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HESI RN Med-Surge Practice Exam
The nurse is receiving report from surgery about a client with a
penrose drain who is to be admitted to the postoperative unit.
Before choosing a room for this client, which information is most
important for the nurse to obtain?
If suctioning will be needed for drainage of the wound.
If the family would prefer a private or semi-private room.
Prescription for removal of the drain.
If the client's wound is infected. - ...ANSWER✓✓✓If the client's
wound is infected
The nurse is taking a history of a newly diagnosed type 2 diabetic
who is beginning treatment. Which subjective information is most
important for the nurse to note?
A history of obesity.
An allergy to sulfa drugs.
Cessation of smoking three years ago.
Numbness in the soles of the feet. - ...ANSWER✓✓✓An allergy to
sulfa drugs
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The nurse is teaching a female client about the best time to plan
sexual intercourse in order to conceive. Which information
should the nurse provide?
Two weeks before menstruation.
Vaginal mucous discharge is thick.
Low basal temperature.
First thing in the morning. - ...ANSWER✓✓✓Two weeks before
menstruation
The nurse is teaching a female client who uses a contraceptive
diaphragm about reducing the risk for toxic shock syndrome
(TSS). Which information should the nurse include? (Select all
that apply)
Remove the diaphragm immediately after intercourse.
Wash the diaphragm with an alcohol solution.
Use the diaphragm to prevent conception during the menstrual
cycle.
Do not leave the diaphragm in place longer than 8 hours after
intercourse.
Replace the old diaphragm every 3 months. - ...ANSWER✓✓✓Do
not leave the diaphragm in place longer than 8 hours after
intercourse
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Replace the old diaphragm every 3 months
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. What recommendation
should the nurse make that is most beneficial in protecting the
client's joints?
Increase the amount of calcium intake in the diet.
Apply alternating heat and cold therapies.
Initiate a weight-reduction diet to achieve a healthy body weight.
Use a walker for ambulation to lessen weight-bearing on the
hips. - ...ANSWER✓✓✓Initiate a weight-reduction diet to achieve
a health body weight
A 20 year old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
"Check it again in one month, and if it is still there schedule an
appointment."
"Most lumps are benign, but it is always best to come in for an
examination."
"Try not to worry too much about it, because usually, most lumps
are benign."
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"If you are in your menstrual period it is not a good time to check
for lumps." - ...ANSWER✓✓✓Most lumps are benign, but it is
always best to come in form an examination.
A 32 year old female client complains of severe abdominal pain
each month before her menstrual period, painful intercourse,
and painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
Frequent urinary tract infections.
Inability to get pregnant.
Premenstrual syndrome.
Chronic use of laxatives. - ...ANSWER✓✓✓Inability to get
pregnant
A 46 year old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration?
Serum creatinine.
Blood Urea Nitrogen (BUN).
Sedimentation rate.
Urine specific gravity. - ...ANSWER✓✓✓Serum creatinine
HESI RN Med-Surge Practice Exam
The nurse is receiving report from surgery about a client with a
penrose drain who is to be admitted to the postoperative unit.
Before choosing a room for this client, which information is most
important for the nurse to obtain?
If suctioning will be needed for drainage of the wound.
If the family would prefer a private or semi-private room.
Prescription for removal of the drain.
If the client's wound is infected. - ...ANSWER✓✓✓If the client's
wound is infected
The nurse is taking a history of a newly diagnosed type 2 diabetic
who is beginning treatment. Which subjective information is most
important for the nurse to note?
A history of obesity.
An allergy to sulfa drugs.
Cessation of smoking three years ago.
Numbness in the soles of the feet. - ...ANSWER✓✓✓An allergy to
sulfa drugs
,2|Page
The nurse is teaching a female client about the best time to plan
sexual intercourse in order to conceive. Which information
should the nurse provide?
Two weeks before menstruation.
Vaginal mucous discharge is thick.
Low basal temperature.
First thing in the morning. - ...ANSWER✓✓✓Two weeks before
menstruation
The nurse is teaching a female client who uses a contraceptive
diaphragm about reducing the risk for toxic shock syndrome
(TSS). Which information should the nurse include? (Select all
that apply)
Remove the diaphragm immediately after intercourse.
Wash the diaphragm with an alcohol solution.
Use the diaphragm to prevent conception during the menstrual
cycle.
Do not leave the diaphragm in place longer than 8 hours after
intercourse.
Replace the old diaphragm every 3 months. - ...ANSWER✓✓✓Do
not leave the diaphragm in place longer than 8 hours after
intercourse
,3|Page
Replace the old diaphragm every 3 months
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. What recommendation
should the nurse make that is most beneficial in protecting the
client's joints?
Increase the amount of calcium intake in the diet.
Apply alternating heat and cold therapies.
Initiate a weight-reduction diet to achieve a healthy body weight.
Use a walker for ambulation to lessen weight-bearing on the
hips. - ...ANSWER✓✓✓Initiate a weight-reduction diet to achieve
a health body weight
A 20 year old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
"Check it again in one month, and if it is still there schedule an
appointment."
"Most lumps are benign, but it is always best to come in for an
examination."
"Try not to worry too much about it, because usually, most lumps
are benign."
, 4|Page
"If you are in your menstrual period it is not a good time to check
for lumps." - ...ANSWER✓✓✓Most lumps are benign, but it is
always best to come in form an examination.
A 32 year old female client complains of severe abdominal pain
each month before her menstrual period, painful intercourse,
and painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
Frequent urinary tract infections.
Inability to get pregnant.
Premenstrual syndrome.
Chronic use of laxatives. - ...ANSWER✓✓✓Inability to get
pregnant
A 46 year old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration?
Serum creatinine.
Blood Urea Nitrogen (BUN).
Sedimentation rate.
Urine specific gravity. - ...ANSWER✓✓✓Serum creatinine
