MED-SURG HESI FINAL PRACTICE QUEST
CORRECT ANSWERS
The cnurse cis cassessing ca cclient's claboratory cvalues cfollowing cadministration cof cchemoth
cleads cthe cnurse cto csuspect cthat cthe cclient cis cexperiencing ctumor clysis csyndrome c(TLS
a. cSerum cPTT cof c10 cseconds.
b. cSerum ccalcium cof c5 cmg/dL.
c. cOxygen csaturation cof c90%. c
d. cHemoglobin cof c10 cg/dL c- cCORRECT cANS✔✔B c- cTumor clysis csyndrome c(TLS) cresu
chypocalcemia, chyperuricemia, cand chyperphosphatemia. cA cserum ccalcium clevel cof c5, cwh
cof cpossible ctumor clysis csyndrome.
Which cdescription cof csymptoms cis ccharacteristic cof ca cclient cdiagnosed cwith ctrigeminal cn
a. cTinnitus, cvertigo, cand chearing cdifficulties.
b. cSudden, cstabbing, csevere cpain cover cthe clip cand cchin. c
c. cFacial cweakness cand cparalysis.
d. cDifficulty cin cchewing, ctalking, cand cswallowing. c- cCORRECT cANS✔✔B c- cTrigeminal cn
cparoxysms cof cpain, csimilar cto can celectric cshock, cin cthe carea cinnervated cby cone cor cm
ctrigeminal cnerve c(5th ccranial). cWomen care cmore coften cafflicted cwith cthis ccondition cand
cover cthe cage cof c50 cyears cold.
Which cdischarge cinstruction cis cmost cimportant cfor ca cclient cafter ca ckidney ctransplant?
a. cWeigh cweekly.
b. cReport csymptoms cof csecondary cCandidiasis.
c. cUse cdaily creminders cto ctake cimmunosuppressants. c
d. cStop ccigarette csmoking. c- cCORRECT cANS✔✔C c- cAfter ca crenal ctransplantation, cacut
cfor cseveral cmonths. cThe corgan crecipient cwill chave cto ctake cimmunosuppressive ctherapy
csuch cas ccorticosteroids cand cazathioprine, cto cprevent corgan ctransplant crejection. cDischar
cmeasures csuch cas cdaily creminders cto censure cthe cclient ctakes cthese cmedications cregu
crejection cfrom coccurring.
, A cmiddle-aged cmale cclient cwith cdiabetes ccontinues cto ceat can cabundance cof cfoods cthat
cfat. cAccording cto cthe cHealth cBelief cModel, cwhich cevent cis cmost clikely cto cincrease cthe
cbecome ccompliant cwith cthe cprescribed cdiet?
a. cHe cvisits chis cdiabetic cbrother cwho cjust chad csurgery cto camputate can cinfected cfoot. c
b. cHe cis cprovided cwith cthe cmost ccurrent cinformation cabout cthe cdangers cof cuntreated cd
c. cHe ccomments con cthe ccommunity cservice cannouncements cabout cpreventing ccomplicati
cdiabetes.
d. cHis cwife cexpresses ca csincere cwillingness cto cprepare cmeals cthat care cwithin chis cpres
cANS✔✔A c- cThe closs cof ca climb cdue cto cdiabetes cby ca cfamily cmember cshould cbe cthe
cto caction" cand cis cmost clikely cto cincrease cthe cclient's cperceived cseriousness cof cthe cdi
A c58-year-old cclient cwho chas cbeen cpost-menopausal cfor cfive cyears cis cconcerned cabout
cbecause cher cmother chas cthe ccondition. cWhich cinformation cshould cthe cnurse coffer?
a. cOsteoporosis cis ca cprogressive cgenetic cdisease cwith cno ceffective ctreatment.
b. cCalcium closs cfrom cbones ccan cbe cslowed cby cincreasing ccalcium cintake cand cexercise
c. cEstrogen creplacement ctherapy cshould cbe cstarted cto cprevent cthe cprogression costeopor
d. cLow-dose ccorticosteroid ctreatment ceffectively chalts cthe ccourse cof costeoporosis. c- cCOR
menopausal cfemales care cat crisk cfor costeoporosis cdue cto cthe ccessation cof cestrogen csec
cincluding ccalcium, cvitamin cD, cand cweight-bearing cexercise ccan chelp cprevent cfurther cbon
The cnurse cnotes cthat cthe conly cECG cfor ca c55-year-old cmale cclient cscheduled cfor csurge
ctwo cyears cago. cThe cclient creports cthat che chas ca chistory cof c"heart ctrouble," cbut chas c
cHospital cprotocol crequires cthat cthose cover c50 cyears cof cage chave ca crecent cECG cprior
caction cis cbest cfor cthe cnurse cto cimplement?
a. cAsk cthe cclient cwhat che cmeans cby c"heart ctrouble." c
b. cCall cfor can cECG cto cbe cperformed cimmediately. c
c. cNotify csurgery cthat cthe cECG cis cover ctwo cyears cold.
d. cNotify cthe cclient's csurgeon cimmediately. c- cCORRECT cANS✔✔B
Which cinformation cabout cmammograms cis cmost cimportant cto cprovide ca cpost-menopausal
a. cBreast cself-examinations care cnot cneeded cif cannual cmammograms care cobtained.
b. cRadiation cexposure cis cminimized cby cshielding cthe cabdomen cwith ca clead-lined capron.
c. cYearly cmammograms cshould cbe cdone cregardless cof cprevious cnormal cx-rays.
d. cWomen cat chigh crisk cshould chave cannual croutine cand cultrasound cmammograms c- cCO
care cdifferent crecommendations cfrom cdifferent cagnecies. cFor ca cclient cwith cno crisk cfacto
cscreening crecommendation cis ca cyearly cmammogram cat cthe cage c40 cand ctill cthe cage c
cyears. cThe cAmerican cCollege cof cOB/GYN cstill crecommend cstarting cmammograms cstartin
cyearly cscreeenings. cThe cAmerican cCancer cSociety cnew cguidelines crecommend cstarting c
cthereafter ctill cthe cage cof c54 cyears cold, cthen cevery ctwo cyears. cThe cUS cPreventive cSe
c(USPSTS) crecommends cstarting cat cthe cage cof c50 cyears cold cand cscreenings cevery ctw
The cnurse cis ccaring cfor ca cclient cwith ca ccontinuous cfeeding cthrough ca cpercutaneous cen
ctube. cWhich cintervention cshould cthe cnurse cinclude cin cthe cplan cof ccare?
A. cFlush cthe ctube cwith c50 cml cof cwater cq c8 chours. c
B. cCheck cfor ctube cplacement cand cresidual cvolume cq4 chours. c
C. cObtain ca cdaily cx- cray cto cverify ctube cplacement.
D. cPosition con cleft cside cwith chead cof cbed celevated c45 cdegrees c- cCORRECT cANS✔✔
cendoscopic cgastrostomy c(PEG) ctube cplacement cand cresidual cvolume cshould cbe cchecke
cclients con ccontinuous cfeeding. cIf cthe cgastric cresidual cis cmore cthan c200mL cfor can cadu
cand cre-check cthe cgastric cresidual cone chour clater. cIf cthe cresidual cstill cremains cmore cth
ckeep cthe cfeeding con chold cand ccontact cthe cclient's chealth ccare cprovider.
A c58-year-old cclient cwho chas cbeen cpost-menopausal cfor cfive cyears cis cconcerned cabout
cbecause cher cmother chas cthe ccondition. cWhich cinformation cshould cthe cnurse coffer?
A. cOsteoporosis cis ca cprogressive cgenetic cdisease cwith cno ceffective ctreatment.
CORRECT ANSWERS
The cnurse cis cassessing ca cclient's claboratory cvalues cfollowing cadministration cof cchemoth
cleads cthe cnurse cto csuspect cthat cthe cclient cis cexperiencing ctumor clysis csyndrome c(TLS
a. cSerum cPTT cof c10 cseconds.
b. cSerum ccalcium cof c5 cmg/dL.
c. cOxygen csaturation cof c90%. c
d. cHemoglobin cof c10 cg/dL c- cCORRECT cANS✔✔B c- cTumor clysis csyndrome c(TLS) cresu
chypocalcemia, chyperuricemia, cand chyperphosphatemia. cA cserum ccalcium clevel cof c5, cwh
cof cpossible ctumor clysis csyndrome.
Which cdescription cof csymptoms cis ccharacteristic cof ca cclient cdiagnosed cwith ctrigeminal cn
a. cTinnitus, cvertigo, cand chearing cdifficulties.
b. cSudden, cstabbing, csevere cpain cover cthe clip cand cchin. c
c. cFacial cweakness cand cparalysis.
d. cDifficulty cin cchewing, ctalking, cand cswallowing. c- cCORRECT cANS✔✔B c- cTrigeminal cn
cparoxysms cof cpain, csimilar cto can celectric cshock, cin cthe carea cinnervated cby cone cor cm
ctrigeminal cnerve c(5th ccranial). cWomen care cmore coften cafflicted cwith cthis ccondition cand
cover cthe cage cof c50 cyears cold.
Which cdischarge cinstruction cis cmost cimportant cfor ca cclient cafter ca ckidney ctransplant?
a. cWeigh cweekly.
b. cReport csymptoms cof csecondary cCandidiasis.
c. cUse cdaily creminders cto ctake cimmunosuppressants. c
d. cStop ccigarette csmoking. c- cCORRECT cANS✔✔C c- cAfter ca crenal ctransplantation, cacut
cfor cseveral cmonths. cThe corgan crecipient cwill chave cto ctake cimmunosuppressive ctherapy
csuch cas ccorticosteroids cand cazathioprine, cto cprevent corgan ctransplant crejection. cDischar
cmeasures csuch cas cdaily creminders cto censure cthe cclient ctakes cthese cmedications cregu
crejection cfrom coccurring.
, A cmiddle-aged cmale cclient cwith cdiabetes ccontinues cto ceat can cabundance cof cfoods cthat
cfat. cAccording cto cthe cHealth cBelief cModel, cwhich cevent cis cmost clikely cto cincrease cthe
cbecome ccompliant cwith cthe cprescribed cdiet?
a. cHe cvisits chis cdiabetic cbrother cwho cjust chad csurgery cto camputate can cinfected cfoot. c
b. cHe cis cprovided cwith cthe cmost ccurrent cinformation cabout cthe cdangers cof cuntreated cd
c. cHe ccomments con cthe ccommunity cservice cannouncements cabout cpreventing ccomplicati
cdiabetes.
d. cHis cwife cexpresses ca csincere cwillingness cto cprepare cmeals cthat care cwithin chis cpres
cANS✔✔A c- cThe closs cof ca climb cdue cto cdiabetes cby ca cfamily cmember cshould cbe cthe
cto caction" cand cis cmost clikely cto cincrease cthe cclient's cperceived cseriousness cof cthe cdi
A c58-year-old cclient cwho chas cbeen cpost-menopausal cfor cfive cyears cis cconcerned cabout
cbecause cher cmother chas cthe ccondition. cWhich cinformation cshould cthe cnurse coffer?
a. cOsteoporosis cis ca cprogressive cgenetic cdisease cwith cno ceffective ctreatment.
b. cCalcium closs cfrom cbones ccan cbe cslowed cby cincreasing ccalcium cintake cand cexercise
c. cEstrogen creplacement ctherapy cshould cbe cstarted cto cprevent cthe cprogression costeopor
d. cLow-dose ccorticosteroid ctreatment ceffectively chalts cthe ccourse cof costeoporosis. c- cCOR
menopausal cfemales care cat crisk cfor costeoporosis cdue cto cthe ccessation cof cestrogen csec
cincluding ccalcium, cvitamin cD, cand cweight-bearing cexercise ccan chelp cprevent cfurther cbon
The cnurse cnotes cthat cthe conly cECG cfor ca c55-year-old cmale cclient cscheduled cfor csurge
ctwo cyears cago. cThe cclient creports cthat che chas ca chistory cof c"heart ctrouble," cbut chas c
cHospital cprotocol crequires cthat cthose cover c50 cyears cof cage chave ca crecent cECG cprior
caction cis cbest cfor cthe cnurse cto cimplement?
a. cAsk cthe cclient cwhat che cmeans cby c"heart ctrouble." c
b. cCall cfor can cECG cto cbe cperformed cimmediately. c
c. cNotify csurgery cthat cthe cECG cis cover ctwo cyears cold.
d. cNotify cthe cclient's csurgeon cimmediately. c- cCORRECT cANS✔✔B
Which cinformation cabout cmammograms cis cmost cimportant cto cprovide ca cpost-menopausal
a. cBreast cself-examinations care cnot cneeded cif cannual cmammograms care cobtained.
b. cRadiation cexposure cis cminimized cby cshielding cthe cabdomen cwith ca clead-lined capron.
c. cYearly cmammograms cshould cbe cdone cregardless cof cprevious cnormal cx-rays.
d. cWomen cat chigh crisk cshould chave cannual croutine cand cultrasound cmammograms c- cCO
care cdifferent crecommendations cfrom cdifferent cagnecies. cFor ca cclient cwith cno crisk cfacto
cscreening crecommendation cis ca cyearly cmammogram cat cthe cage c40 cand ctill cthe cage c
cyears. cThe cAmerican cCollege cof cOB/GYN cstill crecommend cstarting cmammograms cstartin
cyearly cscreeenings. cThe cAmerican cCancer cSociety cnew cguidelines crecommend cstarting c
cthereafter ctill cthe cage cof c54 cyears cold, cthen cevery ctwo cyears. cThe cUS cPreventive cSe
c(USPSTS) crecommends cstarting cat cthe cage cof c50 cyears cold cand cscreenings cevery ctw
The cnurse cis ccaring cfor ca cclient cwith ca ccontinuous cfeeding cthrough ca cpercutaneous cen
ctube. cWhich cintervention cshould cthe cnurse cinclude cin cthe cplan cof ccare?
A. cFlush cthe ctube cwith c50 cml cof cwater cq c8 chours. c
B. cCheck cfor ctube cplacement cand cresidual cvolume cq4 chours. c
C. cObtain ca cdaily cx- cray cto cverify ctube cplacement.
D. cPosition con cleft cside cwith chead cof cbed celevated c45 cdegrees c- cCORRECT cANS✔✔
cendoscopic cgastrostomy c(PEG) ctube cplacement cand cresidual cvolume cshould cbe cchecke
cclients con ccontinuous cfeeding. cIf cthe cgastric cresidual cis cmore cthan c200mL cfor can cadu
cand cre-check cthe cgastric cresidual cone chour clater. cIf cthe cresidual cstill cremains cmore cth
ckeep cthe cfeeding con chold cand ccontact cthe cclient's chealth ccare cprovider.
A c58-year-old cclient cwho chas cbeen cpost-menopausal cfor cfive cyears cis cconcerned cabout
cbecause cher cmother chas cthe ccondition. cWhich cinformation cshould cthe cnurse coffer?
A. cOsteoporosis cis ca cprogressive cgenetic cdisease cwith cno ceffective ctreatment.
