MS HESI RETAKE REVIEW QUESTIONS
AND ANSWERS
Whatxinstructionxshouldxthexnursexincludexinxthexdischargexteachingxplanxofxaxclientxwhoxh
adxaxcataractxextractionxtoday?
a.xSexualxactivitiesxmayxbexresumedxuponxreturnxhomex
b.xLightxhousekeepingxisxpermittedxbutxavoidxheavyxlifting
c.xUsexaxmetalxeyexshieldxonxoperativexeyexduringxthexdayx
d.xAdministerxeyexointmentxbeforexapplyingxeyexdropsx-xans--✔✔ANS:xB
3xofx55
Axmalexadultxcomesxtoxthexurgentxcarexclinicx5xdaysxafterxbeingxdiagnosexwithxinfluenza.x
Hexisxshortxofxbreath,xfebrile,xandxcoughingxgreenxcoloredxsputum.xWhichxinterventionxsh
ouldxthexnurseximplementxfirst?
a.xObtainxaxsputumxsamplexforxculture
b.xCheckxhisxoxygenxsaturationxlevelx
c.xAdministerxanxoralxantipyreticx
d.xAuscultatexbilateralxlungxsoundx-xans--✔✔ANS:xA
4x0fx55
Anxelderxmalexclientxtellsxthexnursexthatxhexisxloosingxsleepxbecausexhexhasxtoxgetxupxsev
eralxtimesxatxnightxtoxgoxtoxthexbathroomxthatxhexhasxtroublexstartingxhisxurinaryxstreamxan
dxthatxhexdoesxnotxfeelxlikexhisxbladderxisxeverxcompletelyxempty.xWhichxinterventionxshou
ldxthexnurseximplement?
a.xcollectxaxurinexspecimenxforxculturexanalysisx
b.xobtainxaxfingerstickxbloodxglucosexlevel
c.xpalpatexthexbladderxabovexthexsymphysisxpubis
d.xreviewxthexclientxfluidxintakex-xans--✔✔ANS:xC
5xofx55
,Anxadultxclientxisxadmittedxwithxdiabeticxketoacidosisx(DKA)xandxaxurinaryxtractxinfectionx(
UTI)xPrescriptionsxforxintravenousxantibioticsxandxinsulinxinfusionxarexinitiated.xWhichxser
umxlaboratoryxvaluexwarrantsxthexmostximmediatexinterventionxbyxthexnurse?
a.xbloodxphxofx7.30
b.xglucosexofx350xmgx/dl
c.xwhitexbloodxcellxcountxofx15000mm
d.xpotassiumxofx2.5xmeq/lx-xans--✔✔ANS:xDx
6xofx55
Axclientxwithxsicklexcellxanemiaxdevelopsxaxfeverxduringxthexlastxhourxofxadministrationxofx
axunitxofxpackedxredxbloodxcell.xWhenxnotifyingxthexhealthcarexproviderxwhatxinformationxs
houldxthexnursexprovidexfirstxusingxthexSBARxcommunicationxprocess?
a.xexplainxspecificxreasonxforxurgentxnotification
b.xprefacexthexreportxbyxstatingxthexclientsxnamexandxadmittingxdiagnosis
c.xcommunicatexthexpre-transfusionxtemperatures
d.xoptainxprnxprescriptionxforxacetaminophenxforxfeverx101fx-xans--✔✔ANS:xAx
7xofx55
Anxadultxmalexclientxisxadmittedxforxpneumocystisxcarinilxpneumoniax(PCP)xsecondaryxtox
aids.xWhilexhospitalizexhexreceivesxIVxpentamidinexisethionatextherapy.xInxpreparingxthisx
clientxforxdischargexwhatximportantxaspectxregardingxhisxmedicationxtherapyxshouldxthexn
ursexexplain?
a.xAZTxtherapyxmustxbexstoppedxwhenxIVxaerosolxpentaminexisxbeingxused.
b.xIVxpentaminexwillxbexgivenxuntilxoralxpentaminexcanxbextoleratedx
c.xItxwillxbexnecessaryxtoxcontinuexprophylacticxdosesxofxIVxorxaerosolxpentaminexeveryxm
onthx
d.xIvxpentaminexmayxofferxprotectionxtoxothersxaidsxrelatedxconditionsxsuchxasxkaposisxsa
rcomax-xans--✔✔ANS:xC
8xofx55
Axclientxsubjectivexdataxincludesxdysuria,xurgency,xandxurinaryxfrequency.xWhatxactionxsh
ouldxthexnurseximplementxnext?
xa.collectxaxcleanxcatchxspecimen
xb.palpatexthexsuprapubicxregionx
c.instructxtoxwipexfromxfrontxtoxback
d.inquirexaboutxrecentxsexualxactivityx-xans--✔✔ANS:xA
9xofx55
, Axclientxtellsxthexnursexthatxherxbiopsyxresultsxindicatexthatxthexcancerxcellsxarexwellxdiffer
entiatedxHowxshouldxthexnursexrespond?
a.xofferxthexclientxreassurancexthatxthisxinformationxindicatesxthatxthexclientsxcancerxcellsx
arexbenign
b.xexplainxthatxthesextissuexcellsxoftenxrespondxmorexeffectivelyxtoxradiationxthanxtoxchem
otherapy
c.xaskxthexclientxinxthexhealthcarexproviderxhasxgivingxherxanyxinformationxaboutxthexclassi
ficationxofxherxcancer
d.xhelpxthexclientxmakexplansxtoxbeginxinmediatextreatmentxsincexherxcancerxisxlikelyxtoxsp
readxquicklyx-xans--✔✔ANS:xC
10xofx55
Axclientxwithxaxchronicxkidneyxdiseasexisxtreatedxonxhemodialysis.xDuringxthex1xtreatmentx
clientsxbloodxpressurexdropsxfromx150/90xtox80/30xWhichxactionxshouldxthexnursextakexfir
st?
a.xmonitorxbpxq45xminutes
b.xlowerxthexheadxofxthexchairxandxelevatexfeet
c.xstopxdialysisxtreatment
d.xadministerx5%albuminxIVx-xans--✔✔ANS:xCx
11xofx55
Axclientxwithxdeepxvainxthrombosisx(DVT)xisxreceivingxaxcontinuesxinfusionxofxheparinxsodi
umx25,000xunitxinx5%xdextrosexinjectionx250ml.xThexprescriptionxindicatesxthexdosagexsh
ouldxbexincreasex900xunits/
hr.xThexnursexshouldxprogramxthexinfusionxpumpxtoxdeliverxhowxmanyxml/hr?x-xans--
✔✔=9
12xofx55
Thexnursexisxobtainingxthexadmissionxhistoryxforxaxclientxwithxsuspectedxpepticxulcerxdisea
sex(PUD).xWhichxsubjectivexdataxreportedxbyxthexclientxsupportsxthisxdiagnosis?
a.xupperxmidxabdominalxgnawingxandxburningxpain
b.xseverexabdominalxcrampsxandxdiarrheaxafterxeatingxspicyxfoods
c.xmarkedxlossxofxweightxandxappetitexoverxthexlastxfewxmonthsx
d.xusexofxchewablexandxliquidxantacidsxforxindigestionx-xans--✔✔ANS:xA
13xofx55
AND ANSWERS
Whatxinstructionxshouldxthexnursexincludexinxthexdischargexteachingxplanxofxaxclientxwhoxh
adxaxcataractxextractionxtoday?
a.xSexualxactivitiesxmayxbexresumedxuponxreturnxhomex
b.xLightxhousekeepingxisxpermittedxbutxavoidxheavyxlifting
c.xUsexaxmetalxeyexshieldxonxoperativexeyexduringxthexdayx
d.xAdministerxeyexointmentxbeforexapplyingxeyexdropsx-xans--✔✔ANS:xB
3xofx55
Axmalexadultxcomesxtoxthexurgentxcarexclinicx5xdaysxafterxbeingxdiagnosexwithxinfluenza.x
Hexisxshortxofxbreath,xfebrile,xandxcoughingxgreenxcoloredxsputum.xWhichxinterventionxsh
ouldxthexnurseximplementxfirst?
a.xObtainxaxsputumxsamplexforxculture
b.xCheckxhisxoxygenxsaturationxlevelx
c.xAdministerxanxoralxantipyreticx
d.xAuscultatexbilateralxlungxsoundx-xans--✔✔ANS:xA
4x0fx55
Anxelderxmalexclientxtellsxthexnursexthatxhexisxloosingxsleepxbecausexhexhasxtoxgetxupxsev
eralxtimesxatxnightxtoxgoxtoxthexbathroomxthatxhexhasxtroublexstartingxhisxurinaryxstreamxan
dxthatxhexdoesxnotxfeelxlikexhisxbladderxisxeverxcompletelyxempty.xWhichxinterventionxshou
ldxthexnurseximplement?
a.xcollectxaxurinexspecimenxforxculturexanalysisx
b.xobtainxaxfingerstickxbloodxglucosexlevel
c.xpalpatexthexbladderxabovexthexsymphysisxpubis
d.xreviewxthexclientxfluidxintakex-xans--✔✔ANS:xC
5xofx55
,Anxadultxclientxisxadmittedxwithxdiabeticxketoacidosisx(DKA)xandxaxurinaryxtractxinfectionx(
UTI)xPrescriptionsxforxintravenousxantibioticsxandxinsulinxinfusionxarexinitiated.xWhichxser
umxlaboratoryxvaluexwarrantsxthexmostximmediatexinterventionxbyxthexnurse?
a.xbloodxphxofx7.30
b.xglucosexofx350xmgx/dl
c.xwhitexbloodxcellxcountxofx15000mm
d.xpotassiumxofx2.5xmeq/lx-xans--✔✔ANS:xDx
6xofx55
Axclientxwithxsicklexcellxanemiaxdevelopsxaxfeverxduringxthexlastxhourxofxadministrationxofx
axunitxofxpackedxredxbloodxcell.xWhenxnotifyingxthexhealthcarexproviderxwhatxinformationxs
houldxthexnursexprovidexfirstxusingxthexSBARxcommunicationxprocess?
a.xexplainxspecificxreasonxforxurgentxnotification
b.xprefacexthexreportxbyxstatingxthexclientsxnamexandxadmittingxdiagnosis
c.xcommunicatexthexpre-transfusionxtemperatures
d.xoptainxprnxprescriptionxforxacetaminophenxforxfeverx101fx-xans--✔✔ANS:xAx
7xofx55
Anxadultxmalexclientxisxadmittedxforxpneumocystisxcarinilxpneumoniax(PCP)xsecondaryxtox
aids.xWhilexhospitalizexhexreceivesxIVxpentamidinexisethionatextherapy.xInxpreparingxthisx
clientxforxdischargexwhatximportantxaspectxregardingxhisxmedicationxtherapyxshouldxthexn
ursexexplain?
a.xAZTxtherapyxmustxbexstoppedxwhenxIVxaerosolxpentaminexisxbeingxused.
b.xIVxpentaminexwillxbexgivenxuntilxoralxpentaminexcanxbextoleratedx
c.xItxwillxbexnecessaryxtoxcontinuexprophylacticxdosesxofxIVxorxaerosolxpentaminexeveryxm
onthx
d.xIvxpentaminexmayxofferxprotectionxtoxothersxaidsxrelatedxconditionsxsuchxasxkaposisxsa
rcomax-xans--✔✔ANS:xC
8xofx55
Axclientxsubjectivexdataxincludesxdysuria,xurgency,xandxurinaryxfrequency.xWhatxactionxsh
ouldxthexnurseximplementxnext?
xa.collectxaxcleanxcatchxspecimen
xb.palpatexthexsuprapubicxregionx
c.instructxtoxwipexfromxfrontxtoxback
d.inquirexaboutxrecentxsexualxactivityx-xans--✔✔ANS:xA
9xofx55
, Axclientxtellsxthexnursexthatxherxbiopsyxresultsxindicatexthatxthexcancerxcellsxarexwellxdiffer
entiatedxHowxshouldxthexnursexrespond?
a.xofferxthexclientxreassurancexthatxthisxinformationxindicatesxthatxthexclientsxcancerxcellsx
arexbenign
b.xexplainxthatxthesextissuexcellsxoftenxrespondxmorexeffectivelyxtoxradiationxthanxtoxchem
otherapy
c.xaskxthexclientxinxthexhealthcarexproviderxhasxgivingxherxanyxinformationxaboutxthexclassi
ficationxofxherxcancer
d.xhelpxthexclientxmakexplansxtoxbeginxinmediatextreatmentxsincexherxcancerxisxlikelyxtoxsp
readxquicklyx-xans--✔✔ANS:xC
10xofx55
Axclientxwithxaxchronicxkidneyxdiseasexisxtreatedxonxhemodialysis.xDuringxthex1xtreatmentx
clientsxbloodxpressurexdropsxfromx150/90xtox80/30xWhichxactionxshouldxthexnursextakexfir
st?
a.xmonitorxbpxq45xminutes
b.xlowerxthexheadxofxthexchairxandxelevatexfeet
c.xstopxdialysisxtreatment
d.xadministerx5%albuminxIVx-xans--✔✔ANS:xCx
11xofx55
Axclientxwithxdeepxvainxthrombosisx(DVT)xisxreceivingxaxcontinuesxinfusionxofxheparinxsodi
umx25,000xunitxinx5%xdextrosexinjectionx250ml.xThexprescriptionxindicatesxthexdosagexsh
ouldxbexincreasex900xunits/
hr.xThexnursexshouldxprogramxthexinfusionxpumpxtoxdeliverxhowxmanyxml/hr?x-xans--
✔✔=9
12xofx55
Thexnursexisxobtainingxthexadmissionxhistoryxforxaxclientxwithxsuspectedxpepticxulcerxdisea
sex(PUD).xWhichxsubjectivexdataxreportedxbyxthexclientxsupportsxthisxdiagnosis?
a.xupperxmidxabdominalxgnawingxandxburningxpain
b.xseverexabdominalxcrampsxandxdiarrheaxafterxeatingxspicyxfoods
c.xmarkedxlossxofxweightxandxappetitexoverxthexlastxfewxmonthsx
d.xusexofxchewablexandxliquidxantacidsxforxindigestionx-xans--✔✔ANS:xA
13xofx55
