Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
2 of 55
Whatinstructionshouldthenurseincludeinthedischargeteachingplanofaclientwhohada cataract
extraction today?
a. Sexualactivities maybe resumed upon return home
b. Lighthousekeepingispermittedbut avoidheavylifting
c. Use ametaleyeshield on operativeeyeduring theday
d. Administereye ointmentbeforeapplying eye drops
ANS:B
3 of 55
Amaleadultcomestotheurgentcareclinic5daysafterbeingdiagnosewithinfluenza.Heisshort of breath,
febrile, and coughing green colored sputum. Which intervention should the nurse implement first?
a. Obtain a sputumsample forculture
b. Check his oxygensaturationlevel
c. Administeran oralantipyretic
d. Auscultatebilaterallungsound
ANS:A
4 0f 55
Aneldermaleclienttellsthenursethat heisloosingsleepbecausehehastogetupseveraltimesat 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. collecta urinespecimenforculture analysis
b. obtain afingerstickblood glucose level
c. palpate thebladderabovethesymphysispubis
d. reviewtheclientfluid intake
ANS:C
5 of 55
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
,Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
Prescriptionsforintravenousantibioticsandinsulininfusionareinitiated.Whichserumlaboratory
,Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
2
valuewarrantsthe mostimmediate interventionby the nurse?
, Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
3
a. bloodphof7.30
b. glucoseof350mg/dl
c. white blood cellcountof15000mm
d. potassiumof2.5meq/l
ANS:D
6 of 55
Aclientwithsicklecellanemiadevelopsafeverduringthelasthourofadministrationofaunitof
packedredbloodcell.Whennotifyingthehealthcareproviderwhatinformationshouldthenurse provide
first using the SBAR communication process?
a. explainspecificreason forurgentnotification
b. preface thereport bystatingthe clientsnameandadmittingdiagnosis
c. communicatethepre-transfusion temperatures
d. optain prnprescription foracetaminophen forfever101f
ANS:A
7 of 55
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalizehereceivesIVpentamidineisethionatetherapy.Inpreparingthisclientfordischargewhat
important aspect regarding his medication therapy should the nurse explain?
a. AZTtherapymust bestoppedwhenIVaerosolpentamineisbeingused.
b. IVpentamine willbegiven untiloralpentamine can betolerated
c. Itwillbenecessaryto continueprophylacticdosesofIVor aerosolpentamineevery month
d. Ivpentamine mayofferprotectionto others aids relatedconditions such as kaposis sarcoma
ANS:C
8 of 55
Aclientsubjectivedataincludesdysuria,urgency,andurinaryfrequency.Whatactionshouldthe nurse
implement next?
a.collectacleancatchspecimen
b.palpate the suprapubic region
Correct} HESI Med-Surg Test Bank 2023
2 of 55
Whatinstructionshouldthenurseincludeinthedischargeteachingplanofaclientwhohada cataract
extraction today?
a. Sexualactivities maybe resumed upon return home
b. Lighthousekeepingispermittedbut avoidheavylifting
c. Use ametaleyeshield on operativeeyeduring theday
d. Administereye ointmentbeforeapplying eye drops
ANS:B
3 of 55
Amaleadultcomestotheurgentcareclinic5daysafterbeingdiagnosewithinfluenza.Heisshort of breath,
febrile, and coughing green colored sputum. Which intervention should the nurse implement first?
a. Obtain a sputumsample forculture
b. Check his oxygensaturationlevel
c. Administeran oralantipyretic
d. Auscultatebilaterallungsound
ANS:A
4 0f 55
Aneldermaleclienttellsthenursethat heisloosingsleepbecausehehastogetupseveraltimesat 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. collecta urinespecimenforculture analysis
b. obtain afingerstickblood glucose level
c. palpate thebladderabovethesymphysispubis
d. reviewtheclientfluid intake
ANS:C
5 of 55
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
,Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
Prescriptionsforintravenousantibioticsandinsulininfusionareinitiated.Whichserumlaboratory
,Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
2
valuewarrantsthe mostimmediate interventionby the nurse?
, Med-Surg II HESI Test Bank 2023, All Answers Verified {100%
Correct} HESI Med-Surg Test Bank 2023
3
a. bloodphof7.30
b. glucoseof350mg/dl
c. white blood cellcountof15000mm
d. potassiumof2.5meq/l
ANS:D
6 of 55
Aclientwithsicklecellanemiadevelopsafeverduringthelasthourofadministrationofaunitof
packedredbloodcell.Whennotifyingthehealthcareproviderwhatinformationshouldthenurse provide
first using the SBAR communication process?
a. explainspecificreason forurgentnotification
b. preface thereport bystatingthe clientsnameandadmittingdiagnosis
c. communicatethepre-transfusion temperatures
d. optain prnprescription foracetaminophen forfever101f
ANS:A
7 of 55
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalizehereceivesIVpentamidineisethionatetherapy.Inpreparingthisclientfordischargewhat
important aspect regarding his medication therapy should the nurse explain?
a. AZTtherapymust bestoppedwhenIVaerosolpentamineisbeingused.
b. IVpentamine willbegiven untiloralpentamine can betolerated
c. Itwillbenecessaryto continueprophylacticdosesofIVor aerosolpentamineevery month
d. Ivpentamine mayofferprotectionto others aids relatedconditions such as kaposis sarcoma
ANS:C
8 of 55
Aclientsubjectivedataincludesdysuria,urgency,andurinaryfrequency.Whatactionshouldthe nurse
implement next?
a.collectacleancatchspecimen
b.palpate the suprapubic region
