HESI MED SURG EXAMINATION TEST
QUESTIONS AND DETAILED SOLUTIONS
◉ The nurse is caring for a client with Addison disease. Which
dietary modification should the nurse include in the client's teaching
plan?
1
Increase potassium intake to replace renal losses.
2
Increase protein intake to heal the adrenal tissue and thus cure the
disease.
3
Take supplemental vitamins to supply energy and assist in regaining
the weight that was lost.
4
Consume extra salt to replace the amount being lost due to a lack of
sufficient aldosterone needed to conserve sodium. Answer: 4
Consume extra salt to replace the amount being lost due to a lack of
sufficient aldosterone needed to conserve sodium
◉ The nurse is assessing a client with a moon-shaped face and thin
arms and legs. The nurse expects which other assessment findings?
Select all that apply. One, some, or all responses may be correct.
1
Weight loss
2
Gastric ulcer
,3
Pain in bones
4
Poor appetite
5
Muscle weakness. Answer: 2
Gastric ulcer
3
Pain in bones
5
Muscle weakness
◉ A client is diagnosed with Cushing syndrome. The nurse would
monitor the client for which cardiovascular complication?
1
Chest pain
2
Tachycardia
3
Hypertension
4
Atrial fibrillation. Answer: 3
Hypertension
◉ Which classic sign will a nurse find in a client with Addison
disease?
1
, Ecchymosis
2
Hyperreflexia
3
Explothomos
4
Hyperpigmentation. Answer: Hyperpigmentation
◉ Which is a secondary cause of adrenal insufficiency?
1
Hemorrhage
2
Tuberculosis
3
Pituitary tumors
4
Metastatic cancer. Answer: 3
Pituitary tumors
◉ Which signs and symptoms will a client admitted to the hospital
with a diagnosis of Cushing syndrome exhibit?
1
Hyperkalemia and edema
2
Hypotension and sodium loss
3
Muscle wasting and hypoglycemia
QUESTIONS AND DETAILED SOLUTIONS
◉ The nurse is caring for a client with Addison disease. Which
dietary modification should the nurse include in the client's teaching
plan?
1
Increase potassium intake to replace renal losses.
2
Increase protein intake to heal the adrenal tissue and thus cure the
disease.
3
Take supplemental vitamins to supply energy and assist in regaining
the weight that was lost.
4
Consume extra salt to replace the amount being lost due to a lack of
sufficient aldosterone needed to conserve sodium. Answer: 4
Consume extra salt to replace the amount being lost due to a lack of
sufficient aldosterone needed to conserve sodium
◉ The nurse is assessing a client with a moon-shaped face and thin
arms and legs. The nurse expects which other assessment findings?
Select all that apply. One, some, or all responses may be correct.
1
Weight loss
2
Gastric ulcer
,3
Pain in bones
4
Poor appetite
5
Muscle weakness. Answer: 2
Gastric ulcer
3
Pain in bones
5
Muscle weakness
◉ A client is diagnosed with Cushing syndrome. The nurse would
monitor the client for which cardiovascular complication?
1
Chest pain
2
Tachycardia
3
Hypertension
4
Atrial fibrillation. Answer: 3
Hypertension
◉ Which classic sign will a nurse find in a client with Addison
disease?
1
, Ecchymosis
2
Hyperreflexia
3
Explothomos
4
Hyperpigmentation. Answer: Hyperpigmentation
◉ Which is a secondary cause of adrenal insufficiency?
1
Hemorrhage
2
Tuberculosis
3
Pituitary tumors
4
Metastatic cancer. Answer: 3
Pituitary tumors
◉ Which signs and symptoms will a client admitted to the hospital
with a diagnosis of Cushing syndrome exhibit?
1
Hyperkalemia and edema
2
Hypotension and sodium loss
3
Muscle wasting and hypoglycemia
