NURS 1234 HESI MED SURG REVIEW NUR1234 HESI MED SURG
REVIEW EXAM QUESTIONS AND ANSWERS
1. What instruction should the nurse include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and
coughing green colored sputum. Which intervention should the
nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is losing 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?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. Palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. 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?
a. blood ph. of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
1
, d. Potassium of 2.5 mEq/l
5. A client with sickle cell anemia develops a fever during the last
hour of
2
,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?
a. Explain specific reason for urgent notification
3
, b. preface the report by stating the clients name and
admitting diagnosis
c. communicate the pre-transfusion temperatures
d. obtain pen prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis cardinal
pneumonia (PCP) secondary to aids. While hospitalize he
receives IV pentamidine isethionate therapy. In preparing this
client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pent
amine is being used.
b. IV pent amine will be given until oral pent amine can be
tolerated
c. It will be necessary to continue prophylactic doses of
IV or aerosol pent amine every month
d. Iv pent amine may offer protection to others aids related
conditions such as Kaposi’s sarcoma
7. A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. Collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that
the cancer cells are well differentiated how should the
nurse respond?
a. offer the client reassurance that this information
indicates that the clients cancer cells are benign
b. explain that these tissue cells often respond more
effectively to radiation than to chemotherapy
c. Ask the client in the healthcare provider has giving
her any information about the classification of her
cancer
d. help the client make plans to begin immediate
treatment since her cancer is likely to spread quickly
4
REVIEW EXAM QUESTIONS AND ANSWERS
1. What instruction should the nurse include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and
coughing green colored sputum. Which intervention should the
nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is losing 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?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. Palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. 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?
a. blood ph. of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
1
, d. Potassium of 2.5 mEq/l
5. A client with sickle cell anemia develops a fever during the last
hour of
2
,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?
a. Explain specific reason for urgent notification
3
, b. preface the report by stating the clients name and
admitting diagnosis
c. communicate the pre-transfusion temperatures
d. obtain pen prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis cardinal
pneumonia (PCP) secondary to aids. While hospitalize he
receives IV pentamidine isethionate therapy. In preparing this
client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pent
amine is being used.
b. IV pent amine will be given until oral pent amine can be
tolerated
c. It will be necessary to continue prophylactic doses of
IV or aerosol pent amine every month
d. Iv pent amine may offer protection to others aids related
conditions such as Kaposi’s sarcoma
7. A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. Collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that
the cancer cells are well differentiated how should the
nurse respond?
a. offer the client reassurance that this information
indicates that the clients cancer cells are benign
b. explain that these tissue cells often respond more
effectively to radiation than to chemotherapy
c. Ask the client in the healthcare provider has giving
her any information about the classification of her
cancer
d. help the client make plans to begin immediate
treatment since her cancer is likely to spread quickly
4
