MED SURG HESI V1
1. 1. Following long-term administration of warfarin sodi- c. The PT will be 1.5 times
um to a client with a medical diagnosis of deep the normal
vein thrombosis, the nurse should expect which treat-
ment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal
2. A client who has been taking finasteride, an en- Urinary retention
zyme (5 alpha reductase) inhibitor used to shrink the
prostate gland, is admitted because of continuing be-
nign prostate prostatic hypertrophy (BPH) symptoms
when planning care. Which nursing problem should
the nurse address first?
3. An older client has been diagnosed with chronic ve- Wear cotton socks and en-
nous insufficiency. To prevent venous return, which closed toe shoes whenev-
action should the nurse encourage the client to? er outside
4. When caring for a client with a full thickness burn cov- White blood cell (WBC)
ering 40% of the body, the nurse observes pertinent count
drainage at the wound. Before reporting this finding to
the healthcare provider, the nurse should review which
of the client's laboratory values?
5. An older client arrives at the outpatient eye surgery Provide an eye shield to be
clinic for a right cataract extraction and implant. Dur- worn while sleeping
ing the immediate postoperative period, which inter-
vention should the nurse implement?
6. After several days of coughing and taking aceta- Reassess vital signs
minophen to treat temperatures of 101 F (38.3 C), a
, MED SURG HESI V1
client with DI is admitted to the hospital with an upper
respiratory infection. Several hours after admission,
the client reports having a severe headache and feel-
ing dizzy. Which intervention should the nurse imple-
ment first?
7. A client takes daily supplemental iron tablets for Complete blood count
iron deficiency anemia reports feeling increasingly fa-
tigued. Which laboratory values should the nurse re-
view?
8. The nurse is caring for a client post anesthesia Medicate for pain and
care unit (PACU) who underwent a thoracotomy two monitor vital signs accord-
hours ago. The nurse observes the following vital ing to protocol
signs: heart rate 140 beats/ minute, respirations 26
breaths/minute, and blood pressure 140/90 mmHg.
Which intervention is most important for the nurse to
implement?
9. A client who was involved in a motor vehicle collision is - Verify pedal pulses using
admitted with a fractured left femur which is immobi- a doppler pulse device
lized using a fracture traction splint in preparation for - Monitor left leg for pain,
an open reduction internal fraction (ORIF). The nurse pallor, paresthesia, paral-
determines that the client's distal pulses are dimin- ysis, pressured. - Evalu-
ished in the left foot. Which interventions should the ate the application of the
nurse implement? (SATA) splint to the left leg
10. A nurse is caring for a client with Diabetes Insipidus Serum sodium of 185
(DI). which data warrants the most immediate inter- mEq/L
vention by the nurse?
11. Platelet count
1. 1. Following long-term administration of warfarin sodi- c. The PT will be 1.5 times
um to a client with a medical diagnosis of deep the normal
vein thrombosis, the nurse should expect which treat-
ment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal
2. A client who has been taking finasteride, an en- Urinary retention
zyme (5 alpha reductase) inhibitor used to shrink the
prostate gland, is admitted because of continuing be-
nign prostate prostatic hypertrophy (BPH) symptoms
when planning care. Which nursing problem should
the nurse address first?
3. An older client has been diagnosed with chronic ve- Wear cotton socks and en-
nous insufficiency. To prevent venous return, which closed toe shoes whenev-
action should the nurse encourage the client to? er outside
4. When caring for a client with a full thickness burn cov- White blood cell (WBC)
ering 40% of the body, the nurse observes pertinent count
drainage at the wound. Before reporting this finding to
the healthcare provider, the nurse should review which
of the client's laboratory values?
5. An older client arrives at the outpatient eye surgery Provide an eye shield to be
clinic for a right cataract extraction and implant. Dur- worn while sleeping
ing the immediate postoperative period, which inter-
vention should the nurse implement?
6. After several days of coughing and taking aceta- Reassess vital signs
minophen to treat temperatures of 101 F (38.3 C), a
, MED SURG HESI V1
client with DI is admitted to the hospital with an upper
respiratory infection. Several hours after admission,
the client reports having a severe headache and feel-
ing dizzy. Which intervention should the nurse imple-
ment first?
7. A client takes daily supplemental iron tablets for Complete blood count
iron deficiency anemia reports feeling increasingly fa-
tigued. Which laboratory values should the nurse re-
view?
8. The nurse is caring for a client post anesthesia Medicate for pain and
care unit (PACU) who underwent a thoracotomy two monitor vital signs accord-
hours ago. The nurse observes the following vital ing to protocol
signs: heart rate 140 beats/ minute, respirations 26
breaths/minute, and blood pressure 140/90 mmHg.
Which intervention is most important for the nurse to
implement?
9. A client who was involved in a motor vehicle collision is - Verify pedal pulses using
admitted with a fractured left femur which is immobi- a doppler pulse device
lized using a fracture traction splint in preparation for - Monitor left leg for pain,
an open reduction internal fraction (ORIF). The nurse pallor, paresthesia, paral-
determines that the client's distal pulses are dimin- ysis, pressured. - Evalu-
ished in the left foot. Which interventions should the ate the application of the
nurse implement? (SATA) splint to the left leg
10. A nurse is caring for a client with Diabetes Insipidus Serum sodium of 185
(DI). which data warrants the most immediate inter- mEq/L
vention by the nurse?
11. Platelet count
