Hesi-Rn Med-Surg Test Questions And Correct Verified Answers

HESI-RN MED-SURG TEST QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheA2nurseA2isA2assessingA2aA2clientA2withA2acuteA2pancreatitis.A2WhichA2findingA2require
sA2theA2mostA2immediateA2interventionA2byA2theA2nurse?
A.A2
TheA2client'sA2amylaseA2levelA2isA2threeA2timesA2higherA2thanA2theA2normalA2level.
A2B.
TheA2clientA2hasA2aA2carpalA2spasmA2whenA2takingA2aA2bloodA2pressure.
A2C.
OnA2aA21A2toA210A2scale,A2theA2clientA2tellsA2theA2nurseA2thatA2herA2epigastricA2painA2isA2at
A27.
A2D.
TheA2clientA2statesA2thatA2sheA2willA2continueA2toA2drinkA2alcoholA2afterA2goingA2home.A2-
A2Ans--B
TheA2nurseA2isA2assessingA2aA2clientA2withA2acuteA2pancreatitis.A2WhichA2findingA2require
sA2theA2mostA2immediateA2interventionA2byA2theA2nurse?
Rationale:AA2positiveA2TrousseauA2signA2indicatesA2hypocalcemiaA2andA2alwaysA2require
sA2furtherA2assessmentA2andA2intervention,A2regardlessA2ofA2theA2causeA2(40%A2toA275%A
2ofA2thoseA2withA2acuteA2pancreatitisA2experienceA2hypocalcemia,A2whichA2canA2haveA2se
rious,A2systemicA2effects).A2AA2keyA2diagnosticA2findingA2ofA2pancreatitisA2isA2serumA2amyl
aseA2andA2lipaseA2levelsA2thatA2areA2twoA2toA2fiveA2timesA2higherA2thanA2theA2normalA2valu
e.A2SevereA2boringA2painA2isA2anA2expectedA2symptomA2forA2thisA2diagnosis,A2butA2dealin
gA2withA2theA2hypocalcemiaA2isA2aA2priorityA2overA2administeringA2anA2analgesic.A2Long-
termA2planningA2andA2teachingA2doA2notA2haveA2theA2sameA2immediateA2importanceA2asA2
aA2positiveA2TrousseauA2sign.

AA255-year-
oldA2maleA2clientA2hasA2beenA2admittedA2toA2theA2hospitalA2withA2aA2medicalA2diagnosisA2
ofA2chronicA2obstructiveA2pulmonaryA2diseaseA2(COPD).A2WhichA2riskA2factorA2isA2theA2m
ostA2significantA2inA2theA2developmentA2ofA2thisA2client'sA2COPD?
A.
TheA2client'sA2fatherA2wasA2diagnosedA2withA2COPDA2inA2hisA250s.
A2B.
AA2closeA2familyA2memberA2contractedA2tuberculosisA2lastA2year.
A2C.
TheA2clientA2smokesA2oneA2toA2twoA2packsA2ofA2cigarettesA2perA2day.
A2D.
TheA2clientA2hasA2beenA240A2poundsA2overweightA2forA215A2years.A2-A2Ans--C
Rationale:Smoking,A2consideredA2toA2beA2aA2modifiableA2riskA2factor,A2isA2theA2mostA2sign
ificantA2riskA2factorA2forA2theA2developmentA2ofA2COPD.A2TheA2exactA2mechanismA2ofA2ge
neticA2andA2hereditaryA2implicationsA2forA2theA2developmentA2ofA2COPDA2isA2stillA2underA2i
nvestigation,A2althoughA2exposureA2toA2similarA2predisposingA2factorsA2(e.g.,A2smokingA2o
rA2inhalingA2secondhandA2smoke)A2mayA2increaseA2theA2likelihoodA2ofA2COPDA2incidence

, amongA2familyA2members.A2OptionsA2BA2andA2DA2doA2notA2exceedA2theA2risksA2associat
A2
edA2withA2cigaretteA2smokingA2inA2theA2developmentA2ofA2COPD.

InA2assessingA2aA2clientA2diagnosedA2withA2primaryA2aldosteronism,A2theA2nurseA2expects
A2theA2laboratoryA2testA2resultsA2toA2indicateA2aA2decreasedA2serumA2levelA2ofA2whichA2su
bstance?
A.
Sodium
A2B.
Phosphate
A2C.
Potassium
A2D.
GlucoseA2-A2Ans--C
Rationale:ClientsA2withA2primaryA2aldosteronismA2exhibitA2aA2profoundA2declineA2inA2seru
mA2levelsA2ofA2potassium;A2hypokalemia;A2hypertensionA2isA2theA2mostA2prominentA2andA2
universalA2sign.A2TheA2serumA2sodiumA2levelA2isA2normalA2orA2elevated,A2dependingA2onA2
theA2amountA2ofA2waterA2resorbedA2withA2theA2sodium.A2OptionA2BA2isA2influencedA2byA2pa
rathyroidA2hormoneA2(PTH).A2OptionA2DA2isA2notA2affectedA2byA2primaryA2aldosteronism.

TheA2nurseA2isA2completingA2anA2admissionA2interviewA2forA2aA2clientA2withA2ParkinsonA2di
sease.A2WhichA2questionA2willA2provideA2additionalA2informationA2aboutA2manifestationsA2
thatA2theA2clientA2isA2likelyA2toA2experience?
A.
"HaveA2youA2everA2experiencedA2anyA2paralysisA2ofA2yourA2armsA2orA2legs?"
A2B.
"DoA2youA2haveA2frequentA2blackoutA2spells?"
A2C.
"HaveA2youA2everA2beenA2frozenA2inA2oneA2spot,A2unableA2toA2move?"
A2D.
"DoA2youA2haveA2headaches,A2especiallyA2onesA2withA2throbbingA2pain?"A2-A2Ans--C
Rationale:ClientsA2withA2ParkinsonA2diseaseA2frequentlyA2experienceA2difficultyA2inA2initiat
ing,A2maintaining,A2andA2performingA2motorA2activities.A2TheyA2mayA2evenA2experienceA2b
eingA2rootedA2toA2theA2spotA2andA2unableA2toA2move.A2ParkinsonA2diseaseA2doesA2notA2ty
picallyA2causeA2optionA2A,A2B,A2orA2D.

ClientA2censusA2isA2oftenA2usedA2toA2determineA2staffingA2needs.A2WhichA2methodA2ofA2ob
tainingA2censusA2determinationA2forA2aA2particularA2unitA2providesA2theA2bestA2formulaA2fo
rA2determiningA2long-rangeA2staffingA2patterns?
A.
MidnightA2census
A2B.
OncomingA2shiftA2census
A2C.
AverageA2dailyA2census
A2D.

,HourlyA2censusA2-A2Ans--C
Rationale:AnA2averageA2dailyA2censusA2isA2determinedA2byA2trendA2dataA2andA2takesA2int
oA2accountA2seasonalA2andA2dailyA2fluctuations,A2soA2itA2isA2theA2bestA2methodA2forA2deter
miningA2staffingA2needs.A2OptionsA2AA2andA2BA2provideA2dataA2atA2aA2certainA2pointA2inA2ti
me,A2andA2thatA2dataA2couldA2changeA2quickly.A2ItA2isA2unrealisticA2toA2expectA2toA2obtainA
2anA2hourlyA2census,A2andA2suchA2dataA2wouldA2onlyA2provideA2informationA2aboutA2aA2ce
rtainA2pointA2inA2time.

AA2maleA2clientA2hasA2justA2undergoneA2aA2laryngectomyA2andA2hasA2aA2cuffedA2tracheost
omyA2tubeA2inA2place.A2WhenA2initiatingA2bolusA2tubeA2feedingsA2postoperatively,A2whenA2
shouldA2theA2nurseA2inflateA2theA2cuff?
A.
ImmediatelyA2afterA2feeding
A2B.
JustA2priorA2toA2tubeA2feeding
A2C.
ContinuousA2inflationA2isA2required
A2D.
InflationA2isA2notA2requiredA2-A2Ans--B
Rationale:TheA2cuffA2shouldA2beA2inflatedA2beforeA2theA2feedingA2toA2blockA2theA2tracheaA
2andA2preventA2foodA2fromA2enteringA2ifA2oralA2feedingsA2areA2startedA2whileA2aA2cuffedA2tr
acheostomyA2tubeA2isA2inA2place.A2ItA2shouldA2remainA2inflatedA2throughoutA2theA2feedingA
2toA2preventA2aspirationA2ofA2foodA2intoA2theA2respiratoryA2system.A2OptionsA2AA2andA2DA2
placeA2theA2clientA2atA2riskA2forA2aspiration.A2OptionA2CA2placesA2theA2clientA2atA2riskA2forA2
trachealA2wallA2necrosis.

AA2clientA2withA2aA2nasogastricA2tubeA2attachedA2toA2lowA2suctionA2statesA2thatA2sheA2isA2n
auseated.A2TheA2nurseA2assessesA2thatA2thereA2hasA2beenA2noA2drainageA2throughA2theA2
nasogastricA2tubeA2inA2theA2lastA22A2hours.A2WhichA2actionA2shouldA2theA2nurseA2takeA2firs
t?
A.
IrrigateA2theA2nasogastricA2tubeA2withA2sterileA2normalA2saline.
A2B.
RepositionA2theA2clientA2onA2herA2side.
A2C.
AdvanceA2theA2nasogastricA2tubeA25A2cm.
A2D.
AdministerA2anA2intravenousA2antiemeticA2asA2prescribed.A2-A2Ans--B
Rationale:TheA2immediateA2priorityA2isA2toA2determineA2ifA2theA2tubeA2isA2functioningA2corr
ectly,A2whichA2wouldA2thenA2relieveA2theA2client'sA2nausea.A2TheA2leastA2invasiveA2interve
ntion,A2repositioningA2theA2client,A2shouldA2beA2attemptedA2first,A2followedA2byA2optionsA2A
A2andA2C,A2unlessA2eitherA2ofA2theseA2interventionsA2isA2contraindicated. A2IfA2theseA2meas
uresA2areA2unsuccessful,A2theA2clientA2mayA2requireA2optionA2D.

, TheA2nurseA2isA2conductingA2anA2osteoporosisA2screeningA2clinicA2atA2aA2healthA2fair.A2Wh
atA2informationA2shouldA2theA2nurseA2provideA2toA2individualsA2whoA2areA2atA2riskA2forA2ost
eoporosis?A2(SelectA2allA2thatA2apply.)
A.
EncourageA2alcoholA2andA2smokingA2cessation.
A2B.
SuggestA2supplementingA2dietA2withA2vitaminA2E.
A2C.
PromoteA2regularA2weight-bearingA2exercises.
A2D.
ImplementA2aA2homeA2safetyA2planA2toA2preventA2falls.
A2E.
ProposeA2aA2regularA2sleepA2patternA2ofA28A2hoursA2nightly.A2-A2Ans--A,A2C,A2D
Rationale:OptionsA2A,A2C,A2andA2DA2areA2factorsA2thatA2decreaseA2theA2riskA2forA2developi
ngA2osteoporosis.A2VitaminA2DA2andA2calciumA2areA2importantA2supplementsA2toA2aidA2inA2
theA2decreaseA2ofA2boneA2loss.A2RegularA2sleepA2patternsA2areA2importantA2toA2overallA2h
ealthA2butA2areA2notA2identifiedA2withA2aA2decreasingA2riskA2forA2osteoporosis.

WhichA2nursingA2actionA2wouldA2beA2appropriateA2forA2aA2clientA2whoA2isA2newlyA2diagnos
edA2withA2CushingA2syndrome?
A.
MonitorA2bloodA2glucoseA2levelsA2daily.
A2B.
IncreaseA2intakeA2ofA2fluidsA2highA2inA2potassium.
A2C.
EncourageA2adequateA2restA2betweenA2activities.
A2D.
OfferA2theA2clientA2aA2sodium-enrichedA2menu.A2-A2Ans--A
Rationale:CushingA2syndromeA2resultsA2fromA2aA2hypersecretionA2ofA2glucocorticoidsA2inA
2theA2adrenalA2cortex.A2ClientsA2withA2CushingA2syndromeA2oftenA2developA2diabetesA2me
llitus.A2MonitoringA2ofA2serumA2glucoseA2levelsA2assessesA2forA2increasedA2bloodA2glucos
eA2levelsA2soA2thatA2treatmentA2canA2beginA2early.A2AA2commonA2findingA2inA2CushingA2sy
ndromeA2isA2generalizedA2edema.A2AlthoughA2potassiumA2isA2needed,A2itA2isA2generallyA2
obtainedA2fromA2foodA2intake,A2notA2byA2offeringA2potassium-
enhancedA2fluids.A2FatigueA2isA2usuallyA2notA2anA2overwhelmingA2factorA2inA2CushingA2sy
ndrome,A2soA2anA2emphasisA2onA2theA2needA2forA2restA2isA2notA2indicated.A2AA2low-
calorie,A2low-carbohydrate,A2low-sodiumA2dietA2isA2notA2recommended.

AA258-year-
oldA2clientA2whoA2hasA2noA2healthA2problemsA2asksA2theA2nurseA2aboutA2receivingA2theA2p
neumococcalA2vaccine.A2WhichA2statementA2givenA2byA2theA2nurseA2wouldA2offerA2theA2cli
entA2accurateA2informationA2aboutA2thisA2vaccine?
A.
TheA2vaccineA2isA2givenA2annuallyA2beforeA2theA2fluA2seasonA2toA2thoseA2olderA2thanA250A
2years.
A2B.