HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
1. Whatminstructionmshould mthe mnurse minclude minmthemdischarge mteaching mp
lanmof mamclient m who m hadm am cataractm extractionm today?
a. Sexualm activities m maym bem resumedm uponm returnm home
b. Light mhousekeepingmismpermitted mbut mavoid mheavy mlifting
c. Usem am metalm eye m shieldm onm operative m eye m duringm them day
d. Administer m eye m ointmentm before m applying m eye m drops
2. Ammalemadultmcomes mto mthemurgentmcare mclinicm5mdays mafter mbeingmdiagnos
emwithm influenza.m Hem ism shortm of m breath,m febrile,m andm coughingm greenm co
loredmsputum.m Whichm interventionm shouldm them nurse m implementm first?
a. Obtain ma msputummsample mformculture
b. Checkmhis moxygenmsaturationmlevel
c. Administer m anm oralm antipyretic
d. Auscultate mbilateralm lungmsound
3. Anmelder mmalemclientmtells mthem nurse mthat mhem is m loosing msleepmbecause
m he mhas mto mgetmup m severalmtimes m at mnightmto mgo mto mthe mbathroo mmthat
m he mhas mtrouble mstarting mhis m ur inary mstream mand m thatm he mdoes m notm fe
elmlikemhis mbladder m ism ever m completelym empty.m Whichm interventionm sho
uldm them nurse mimplement?
a. collectmamurine mspecimen mfor mculture manalysis
b. obtainmamfingerstickmbloodmglucose m level
c. palpate mthe mbladdermabove mthe msymphysismpubis
d. reviewmthemclientmfluid mintake
4. Anm adultm clientm ism admittedm withm diabeticm ketoacidosis m (DKA)m andm am urin
arymtractminfectionm(UTI)mPrescriptions mfor mintravenous mantibiotics mandmins
ulinminfusionmare minitiated.mWhichmserummlaboratorymvalue mwarrants mthemm
ostmimmediate m interventionm bym them nurse?
a. bloodmphmof m7.30
b. glucose mof m350mmgm/dl
c. white m bloodm cellm countm of m 15000mm
d. potassiummofm2.5 mmeq/l
5. Amclientmwith msickle mcellmanemia mdevelops mamfever mdur ing mthem last mhour mof
TestBankWorld.org
,HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
administrationmof mamunitmof mpackedmredmbloodmcell.mWhenmnotifying m
themhealthcare mprovider mwhatminformationmshouldmthemnurse mprovid
emfirstmusingmthem SBARm co mmunicationm process?
a. explain mspecific mreasonmformurgent mnotification
TestBankWorld.org
,HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
b. preface mthemreportmbymstatingmthemclients mname mand madmitti
ngmdiagnosis
c. communicate mthempre-transfusionmtemperatures
d. optainmprnmprescriptionmfor macetaminophen mfor mfever m101f
6. Anmadultmmalemclient m ismadmitted mfor mpneumocystis mcar inilmpneumonia m
(PCP)msecondarymto maids.mWhile mhospitalize mhemreceives mIVmpentamidine
m isethionate mtherapy.mIn mprepar ing mthis mclient mfor mdischarge mwhat mimport
antmaspectmregarding mhis m medication mtherapy mshouldm them nurse mexplain?
a. AZT mtherapymmustmbemstoppedm whenmIV maerosolmpentamine m is mbe
ingmused.
b. IVm pentamine m willm bem givenm untilm oralm pentamine m canm bem tolerated
c. It mwill mbe mnecessarymtomcontinuemprophylacticmdosesm ofmIV
mormaerosol m pentamine m every m month
d. Ivmpentamine mmaymoffer mprotection mto mothers maids mrelatedmconditi
ons msuchm asm kaposis m sarcoma
7. Amclientmsubjective mdata mincludes mdysur ia, murgency, mand murinarymfrequen
cy.mWhatm actionm shouldm the mnurse m implement m next?
a. collect ma mclean mcatch mspecimen
b. palpate mthemsuprapubic mregion
c. instructmto mwipemfrommfrontmto mback
d. inquire m aboutm recentm sexualm activity
8. Amclientmtells mthem nurse mthatmher mbiopsymresults m indicate m thatm themca
ncer mcells maremwellmdifferentiated m Ho wmshould mthemnurse mrespond?
a. offer mthemclientmreassurance mthatmthis m information m indicates mthatm
themclients m cancer m cells m are m benign
b. explainmthatmthese mtissue mcells moftenmrespondm more meffectively
mto mradiationm thanm to m chemotherapy
c. ask mthe mclient minmthe mhealthcare mprovidermhasmgivingmherm
any minformation mabout m the m classification m ofmherm cancer
d. helpmthemclient mmake mplans mto mbegin minmediate mtreatmentmsince m
her mcancer mism likely mto m spreadm quickly
9. Amclientmwith mamchronic mkidney mdisease m ismtreatedmonmhemodialysis.mDur
ingmthem1mtreatment mclients mbloodmpressure mdrops mfromm 150/90 mto m80/
30mWhichmactionm shouldm them nurse m take m first?
a. monitor mbpmq45mminutes
b. lower m them headm of m them chair m andm elevate m feet
c. stop mdialysismtreatment
d. administer m5%albuminmIV
TestBankWorld.org
, HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
10.Amclientmwithmdeepmvainmthrombosis m(DVT)mismreceiving mammcontinues minf
usionm of m heparinm sodiumm 25,000m unitm inm 5%m dextrose m injectionm 250ml
.mThe m prescriptionm indicates m them dosagem shouldm bem increase m 900m units/
hr.mThemnurse mshouldmprogrammtheminfusionmpumpmto mdeliver mhowmmman
ymml/hr?
=9
11.The mnurse mismobtaining mthemadmissionmhistorymfor mamclientmwithmsuspec
tedmpepticmulcer mdisease m(PUD).mWhichmsubjective mdata mreportedmbymthe
mclientmsupports mthis m diagnosis?
a. upperm midm abdominalm gnawingm and m burningm pain
b. severe mabdominalmcramps mandmdiarrhea mafter meatingmspicy mfoods
c. markedmloss mof mweightmandmappetite mo ver mthem lastmfewm months
d. use mof mchewable mandmliquidmantacids mfor mindigestion
12.The mnurse mismproviding mpreoperative meducatio nmfor mam jewishmclient
m schedule mto mreceive ma mxenograft mgraftmto mpro mote mburn mhealing.mW
hichminformationm shouldm the mnurse m provide m this m client?
a. the mxenograft mismtaken mfrommnonhuman msources
b. grafting mincreases mthemrisk mfor mbacter ialminfection
c. asmthemburnmheals mthemgraftmpermanentlymattaches
d. grafts m arem later m removedm bym debriding m procedure
13.Amclientmwho mtookma mcampingmvacationm two m weeks mago m inma mcountrym wit
hmamtropicalmclimate mco mes mto mthe mclinicmdescr ibing m vague msympto ms ma
ndmdiarrhea mfor mthempastmweek.mWhichmfinding m ism mostm important mfor mth
emnurse mto m report?
a. jaundice msclera
b. intestinalm cramping
c. weakness mandmfatigue
d. weightmloss
14.Duringmamhome mvisit mthe mnurse massesses mthe mskinmof mamclientm withmecze
mamwho mreports mthanmanmexacerbatio nmof msympto ms mhas moccurredmdur
ingmthemlastmweek.mWhich minfor mation mism mostmusefulmin mdeter mining mth
empossible mcause m of m them sympto ms?
a. anmoldmfriendmwith meczema mcame mfor mvisit
b. recentlymreceivedmanminf luenza mimmunization
c. corticosteroid mcreammwas mapplied mto meczema
d. a mgrandson mand m hismnewmdogm recently mvisited
TestBankWorld.org
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
1. Whatminstructionmshould mthe mnurse minclude minmthemdischarge mteaching mp
lanmof mamclient m who m hadm am cataractm extractionm today?
a. Sexualm activities m maym bem resumedm uponm returnm home
b. Light mhousekeepingmismpermitted mbut mavoid mheavy mlifting
c. Usem am metalm eye m shieldm onm operative m eye m duringm them day
d. Administer m eye m ointmentm before m applying m eye m drops
2. Ammalemadultmcomes mto mthemurgentmcare mclinicm5mdays mafter mbeingmdiagnos
emwithm influenza.m Hem ism shortm of m breath,m febrile,m andm coughingm greenm co
loredmsputum.m Whichm interventionm shouldm them nurse m implementm first?
a. Obtain ma msputummsample mformculture
b. Checkmhis moxygenmsaturationmlevel
c. Administer m anm oralm antipyretic
d. Auscultate mbilateralm lungmsound
3. Anmelder mmalemclientmtells mthem nurse mthat mhem is m loosing msleepmbecause
m he mhas mto mgetmup m severalmtimes m at mnightmto mgo mto mthe mbathroo mmthat
m he mhas mtrouble mstarting mhis m ur inary mstream mand m thatm he mdoes m notm fe
elmlikemhis mbladder m ism ever m completelym empty.m Whichm interventionm sho
uldm them nurse mimplement?
a. collectmamurine mspecimen mfor mculture manalysis
b. obtainmamfingerstickmbloodmglucose m level
c. palpate mthe mbladdermabove mthe msymphysismpubis
d. reviewmthemclientmfluid mintake
4. Anm adultm clientm ism admittedm withm diabeticm ketoacidosis m (DKA)m andm am urin
arymtractminfectionm(UTI)mPrescriptions mfor mintravenous mantibiotics mandmins
ulinminfusionmare minitiated.mWhichmserummlaboratorymvalue mwarrants mthemm
ostmimmediate m interventionm bym them nurse?
a. bloodmphmof m7.30
b. glucose mof m350mmgm/dl
c. white m bloodm cellm countm of m 15000mm
d. potassiummofm2.5 mmeq/l
5. Amclientmwith msickle mcellmanemia mdevelops mamfever mdur ing mthem last mhour mof
TestBankWorld.org
,HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
administrationmof mamunitmof mpackedmredmbloodmcell.mWhenmnotifying m
themhealthcare mprovider mwhatminformationmshouldmthemnurse mprovid
emfirstmusingmthem SBARm co mmunicationm process?
a. explain mspecific mreasonmformurgent mnotification
TestBankWorld.org
,HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
b. preface mthemreportmbymstatingmthemclients mname mand madmitti
ngmdiagnosis
c. communicate mthempre-transfusionmtemperatures
d. optainmprnmprescriptionmfor macetaminophen mfor mfever m101f
6. Anmadultmmalemclient m ismadmitted mfor mpneumocystis mcar inilmpneumonia m
(PCP)msecondarymto maids.mWhile mhospitalize mhemreceives mIVmpentamidine
m isethionate mtherapy.mIn mprepar ing mthis mclient mfor mdischarge mwhat mimport
antmaspectmregarding mhis m medication mtherapy mshouldm them nurse mexplain?
a. AZT mtherapymmustmbemstoppedm whenmIV maerosolmpentamine m is mbe
ingmused.
b. IVm pentamine m willm bem givenm untilm oralm pentamine m canm bem tolerated
c. It mwill mbe mnecessarymtomcontinuemprophylacticmdosesm ofmIV
mormaerosol m pentamine m every m month
d. Ivmpentamine mmaymoffer mprotection mto mothers maids mrelatedmconditi
ons msuchm asm kaposis m sarcoma
7. Amclientmsubjective mdata mincludes mdysur ia, murgency, mand murinarymfrequen
cy.mWhatm actionm shouldm the mnurse m implement m next?
a. collect ma mclean mcatch mspecimen
b. palpate mthemsuprapubic mregion
c. instructmto mwipemfrommfrontmto mback
d. inquire m aboutm recentm sexualm activity
8. Amclientmtells mthem nurse mthatmher mbiopsymresults m indicate m thatm themca
ncer mcells maremwellmdifferentiated m Ho wmshould mthemnurse mrespond?
a. offer mthemclientmreassurance mthatmthis m information m indicates mthatm
themclients m cancer m cells m are m benign
b. explainmthatmthese mtissue mcells moftenmrespondm more meffectively
mto mradiationm thanm to m chemotherapy
c. ask mthe mclient minmthe mhealthcare mprovidermhasmgivingmherm
any minformation mabout m the m classification m ofmherm cancer
d. helpmthemclient mmake mplans mto mbegin minmediate mtreatmentmsince m
her mcancer mism likely mto m spreadm quickly
9. Amclientmwith mamchronic mkidney mdisease m ismtreatedmonmhemodialysis.mDur
ingmthem1mtreatment mclients mbloodmpressure mdrops mfromm 150/90 mto m80/
30mWhichmactionm shouldm them nurse m take m first?
a. monitor mbpmq45mminutes
b. lower m them headm of m them chair m andm elevate m feet
c. stop mdialysismtreatment
d. administer m5%albuminmIV
TestBankWorld.org
, HESImRNmMed-SurgmExam m(20mExam mSets,m1500+mQm&mA,mNewest-2022)m/mRNmHESImMed-
SurgmExam m/mMed-SurgmHESImRNmExam m/mMed-
SurgmRNmHESImExam m/mHESImRNmMedmSurgmExam m/mRNmHESImMedmSurgmExam m/mMedmSurgmHESImRNmEx
am m|CompletemDocumentmformHESImExam m|
10.Amclientmwithmdeepmvainmthrombosis m(DVT)mismreceiving mammcontinues minf
usionm of m heparinm sodiumm 25,000m unitm inm 5%m dextrose m injectionm 250ml
.mThe m prescriptionm indicates m them dosagem shouldm bem increase m 900m units/
hr.mThemnurse mshouldmprogrammtheminfusionmpumpmto mdeliver mhowmmman
ymml/hr?
=9
11.The mnurse mismobtaining mthemadmissionmhistorymfor mamclientmwithmsuspec
tedmpepticmulcer mdisease m(PUD).mWhichmsubjective mdata mreportedmbymthe
mclientmsupports mthis m diagnosis?
a. upperm midm abdominalm gnawingm and m burningm pain
b. severe mabdominalmcramps mandmdiarrhea mafter meatingmspicy mfoods
c. markedmloss mof mweightmandmappetite mo ver mthem lastmfewm months
d. use mof mchewable mandmliquidmantacids mfor mindigestion
12.The mnurse mismproviding mpreoperative meducatio nmfor mam jewishmclient
m schedule mto mreceive ma mxenograft mgraftmto mpro mote mburn mhealing.mW
hichminformationm shouldm the mnurse m provide m this m client?
a. the mxenograft mismtaken mfrommnonhuman msources
b. grafting mincreases mthemrisk mfor mbacter ialminfection
c. asmthemburnmheals mthemgraftmpermanentlymattaches
d. grafts m arem later m removedm bym debriding m procedure
13.Amclientmwho mtookma mcampingmvacationm two m weeks mago m inma mcountrym wit
hmamtropicalmclimate mco mes mto mthe mclinicmdescr ibing m vague msympto ms ma
ndmdiarrhea mfor mthempastmweek.mWhichmfinding m ism mostm important mfor mth
emnurse mto m report?
a. jaundice msclera
b. intestinalm cramping
c. weakness mandmfatigue
d. weightmloss
14.Duringmamhome mvisit mthe mnurse massesses mthe mskinmof mamclientm withmecze
mamwho mreports mthanmanmexacerbatio nmof msympto ms mhas moccurredmdur
ingmthemlastmweek.mWhich minfor mation mism mostmusefulmin mdeter mining mth
empossible mcause m of m them sympto ms?
a. anmoldmfriendmwith meczema mcame mfor mvisit
b. recentlymreceivedmanminf luenza mimmunization
c. corticosteroid mcreammwas mapplied mto meczema
d. a mgrandson mand m hismnewmdogm recently mvisited
TestBankWorld.org
