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MEDSURG PRACTICE HESI QUESTIONS & ANSWERS (111 QUESTIONS AN

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MEDSURG PRACTICE HESI QUESTIONS &A n n n n n




NSWERS (111 QUESTIONS AND n n n n




ANSWERS ) GRADED A/ LATEST VERSION n n n n n




/REAL 2023 APRIL EXAM n n n




1.
A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500
n n n n n n n n n n n n n n

mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (
n n n n n n n n n n n n n n

Tylenol) 325 mg every 12 hours. How many grams of acetaminophen is the patien
n n n n n n n n n n n n n

t taking daily? Record your answer using one decimal place.
n n n g n n n n n n



ANS:
3.3
The nurse should calculate the dosage taken via the first medication and add it tothe
n n n n n n n n n n n n n n n n

daily intake of the second medication. Then, convert milligrams to grams.
n n n n n n n n n n



500 mg × 6 doses a day = 3000 mg/day + (2 tablets × 325 mg) × 2 doses a day = 1300
n n n n n n n n n n n n n n n n n n n n n n

mg/day = 3300 mg/day total of acetaminophen; 3300 mg converted to grams
n n n n n n n n n n n n


= 3.3 grams.
n n



2. The nurse is administering 250 mg of a medication elixir to the patient.T
n n n n n n n n n n n n n

he medication comes in a dose of 1000 mg/5 mL. How many milliliters shouldthe
n n n n n n n n n n n n n n n

nurse administer? Record your answer using two decimal places. mL
n n n n n n n n n



ANS: n



1.25

,The nurse needs to first determine how many milligrams are in each milliliter of theeli
n n n n n n n n n n n n n n n

xir. Then the nurse calculates how many milliliters would contain 250 mg.
n n n n n n n n n n n



1000 mg/5 mL = 200 mg/1 mL
n n n n n n



250 mg/(X mL) = 200 mg/mL = 1.25 mL. OR Dose ordered over dose on hand(2
n n n n n n n n n n n n n n n n

50/1000) × volume or amount on hand (5). 250/1000 = 0.25 × 5 = 1.25 mL.
n n n n n n n n n n n n n n n



3. The
patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250m
n n n n n n n n n n n n n n

g/5 mL. How many milliliters will the nurse administer for one dose? Record you
n n n n n n n n n n n n n

r answer using a whole number.
n n n n mL n



ANS:
10
The drug is dispensed at 250 mg/5 mL. The nurse is to give 500 mg, which is 10 m
n n n n n n n n n n n n n n n n n n

L. OR Dose ordered over dose on hand (500/250) × volume or amount on hand
n n n n n n n n n n n n n n

, (5). 500/250 × 5 = 10 mL.
n n n n n n



1. A nurse is preparing to provide hygiene care. Which principle should then
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urse consider when planning hygiene care?
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a. Hygiene care is always routine and expected. n n n n n n




b. No two individuals perform hygiene in the same manner.
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c. It is important to standardize a patient’s hygienic practices.
n n n n n n n n



d. During hygiene care do not take the time to learn about patient needs.
n n n n n n n n n n n n




ANS: B n


No two individuals perform hygiene in the same manner; it is important to individual
n n n n n n n n n n n n n

ize the patient’s care based on knowing about the patient’s unique hygiene practices a
n n n n n n n n n n n n n

nd preferences. Hygiene care is never routine; this care requiresintimate contact with
n n n n n n n n n n n n n

the patient and communication skills to promote the therapeutic relationship. In addit
n n n n n n n n n n n

ion, during hygiene, the nurse should take time tolearn about the patient’s health pro
n n n n n n n n n n n n n n

motion practices and needs, emotional needs, and health care education needs.
n n n n n n n n n n




2. A patient’s hygiene schedule of bathing and brushing teeth is largely
n n n n n n n n n n




influenced by family customs. For which age group is the nurse most likelypr
n n n n n n n n n n n n n

oviding care? n



a. Adolescent

b. Preschooler
c. Older adult n



d. Adult


ANS: B n


Family customs play a major role during childhood in determining hygiene
n n n n n n n n n n
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