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HESI RN MEDICAL SURGICAL
EXAM BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
The nurse assesses the dressing of a client who has just returned
from post-anesthesia and finds that the dressing has moderate
amount of bright red bloody drainage. What action should the
nurse take?
a. reinforce the dressing and document that a moderate amount
of sanguineous drainage was on the dressing.
b. replace dressing with a new sterile dressing, and monitor the
wound hourly until bleeding is stopped.
c. document that the dressing was saturated with serous
drainage, and do not change the dressing.
d. call surgery and request that the surgeon see the wound prior
to leaving the hospital. - correct answer -a. reinforce the dressing
and document that a moderate amount of sanguineous drainage
was on the dressing.
The wife of a client with Parkinson's disease expresses concern
because her husband has lost so much weight, what is best for
the nurse to provide?
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a. invite friends over regularly to share in meal times
b. encourage the client to drink clear liquids between meals
c. coach the client to make intentional efforts to swallow
d. talk to the healthcare provider about prescribing an appetite
stimulant - correct answer -c. coach the client to make intentional
efforts to swallow
A client with pheocromocytoma reports the onset of a severe
headache. The nurse observes that the client is very diaphoretic.
Which assessment data should the nurse obtain next?
a. blood pressure
b. body temperature
c. capillary glucose
d. oxygen saturation - correct answer -a. blood pressure
Two days after an abscess of the chin was drained, the client
returns to the clinic with fever, chills, and a maculopapular rash
with pruritis. The client has taken an oral antibiotic and cleansed
the wound today with povidone-iodine (Betadine) solution. Which
intervention should the nurse implement first?
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a. determine if the client has a history of diabetes
b. assess airway patency and oxygen saturation
c. obtain samples for complete blood count and cultures
d. review recent medication history and allergies - correct answer
-b. assess airway patency and oxygen saturation
Which nursing problem has the highest priority when planning
care for a client with osteomalacia?
a. altered tissue perfusion
b. risk of infection
c. risk for injury
d. sleep pattern disturbance - correct answer -c. risk for injury
What instruction should the nurse include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Administer eye ointment before applying eye drops
b. Light housekeeping is permitted, but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Sexual activities may be resumed upon return home - correct
answer -b. Light housekeeping is permitted, but avoid heavy lifting
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action is most important for the nurse to implement to reduce the
risk for deep vein thrombosis in a postoperative client?
a. Change the client's IV access site at least q72h
b. Assist the client in turning from side to side q2h.
c. Encourage frequent cough and deep breathing exercises
d. Advise the client to perform leg exercises regularly - correct
answer -d. Advise the client to perform leg exercises regularly
During spring break, a young adult presents at the urgent care
clinic and reports a stiff neck, fever for the past 6 hours, and a
headache. Which intervention is most important for the nurse to
implement?
a. initiate isolation precautions
b. prepare for a lumbar puncture
c. admin an antipyretic
d. draw blood cultures - correct answer -a. initiate isolation
precautions
HESI RN MEDICAL SURGICAL
EXAM BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
The nurse assesses the dressing of a client who has just returned
from post-anesthesia and finds that the dressing has moderate
amount of bright red bloody drainage. What action should the
nurse take?
a. reinforce the dressing and document that a moderate amount
of sanguineous drainage was on the dressing.
b. replace dressing with a new sterile dressing, and monitor the
wound hourly until bleeding is stopped.
c. document that the dressing was saturated with serous
drainage, and do not change the dressing.
d. call surgery and request that the surgeon see the wound prior
to leaving the hospital. - correct answer -a. reinforce the dressing
and document that a moderate amount of sanguineous drainage
was on the dressing.
The wife of a client with Parkinson's disease expresses concern
because her husband has lost so much weight, what is best for
the nurse to provide?
, Page | 2
a. invite friends over regularly to share in meal times
b. encourage the client to drink clear liquids between meals
c. coach the client to make intentional efforts to swallow
d. talk to the healthcare provider about prescribing an appetite
stimulant - correct answer -c. coach the client to make intentional
efforts to swallow
A client with pheocromocytoma reports the onset of a severe
headache. The nurse observes that the client is very diaphoretic.
Which assessment data should the nurse obtain next?
a. blood pressure
b. body temperature
c. capillary glucose
d. oxygen saturation - correct answer -a. blood pressure
Two days after an abscess of the chin was drained, the client
returns to the clinic with fever, chills, and a maculopapular rash
with pruritis. The client has taken an oral antibiotic and cleansed
the wound today with povidone-iodine (Betadine) solution. Which
intervention should the nurse implement first?
, Page | 3
a. determine if the client has a history of diabetes
b. assess airway patency and oxygen saturation
c. obtain samples for complete blood count and cultures
d. review recent medication history and allergies - correct answer
-b. assess airway patency and oxygen saturation
Which nursing problem has the highest priority when planning
care for a client with osteomalacia?
a. altered tissue perfusion
b. risk of infection
c. risk for injury
d. sleep pattern disturbance - correct answer -c. risk for injury
What instruction should the nurse include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Administer eye ointment before applying eye drops
b. Light housekeeping is permitted, but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Sexual activities may be resumed upon return home - correct
answer -b. Light housekeeping is permitted, but avoid heavy lifting
, Page | 4
action is most important for the nurse to implement to reduce the
risk for deep vein thrombosis in a postoperative client?
a. Change the client's IV access site at least q72h
b. Assist the client in turning from side to side q2h.
c. Encourage frequent cough and deep breathing exercises
d. Advise the client to perform leg exercises regularly - correct
answer -d. Advise the client to perform leg exercises regularly
During spring break, a young adult presents at the urgent care
clinic and reports a stiff neck, fever for the past 6 hours, and a
headache. Which intervention is most important for the nurse to
implement?
a. initiate isolation precautions
b. prepare for a lumbar puncture
c. admin an antipyretic
d. draw blood cultures - correct answer -a. initiate isolation
precautions
