Med-Surg HESI Review Questions and
Correct Answers (Verified Answers) With
Well-Elaborated Rationales. Latest
Update 2024-2025/NEW!!
, A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2
weeks and is scheduled to receive a dose at 0900. At 0830, the client's blood pressure
is 120/70 mm Hg. Which action should the nurse take? - CORRECT ANSWER-
Administer the prescribed dose at the scheduled time
Rationale: The client's blood pressure is within normal limits, indicating that the ramipril,
an antihypertensive, is having the desired effect and should be administered
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 - CORRECT ANSWER-"Change your tampon
frequently"
Rationale: 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.
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 - CORRECT ANSWER-
Document the presence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical features
of parkinsonism. The nurse should document these expected findings.
Correct Answers (Verified Answers) With
Well-Elaborated Rationales. Latest
Update 2024-2025/NEW!!
, A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2
weeks and is scheduled to receive a dose at 0900. At 0830, the client's blood pressure
is 120/70 mm Hg. Which action should the nurse take? - CORRECT ANSWER-
Administer the prescribed dose at the scheduled time
Rationale: The client's blood pressure is within normal limits, indicating that the ramipril,
an antihypertensive, is having the desired effect and should be administered
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 - CORRECT ANSWER-"Change your tampon
frequently"
Rationale: 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.
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 - CORRECT ANSWER-
Document the presence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical features
of parkinsonism. The nurse should document these expected findings.
