Medical Surge II HESI prep EAQ questions
AND ANSWERS
1. A 1-yr-antique little one is inside the pediatric unit for management of AIDS. One of the
medicines that has been prescribed for the child is zidovudine. What clinical finding
indicates to the nurse that the little one is experiencing existence-threatening zidovudine
toxicity? - ANS -Bruises at the limbs and trunk
2. A four-yr-antique infant develops thrombocytopenia after vaccination. Which vaccination
may be responsible? - ANS -Measles, mumps, and rubella virus vaccine (MMR)
3. A purchaser had a craniotomy for excision of a brain tumor. After surgical procedure, the
nurse video display units the purchaser for accelerated intracranial strain. Which
scientific locating helps an boom in intracranial strain? - ANS -Lowered degree of
recognition
4. A purchaser has a Mantoux test as a part of a yearly bodily examination. The region of
induration is 10 mm within forty eight hours after having the check. The nurse concludes
that this reaction indicates that the consumer has what? - ANS -Been exposed to the
tubercle bacillus
5. A customer is admitted to the sanatorium with a diagnosis of intestinal obstruction. The
fitness care provider prescribes intestinal suction via a nasoenteric decompression tube.
The lack of which elements associated with intestinal suctioning is maximum important
to remember when worrying for this purchaser? - ANS -Water and electrolytes
6. A customer is admitted to the clinic with weakness within the proper extremities and a
slight issue with speech. Vital signs are within predicted limits. What is the priority
nursing movement for the duration of the first 24 hours? - ANS -Evaluating the client's
motor reputation.
7. A purchaser is diagnosed as having invasive most cancers of the bladder, and radiation
remedy is scheduled. What must the nurse count on the purchaser to illustrate that
suggests success of radiation therapy? - ANS -Shrinkage of the tumor on scanning
8. A patron is recognized with psoriasis and the nurse is providing fitness teaching
regarding skin care at home. What recommendation does the nurse include within the
teaching? - ANS -Apply moisturizing lotion several times an afternoon
9. A patron is scheduled for a transurethral resection of the prostate. What have to the
nurse tell the purchaser to expect after surgical procedure? - ANS -"An indwelling
urinary catheter is required for at the least a day."
10.A consumer changed into handled with a radium implant for cancer of the cervix. What
facts is essential for the nurse to educate the consumer whilst giving discharge
commands? - ANS -Return for follow-up care.
11.A purchaser who has been informed she wishes a hysterectomy for cervical cancer is
disenchanted about being unable to have a 3rd infant. What is the subsequent nursing
action? - ANS -Ensure that different remedy alternatives for her could be explored.
, 12.A purchaser who is 2-days postoperative for belly surgery has a nasogastric tube (NGT)
to low continuous suction. The patron tells the sensible nurse (PN) his mouth is so dry
that he has been consuming water to quench his thirst. Which capacity imbalance should
the PN monitor for development within the customer? - ANS -
13.A customer who's receiving mixture chemotherapy for degree II Hodgkin disorder is at
threat for stomatitis. The nurse's coaching plan ought to consist of instructions to do
what? - ANS -Clean the mouth with a tender toothbrush or a gentle spray
14.A client with acute glomerulonephritis reports feeling thirsty. What should the nurse offer
the purchaser? - ANS -Hard candy
15.A purchaser with colitis has had a hemicolectomy. Three days after surgical procedure
the nurse identifies that the client has abdominal distention and absent bowel sounds,
and has vomited 300 mL of dark green viscous fluid. The nurse contacts the primary
healthcare company and recommends which intervention? - ANS -Nasogastric tube for
decompression
16.A purchaser with emphysema studies shortness of breath and makes use of pursed-lip
respiration and accessory muscle groups of respiratory. What does the nurse determine
because the cause of the dyspnea? - ANS -Difficulty in expelling the air trapped
inside the alveoli
17.A purchaser with peripheral arterial insufficiency tells the nurse that walking on occasion
results in intense ache within the calf muscle mass. The nurse responds that this ache is
known as what? - ANS -Intermittent claudication
18.A customer with pulmonary tuberculosis discusses the dietary plan with the nurse. The
nurse expects that the type of weight loss program so as to be prescribed for the
consumer is what? - ANS -Small, frequent, high-calorie food
19.A woman consumer is disappointed with her diagnosis of gonorrhea and asks the nurse,
"What can I do to prevent getting any other contamination within the future?" The nurse
evaluates that the coaching is understood when the customer makes which
announcement? - ANS -"My first-class protection is to insist that my associate use
a condom."
20.A female consumer who had a colostomy lately is looking questions on how regular her
existence will be now that she has a colostomy. What is the assertion by means of the
consumer that indicates a need for similarly teaching? - ANS -A girl consumer who
had a colostomy lately is calling questions about how everyday her lifestyles will
be now that she has a colostomy. What is the declaration with the aid of the
customer that suggests a want for further coaching?
21.A domestic health nurse teaches a family member to cleanse a customer's wound and
observe a sterile dressing. Which action by means of the member of the family for the
duration of a return demonstration suggests the need for added coaching? - ANS -Using
a again-and-forth movement at the same time as cleaning the wound
22.A male patron with peptic ulcer disorder complains of feeling vulnerable and dizzy. The
sensible nurse (PN) observes that the purchaser is diaphoretic, has a company
abdomen, thready pulse at 104 beats/minute, and blood stress of ninety/50. Which
action should the PN implement? - ANS -
AND ANSWERS
1. A 1-yr-antique little one is inside the pediatric unit for management of AIDS. One of the
medicines that has been prescribed for the child is zidovudine. What clinical finding
indicates to the nurse that the little one is experiencing existence-threatening zidovudine
toxicity? - ANS -Bruises at the limbs and trunk
2. A four-yr-antique infant develops thrombocytopenia after vaccination. Which vaccination
may be responsible? - ANS -Measles, mumps, and rubella virus vaccine (MMR)
3. A purchaser had a craniotomy for excision of a brain tumor. After surgical procedure, the
nurse video display units the purchaser for accelerated intracranial strain. Which
scientific locating helps an boom in intracranial strain? - ANS -Lowered degree of
recognition
4. A purchaser has a Mantoux test as a part of a yearly bodily examination. The region of
induration is 10 mm within forty eight hours after having the check. The nurse concludes
that this reaction indicates that the consumer has what? - ANS -Been exposed to the
tubercle bacillus
5. A customer is admitted to the sanatorium with a diagnosis of intestinal obstruction. The
fitness care provider prescribes intestinal suction via a nasoenteric decompression tube.
The lack of which elements associated with intestinal suctioning is maximum important
to remember when worrying for this purchaser? - ANS -Water and electrolytes
6. A customer is admitted to the clinic with weakness within the proper extremities and a
slight issue with speech. Vital signs are within predicted limits. What is the priority
nursing movement for the duration of the first 24 hours? - ANS -Evaluating the client's
motor reputation.
7. A purchaser is diagnosed as having invasive most cancers of the bladder, and radiation
remedy is scheduled. What must the nurse count on the purchaser to illustrate that
suggests success of radiation therapy? - ANS -Shrinkage of the tumor on scanning
8. A patron is recognized with psoriasis and the nurse is providing fitness teaching
regarding skin care at home. What recommendation does the nurse include within the
teaching? - ANS -Apply moisturizing lotion several times an afternoon
9. A patron is scheduled for a transurethral resection of the prostate. What have to the
nurse tell the purchaser to expect after surgical procedure? - ANS -"An indwelling
urinary catheter is required for at the least a day."
10.A consumer changed into handled with a radium implant for cancer of the cervix. What
facts is essential for the nurse to educate the consumer whilst giving discharge
commands? - ANS -Return for follow-up care.
11.A purchaser who has been informed she wishes a hysterectomy for cervical cancer is
disenchanted about being unable to have a 3rd infant. What is the subsequent nursing
action? - ANS -Ensure that different remedy alternatives for her could be explored.
, 12.A purchaser who is 2-days postoperative for belly surgery has a nasogastric tube (NGT)
to low continuous suction. The patron tells the sensible nurse (PN) his mouth is so dry
that he has been consuming water to quench his thirst. Which capacity imbalance should
the PN monitor for development within the customer? - ANS -
13.A customer who's receiving mixture chemotherapy for degree II Hodgkin disorder is at
threat for stomatitis. The nurse's coaching plan ought to consist of instructions to do
what? - ANS -Clean the mouth with a tender toothbrush or a gentle spray
14.A client with acute glomerulonephritis reports feeling thirsty. What should the nurse offer
the purchaser? - ANS -Hard candy
15.A purchaser with colitis has had a hemicolectomy. Three days after surgical procedure
the nurse identifies that the client has abdominal distention and absent bowel sounds,
and has vomited 300 mL of dark green viscous fluid. The nurse contacts the primary
healthcare company and recommends which intervention? - ANS -Nasogastric tube for
decompression
16.A purchaser with emphysema studies shortness of breath and makes use of pursed-lip
respiration and accessory muscle groups of respiratory. What does the nurse determine
because the cause of the dyspnea? - ANS -Difficulty in expelling the air trapped
inside the alveoli
17.A purchaser with peripheral arterial insufficiency tells the nurse that walking on occasion
results in intense ache within the calf muscle mass. The nurse responds that this ache is
known as what? - ANS -Intermittent claudication
18.A customer with pulmonary tuberculosis discusses the dietary plan with the nurse. The
nurse expects that the type of weight loss program so as to be prescribed for the
consumer is what? - ANS -Small, frequent, high-calorie food
19.A woman consumer is disappointed with her diagnosis of gonorrhea and asks the nurse,
"What can I do to prevent getting any other contamination within the future?" The nurse
evaluates that the coaching is understood when the customer makes which
announcement? - ANS -"My first-class protection is to insist that my associate use
a condom."
20.A female consumer who had a colostomy lately is looking questions on how regular her
existence will be now that she has a colostomy. What is the assertion by means of the
consumer that indicates a need for similarly teaching? - ANS -A girl consumer who
had a colostomy lately is calling questions about how everyday her lifestyles will
be now that she has a colostomy. What is the declaration with the aid of the
customer that suggests a want for further coaching?
21.A domestic health nurse teaches a family member to cleanse a customer's wound and
observe a sterile dressing. Which action by means of the member of the family for the
duration of a return demonstration suggests the need for added coaching? - ANS -Using
a again-and-forth movement at the same time as cleaning the wound
22.A male patron with peptic ulcer disorder complains of feeling vulnerable and dizzy. The
sensible nurse (PN) observes that the purchaser is diaphoretic, has a company
abdomen, thready pulse at 104 beats/minute, and blood stress of ninety/50. Which
action should the PN implement? - ANS -
