MED SURG HESI PROCTORED EXAM

MED SURG HESI PROCTORED EXAM A nurse is reinforcing teaching about lowering fat & cholesterol in diet with a client who has atherosclerosis. Which of the following responses by the client indicates an understanding of the teaching? a.) I will list baked good to those containing trans fat. b.) I will limit meat portion to 3 ounces per meal. c.) I will use palm oil in my cooking. d.) I will increase my consumption of 2 percent milk.Answer: b. I will limit meat portion to 3 ounces per meal. A nurse is collecting data from a client who has hyperthyroidism & is taking propylthiouracil. Which of the following statements by the client indicates the medication is effective? a.) "I have less oily skin". b.) "I no longer take a stool softener". c.) "No longer feel nervous". d.) "I continue to lose weight".Answer: b. "No longer feel nervous". A nurse is inserting an indwelling catheter for a client. The client reports pain when the nurse attempts to inflate the balloon. Which of the following actions should the nurse take? a.) Continue to slowly inflate the balloon. b.) Aspirate the fluid before advancing the catheter. c.) Gently pull on the catheter to check for resistance. d.) Instruct the client to bear down as if to void.Answer: b. Aspirate the fluid before advancing the catheter. A nurse is caring for a client who has Parkinson's disease. The client displays difficulty using utensils while eating mealtime. For which of the following inter disciplinary team members should the nurse recommend a referral? a.) Occupational therapist. b.) Physical therapist. c.) Recreational therapist. d.) Speech therapist.Answer: a. Occupational therapist. A nurse is reinforcing teaching with a client who is scheduled for colonoscopy. Which of the following client statements indicates an understanding of the procedure? a.) I will need arrangements for a ride home. b.) I should call the doctor if I feel bloated after the procedure. c.) I plan to eat light breakfast the morning of the procedure. d.) I can expect to have a sore throat from the breathing tube.Answer: a. I will need arrangements for a ride home. A nurse is preparing to enter the room of a client who has tuberculosis. Which of the following personal protective equipment should the nurse wear? a.) No breather mask. b.) Surgical mask. c.) Respirator mask. d.) Venturi mask.Answer: c.) Respirator mask. A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take? a.) Instruct the client to limit activity. b.) Encourage a low residue diet. c.) Provide a glass of warm water before breakfast. d.) Offer foods high in potassium.Answer: b. Encourage a low residue diet. A nurse is collecting data from a client who has been admitted with suspected appendicitis. Which of the following findings is the nurse's priority to report to the provider? a.) WBC count 15,000/mm3 b.) Loss of appetite. c.) Rigid board like abdomen. d.) Temperature of 37.8 c.Answer: c.) Rigid board like abdomen. A nurse is collecting data from a female client during an initial health assessment. Which of the following findings should the nurse identify as a risk fact for osteoporosis? a.) Uses a beclomethason inhaler. b.) Applies an estrogen vaginal cream daily. c.) Walks 30 mins per day. d.) Includes canned sardines in her diet.Answer: b. Applies an estrogen vaginal cream daily. A nurse is collecting data from a client who began taking catopril 2 days ago. Which of the following findings should the nurse report to the provider immediately? a.) Dizziness. b.) Joint aches. c.) Metallic taste. d.) Lip swelling.Answer: d. lip swelling. A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider? a.) Chest X-ray showing cardiomegaly. b.) Potassium level 4.5 mEq/L. c.) Urinary output of 1,000 mL in 12 hr. d.) PaCO2 55 mmHg.Answer: d. PaCo2 55 mmHg. An assistive personnel checks the blood glucose level of a client who has diabetes mellitus & reports a blood glucose level of 42 mm/dL to a nurse. Which of the following actions should the nurse take first? a.) Validate when the client received the last dose a hypoglycemic medication. b.) Check the client's blood pressure. c.) Review the client's previous meal intake. d.) Determine if the client is able to swallow.Answer: d. Determine if the client is able to swallow. A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of automatic epinephrine injection, Which of the following actions is the priority. a.) Have a client perform the return demonstration of the equipment. b.) Instruct the client to store the injector at room temperature. c.) Inform the client to seek medical attention following administration of the injection. d.) Review the signs of anaphylaxis with the client.Answer: a. Have the client perform the return demonstration of the equipment. A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?"I should check my heart rate everyday". A nurse in a long-term care facility is assigning tasks to assistive personnel. Which of the following tasks should the nurse delegate to the AP? a.) Taking a phone prescription rom a provider. b.) Providing postmortem care. c.) Determining a client's need for PRN pain medication. d.) Instructing a client about the use of incentive spirometry.Answer: b. Providing postmortem care. A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate? a.) Orange-colored urine. b.) Referred pain in the right shoulder. c.) Confusion. d.) Hypothermia.Answer: c. Confusion.