2022-23 Med-Surg HESI Practice Questions Nightingale
College BSN 246 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
After taking orlistat (Xenical) for one week a female client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. What action should the nurse take?
a. obtain stool specimen to evaluate for occult blood and fat content
b. instruct the client to increase her intake of saturated fats over the next week
c. ask the client to describe her dietary intake history for the last several days
d. advice the client to stop taking the drug and contact the healthcare provider - answer :c. ask the
client to describe her dietary intake history for the last several days
Two days after an abscess of the chin was drained the client returns to the clinic with fever chills and a
maculopapular rash with pruritis. The client has taken an oral antibiotic and cleansed the wound today
with provide iodine (Betadine) solution. Which intervention should the nurse implement first?
a. determine if the client has a history of diabetes
b. assess airway patency and oxygen saturation
c. review recent medication history and allergies
d. obtain samples for complete blood count and cultures - answer :b. assess airway patency and oxygen
saturation
A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the health care provider?
a. low back pain and hypotension
, b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - answer :a. low back pain and hypotension
A young adult male who has had type 2 diabetes mellitus (DM) is admitted to the intensive care unit
with hyperglycemic nonketotic syndrome (HHNS). A sliding scale protocol for an isotonic IV solution with
regular insulin is prescribed based on the results of a continuous blood glucose monitoring device that is
attached to the client's central venous catheter. When the client's respirations become labored and his
lungs sound indicate crackles what action should the nurse take?
a. collect a specimen for a white blood cell count and cultures
b. determine the clients glycosylated hemoglobin (A1C)
c. administer insulin IV push until the clients fluid volume is adjusted
d. decrease infusion rate to address fluid overload - answer :d. decrease infusion rate to address fluid
overload
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that the previously
applied patch is intact on the client's upper back and the client denies pain. What action should the
nurse take?
a. Remove the patch and consult with the healthcare provider about the client pain resolution
b. Place the patch on the clients shoulder and leave both patches in place for 12 hours
c. Administer an oral analgesic and evaluate its effectiveness before applying a new patch
d. Apply a new patch in a different location after removing the original patch - answer :d. apply a new
patch in a different location after removing the original patch
A client who had a myocardial infarction is admitted to the coronary critical care unit (CCU) with a
nitroglycerin drip infusing. The clients last blood pressure measurements was 78/36. What action should
the nurse implement?
a. obtain blood pressure q5 minutes using duranap machine
b. change the dilution of the nitroglycerin infusion
c. reduce the rate of the nitroglycerin infusion
d. begin dopamine infusion at 5mcg/kg per minute - answer :c. reduce the rate of the nitroglycerin
infusion
College BSN 246 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
After taking orlistat (Xenical) for one week a female client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. What action should the nurse take?
a. obtain stool specimen to evaluate for occult blood and fat content
b. instruct the client to increase her intake of saturated fats over the next week
c. ask the client to describe her dietary intake history for the last several days
d. advice the client to stop taking the drug and contact the healthcare provider - answer :c. ask the
client to describe her dietary intake history for the last several days
Two days after an abscess of the chin was drained the client returns to the clinic with fever chills and a
maculopapular rash with pruritis. The client has taken an oral antibiotic and cleansed the wound today
with provide iodine (Betadine) solution. Which intervention should the nurse implement first?
a. determine if the client has a history of diabetes
b. assess airway patency and oxygen saturation
c. review recent medication history and allergies
d. obtain samples for complete blood count and cultures - answer :b. assess airway patency and oxygen
saturation
A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the health care provider?
a. low back pain and hypotension
, b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - answer :a. low back pain and hypotension
A young adult male who has had type 2 diabetes mellitus (DM) is admitted to the intensive care unit
with hyperglycemic nonketotic syndrome (HHNS). A sliding scale protocol for an isotonic IV solution with
regular insulin is prescribed based on the results of a continuous blood glucose monitoring device that is
attached to the client's central venous catheter. When the client's respirations become labored and his
lungs sound indicate crackles what action should the nurse take?
a. collect a specimen for a white blood cell count and cultures
b. determine the clients glycosylated hemoglobin (A1C)
c. administer insulin IV push until the clients fluid volume is adjusted
d. decrease infusion rate to address fluid overload - answer :d. decrease infusion rate to address fluid
overload
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that the previously
applied patch is intact on the client's upper back and the client denies pain. What action should the
nurse take?
a. Remove the patch and consult with the healthcare provider about the client pain resolution
b. Place the patch on the clients shoulder and leave both patches in place for 12 hours
c. Administer an oral analgesic and evaluate its effectiveness before applying a new patch
d. Apply a new patch in a different location after removing the original patch - answer :d. apply a new
patch in a different location after removing the original patch
A client who had a myocardial infarction is admitted to the coronary critical care unit (CCU) with a
nitroglycerin drip infusing. The clients last blood pressure measurements was 78/36. What action should
the nurse implement?
a. obtain blood pressure q5 minutes using duranap machine
b. change the dilution of the nitroglycerin infusion
c. reduce the rate of the nitroglycerin infusion
d. begin dopamine infusion at 5mcg/kg per minute - answer :c. reduce the rate of the nitroglycerin
infusion
