Med surge hesi with
well verified answers
actual exam!!! 2026
An adult male client is admitted for Pneumocystis jiroveci pneumonia secondary to AIDS.
While hospitalized, the client receives IV pentamidine therapy. In preparing this client for
discharge, which important aspect regarding his medication therapy the nurse explain? -
ANSWER -It will be necessary to continue prophylactic doses of IV or aerosol
pentamidine every month
A female client who works as a data entry clerk is concerned as to how her recent diagnosis of
Raynaud's syndrome is going to affect her job performance. Which instruction should the
nurse provide this client? - ANSWER -Use a space heater to keep the workspace warm
A client experiences an ABO incompatibility reaction after receiving multiple blood
transfusions. An ABO incompatibility reaction is an example of which type of hypersensitivity?
- ANSWER -Antibody-Cytotonic
An elderly female client grimaces and demonstrates guarding behavior but denies experiencing
pain when asked by the nurse to rate her pain on a numeric scale. Which action should the
nurse take next? - ANSWER -Ask the client to describe how she is feeling
, The nurse is teaching a client who was recently diagnosed with gout how to manage the
disease. Which information should the nurse include in this client's teaching plan? -
ANSWER -Fluid intake should increase to at least 3 liters per day
Which action is most important for the nurse to implement to reduce the risk for deep vein
thrombosis in a postoperative client? - ANSWER -Advise the client to perform leg
exercises regularly
After reviewing the admission assessment of a client with chronic pain, which interventions
should the nurse include in this client's plan of care. SATA - ANSWER -- Determine
client's subjective measure of pain using a numerical pain scale
- Assist the client to ambulate as much as possible during waking hours
- Implement a 24 hours schedule of routine administration of prescribed analgesic
- Provide comfort measures such as topical warm application and tactile massage
The chest x ray for a client who is admitted for pneumonia shows pleural effusion with
decreased air flow in the entire left upper; lobe. After auscultating the left upper lobe, which
breath sounds that verify the x ray findings should the nurse document? - ANSWER -
Pleural friction rub
Pathology in which part of the ear results in sensorineural hearing loss? - ANSWER -
Cochlear apparatus
An elderly client diagnosed with chronic obstructive pulmonary disease for years ago presents
in the ED with shortness of breath, cyanosis, and greenish colored sputum. His initial arterial
blood bases on room air are: pH 7.39, pO2 46, pCO2 53, and HCO3 32. Which description best
characterizes this client's presentation problem? - ANSWER -Chronic respiratory acidosis
A client with a 30 year history cigarette smoking has developed emphysema. Which
pathophysiological mechanism results in the greatest interference with normal gas exchange
for this client? - ANSWER -Alveolar wall destruction by proteolytic enzymes from
macrophages
well verified answers
actual exam!!! 2026
An adult male client is admitted for Pneumocystis jiroveci pneumonia secondary to AIDS.
While hospitalized, the client receives IV pentamidine therapy. In preparing this client for
discharge, which important aspect regarding his medication therapy the nurse explain? -
ANSWER -It will be necessary to continue prophylactic doses of IV or aerosol
pentamidine every month
A female client who works as a data entry clerk is concerned as to how her recent diagnosis of
Raynaud's syndrome is going to affect her job performance. Which instruction should the
nurse provide this client? - ANSWER -Use a space heater to keep the workspace warm
A client experiences an ABO incompatibility reaction after receiving multiple blood
transfusions. An ABO incompatibility reaction is an example of which type of hypersensitivity?
- ANSWER -Antibody-Cytotonic
An elderly female client grimaces and demonstrates guarding behavior but denies experiencing
pain when asked by the nurse to rate her pain on a numeric scale. Which action should the
nurse take next? - ANSWER -Ask the client to describe how she is feeling
, The nurse is teaching a client who was recently diagnosed with gout how to manage the
disease. Which information should the nurse include in this client's teaching plan? -
ANSWER -Fluid intake should increase to at least 3 liters per day
Which action is most important for the nurse to implement to reduce the risk for deep vein
thrombosis in a postoperative client? - ANSWER -Advise the client to perform leg
exercises regularly
After reviewing the admission assessment of a client with chronic pain, which interventions
should the nurse include in this client's plan of care. SATA - ANSWER -- Determine
client's subjective measure of pain using a numerical pain scale
- Assist the client to ambulate as much as possible during waking hours
- Implement a 24 hours schedule of routine administration of prescribed analgesic
- Provide comfort measures such as topical warm application and tactile massage
The chest x ray for a client who is admitted for pneumonia shows pleural effusion with
decreased air flow in the entire left upper; lobe. After auscultating the left upper lobe, which
breath sounds that verify the x ray findings should the nurse document? - ANSWER -
Pleural friction rub
Pathology in which part of the ear results in sensorineural hearing loss? - ANSWER -
Cochlear apparatus
An elderly client diagnosed with chronic obstructive pulmonary disease for years ago presents
in the ED with shortness of breath, cyanosis, and greenish colored sputum. His initial arterial
blood bases on room air are: pH 7.39, pO2 46, pCO2 53, and HCO3 32. Which description best
characterizes this client's presentation problem? - ANSWER -Chronic respiratory acidosis
A client with a 30 year history cigarette smoking has developed emphysema. Which
pathophysiological mechanism results in the greatest interference with normal gas exchange
for this client? - ANSWER -Alveolar wall destruction by proteolytic enzymes from
macrophages
