Medsurg Hesi Questions And Correct Verified Answers

MEDSURG HESI QUESTIONS AND
CORRECT VERIFIED ANSWERS
AlternateA2IVA2&A2IMA2medicationsA2-A2Ans--
AA273A2yearA2oldA2patientA2withA2endA2stageA2cancerA2isA2inA2theA2hospitalA2forA2painA2cont
rolA2andA2ratesA2painA2atA2aA2"12"A2onA2theA2numericA2ratingA2scaleA2ofA20A2toA210.A2WhatA
2isA2theA2appropriateA2methodA2ofA2painA2controlA2forA2thisA2patient?
A.A2AlternateA2acetaminophenA2&A2ibuprofen
B.A2OnlyA2giveA2POA2medicationsA2onA2aA2scheduledA2basis
C.A2AlternateA2IVA2&A2IMA2medications
D.A2WaitA2forA2patientA2toA2requestA2medicationA2eachA2time

Dyspnea
BarrelA2chest
TripodA2position
Pursed-lipA2breathingA2-A2Ans--
WhatA2physicalA2assessmentA2findingsA2wouldA2aA2nurseA2expectA2toA2findA2inA2aA2clientA2
withA2COPD?

IncreaseA2fluidA2intakeA2toA23L/dayA2ifA2toleratedA2-A2Ans--
WhatA2isA2theA2priorityA2nursingA2interventionA2inA2helpingA2aA2patientA2expectorateA2thickA
2lungA2secretions?


A.A2HumidifyA2theA2oxygenA2asA2able
B.A2AdministerA2coughA2suppressantA2Q24HR
C.A2TeachA2patientA2toA2splintA2theA2affectedA2area
D.A2IncreaseA2fluidA2intakeA2toA23L/DayA2ifA2tolerated

*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
StressA2-A2Ans--RiskA2factorsA2forA2hypertension

DecreaseA2calciumA2(milk,A2cheese,A2tofood)
WantA2themA2toA2getA2upA2andA2ambulateA2toA2getA2thoseA2stonesA2down
IncreaseA2water/fluidA2intakeA2
StrainA2urineA2-A2Ans--WhatA2interventionsA2doA2youA2planA2toA2includeA2w/
A2aA2ptA2whoA2hasA2renalA2calculi?


IncreaseA2water/fluidA2intakeA2
DecreaseA2calcium
LimitA2coffee,A2tea,A2&A2colaA2-A2Ans--
WhatA2areA2dietaryA2considerationsA2forA2renalA2calculi?

,C.A2WeakA2coughA2-A2Ans--
AA2patientA2isA2admittedA2toA2theA2ERA2withA2amyotrophicA2lateralA2sclerosis.A2WhichA2nur
singA2assessmentA2warrantsA2immediateA2intervention?
A.A2MuscleA2spasms
B.A2SevereA2constipation
C.A2WeakA2cough
D.A2SlowA2urineA2stream

massiveA2proteinA2inA2urine
hypoalbunemiaA2(lowA2proteinA2inA2theA2blood)
hyperlipidemia
edemaA2(anasarca;A2inA2anklesA2inA2feet)
WeightA2gain

makeA2sureA2toA2doA2dailyA2weights
monitorA2edemaA2inA2lowerA2legsA2andA2inA2abdomenA2(ascitesA2occursA2commonlyA2w/
A2nephroticA2syndrome)A2-A2Ans--IndicatorsA2ofA2nephroticA2syndrome


C.A2UseA2pictureA2chartsA2toA2communicateA2(theyA2canA2pointA2outA2whatA2theyA2areA2tryi
ngA2toA2say)A2-A2Ans--
AA2patientA2isA2admittedA2toA2theA2ERA2withA2expressiveA2aphasia.A2ToA2furtherA2assessA2t
heA2patient,A2theA2nurseA2shouldA2includeA2whichA2ofA2theA2followingA2techniques:
A.A2SpeakA2slowerA2toA2communicate
B.A2SpeakA2louderA2toA2communicate
C.A2UseA2pictureA2chartsA2toA2communicate
D.A2TypeA2onA2computerA2screenA2toA2communicate

amyotrophicA2lateralA2sclerosisA2(ALS)A2-A2Ans--
conditionA2ofA2progressiveA2deteriorationA2ofA2motorA2nerveA2cellsA2resultingA2inA2totalA2lo
ssA2ofA2voluntaryA2muscleA2control;A2symptomsA2advanceA2fromA2muscleA2weaknessA2inA2
theA2armsA2andA2legs,A2toA2theA2musclesA2ofA2speech,A2swallowing,A2andA2breathing,A2toA2
totalA2paralysisA2andA2death;A2alsoA2knownA2asA2LouA2GehrigA2disease

expressiveA2aphasiaA2-A2Ans--
slurredA2speechA2orA2inabilityA2toA2speak;A2they'reA2unableA2toA2getA2outA2whatA2theyA2wan
tA2toA2say

NoA2heavyA2liftingA2orA2bendingA2overA2atA2theA2wasteA2(nothingA2thatA2willA2increaseA2IOP
A2)
WearA2bandageA2orA2shieldA2toA2protectA2theA2eye
EyesA2willA2feelA2likeA2scratchyA2sand-likeA2feelingA2inA2theirA2eyes
NeedA2toA2haveA2someoneA2toA2driveA2forA2them
1stA224A2hrsA2afterA2surgery,A2theyA2justA2needA2toA2relaxA2(theyA2canA2watchA2TVA2&A2rea
d;A2nothingA2thatA2willA2causeA2pressure)
Don'tA2wantA2patientA2rubbingA2orA2pressingA2onA2theirA2eye

, Shouldn'tA2drinkA2alcoholA2forA2atA2leastA224A2hoursA2-A2Ans--
CataractA2extractionA2surgeryA2education

-ReportA2ifA2theyA2areA2coughingA2upA2blood
-
RecognizeA2ifA2thereA2isA2aA2rupture,A2thereA2willA2beA2bleedingA2&A2immediateA2actionA2n
eedsA2toA2beA2takenA2
-NoA2spicyA2foods!!
-ToA2preventA2pressure,A2youA2haveA2toA2controlA2theirA2highA2bloodA2pressure
MajorityA2ofA2peopleA2whoA2comeA2inA2w/A2esophogealA2varicesA2areA2alcoholicsA2-A2Ans--
TeachingA2forA2esophagealA2varices

esophagelA2varicesA2-A2Ans--
enlarged,A2swollen,A2varicoseA2veinsA2atA2theA2lowerA2endA2ofA2theA2esophagus

peopleA2thatA2likeA2toA2drinkA2(alcohol)A2-A2Ans--
EsphogealA2varicesA2areA2veryA2commonA2inA2__

DecreasedA2courseA2cracklesA2-A2Ans--
WhichA2assessmentA2findingA2wouldA2youA2expectA2toA2seeA2inA2aA2patientA2whoA2hadA2re
centlyA2beenA2suctionedA2viaA2endotrachealA2tube?
A.A2IncreasedA2courseA2crackles
B.A2DecreasedA2courseA2crackles
C.A2DecreasedA2fineA2crackles
D.A2IncreasedA2fineA2crackles

TheA2patient'sA2scleraA2isA2yellowA2(inflammationA2b/
cA2ofA2gallstones,A2theA2stonesA2canA2getA2lodgedA2inA2theA2bileA2duct,A2whichA2backsA2up
A2&A2causesA2damageA2inA2theA2liver)A2-A2Ans--
WhichA2assessmentA2informationA2willA2beA2mostA2importantA2forA2theA2nurseA2toA2reportA2
toA2theA2healthA2careA2providerA2aboutA2aA2patientA2withA2cholelithiasis?
A.A2TheA2patient'sA2urineA2isA2brightA2yellow
B.A2TheA2patient'sA2scleraA2isA2yellow
C.A2TheA2patientA2hasA2increasedA2painA2afterA2eating
D.A2TheA2patientA2complainsA2ofA2chronicA2heartburn

cholelithiasisA2-A2Ans--gallstonesA2inA2theA2gallbladder

PlaceA2theA2clientA2inA2highA2Fowler'sA2position.A2(TheyA2areA2inA2respiratoryA2acidosis)

PrimaryA2assessment:A2respiratoryA2(listenA2toA2lungs,A2rateA2&A2depth)A2-A2Ans--
AA2clientA2withA2pneumoniaA2presentsA2withA2theA2followingA2arterialA2bloodA2gasesA2ofA2p
HA27.28,A2PaCO2A2ofA274,A2HCO3A2ofA228A2meq/
L,A2andA2PO2A2ofA245.A2WhichA2ofA2theA2followingA2isA2theA2mostA2appropriateA2nursingA2in
tervention?
A.A2AdministerA2aA2sedative