EVOLVE HESI MEDICAL SURGICAL PRACTICE
LATEST EXAM QUESTIONS AND CORRECT
ANSWERS
After administering dihydroergotamine (Migranal) 1 mg subcutaneously to a
client with a severe migraine headache the nurse should explain that relief can
be expected within what time frame?
a. 2 hours
b. 5 minutes
c. 1 hour
d. 15 minutes -Answer:-d. 15 minutes
A client with hypertension who has been taking labetalol for two weeks,
reports a five pound (2.2 kg) weight gain. Which follow up assessment is most
important for the nurse to obtain?
a. capillary refill
b. body temperature
c. muscle strength
d. breath sounds -Answer:-d. breath sounds
A male client is receiving pilocarpine hydrochloride (Isopto Carpine)
ophthalmic drops for glaucoma. He calls the clinic and ask the nurse why he
has difficulty seeing at night. What explanation should the nurse provide?
a. The eye drops slow pupil response to accommodate for darkness
b. The drops increase the fluid in the eyes and cloud the visual field ( possible
answer)
c. The drug can cause lens to become more opaque
,d. The medication causes pupils to dilate which reduces night vision -Answer:-
a. the eye drops slow pupil response to accommodate for darkness
A client who is taking and oral dose of tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to take
with the tetracycline?
a. toasted wheat bread and jelly
b. cheese and crackers
c. cold cereal with skim milk
d. fruit flavored yogurt -Answer:-a.toasted wheat bread and jelly
The therapeutic effect of insulin in treating type 1 diabetes mellitus is based
on which physiologic action?
a. Facilitates transport of glucose into the cell
b. Increases intracellular receptor site sensitivity
c. Stimulates function of beta cells in the pancreas
d. Delays carbohydrates digestion and absorption -Answer:-a. facilitates
transport of glucose into the cell
The health care provider prescribe a medication for an older adult client who
is complaining of insomnia. And instructs the client to return in 2 weeks. The
nurse should question which prescription?
a. Eszoplicone (Lunesta)10 mg orally at bed time
b. Zolpidem 10 mg orally at bed time
c. Temazepan orally at bed time
d. Ramelteon orally at bedtime -Answer:-a. eszoplicone (Lunesta) 10mg PO at
bedtime
, A male client reports to the nurse that he is experiencing GI distress from high
dose of a corticosteroid and is planning to stop taking the medication. In
response to the client's statement what nursing action is most important for
the nurse to take?
a. Encourage the client to take medication with food to decrease GI distress
b. Advice the client that the medication should be stopped gradually rather
than abruptly.
c. Review the clients dosing schedule to ensure he is taking the prescribed
amount
d. Assess the client for other indication of adverse effects of corticosteroid -
Answer:-b. advise the client that the medication should be stopped gradually
rather than abruptly
Fifteen minutes after receiving sulfa athenozole. A male client report a
burning sensation over his abdomen chest and groin. Which intervention is
most important for the nurse to implement?
a. Auscultate lung sounds for wheezing
b. Review the clients list if drugs allergies
c. Add sulfamethinozole to clients allergies
d. Check neurological vital signs -Answer:-b. review the clients list of drug
allergies
Antibiotic resistant organism are a major infection control problems. To help
minimize the emergence of resistant bacteria what instruction should the
nurse provide to the clients?
a. stop taking prescribed antibiotics when symptoms decrease
b. avoid using antibiotics when suffering from colds or the flu
c. ask the healthcare provider to prescribe the newest antibiotic when needed
LATEST EXAM QUESTIONS AND CORRECT
ANSWERS
After administering dihydroergotamine (Migranal) 1 mg subcutaneously to a
client with a severe migraine headache the nurse should explain that relief can
be expected within what time frame?
a. 2 hours
b. 5 minutes
c. 1 hour
d. 15 minutes -Answer:-d. 15 minutes
A client with hypertension who has been taking labetalol for two weeks,
reports a five pound (2.2 kg) weight gain. Which follow up assessment is most
important for the nurse to obtain?
a. capillary refill
b. body temperature
c. muscle strength
d. breath sounds -Answer:-d. breath sounds
A male client is receiving pilocarpine hydrochloride (Isopto Carpine)
ophthalmic drops for glaucoma. He calls the clinic and ask the nurse why he
has difficulty seeing at night. What explanation should the nurse provide?
a. The eye drops slow pupil response to accommodate for darkness
b. The drops increase the fluid in the eyes and cloud the visual field ( possible
answer)
c. The drug can cause lens to become more opaque
,d. The medication causes pupils to dilate which reduces night vision -Answer:-
a. the eye drops slow pupil response to accommodate for darkness
A client who is taking and oral dose of tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to take
with the tetracycline?
a. toasted wheat bread and jelly
b. cheese and crackers
c. cold cereal with skim milk
d. fruit flavored yogurt -Answer:-a.toasted wheat bread and jelly
The therapeutic effect of insulin in treating type 1 diabetes mellitus is based
on which physiologic action?
a. Facilitates transport of glucose into the cell
b. Increases intracellular receptor site sensitivity
c. Stimulates function of beta cells in the pancreas
d. Delays carbohydrates digestion and absorption -Answer:-a. facilitates
transport of glucose into the cell
The health care provider prescribe a medication for an older adult client who
is complaining of insomnia. And instructs the client to return in 2 weeks. The
nurse should question which prescription?
a. Eszoplicone (Lunesta)10 mg orally at bed time
b. Zolpidem 10 mg orally at bed time
c. Temazepan orally at bed time
d. Ramelteon orally at bedtime -Answer:-a. eszoplicone (Lunesta) 10mg PO at
bedtime
, A male client reports to the nurse that he is experiencing GI distress from high
dose of a corticosteroid and is planning to stop taking the medication. In
response to the client's statement what nursing action is most important for
the nurse to take?
a. Encourage the client to take medication with food to decrease GI distress
b. Advice the client that the medication should be stopped gradually rather
than abruptly.
c. Review the clients dosing schedule to ensure he is taking the prescribed
amount
d. Assess the client for other indication of adverse effects of corticosteroid -
Answer:-b. advise the client that the medication should be stopped gradually
rather than abruptly
Fifteen minutes after receiving sulfa athenozole. A male client report a
burning sensation over his abdomen chest and groin. Which intervention is
most important for the nurse to implement?
a. Auscultate lung sounds for wheezing
b. Review the clients list if drugs allergies
c. Add sulfamethinozole to clients allergies
d. Check neurological vital signs -Answer:-b. review the clients list of drug
allergies
Antibiotic resistant organism are a major infection control problems. To help
minimize the emergence of resistant bacteria what instruction should the
nurse provide to the clients?
a. stop taking prescribed antibiotics when symptoms decrease
b. avoid using antibiotics when suffering from colds or the flu
c. ask the healthcare provider to prescribe the newest antibiotic when needed
