Questions and Correct Answers

2023-2024 Med-Surg HESI Practice Questions and Correct Answers What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?

• sexual activities may be resumed upon return home
• light housekeeping is permitted but avoid heavy lifting
• use a metal eye shield on operative eye during the day
• administer eye ointment before applying eye drops - Correct Answer b. light

housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement first?

• Obtain a sputum sample for culture
• Check his oxygen saturation level
• Administer an oral antipyretic
• Auscultate bilateral lung sound - Correct Answer a. obtain a sputum sample for

culture An elder male client tells the nurse that he is loosing sleep because he has to get up several times at night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?

• collect a urine specimen for culture analysis
• obtain a fingerstick blood glucose level
• palpate the bladder above the symphysis pubis
• review the client fluid intake - Correct Answer c. palpate the bladder above the

symphysis pubis An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse?

• blood ph of 7.30
• glucose of 350 mg /dl
• white blood cell count of 15000mm
• potassium of 2.5 meq/l - Correct Answer d. potassium of 2.5 meq/l

A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cell. When notifying the healthcare provider what information should the nurse provide first using the SBAR communication process?

• explain specific reason for urgent notification
• preface the report by stating the clients name and admitting diagnosis
• communicate the pre-transfusion temperatures 1 / 2

• optain prn prescription for acetaminophen for fever 101f - Correct Answer a. explain

specific reason for urgent notification An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for discharge what important aspect regarding his medication therapy should the nurse explain?

• AZT therapy must be stopped when IV aerosol pentamine is being used.
• IV pentamine will be given until oral pentamine can be tolerated
• It will be necessary to continue prophylactic doses of IV or aerosol pentamine every

month

• IV pentamine may offer protection to others aids related conditions such as kaposis

sarcoma - Correct Answer c. it will be necessary to continue prophylactic doses of IV or aerosol pentamine every month A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse implement next?

• collect a clean catch specimen
• palpate the suprapubic region
• instruct to wipe from front to back
• inquire about recent sexual activity - Correct Answer a. collect a clean catch

specimen A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How should the nurse respond?

• offer the client reassurance that this information indicates that the clients cancer cells

are benign

• explain that these tissue cells often respond more effectively to radiation than to

chemotherapy

• ask the client if the healthcare provider has given her any information about the

classification of her cancer

• help the client make plans to begin immediate treatment since her cancer is likely to

spread quickly - Correct Answer c. ask the client if the healthcare provider has given her any information about the classification of her cancer A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first?

• monitor bp q45 minutes
• lower the head of the chair and elevate feet
• stop dialysis treatment
• administer 5% albumin IV - Correct Answer c. stop dialysis treatment

A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml. The prescription indicates the

• / 2