MED SURG HESI EXIT EXAM UPDATED
(June 2023) Test Bank (1)
.An unlicensed assistive personnel UAP leaves the unit without notifying the staff. In what order should
the unit manager implement this intervention to address the UAPs behavior? (Place the action in order
from first on top to last on bottom.)
A.) Evaluate the UAP for signs of improvement.
B.) Note date and time of the behavior.
C.) Plan for scheduled break times.
D.) Discuss the issue privately with the UAP. - (answer)B.) Note date and time of the behavior.
D.) Discuss the issue privately with the UAP.
C.) Plan for scheduled break times.
A.)Evaluate the UAP for signs of improvement.
1. The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have been applying
triple antibiotic ointment for two days, but there has been no improvement." What instruction should
the nurse provide? - (answer)Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
1. The nurse who is working on a surgical unit receives change of shift report on a group of clients for
the upcoming shift. A client with which condition requires the most immediate attention by the nurse?
,A.) Gunshot wound three hours ago with dark drainage of 2 cm noted on the dressing.
B.)Mastectomy 2 days ago with 50 ml bloody drainage noted in the Jackson-pratt drain.
C.) Collapsed lung after a fall 8h ago with 100 ml blood in the chest tube collection container
D.)Abdominal-perineal resection 2 days ago with no drainage on dressing who has fever and chills. -
(answer)D
1. The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all that
apply)
A.) Fluid shifts from intravascular to interstitial area due to decreased serum protein
B.) Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
C.) Increased circulating aldosterone levels that increase sodium and water retention - (answer)A,B,C
2. A male client reports the onset of numbness and tingling in his fingers and around his mouth. Which
lab is important for the nurse to review before contacting the health care provider?
A.)capillary glucose
B.)urine specific gravity
C.)Serum calcium
,D.)white blood cell count - (answer)C
2. The nurse is assessing a 3-month-old infant who had a pylorotomy yesterday. This child should be
medicated for pain based on which findings? Select all that apply:
A.) Restlessness
B.)Clenched Fist
C.)Increased pulse rate
D.)Increased respiratory rate.
E.)ncreased temperature
F.)Peripheral pallor of the skin - (answer)A,BC,D
2. Which location should the nurse choose as the best for beginning a screening program for
hypothyroidism?
A.) An African-American senior
citizens center
B.) A daycare center in a Hispanic neighborhood
C.)An after-school center for Native-American teens
, D.)A business and professional women's group. - (answer)D
152. The nurse is assessing and elderly bedridden client. Which finding indicates that the turning and
positioning schedule is effective in protecting the client's skin?
A. Reddened skin areas disappear within 15 minutes of being turned and positioned.
B. No complaints of pressure or pain are verbalized by the client after being turned
C. Only small areas of redness remain longer than 30 min after the client is turned.
D. The client verbalizes feeling better after being turned and positioned - (answer)A
155. An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's plan of
care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and
encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. - (answer)A,B
(June 2023) Test Bank (1)
.An unlicensed assistive personnel UAP leaves the unit without notifying the staff. In what order should
the unit manager implement this intervention to address the UAPs behavior? (Place the action in order
from first on top to last on bottom.)
A.) Evaluate the UAP for signs of improvement.
B.) Note date and time of the behavior.
C.) Plan for scheduled break times.
D.) Discuss the issue privately with the UAP. - (answer)B.) Note date and time of the behavior.
D.) Discuss the issue privately with the UAP.
C.) Plan for scheduled break times.
A.)Evaluate the UAP for signs of improvement.
1. The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have been applying
triple antibiotic ointment for two days, but there has been no improvement." What instruction should
the nurse provide? - (answer)Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
1. The nurse who is working on a surgical unit receives change of shift report on a group of clients for
the upcoming shift. A client with which condition requires the most immediate attention by the nurse?
,A.) Gunshot wound three hours ago with dark drainage of 2 cm noted on the dressing.
B.)Mastectomy 2 days ago with 50 ml bloody drainage noted in the Jackson-pratt drain.
C.) Collapsed lung after a fall 8h ago with 100 ml blood in the chest tube collection container
D.)Abdominal-perineal resection 2 days ago with no drainage on dressing who has fever and chills. -
(answer)D
1. The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all that
apply)
A.) Fluid shifts from intravascular to interstitial area due to decreased serum protein
B.) Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
C.) Increased circulating aldosterone levels that increase sodium and water retention - (answer)A,B,C
2. A male client reports the onset of numbness and tingling in his fingers and around his mouth. Which
lab is important for the nurse to review before contacting the health care provider?
A.)capillary glucose
B.)urine specific gravity
C.)Serum calcium
,D.)white blood cell count - (answer)C
2. The nurse is assessing a 3-month-old infant who had a pylorotomy yesterday. This child should be
medicated for pain based on which findings? Select all that apply:
A.) Restlessness
B.)Clenched Fist
C.)Increased pulse rate
D.)Increased respiratory rate.
E.)ncreased temperature
F.)Peripheral pallor of the skin - (answer)A,BC,D
2. Which location should the nurse choose as the best for beginning a screening program for
hypothyroidism?
A.) An African-American senior
citizens center
B.) A daycare center in a Hispanic neighborhood
C.)An after-school center for Native-American teens
, D.)A business and professional women's group. - (answer)D
152. The nurse is assessing and elderly bedridden client. Which finding indicates that the turning and
positioning schedule is effective in protecting the client's skin?
A. Reddened skin areas disappear within 15 minutes of being turned and positioned.
B. No complaints of pressure or pain are verbalized by the client after being turned
C. Only small areas of redness remain longer than 30 min after the client is turned.
D. The client verbalizes feeling better after being turned and positioned - (answer)A
155. An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's plan of
care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and
encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. - (answer)A,B
