2022-23 MED-SURG HESI PRACTICE QUESTIONS A
ANSWERS
What cinstruction cshould cthe cnurse cinclude cin cthe cdischarge cteaching cplan cof ca cclient cwho chad
a. csexual cactivities cmay cbe cresumed cupon creturn chome
b. clight chousekeeping cis cpermitted cbut cavoid cheavy clifting
c. cuse ca cmetal ceye cshield con coperative ceye cduring cthe cday
d. cadminister ceye cointment cbefore capplying ceye cdrops c- cCORRECT cANS✔✔b. clight chousekee
cheavy clifting
A cmale cadult ccomes cto cthe curgent ccare cclinic c5 cdays cafter cbeing cdiagnosed cwith cinfluenza. cH
cand ccoughing cgreen ccolored csputum. cWhich cintervention cshould cthe cnurse cimplement cfirst?
a. cObtain ca csputum csample cfor cculture
b. cCheck chis coxygen csaturation clevel
c. cAdminister can coral cantipyretic
d. cAuscultate cbilateral clung csound c- cCORRECT cANS✔✔a. cobtain ca csputum csample cfor ccultur
An celder cmale cclient ctells cthe cnurse cthat che cis cloosing csleep cbecause che chas cto cget cup cseve
cthe cbathroom cthat che chas ctrouble cstarting chis curinary cstream cand cthat che cdoes cnot cfeel clike
ccompletely cempty. cWhich cintervention cshould cthe cnurse cimplement?
a. ccollect ca curine cspecimen cfor cculture canalysis
b. cobtain ca cfingerstick cblood cglucose clevel
c. cpalpate cthe cbladder cabove cthe csymphysis cpubis
d. creview cthe cclient cfluid cintake c- cCORRECT cANS✔✔c. cpalpate cthe cbladder cabove cthe csymph
An cadult cclient cis cadmitted cwith cdiabetic cketoacidosis c(DKA) cand ca curinary ctract cinfection c(UT
cantibiotics cand cinsulin cinfusion care cinitiated. cWhich cserum claboratory cvalue cwarrants cthe cmos
cthe cnurse?
a. cblood cph cof c7.30
b. cglucose cof c350 cmg c/dl
c. cwhite cblood ccell ccount cof c15000mm
d. cpotassium cof c2.5 cmeq/l c- cCORRECT cANS✔✔d. cpotassium cof c2.5 cmeq/l
, a. ccollect ca cclean ccatch cspecimen
b. cpalpate cthe csuprapubic cregion
c. cinstruct cto cwipe cfrom cfront cto cback
d. cinquire cabout crecent csexual cactivity c- cCORRECT cANS✔✔a. ccollect ca cclean ccatch cspecimen
A cclient ctells cthe cnurse cthat cher cbiopsy cresults cindicate cthat cthe ccancer ccells care cwell cdifferen
crespond?
a. coffer cthe cclient creassurance cthat cthis cinformation cindicates cthat cthe cclients ccancer ccells care
b. cexplain cthat cthese ctissue ccells coften crespond cmore ceffectively cto cradiation cthan cto cchemoth
c. cask cthe cclient cif cthe chealthcare cprovider chas cgiven cher cany cinformation cabout cthe cclassifica
d. chelp cthe cclient cmake cplans cto cbegin cimmediate ctreatment csince cher ccancer cis clikely cto cspr
cANS✔✔c. cask cthe cclient cif cthe chealthcare cprovider chas cgiven cher cany cinformation cabout cthe
A cclient cwith ca cchronic ckidney cdisease cis ctreated con chemodialysis. cDuring cthe c1 ctreatment ccli
cfrom c150/90 cto c80/30 cWhich caction cshould cthe cnurse ctake cfirst?
a. cmonitor cbp cq45 cminutes
b. clower cthe chead cof cthe cchair cand celevate cfeet
c. cstop cdialysis ctreatment
d. cadminister c5% calbumin cIV c- cCORRECT cANS✔✔c. cstop cdialysis ctreatment
A cclient cwith cdeep cvain cthrombosis c(DVT) cis creceiving ca ccontinues cinfusion cof cheparin csodium
cinjection c250ml. cThe cprescription cindicates cthe cdosage cshould cbe cincrease c900 cunits/hr. cThe
cinfusion cpump cto cdeliver chow cmany cml/hr? c- cCORRECT cANS✔✔9 cmL/hour
The cnurse cis cobtaining cthe cadmission chistory cfor ca cclient cwith csuspected cpeptic culcer cdisease
creported cby cthe cclient csupports cthis cdiagnosis?
a. cupper cmid cabdominal cgnawing cand cburning cpain
b. csevere cabdominal ccramps cand cdiarrhea cafter ceating cspicy cfoods
c. cmarked closs cof cweight cand cappetite cover cthe clast cfew cmonths
d. cuse cof cchewable cand cliquid cantacids cfor cindigestion c- cCORRECT cANS✔✔a. cupper cmid cab
cpain
The cnurse cis cproviding cpreoperative ceducation cfor ca cjewish cclient cschedule cto creceive ca cxeno
chealing. cWhich cinformation cshould cthe cnurse cprovide cthis cclient?
a. cthe cxenograft cis ctaken cfrom cnonhuman csources
b. cgrafting cincreases cthe crisk cfor cbacterial cinfection
c. cas cthe cburn cheals cthe cgraft cpermanently cattaches
d. cgrafts care clater cremoved cby cdebriding cprocedure c- cCORRECT cANS✔✔a. cthe cxenograft cis c
A cclient cwho ctook ca ccamping cvacation ctwo cweeks cago cin ca ccountry cwith ca ctropical cclimate cco
cvague csymptoms cand cdiarrhea cfor cthe cpast cweek. cWhich cfinding cis cmost cimportant cfor cthe cn
a. cjaundice csclera
b. cintestinal ccramping
c. cweakness cand cfatigue
d. cweight closs c- cCORRECT cANS✔✔a. cjaundice csclera
During ca chome cvisit cthe cnurse cassesses cthe cskin cof ca cclient cwith ceczema cwho creports cthat ca
chas coccurred cduring cthe clast cweek. cWhich cinformation cis cmost cuseful cin cdetermining cthe cpos
a. can cold cfriend cwith ceczema ccame cfor cvisit
b. crecently creceived can cinfluenza cimmunization
c. ccorticosteroid ccream cwas capplied cto ceczema
d. ca cgrandson cand chis cnew cdog crecently cvisited c- cCORRECT cANS✔✔d. ca cgrandson cand chis
When cexplaining cdietary cguidelines cto ca cclient cwith cacute cglomerulonephritis c(AGN) cwhich cins
cinclude cin cthe cdietary cteaching?
ANSWERS
What cinstruction cshould cthe cnurse cinclude cin cthe cdischarge cteaching cplan cof ca cclient cwho chad
a. csexual cactivities cmay cbe cresumed cupon creturn chome
b. clight chousekeeping cis cpermitted cbut cavoid cheavy clifting
c. cuse ca cmetal ceye cshield con coperative ceye cduring cthe cday
d. cadminister ceye cointment cbefore capplying ceye cdrops c- cCORRECT cANS✔✔b. clight chousekee
cheavy clifting
A cmale cadult ccomes cto cthe curgent ccare cclinic c5 cdays cafter cbeing cdiagnosed cwith cinfluenza. cH
cand ccoughing cgreen ccolored csputum. cWhich cintervention cshould cthe cnurse cimplement cfirst?
a. cObtain ca csputum csample cfor cculture
b. cCheck chis coxygen csaturation clevel
c. cAdminister can coral cantipyretic
d. cAuscultate cbilateral clung csound c- cCORRECT cANS✔✔a. cobtain ca csputum csample cfor ccultur
An celder cmale cclient ctells cthe cnurse cthat che cis cloosing csleep cbecause che chas cto cget cup cseve
cthe cbathroom cthat che chas ctrouble cstarting chis curinary cstream cand cthat che cdoes cnot cfeel clike
ccompletely cempty. cWhich cintervention cshould cthe cnurse cimplement?
a. ccollect ca curine cspecimen cfor cculture canalysis
b. cobtain ca cfingerstick cblood cglucose clevel
c. cpalpate cthe cbladder cabove cthe csymphysis cpubis
d. creview cthe cclient cfluid cintake c- cCORRECT cANS✔✔c. cpalpate cthe cbladder cabove cthe csymph
An cadult cclient cis cadmitted cwith cdiabetic cketoacidosis c(DKA) cand ca curinary ctract cinfection c(UT
cantibiotics cand cinsulin cinfusion care cinitiated. cWhich cserum claboratory cvalue cwarrants cthe cmos
cthe cnurse?
a. cblood cph cof c7.30
b. cglucose cof c350 cmg c/dl
c. cwhite cblood ccell ccount cof c15000mm
d. cpotassium cof c2.5 cmeq/l c- cCORRECT cANS✔✔d. cpotassium cof c2.5 cmeq/l
, a. ccollect ca cclean ccatch cspecimen
b. cpalpate cthe csuprapubic cregion
c. cinstruct cto cwipe cfrom cfront cto cback
d. cinquire cabout crecent csexual cactivity c- cCORRECT cANS✔✔a. ccollect ca cclean ccatch cspecimen
A cclient ctells cthe cnurse cthat cher cbiopsy cresults cindicate cthat cthe ccancer ccells care cwell cdifferen
crespond?
a. coffer cthe cclient creassurance cthat cthis cinformation cindicates cthat cthe cclients ccancer ccells care
b. cexplain cthat cthese ctissue ccells coften crespond cmore ceffectively cto cradiation cthan cto cchemoth
c. cask cthe cclient cif cthe chealthcare cprovider chas cgiven cher cany cinformation cabout cthe cclassifica
d. chelp cthe cclient cmake cplans cto cbegin cimmediate ctreatment csince cher ccancer cis clikely cto cspr
cANS✔✔c. cask cthe cclient cif cthe chealthcare cprovider chas cgiven cher cany cinformation cabout cthe
A cclient cwith ca cchronic ckidney cdisease cis ctreated con chemodialysis. cDuring cthe c1 ctreatment ccli
cfrom c150/90 cto c80/30 cWhich caction cshould cthe cnurse ctake cfirst?
a. cmonitor cbp cq45 cminutes
b. clower cthe chead cof cthe cchair cand celevate cfeet
c. cstop cdialysis ctreatment
d. cadminister c5% calbumin cIV c- cCORRECT cANS✔✔c. cstop cdialysis ctreatment
A cclient cwith cdeep cvain cthrombosis c(DVT) cis creceiving ca ccontinues cinfusion cof cheparin csodium
cinjection c250ml. cThe cprescription cindicates cthe cdosage cshould cbe cincrease c900 cunits/hr. cThe
cinfusion cpump cto cdeliver chow cmany cml/hr? c- cCORRECT cANS✔✔9 cmL/hour
The cnurse cis cobtaining cthe cadmission chistory cfor ca cclient cwith csuspected cpeptic culcer cdisease
creported cby cthe cclient csupports cthis cdiagnosis?
a. cupper cmid cabdominal cgnawing cand cburning cpain
b. csevere cabdominal ccramps cand cdiarrhea cafter ceating cspicy cfoods
c. cmarked closs cof cweight cand cappetite cover cthe clast cfew cmonths
d. cuse cof cchewable cand cliquid cantacids cfor cindigestion c- cCORRECT cANS✔✔a. cupper cmid cab
cpain
The cnurse cis cproviding cpreoperative ceducation cfor ca cjewish cclient cschedule cto creceive ca cxeno
chealing. cWhich cinformation cshould cthe cnurse cprovide cthis cclient?
a. cthe cxenograft cis ctaken cfrom cnonhuman csources
b. cgrafting cincreases cthe crisk cfor cbacterial cinfection
c. cas cthe cburn cheals cthe cgraft cpermanently cattaches
d. cgrafts care clater cremoved cby cdebriding cprocedure c- cCORRECT cANS✔✔a. cthe cxenograft cis c
A cclient cwho ctook ca ccamping cvacation ctwo cweeks cago cin ca ccountry cwith ca ctropical cclimate cco
cvague csymptoms cand cdiarrhea cfor cthe cpast cweek. cWhich cfinding cis cmost cimportant cfor cthe cn
a. cjaundice csclera
b. cintestinal ccramping
c. cweakness cand cfatigue
d. cweight closs c- cCORRECT cANS✔✔a. cjaundice csclera
During ca chome cvisit cthe cnurse cassesses cthe cskin cof ca cclient cwith ceczema cwho creports cthat ca
chas coccurred cduring cthe clast cweek. cWhich cinformation cis cmost cuseful cin cdetermining cthe cpos
a. can cold cfriend cwith ceczema ccame cfor cvisit
b. crecently creceived can cinfluenza cimmunization
c. ccorticosteroid ccream cwas capplied cto ceczema
d. ca cgrandson cand chis cnew cdog crecently cvisited c- cCORRECT cANS✔✔d. ca cgrandson cand chis
When cexplaining cdietary cguidelines cto ca cclient cwith cacute cglomerulonephritis c(AGN) cwhich cins
cinclude cin cthe cdietary cteaching?
