N314 Med-Surg HESI Questions And Correct
Answers| Get It Correct !!!
A client receiving cholestyramine (Questran) for
hyperlipidemia should be evaluated for what vitamin
deficiency? -
-Correct Answers
K
Feedback:
Clients should be monitored for an increased
prothrombin time and prolonged bleeding times which
would alert the nurse to a vitamin K deficiency. These
drugs reduce absorption of the fat soluble (lipid)
vitamins A, D, E, and K.
Based on the analysis of the client's atrial fibrillation, the
nurse should prepare the client for which treatment
protocol? -
-Correct Answers
Anticoagulation therapy.
Feedback:
The client is experiencing atrial fibrillation, and the
nurse should prepare the client for anticoagulation
therapy (C) which should be prescribed before rhythm
control therapies to prevent cardioembolic events which
result from blood pooling in the fibrillating atria
A client with a 16-year history of diabetes mellitus is
having renal function tests because of recent fatigue,
,weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse
conclude as an early symptom of renal insufficiency? -
-Correct Answers
Nocturia
Feedback:
As the glomerular filtration rate decreases in early renal
insufficiency, metabolic waste products, including urea,
creatinine, and other substances, such phenols,
hormones, electrolytes, accumulate in the blood. In the
early stage of renal insufficiency, polyuria results from
the inability of the kidneys to concentrate urine and
contribute to nocturia
A female client receiving IV vasopressin (Pitressin) for
esophageal varice rupture reports to the nurse that she
feels substernal tightness and pressure across her chest.
Which PRN protocol should the nurse initiate? -
-Correct Answers
Start an IV nitroglycerin infusion.
Feedback:
Vasoconstriction of the coronary arteries can lead to
angina and myocardial infarction, and should be
counteracted by IV nitroglycerin per prescribed protocol
The nurse is completing an admission interview and
assessment on a client with a history of Parkinson's
disease. Which question should provide information
relevant to the client's plan of care? -
,-Correct Answers
Have you ever been 'frozen' in one spot, unable to move?
Feedback:
Clients with Parkinson's disease frequently experience
difficulty in initiating, maintaining, and performing
motor activities. They may even experience being
rooted to the spot and unable to move
The nurse is assessing a client who has a history of
Parkinson's disease for the past 5 years. What
symptoms should this client most likely exhibit? -
-Correct Answers
Shuffling gait, masklike facial expression, and tremors of
the head.
An elderly male client comes to the geriatric screening
clinic complaining of pain in his left calf. The nurse
notices a reddened area on the calf of his right leg which
is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain should further
confirm this suspicion? -
-Correct Answers
Pain in the calf upon exertion which is relieved by rest
and elevating the extremity.
The healthcare provider prescribes aluminum and
magnesium hydroxide (Maalox), 1 tablet PO PRN, for a
client with chronic renal failure who is complaining of
indigestion. What intervention should the nurse
implement? -
, -Correct Answers
Question the healthcare provider's prescription
A 57-year-old male client is scheduled to have a stress-
thallium test the following morning and is NPO after
midnight. At 0130, he is agitated because he cannot eat
and is demanding food. Which response is best for the
nurse to provide to this client? -
-Correct Answers
The test you are having tomorrow requires that you
have nothing by mouth tonight.
A middle-aged male client with diabetes continues to
eat an abundance of foods that are high in sugar and fat.
According to the Health Belief Model, which event is
most likely to increase the client's willingness to become
compliant with the prescribed diet? -
-Correct Answers
He visits his diabetic brother who just had surgery to
amputate an infected foot.
The nurse is planning to initiate a socialization group for
older residents of a long-term facility. Which
information is most useful to the nurse when planning
activities for the group? -
-Correct Answers
The usual activity patterns of each member of the group.
A female client is brought to the clinic by her daughter
for a flu shot. She has lost significant weight since the
last visit. She has poor personal hygiene and inadequate
Answers| Get It Correct !!!
A client receiving cholestyramine (Questran) for
hyperlipidemia should be evaluated for what vitamin
deficiency? -
-Correct Answers
K
Feedback:
Clients should be monitored for an increased
prothrombin time and prolonged bleeding times which
would alert the nurse to a vitamin K deficiency. These
drugs reduce absorption of the fat soluble (lipid)
vitamins A, D, E, and K.
Based on the analysis of the client's atrial fibrillation, the
nurse should prepare the client for which treatment
protocol? -
-Correct Answers
Anticoagulation therapy.
Feedback:
The client is experiencing atrial fibrillation, and the
nurse should prepare the client for anticoagulation
therapy (C) which should be prescribed before rhythm
control therapies to prevent cardioembolic events which
result from blood pooling in the fibrillating atria
A client with a 16-year history of diabetes mellitus is
having renal function tests because of recent fatigue,
,weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse
conclude as an early symptom of renal insufficiency? -
-Correct Answers
Nocturia
Feedback:
As the glomerular filtration rate decreases in early renal
insufficiency, metabolic waste products, including urea,
creatinine, and other substances, such phenols,
hormones, electrolytes, accumulate in the blood. In the
early stage of renal insufficiency, polyuria results from
the inability of the kidneys to concentrate urine and
contribute to nocturia
A female client receiving IV vasopressin (Pitressin) for
esophageal varice rupture reports to the nurse that she
feels substernal tightness and pressure across her chest.
Which PRN protocol should the nurse initiate? -
-Correct Answers
Start an IV nitroglycerin infusion.
Feedback:
Vasoconstriction of the coronary arteries can lead to
angina and myocardial infarction, and should be
counteracted by IV nitroglycerin per prescribed protocol
The nurse is completing an admission interview and
assessment on a client with a history of Parkinson's
disease. Which question should provide information
relevant to the client's plan of care? -
,-Correct Answers
Have you ever been 'frozen' in one spot, unable to move?
Feedback:
Clients with Parkinson's disease frequently experience
difficulty in initiating, maintaining, and performing
motor activities. They may even experience being
rooted to the spot and unable to move
The nurse is assessing a client who has a history of
Parkinson's disease for the past 5 years. What
symptoms should this client most likely exhibit? -
-Correct Answers
Shuffling gait, masklike facial expression, and tremors of
the head.
An elderly male client comes to the geriatric screening
clinic complaining of pain in his left calf. The nurse
notices a reddened area on the calf of his right leg which
is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain should further
confirm this suspicion? -
-Correct Answers
Pain in the calf upon exertion which is relieved by rest
and elevating the extremity.
The healthcare provider prescribes aluminum and
magnesium hydroxide (Maalox), 1 tablet PO PRN, for a
client with chronic renal failure who is complaining of
indigestion. What intervention should the nurse
implement? -
, -Correct Answers
Question the healthcare provider's prescription
A 57-year-old male client is scheduled to have a stress-
thallium test the following morning and is NPO after
midnight. At 0130, he is agitated because he cannot eat
and is demanding food. Which response is best for the
nurse to provide to this client? -
-Correct Answers
The test you are having tomorrow requires that you
have nothing by mouth tonight.
A middle-aged male client with diabetes continues to
eat an abundance of foods that are high in sugar and fat.
According to the Health Belief Model, which event is
most likely to increase the client's willingness to become
compliant with the prescribed diet? -
-Correct Answers
He visits his diabetic brother who just had surgery to
amputate an infected foot.
The nurse is planning to initiate a socialization group for
older residents of a long-term facility. Which
information is most useful to the nurse when planning
activities for the group? -
-Correct Answers
The usual activity patterns of each member of the group.
A female client is brought to the clinic by her daughter
for a flu shot. She has lost significant weight since the
last visit. She has poor personal hygiene and inadequate
