mm 3 .
Which movement must the PN take first?
A) Obtain the CT from the drugstore for administration.
B) Place an isolation mask at the customer.
C) Collect a blood sample for type and crossmatch.
D) Notify the rate nurse of the patron's results. - ANS-B) Place an isolation mask on the
customer.
A customer is scheduled for a transurethral resection of the prostate (TURP). What
announcement with the aid of the consumer reveals to the practical nurse that the patron needs
additional facts?
A) "I want to drink loads after surgical procedure."
B) "My urine should be pink after surgical operation."
C) "My incision will possibly be painful."
D) "I should have a catheter after surgery." - ANS-C) "My incision will possibly be painful."
A purchaser who skilled a thrombolic stroke has obtained recombinant tissue plasminogen
activator (TPA)( Alteplase) two hours in the past in the emergency middle. Which precedence
precaution need to the realistic nurse implement for this patron on admission to the medical
unit?
A) Disuse syndrome.
B) Risk for infection.
C) Fall precautions.
D) Bleeding precautions. - ANS-D) Bleeding precautions.
A patron who had an belly cholecystectomy these days has a T-tube that has tired 2 hundred ml
of greenish-brown fluid within the past 12 hours. What movement must the realistic nurse (PN)
take?
A) Irrigate the T-tube with 100 ml of warm ordinary saline.
B) Document the findings inside the digital clinical record.
C) Clamp the T-tube and notify the healthcare provider.
, D) Assess the client's crucial symptoms for early signs of shock. - ANS-B) Document the
findings in the digital medical report.
A customer who has vomiting, dysuria, and urinary tract infection (UTI) arrives inside the clinic
and gets an IV antiemetic and a liter of IV fluids. The healthcare provider prescribes oral
antibiotics for the customer's discharge. Which locating is crucial for the practical nurse to
determine earlier than the patron is discharged?
A) Temperature under 100.Four F (38 C).
B) No vomiting with oral fluid consumption.
C) White blood mobile (WBC) rely beneath thirteen,000 mm3.
D) Minimal dysuria with voiding. - ANS-B) No vomiting with oral fluid intake.
A customer who's three days postoperative after a laminectomy is coughing up thick
inexperienced sputum and wheezing. What action is most vital for the practical nurse (PN) to
put in force?
A) Review want for regular use of incentive spirometer.
B) Encourage intake of oral fluids up to 3,000 ml day by day.
C) Reinforce the technique for powerful coughing.
D) Report the change in condition to the healthcare issuer. - ANS-D) Report the exchange in
situation to the healthcare company.
A consumer who is 12 hours postoperative for a right total knee substitute (TKR) is receiving
epidural ache management. Which finding requires extra observe-up with the aid of the sensible
nurse (PN)?
A) Reports knee ache as a "6" on a ten factor scale.
B) Nonproductive cough after incentive spirometer use.
C) Feet are cool to the touch and protected with 2 blankets.
D) Right dorsal pedal pulse absent upon palpation. - ANS-D) Right dorsal pedal pulse absent
upon palpation.
A patron who is one-day post-thyroidectomy begins to develop a stridor. Which priority
movement must the realistic nurse put in force?
A) Prepare for emergency tracheotomy on the bedside.
B) Insert a large bore needle for IV get entry to.
C) Give the purchaser oxygen per face mask.
D) Assess the consumer for symptoms of hypocalcemia. - ANS-A) Prepare for emergency
tracheotomy at the bedside.
A patron with cholelithiasis is admitted with jaundice due to obstruction of the not unusual bile
duct. Which locating is most important for the realistic nurse to file to the healthcare company?
