1
MED SURG EXAM TEST BANK
MED SURG EXAM TEST BANK 4 with 263 Questions
and Correct Answers with Detailed Rationales /
MED SURG Hesi, RN Med Surg Proctored, Evolve
HESI Med Surg Comprehensive Practice Exam
Latest
A client with hypertension has been receiving ramipril, 5 mg PO, daily for 2 weeks
and is scheduled to receive a dose at 0900. At 0830, the client's blood pressure
is 120/70 mm Hg. Which action should the nurse take?
A.
Administer the prescribed dose at the scheduled time.
B.
Hold the dose and contact the health care provider.
C.
, 2
MED SURG EXAM TEST BANK
Hold the dose and recheck the blood pressure in 1 hour.
D.
Check the health care provider's prescription to clarify the dose. –
Correct Answer :A
Rationale:
The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered.
Options B and C would be appropriate if the client's blood pressure was
excessively low (<100 mm Hg systolic) or if the client were exhibiting signs of
hypotension such as dizziness. This prescribed dose is within the normal dosage
range, as defined by the manufacturer; therefore, option D is not necessary.
A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A.
Avoid high-carbohydrate foods.
B.
Decrease intake of fat-soluble vitamins.
C.
Decrease caloric intake.
D.
Restrict salt and fluid intake. –
Correct Answer :D
Rationale:
, 3
MED SURG EXAM TEST BANK
Salt and fluid restrictions are the first dietary modifications for a client who is
retaining fluid as manifested by edema and ascites. Options A, B, and C will not
affect fluid retention.
When educating a client after a total laryngectomy, which instruction would be
most important for the nurse to include in the discharge teaching?
A.
Recommend that the client carry suction equipment at all times.
B.
Instruct the client to carry writing materials at all times.
C.
Tell the client to carry a medical alert card that explains the condition.
D.
Caution the client not to travel outside the United States alone. –
Correct Answer :C
Rationale
:Neck breathers carry a medical alert card that notifies health care personnel of
the need to use mouth to stoma breathing in the event of a cardiac arrest in this
client. Mouth-to-mouth resuscitation will not establish a patent airway. Options
A and D are not necessary. There are many alternative means of communication
for clients who have had a laryngectomy; dependence on writing messages is
probably the least effective.
, 4
MED SURG EXAM TEST BANK
A hospitalized client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. The client begins to cough and produces a
moderate amount of white sputum. Which action should the nurse take first?
A.
Auscultate the client's breath sounds.
B.
Turn off the continuous feeding pump.
C.
Check placement of the nasogastric tube.
D.
Measure the amount of residual feeding. –
Correct Answer :B
Rationale:
A productive cough may indicate that the feeding has been aspirated. The nurse
should first stop the feeding to prevent further aspiration. Options A, C, and D
should all be performed before restarting the tube feeding if no evidence of
aspiration is present and the tube is in place.
A client who is receiving an angiotensin-converting enzyme (ACE) inhibitor for
hypertension calls the clinic and reports the recent onset of a cough to the
nurse. Which action should the nurse take first?
A.
Advise the client to come to the clinic immediately for further assessment.
B.
Instruct the client to discontinue use of the drug and to make an appointment
at the clinic.
MED SURG EXAM TEST BANK
MED SURG EXAM TEST BANK 4 with 263 Questions
and Correct Answers with Detailed Rationales /
MED SURG Hesi, RN Med Surg Proctored, Evolve
HESI Med Surg Comprehensive Practice Exam
Latest
A client with hypertension has been receiving ramipril, 5 mg PO, daily for 2 weeks
and is scheduled to receive a dose at 0900. At 0830, the client's blood pressure
is 120/70 mm Hg. Which action should the nurse take?
A.
Administer the prescribed dose at the scheduled time.
B.
Hold the dose and contact the health care provider.
C.
, 2
MED SURG EXAM TEST BANK
Hold the dose and recheck the blood pressure in 1 hour.
D.
Check the health care provider's prescription to clarify the dose. –
Correct Answer :A
Rationale:
The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered.
Options B and C would be appropriate if the client's blood pressure was
excessively low (<100 mm Hg systolic) or if the client were exhibiting signs of
hypotension such as dizziness. This prescribed dose is within the normal dosage
range, as defined by the manufacturer; therefore, option D is not necessary.
A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A.
Avoid high-carbohydrate foods.
B.
Decrease intake of fat-soluble vitamins.
C.
Decrease caloric intake.
D.
Restrict salt and fluid intake. –
Correct Answer :D
Rationale:
, 3
MED SURG EXAM TEST BANK
Salt and fluid restrictions are the first dietary modifications for a client who is
retaining fluid as manifested by edema and ascites. Options A, B, and C will not
affect fluid retention.
When educating a client after a total laryngectomy, which instruction would be
most important for the nurse to include in the discharge teaching?
A.
Recommend that the client carry suction equipment at all times.
B.
Instruct the client to carry writing materials at all times.
C.
Tell the client to carry a medical alert card that explains the condition.
D.
Caution the client not to travel outside the United States alone. –
Correct Answer :C
Rationale
:Neck breathers carry a medical alert card that notifies health care personnel of
the need to use mouth to stoma breathing in the event of a cardiac arrest in this
client. Mouth-to-mouth resuscitation will not establish a patent airway. Options
A and D are not necessary. There are many alternative means of communication
for clients who have had a laryngectomy; dependence on writing messages is
probably the least effective.
, 4
MED SURG EXAM TEST BANK
A hospitalized client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. The client begins to cough and produces a
moderate amount of white sputum. Which action should the nurse take first?
A.
Auscultate the client's breath sounds.
B.
Turn off the continuous feeding pump.
C.
Check placement of the nasogastric tube.
D.
Measure the amount of residual feeding. –
Correct Answer :B
Rationale:
A productive cough may indicate that the feeding has been aspirated. The nurse
should first stop the feeding to prevent further aspiration. Options A, C, and D
should all be performed before restarting the tube feeding if no evidence of
aspiration is present and the tube is in place.
A client who is receiving an angiotensin-converting enzyme (ACE) inhibitor for
hypertension calls the clinic and reports the recent onset of a cough to the
nurse. Which action should the nurse take first?
A.
Advise the client to come to the clinic immediately for further assessment.
B.
Instruct the client to discontinue use of the drug and to make an appointment
at the clinic.
