Evolve Elsevier HESI Med Surg
Test Questions and Answers
Verified Solutions Latest Update
Question:
Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome? A. "Get immunization against HPV B. "Change your tampon
frequently" C. "Empty your bladder after intercourse" D. "Obtain a yearly flu
vaccination -✓✓"Change your tampon frequently"
Answer:
Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently reduces the
exposure to these toxins, which are the primary cause of toxic shock syndrome. Option
A helps prevent cervical cancer, not toxic shock syndrome. Option C can lessen the
incidence of urinary tract infection. Option D can help prevent some individuals from
contracting the flu and pneumonia, but no relationship to toxic shock syndrome has
been proven.
Question:
The home health nurse is assessing a male client being treated for Parkinson disease
with carbidopa-levodopa. The nurse observes that he does not demonstrate any
apparent emotion when speaking and rarely blinks. Which intervention should the
nurse implement? A. Perform a complete cranial nerve assessment B. Instruct the
client that he may be experiencing medication toxicity C. Document the presence of
these assessment findings D. Advise the client to seek immediate medical evaluation
-✓✓Document the presence of these assessment findings.
Answer:
A masklike expression and infrequent blinking are common clinical features of
parkinsonism. The nurse should document these expected findings. Signs of toxicity of
levodopa-carbidopa include: dyskinesia, hallucinations, and psychosis
, Question:
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last 2 hours. Which action should the nurse take first? A.
Irrigate the nasogastric tube with sterile normal saline B. Reposition the client on her
side C. Advance the nasgastric tube 5cm D. Administer an intravenous antiemetic as
prescribed -✓✓Reposition the client on her side
Answer:
The immediate priority is to determine if the tube is functioning correctly, which would
then relieve the client's nausea. The least invasive intervention, repositioning the
client, should be attempted first, followed by options A and C, unless either of these
interventions is contraindicated. If these measures are unsuccessful, the client may
require option D.
Question:
The nurse teaches a client with type 2 diabetes nutritional strategies to decrease
obesity. Which food items chosen by the client indicate understanding of the teaching?
(Select all that apply.) A. White bread B. Salmon C. Broccoli D. Whole milk E. Banana
-✓✓Salmon, Broccoli, and Banana
Answer:
Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-fat dairy
products.
Question:
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder? A. Stress incontinence B. Infection C. Painless gross
hematuria D. Peritonitis
Answer:
Infection B. Infection is the major complication resulting from stasis of urine and
subsequent catheterization. Option A is the involuntary loss of urine through an intact
urethra as a result of a sudden increase in intraabdominal pressure. Option C is the
most common symptom of bladder cancer. Option D is the most common and serious
complication of peritoneal dialysis.
Test Questions and Answers
Verified Solutions Latest Update
Question:
Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome? A. "Get immunization against HPV B. "Change your tampon
frequently" C. "Empty your bladder after intercourse" D. "Obtain a yearly flu
vaccination -✓✓"Change your tampon frequently"
Answer:
Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently reduces the
exposure to these toxins, which are the primary cause of toxic shock syndrome. Option
A helps prevent cervical cancer, not toxic shock syndrome. Option C can lessen the
incidence of urinary tract infection. Option D can help prevent some individuals from
contracting the flu and pneumonia, but no relationship to toxic shock syndrome has
been proven.
Question:
The home health nurse is assessing a male client being treated for Parkinson disease
with carbidopa-levodopa. The nurse observes that he does not demonstrate any
apparent emotion when speaking and rarely blinks. Which intervention should the
nurse implement? A. Perform a complete cranial nerve assessment B. Instruct the
client that he may be experiencing medication toxicity C. Document the presence of
these assessment findings D. Advise the client to seek immediate medical evaluation
-✓✓Document the presence of these assessment findings.
Answer:
A masklike expression and infrequent blinking are common clinical features of
parkinsonism. The nurse should document these expected findings. Signs of toxicity of
levodopa-carbidopa include: dyskinesia, hallucinations, and psychosis
, Question:
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last 2 hours. Which action should the nurse take first? A.
Irrigate the nasogastric tube with sterile normal saline B. Reposition the client on her
side C. Advance the nasgastric tube 5cm D. Administer an intravenous antiemetic as
prescribed -✓✓Reposition the client on her side
Answer:
The immediate priority is to determine if the tube is functioning correctly, which would
then relieve the client's nausea. The least invasive intervention, repositioning the
client, should be attempted first, followed by options A and C, unless either of these
interventions is contraindicated. If these measures are unsuccessful, the client may
require option D.
Question:
The nurse teaches a client with type 2 diabetes nutritional strategies to decrease
obesity. Which food items chosen by the client indicate understanding of the teaching?
(Select all that apply.) A. White bread B. Salmon C. Broccoli D. Whole milk E. Banana
-✓✓Salmon, Broccoli, and Banana
Answer:
Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-fat dairy
products.
Question:
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder? A. Stress incontinence B. Infection C. Painless gross
hematuria D. Peritonitis
Answer:
Infection B. Infection is the major complication resulting from stasis of urine and
subsequent catheterization. Option A is the involuntary loss of urine through an intact
urethra as a result of a sudden increase in intraabdominal pressure. Option C is the
most common symptom of bladder cancer. Option D is the most common and serious
complication of peritoneal dialysis.
