MED SURG EVOLVE HESI PRACTICE
QUIZ CACI
HIGH YIELD QUESTIONS WITH
RATIONALES FULLY UPDATED FOR 2026
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test
provides definitive information that the nurse should report to the HCP? - Answer--Lung
Tissue Biopsy
(http://en.wikipedia.org/wiki/Sarcoidosis)
A 58y/o client who has been post-menopausal for 5 years is concerned about the risk
for osteoporosis because her mother has the condition. Which information should the
nurse offer? - Answer--Calcium loss from bones can be slowed by increasing calcium
intake and exercise.
After the 4th dose of gentamicin (Garamycin) IV, the nurse plans to draw blood samples
to determine peak and trough levels. What are the best times to draw these samples? -
Answer--5 minute before and 30 minutes after the next dose.
A client who is HIV positive asked the nurse, ¨How will I know when I have AIDS?¨ How
should the nurse respond? - Answer--AIDS is diagnosed when a specific opportunistic
infection is found in an otherwise health individual
, During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest
is not moving. Which action should the nurse take FIRST? - Answer--Reposition the
head and validate that the head is in the proper position to open the airway.
Which intervention should the nurse plan to implement when caring for a client who has
just undergone a right above-the-knee amputation? - Answer--Place a large tourniquet
at the bedside
When preparing a client who has had a total laryngectomy for discharge, which
instruction is most important to include in discharge teaching? - Answer--Tell the client
to carry a medical alert card stating that he is a total neck breather.
When working with a 70y/o obese client with bilateral osteoarthritis (OA) of the hips,
what should the nurse recommend that is most beneficial in protecting the client's
joints? - Answer--Initiate a weight-reduction diet to achieve a healthy body weight
A 58y/o client who has no health problems asks the nurse about the Pneumovax
vaccine. The response should be based on which information? - Answer--The vaccine is
administered once to older adults or persons with a history of chronic illnesses.
During a lung assessment, the nurse places a stethoscope on a client's chest and
instruct him to say 99 each time. WHat should be the correct interpretation if the nurse
hears the words 99 spoken very clearly? - Answer--May indicate pneumonia
(Whisper pectoriloquy demonstrates hyperresonance. Normally, the spoken word is not
well heard)
When teaching diaphragmatic breathing to a client with COPD, which information
should the nurse provide regarding technique? - Answer--Place a small book on the abd
and make it rise while inhaling
Dysrhythmias are a concern for any client, however, the presence of one is more
serious in the elderly because... - Answer--elderly persons are intolerant of decreased
cardiac output which may result in dizziness and falls.
The nurse notes that the only ECG for a 55 y/o male client scheduled for surgery in 2
house is dated 2 years ago. The client reports that he has a hx of heart trouble but has
no problems at present. Hospital protocol requires that those over 50 have a recent
QUIZ CACI
HIGH YIELD QUESTIONS WITH
RATIONALES FULLY UPDATED FOR 2026
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test
provides definitive information that the nurse should report to the HCP? - Answer--Lung
Tissue Biopsy
(http://en.wikipedia.org/wiki/Sarcoidosis)
A 58y/o client who has been post-menopausal for 5 years is concerned about the risk
for osteoporosis because her mother has the condition. Which information should the
nurse offer? - Answer--Calcium loss from bones can be slowed by increasing calcium
intake and exercise.
After the 4th dose of gentamicin (Garamycin) IV, the nurse plans to draw blood samples
to determine peak and trough levels. What are the best times to draw these samples? -
Answer--5 minute before and 30 minutes after the next dose.
A client who is HIV positive asked the nurse, ¨How will I know when I have AIDS?¨ How
should the nurse respond? - Answer--AIDS is diagnosed when a specific opportunistic
infection is found in an otherwise health individual
, During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest
is not moving. Which action should the nurse take FIRST? - Answer--Reposition the
head and validate that the head is in the proper position to open the airway.
Which intervention should the nurse plan to implement when caring for a client who has
just undergone a right above-the-knee amputation? - Answer--Place a large tourniquet
at the bedside
When preparing a client who has had a total laryngectomy for discharge, which
instruction is most important to include in discharge teaching? - Answer--Tell the client
to carry a medical alert card stating that he is a total neck breather.
When working with a 70y/o obese client with bilateral osteoarthritis (OA) of the hips,
what should the nurse recommend that is most beneficial in protecting the client's
joints? - Answer--Initiate a weight-reduction diet to achieve a healthy body weight
A 58y/o client who has no health problems asks the nurse about the Pneumovax
vaccine. The response should be based on which information? - Answer--The vaccine is
administered once to older adults or persons with a history of chronic illnesses.
During a lung assessment, the nurse places a stethoscope on a client's chest and
instruct him to say 99 each time. WHat should be the correct interpretation if the nurse
hears the words 99 spoken very clearly? - Answer--May indicate pneumonia
(Whisper pectoriloquy demonstrates hyperresonance. Normally, the spoken word is not
well heard)
When teaching diaphragmatic breathing to a client with COPD, which information
should the nurse provide regarding technique? - Answer--Place a small book on the abd
and make it rise while inhaling
Dysrhythmias are a concern for any client, however, the presence of one is more
serious in the elderly because... - Answer--elderly persons are intolerant of decreased
cardiac output which may result in dizziness and falls.
The nurse notes that the only ECG for a 55 y/o male client scheduled for surgery in 2
house is dated 2 years ago. The client reports that he has a hx of heart trouble but has
no problems at present. Hospital protocol requires that those over 50 have a recent
