HESI Medical-Surgical Practice Test
A purchaser arrives on the oncology clinic for the next treatment inside the prescribed course of
chemotherapy (CT). The sensible nurse (PN) evaluations the client's laboratory outcomes: white
blood cells seven-hundred/mm three , red blood cells 2.Eight million/mm three , hemoglobin 7.9
grams/dl, hematocrit 25.Five%, and platelet be counted 14,000/mm 3 . Which action should the
PN take first?
A) Obtain the CT from the drugstore for management.
B) Place an isolation masks on the customer.
C) Collect a blood sample for type and crossmatch.
D) Notify the charge nurse of the customer's outcomes. - ANS-B) Place an isolation masks at
the purchaser.
A purchaser is scheduled for a transurethral resection of the prostate (TURP). What statement
through the purchaser famous to the practical nurse that the purchaser needs extra facts?
A) "I want to drink loads after surgical procedure."
B) "My urine ought to be pink after surgical operation."
C) "My incision will probably be painful."
D) "I have to have a catheter after surgical procedure." - ANS-C) "My incision will probable be
painful."
A patron who skilled a thrombolic stroke has obtained recombinant tissue plasminogen activator
(TPA)( Alteplase) two hours in the past within the emergency middle. Which precedence
precaution need to the sensible nurse put into effect for this consumer on admission to the
clinical unit?
A) Disuse syndrome.
B) Risk for infection.
C) Fall precautions.
D) Bleeding precautions. - ANS-D) Bleeding precautions.
A customer who had an belly cholecystectomy these days has a T-tube that has tired 200 ml of
greenish-brown fluid in the beyond 12 hours. What motion should the realistic nurse (PN) take?
A) Irrigate the T-tube with 100 ml of warm normal saline.
B) Document the findings inside the electronic clinical document.
C) Clamp the T-tube and notify the healthcare company.
D) Assess the patron's crucial signs for early signs of surprise. - ANS-B) Document the findings
inside the electronic clinical report.
, A consumer who has vomiting, dysuria, and urinary tract infection (UTI) arrives within the
hospital and receives an IV antiemetic and a liter of IV fluids. The healthcare company
prescribes oral antibiotics for the client's discharge. Which locating is crucial for the practical
nurse to decide earlier than the purchaser is discharged?
A) Temperature under a hundred.Four F (38 C).
B) No vomiting with oral fluid consumption.
C) White blood cell (WBC) be counted under thirteen,000 mm3.
D) Minimal dysuria with voiding. - ANS-B) No vomiting with oral fluid intake.
A patron who's three days postoperative after a laminectomy is coughing up thick green sputum
and wheezing. What motion is most vital for the practical nurse (PN) to put in force?
A) Review need for steady use of incentive spirometer.
B) Encourage consumption of oral fluids up to 3,000 ml day by day.
C) Reinforce the approach for powerful coughing.
D) Report the alternate in situation to the healthcare company. - ANS-D) Report the exchange in
circumstance to the healthcare issuer.
A purchaser who is 12 hours postoperative for a proper overall knee alternative (TKR) is
receiving epidural ache management. Which locating calls for additional observe-up by the
realistic nurse (PN)?
A) Reports knee pain as a "6" on a 10 factor scale.
B) Nonproductive cough after incentive spirometer use.
C) Feet are cool to the touch and blanketed with 2 blankets.
D) Right dorsal pedal pulse absent upon palpation. - ANS-D) Right dorsal pedal pulse absent
upon palpation.
A customer who is one-day post-thyroidectomy starts offevolved to expand a stridor. Which
precedence movement ought to the realistic nurse put into effect?
A) Prepare for emergency tracheotomy at the bedside.
B) Insert a large bore needle for IV access.
C) Give the customer oxygen in line with face masks.
D) Assess the consumer for signs and symptoms of hypocalcemia. - ANS-A) Prepare for
emergency tracheotomy on the bedside.
A client with cholelithiasis is admitted with jaundice because of obstruction of the not unusual
bile duct. Which finding is maximum critical for the realistic nurse to record to the healthcare
company?
A) Pain radiating to the proper shoulder.
A purchaser arrives on the oncology clinic for the next treatment inside the prescribed course of
chemotherapy (CT). The sensible nurse (PN) evaluations the client's laboratory outcomes: white
blood cells seven-hundred/mm three , red blood cells 2.Eight million/mm three , hemoglobin 7.9
grams/dl, hematocrit 25.Five%, and platelet be counted 14,000/mm 3 . Which action should the
PN take first?
A) Obtain the CT from the drugstore for management.
B) Place an isolation masks on the customer.
C) Collect a blood sample for type and crossmatch.
D) Notify the charge nurse of the customer's outcomes. - ANS-B) Place an isolation masks at
the purchaser.
A purchaser is scheduled for a transurethral resection of the prostate (TURP). What statement
through the purchaser famous to the practical nurse that the purchaser needs extra facts?
A) "I want to drink loads after surgical procedure."
B) "My urine ought to be pink after surgical operation."
C) "My incision will probably be painful."
D) "I have to have a catheter after surgical procedure." - ANS-C) "My incision will probable be
painful."
A patron who skilled a thrombolic stroke has obtained recombinant tissue plasminogen activator
(TPA)( Alteplase) two hours in the past within the emergency middle. Which precedence
precaution need to the sensible nurse put into effect for this consumer on admission to the
clinical unit?
A) Disuse syndrome.
B) Risk for infection.
C) Fall precautions.
D) Bleeding precautions. - ANS-D) Bleeding precautions.
A customer who had an belly cholecystectomy these days has a T-tube that has tired 200 ml of
greenish-brown fluid in the beyond 12 hours. What motion should the realistic nurse (PN) take?
A) Irrigate the T-tube with 100 ml of warm normal saline.
B) Document the findings inside the electronic clinical document.
C) Clamp the T-tube and notify the healthcare company.
D) Assess the patron's crucial signs for early signs of surprise. - ANS-B) Document the findings
inside the electronic clinical report.
, A consumer who has vomiting, dysuria, and urinary tract infection (UTI) arrives within the
hospital and receives an IV antiemetic and a liter of IV fluids. The healthcare company
prescribes oral antibiotics for the client's discharge. Which locating is crucial for the practical
nurse to decide earlier than the purchaser is discharged?
A) Temperature under a hundred.Four F (38 C).
B) No vomiting with oral fluid consumption.
C) White blood cell (WBC) be counted under thirteen,000 mm3.
D) Minimal dysuria with voiding. - ANS-B) No vomiting with oral fluid intake.
A patron who's three days postoperative after a laminectomy is coughing up thick green sputum
and wheezing. What motion is most vital for the practical nurse (PN) to put in force?
A) Review need for steady use of incentive spirometer.
B) Encourage consumption of oral fluids up to 3,000 ml day by day.
C) Reinforce the approach for powerful coughing.
D) Report the alternate in situation to the healthcare company. - ANS-D) Report the exchange in
circumstance to the healthcare issuer.
A purchaser who is 12 hours postoperative for a proper overall knee alternative (TKR) is
receiving epidural ache management. Which locating calls for additional observe-up by the
realistic nurse (PN)?
A) Reports knee pain as a "6" on a 10 factor scale.
B) Nonproductive cough after incentive spirometer use.
C) Feet are cool to the touch and blanketed with 2 blankets.
D) Right dorsal pedal pulse absent upon palpation. - ANS-D) Right dorsal pedal pulse absent
upon palpation.
A customer who is one-day post-thyroidectomy starts offevolved to expand a stridor. Which
precedence movement ought to the realistic nurse put into effect?
A) Prepare for emergency tracheotomy at the bedside.
B) Insert a large bore needle for IV access.
C) Give the customer oxygen in line with face masks.
D) Assess the consumer for signs and symptoms of hypocalcemia. - ANS-A) Prepare for
emergency tracheotomy on the bedside.
A client with cholelithiasis is admitted with jaundice because of obstruction of the not unusual
bile duct. Which finding is maximum critical for the realistic nurse to record to the healthcare
company?
A) Pain radiating to the proper shoulder.
