HESI MED SURG EXAM Q&A STUDY GUIDE
WITH VERIFIED ANSWERS
◉ What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops. Answer: Light
housekeeping is permitted but avoid heavy lifting
◉ A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound. Answer: Obtain a sputum sample
for culture
◉ An elder male client tells the nurse that he is loosing sleep because
he has to get up several times at night to go to the bathroom that he
has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which intervention should the
nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
,c. palpate the bladder above the symphysis pubis
d. review the client fluid intake. Answer: c. palpate the bladder above
the symphysis pubis
◉ An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics
and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l. Answer: potassium of 2.5 meq/l
◉ A client with sickle cell anemia develops a fever during the last
hour of administration of a unit of packed red blood cell. When
notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f. Answer:
explain specific reason for urgent notification
◉ An adult male client is admitted for pneumocystis carinil
pneumonia (PCP) secondary to aids. While hospitalize he receives IV
pentamidine isethionate therapy. In preparing this client for discharge
what important aspect regarding his medication therapy should the
nurse explain?
, a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
d. Iv pentamine may offer protection to others aids related conditions
such as kaposis sarcoma. Answer: It will be necessary to continue
prophylactic doses of IV or aerosol pentamine every month
◉ A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity. Answer: collect a clean catch
specimen
◉ A client tells the nurse that her biopsy results indicate that the
cancer cells are well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the
clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help the client make plans to begin inmediate treatment since her
cancer is likely to spread quickly. Answer: ask the client in the
healthcare provider has giving her any information about the
classification of her cancer
WITH VERIFIED ANSWERS
◉ What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops. Answer: Light
housekeeping is permitted but avoid heavy lifting
◉ A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound. Answer: Obtain a sputum sample
for culture
◉ An elder male client tells the nurse that he is loosing sleep because
he has to get up several times at night to go to the bathroom that he
has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which intervention should the
nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
,c. palpate the bladder above the symphysis pubis
d. review the client fluid intake. Answer: c. palpate the bladder above
the symphysis pubis
◉ An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics
and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l. Answer: potassium of 2.5 meq/l
◉ A client with sickle cell anemia develops a fever during the last
hour of administration of a unit of packed red blood cell. When
notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f. Answer:
explain specific reason for urgent notification
◉ An adult male client is admitted for pneumocystis carinil
pneumonia (PCP) secondary to aids. While hospitalize he receives IV
pentamidine isethionate therapy. In preparing this client for discharge
what important aspect regarding his medication therapy should the
nurse explain?
, a. AZT therapy must be stopped when IV aerosol pentamine is being
used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol
pentamine every month
d. Iv pentamine may offer protection to others aids related conditions
such as kaposis sarcoma. Answer: It will be necessary to continue
prophylactic doses of IV or aerosol pentamine every month
◉ A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity. Answer: collect a clean catch
specimen
◉ A client tells the nurse that her biopsy results indicate that the
cancer cells are well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the
clients cancer cells are benign
b. explain that these tissue cells often respond more effectively to
radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help the client make plans to begin inmediate treatment since her
cancer is likely to spread quickly. Answer: ask the client in the
healthcare provider has giving her any information about the
classification of her cancer
