MED/SURG NCLEX-RN HESI EXAM QUESTION BANK WITH
COMPLETE 370 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ / MED-
SURG NCLEX-RN HESI PRACTICE EXAM | GUARANTEED PASS
The nurse is giving preoperative instructions to a 14-year-old client
scheduled for surgery to correct a spinal curvature. Which statement by
the client best demonstrates that learning has taken place?
A."I will read all the teaching booklets you gave me before surgery."
B."I have had surgery before, so I know what to expect afterward."
C."All the things people have told me will help me take care of my
back."
D."Let me show you the method of turning I will use after surgery."
D
The outcome of learning is best demonstrated when the client not
only verbalizes an understanding but can also provide a return
demonstration (D). A 14-year-old client may or may not follow
through with (A), and there is no measurement of learning. (B) may
help the client understand the surgical process, but the type of
surgery may have been very different, with differing postoperative
care. In (C), the client may be saying what the nurse wants to hear
without expressing any real understanding of what to do after surgery.
,A female client who received a nephrotoxic drug is admitted with acute
renal failure and asks the nurse if she will need dialysis for the rest of
her life. Which pathophysiologic consequence should the nurse explain
that supports the need for temporary dialysis until acute tubular
necrosis subsides?
A.Azotemia
B.Oliguria
C.Hyperkalemia
D.Nephron obstruction D
CKD is characterized by progressive and irreversible destruction of
nephrons, frequently caused by hypertension and diabetes mellitus.
Nephrotoxins cause acute tubular necrosis, a reversible acute renal
failure, which creates renal tubular obstruction from endothelial cells
that are sloughed or become edematous. The obstruction of urine
flow will resolve (D) with the return of an adequate glomerular
filtration rate and, when it does, dialysis will no longer be needed. (A,
B, and C) are manifestations seen in the acute and chronic forms of
kidney disease.
During report, the nurse learns that a client with tumor lysis syndrome
is receiving an IV infusion containing insulin. Which assessment should
the nurse complete first?
,A.Review the client's history for diabetes mellitus.
B.Observe the extremity distal to the IV site.
C.Monitor the client's serum potassium and blood glucose levels.
D.Evaluate the client's oxygen saturation and breath sounds. C
Clients with tumor lysis syndrome may experience hyperkalemia,
requiring the addition of insulin to the IV solution to reduce the serum
potassium level. It is most important for the nurse to monitor the
client's serum potassium and blood glucose levels to ensure that they
are not at dangerous levels (C). (A, B, and D) provide valuable
assessment data but are of less priority than (C).
Which instruction should the nurse teach a female client about the
prevention of toxic shock syndrome?
A."Get immunization against human papillomavirus (HPV)."
B."Change your tampon frequently."
C."Empty your bladder after intercourse."
D."Obtain a yearly flu vaccination." B
Certain strains of Staphylococcus aureus produce a toxin that can
enter the bloodstream through the vaginal mucosa. Changing the
tampon frequently (B) reduces the exposure to these toxins, which are
the primary cause of toxic shock syndrome. (A) helps prevent cervical
cancer, not toxic shock syndrome. (C) can lessen the incidence of
urinary tract infection. (D) can help prevent some individuals from
, contracting the flu and pneumonia, but no relationship to toxic shock
syndrome has been proven.
A postoperative client receives a Schedule II opioid analgesic for pain.
Which assessment finding requires the most immediate intervention by
the nurse?
A.Hypoactive bowel sounds with abdominal distention
B.Client reports continued pain of 8 on a 10-point scale
C.Respiratory rate of 12 breaths/min, with O2 saturation of 85%
D.Client reports nausea after receiving the medication C
Administration of a Schedule II opioid analgesic can result in
respiratory depression (C), which requires immediate intervention by
the nurse to prevent respiratory arrest. (A, B, and D) require action by
the nurse but are of less priority than (C).
Which abnormal laboratory finding indicates that a client with diabetes
needs further evaluation for diabetic nephropathy?
A.Hypokalemia
B.Microalbuminuria
C.Elevated serum lipid levels
D.Ketonuria B
COMPLETE 370 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ / MED-
SURG NCLEX-RN HESI PRACTICE EXAM | GUARANTEED PASS
The nurse is giving preoperative instructions to a 14-year-old client
scheduled for surgery to correct a spinal curvature. Which statement by
the client best demonstrates that learning has taken place?
A."I will read all the teaching booklets you gave me before surgery."
B."I have had surgery before, so I know what to expect afterward."
C."All the things people have told me will help me take care of my
back."
D."Let me show you the method of turning I will use after surgery."
D
The outcome of learning is best demonstrated when the client not
only verbalizes an understanding but can also provide a return
demonstration (D). A 14-year-old client may or may not follow
through with (A), and there is no measurement of learning. (B) may
help the client understand the surgical process, but the type of
surgery may have been very different, with differing postoperative
care. In (C), the client may be saying what the nurse wants to hear
without expressing any real understanding of what to do after surgery.
,A female client who received a nephrotoxic drug is admitted with acute
renal failure and asks the nurse if she will need dialysis for the rest of
her life. Which pathophysiologic consequence should the nurse explain
that supports the need for temporary dialysis until acute tubular
necrosis subsides?
A.Azotemia
B.Oliguria
C.Hyperkalemia
D.Nephron obstruction D
CKD is characterized by progressive and irreversible destruction of
nephrons, frequently caused by hypertension and diabetes mellitus.
Nephrotoxins cause acute tubular necrosis, a reversible acute renal
failure, which creates renal tubular obstruction from endothelial cells
that are sloughed or become edematous. The obstruction of urine
flow will resolve (D) with the return of an adequate glomerular
filtration rate and, when it does, dialysis will no longer be needed. (A,
B, and C) are manifestations seen in the acute and chronic forms of
kidney disease.
During report, the nurse learns that a client with tumor lysis syndrome
is receiving an IV infusion containing insulin. Which assessment should
the nurse complete first?
,A.Review the client's history for diabetes mellitus.
B.Observe the extremity distal to the IV site.
C.Monitor the client's serum potassium and blood glucose levels.
D.Evaluate the client's oxygen saturation and breath sounds. C
Clients with tumor lysis syndrome may experience hyperkalemia,
requiring the addition of insulin to the IV solution to reduce the serum
potassium level. It is most important for the nurse to monitor the
client's serum potassium and blood glucose levels to ensure that they
are not at dangerous levels (C). (A, B, and D) provide valuable
assessment data but are of less priority than (C).
Which instruction should the nurse teach a female client about the
prevention of toxic shock syndrome?
A."Get immunization against human papillomavirus (HPV)."
B."Change your tampon frequently."
C."Empty your bladder after intercourse."
D."Obtain a yearly flu vaccination." B
Certain strains of Staphylococcus aureus produce a toxin that can
enter the bloodstream through the vaginal mucosa. Changing the
tampon frequently (B) reduces the exposure to these toxins, which are
the primary cause of toxic shock syndrome. (A) helps prevent cervical
cancer, not toxic shock syndrome. (C) can lessen the incidence of
urinary tract infection. (D) can help prevent some individuals from
, contracting the flu and pneumonia, but no relationship to toxic shock
syndrome has been proven.
A postoperative client receives a Schedule II opioid analgesic for pain.
Which assessment finding requires the most immediate intervention by
the nurse?
A.Hypoactive bowel sounds with abdominal distention
B.Client reports continued pain of 8 on a 10-point scale
C.Respiratory rate of 12 breaths/min, with O2 saturation of 85%
D.Client reports nausea after receiving the medication C
Administration of a Schedule II opioid analgesic can result in
respiratory depression (C), which requires immediate intervention by
the nurse to prevent respiratory arrest. (A, B, and D) require action by
the nurse but are of less priority than (C).
Which abnormal laboratory finding indicates that a client with diabetes
needs further evaluation for diabetic nephropathy?
A.Hypokalemia
B.Microalbuminuria
C.Elevated serum lipid levels
D.Ketonuria B
