2022-23 Med-Surg HESI Practice
Questions
What instruction should the nurse include in the discharge teaching plan of a client who had a
cataract extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops - ANS b. light housekeeping is permitted
but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is
short of breath, febrile, and coughing green colored sputum. Which intervention should the
nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound - ANS a. obtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up several
times at night to go to the bathroom that he has trouble starting his urinary stream and that he
does not feel like his bladder is ever completely empty. Which intervention should the nurse
implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake - ANS c. palpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum
laboratory value warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l - ANS d. potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
, d. optain prn prescription for acetaminophen for fever 101f - ANS a. explain specific reason for
urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids.
While hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for
discharge what important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
d. IV pentamine may offer protection to others aids related conditions such as kaposis sarcoma
- ANS c. it will be necessary to continue prophylactic doses of IV or aerosol pentamine every
month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should
the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity - ANS a. collect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated
How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells are
benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
c. ask the client if the healthcare provider has given her any information about the classification
of her cancer
d. help the client make plans to begin immediate treatment since her cancer is likely to spread
quickly - ANS c. ask the client if the healthcare provider has given her any information about
the classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients
blood pressure drops from 150/90 to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - ANS c. stop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium
25,000 unit in 5% dextrose injection 250ml. The prescription indicates the dosage should be
increase 900 units/hr. The nurse should program the infusion pump to deliver how many ml/hr? -
ANS 9 mL/hour
Questions
What instruction should the nurse include in the discharge teaching plan of a client who had a
cataract extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops - ANS b. light housekeeping is permitted
but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is
short of breath, febrile, and coughing green colored sputum. Which intervention should the
nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound - ANS a. obtain a sputum sample for culture
An elder male client tells the nurse that he is loosing sleep because he has to get up several
times at night to go to the bathroom that he has trouble starting his urinary stream and that he
does not feel like his bladder is ever completely empty. Which intervention should the nurse
implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake - ANS c. palpate the bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum
laboratory value warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l - ANS d. potassium of 2.5 meq/l
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
, d. optain prn prescription for acetaminophen for fever 101f - ANS a. explain specific reason for
urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids.
While hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for
discharge what important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
d. IV pentamine may offer protection to others aids related conditions such as kaposis sarcoma
- ANS c. it will be necessary to continue prophylactic doses of IV or aerosol pentamine every
month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should
the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity - ANS a. collect a clean catch specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated
How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells are
benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
c. ask the client if the healthcare provider has given her any information about the classification
of her cancer
d. help the client make plans to begin immediate treatment since her cancer is likely to spread
quickly - ANS c. ask the client if the healthcare provider has given her any information about
the classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients
blood pressure drops from 150/90 to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - ANS c. stop dialysis treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium
25,000 unit in 5% dextrose injection 250ml. The prescription indicates the dosage should be
increase 900 units/hr. The nurse should program the infusion pump to deliver how many ml/hr? -
ANS 9 mL/hour
