266 HESI MEDSURG (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmwithmleukemiamismreceivingmchemotherapy.mThemnursemobservesmthemclientmismweak,mpal
e,mandmfebrile.mAtemreieringmthemclient'smmostmrecentmlaboratorymdatamwhichmrevealsmamplateletmc
ountmofm25,000/mm®m(25m*m109IL),mwhichminterventionmshouldmthemnursemincludeminmthemplanmof
mcare?
AmMonitormurinemandmstoolmformoccultmbloodmregularly.
BmRemovemcoldmandmfrozenmfoodsmfrommdietarymtrays.
CmWrapmbruisedmareasmwithmelasticmbandagemdressings.
•mDmEnsuremamlargemgaugemcathetermismusedmtomobtainmbloodm-
mCORRECTmANSWERmAmMonitormurinemandmstoolmformoccultmbloodmregularly.
Amclientmarrivesmtomthemmedical-surgicalmunitm4mhoursmaftermamtransurel
resectionmofmthemprostate
(TURP).mAmtriple-
lumenmcathetermformcontinuousmbladdermirigalionmwinmBP%,msodiummthanas.minfusingmandmthemnu
rsemobservesmdark,mpink-
tingedmoutflowmwithmbloodmdaisminmthemthingmandmsilaston.mbag.mWhichmactionmshouldmthemnurse
mtake?
•mAmDecreasemthemflowmrate.
•mBmIrrigatemthemcathetermmanualy.
•mC.mDiscontinueminmengmsolution.
•mDmMonitormcat.
rainage.m-mCORRECTmANSWERmBmIrrigatemthemcathetermmanualy.
, Amclientmwhomhasmsmallmcellmcarcinomamofmthemlungmismadmittedmwithmsymptomsmofmsyndromemof
minapproprialemantidiureicmhornone
(SIADH).mAsmthemclientmrespondsmtomtreatment,mthemclient'smserummsodiummlevelmincreasesmfromm
120mmEQ/Lm(120mmmoll.)10m125mmEq/Lm(125mmol/L).mBasedmonmthismfinding,mwhichmintervention
mshouldmthemnursemimplement?
•mAmMaintainmthemprescribedmAluidmrestriction.
•mBmIncreasemneurologicmchecksmtomeverym2mhours.
•mCmWithholdmnextmscheduledmdosemofmtreatment.
•mDmAssessmformincreasingmfluidmvolumemoverload.m-
mCORRECTmANSWERmAmMaintainmthemprescribedmAluidmrestriction.
Themnursemismcaringmformamclientmwithmchronicmpancreatitismwhomreportsmpersistentmgnawingmabd
ominalmpain.mTohaplinemclientmmanagemthempain,mwhichmassessmentmdatamismmostmimportantmfor
mthemnursemtomobiain?
AmActivitymlevelmofmbowelmsounds.
BmLevelmandmamountmofmphysicalmactivity.
CmColormandmconsistencymofmfeces.
DmEatingmpatternsmofmdietarymintake.m-mCORRECTmANSWERmDmEatingmpatternsmofmdietarymintake.
Amclientmthatmismobese,mhasmemphysema,mandmwhomsmokesmatmleastmampackmofmcigarettesmdallymis
madmittedmaftermemperieningsidenmincreaseminmdyspneamandmactivitymintolerance.mOxygenmthera
pymisminitiatedmandmitmismdeterminedmthatmthemdientmwillmbemdischargedmwithmoxygen.mWhichminfo
rmationmismmostmimportantmformthemnursemtomemphasizeminmthemdischargemteachingmdhan?.
AmApproachesmtomconservemenergy.
•mBmMethodsmformweightmloss.
CmStrategiesmformsmokingmcessation.
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmwithmleukemiamismreceivingmchemotherapy.mThemnursemobservesmthemclientmismweak,mpal
e,mandmfebrile.mAtemreieringmthemclient'smmostmrecentmlaboratorymdatamwhichmrevealsmamplateletmc
ountmofm25,000/mm®m(25m*m109IL),mwhichminterventionmshouldmthemnursemincludeminmthemplanmof
mcare?
AmMonitormurinemandmstoolmformoccultmbloodmregularly.
BmRemovemcoldmandmfrozenmfoodsmfrommdietarymtrays.
CmWrapmbruisedmareasmwithmelasticmbandagemdressings.
•mDmEnsuremamlargemgaugemcathetermismusedmtomobtainmbloodm-
mCORRECTmANSWERmAmMonitormurinemandmstoolmformoccultmbloodmregularly.
Amclientmarrivesmtomthemmedical-surgicalmunitm4mhoursmaftermamtransurel
resectionmofmthemprostate
(TURP).mAmtriple-
lumenmcathetermformcontinuousmbladdermirigalionmwinmBP%,msodiummthanas.minfusingmandmthemnu
rsemobservesmdark,mpink-
tingedmoutflowmwithmbloodmdaisminmthemthingmandmsilaston.mbag.mWhichmactionmshouldmthemnurse
mtake?
•mAmDecreasemthemflowmrate.
•mBmIrrigatemthemcathetermmanualy.
•mC.mDiscontinueminmengmsolution.
•mDmMonitormcat.
rainage.m-mCORRECTmANSWERmBmIrrigatemthemcathetermmanualy.
, Amclientmwhomhasmsmallmcellmcarcinomamofmthemlungmismadmittedmwithmsymptomsmofmsyndromemof
minapproprialemantidiureicmhornone
(SIADH).mAsmthemclientmrespondsmtomtreatment,mthemclient'smserummsodiummlevelmincreasesmfromm
120mmEQ/Lm(120mmmoll.)10m125mmEq/Lm(125mmol/L).mBasedmonmthismfinding,mwhichmintervention
mshouldmthemnursemimplement?
•mAmMaintainmthemprescribedmAluidmrestriction.
•mBmIncreasemneurologicmchecksmtomeverym2mhours.
•mCmWithholdmnextmscheduledmdosemofmtreatment.
•mDmAssessmformincreasingmfluidmvolumemoverload.m-
mCORRECTmANSWERmAmMaintainmthemprescribedmAluidmrestriction.
Themnursemismcaringmformamclientmwithmchronicmpancreatitismwhomreportsmpersistentmgnawingmabd
ominalmpain.mTohaplinemclientmmanagemthempain,mwhichmassessmentmdatamismmostmimportantmfor
mthemnursemtomobiain?
AmActivitymlevelmofmbowelmsounds.
BmLevelmandmamountmofmphysicalmactivity.
CmColormandmconsistencymofmfeces.
DmEatingmpatternsmofmdietarymintake.m-mCORRECTmANSWERmDmEatingmpatternsmofmdietarymintake.
Amclientmthatmismobese,mhasmemphysema,mandmwhomsmokesmatmleastmampackmofmcigarettesmdallymis
madmittedmaftermemperieningsidenmincreaseminmdyspneamandmactivitymintolerance.mOxygenmthera
pymisminitiatedmandmitmismdeterminedmthatmthemdientmwillmbemdischargedmwithmoxygen.mWhichminfo
rmationmismmostmimportantmformthemnursemtomemphasizeminmthemdischargemteachingmdhan?.
AmApproachesmtomconservemenergy.
•mBmMethodsmformweightmloss.
CmStrategiesmformsmokingmcessation.