MEDSURG HESI UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
AlternatemIVm&mIMmmedicationsm-
mCORRECTmANSWERmAm73myearmoldmpatientmwithmendmstagemcancermisminmthemhospitalmformpainmc
ontrolmandmratesmpainmatmam"12"monmthemnumericmratingmscalemofm0mtom10.mWhatmismthemappropria
temmethodmofmpainmcontrolmformthismpatient?
A.mAlternatemacetaminophenm&mibuprofen
B.mOnlymgivemPOmmedicationsmonmamscheduledmbasis
C.mAlternatemIVm&mIMmmedications
D.mWaitmformpatientmtomrequestmmedicationmeachmtime
Dyspnea
Barrelmchest
Tripodmposition
Pursed-lipmbreathingm-
mCORRECTmANSWERmWhatmphysicalmassessmentmfindingsmwouldmamnursemexpectmtomfindminmamclie
ntmwithmCOPD?
Increasemfluidmintakemtom3L/daymifmtoleratedm-
mCORRECTmANSWERmWhatmismthemprioritymnursingminterventionminmhelpingmampatientmexpectorate
mthickmlungmsecretions?
A.mHumidifymthemoxygenmasmable
B.mAdministermcoughmsuppressantmQ24HR
C.mTeachmpatientmtomsplintmthemaffectedmarea
D.mIncreasemfluidmintakemtom3L/Daymifmtolerated
,*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stressm-mCORRECTmANSWERmRiskmfactorsmformhypertension
Decreasemcalciumm(milk,mcheese,mtofood)
Wantmthemmtomgetmupmandmambulatemtomgetmthosemstonesmdown
Increasemwater/fluidmintakem
Strainmurinem-
mCORRECTmANSWERmWhatminterventionsmdomyoumplanmtomincludemw/mamptmwhomhasmrenalmcalculi
?
Increasemwater/fluidmintakem
Decreasemcalcium
Limitmcoffee,mtea,m&mcolam-
mCORRECTmANSWERmWhatmaremdietarymconsiderationsmformrenalmcalculi?
C.mWeakmcoughm-
mCORRECTmANSWERmAmpatientmismadmittedmtomthemERmwithmamyotrophicmlateralmsclerosis.mWhich
mnursingmassessmentmwarrantsmimmediatemintervention?
A.mMusclemspasms
B.mSeveremconstipation
C.mWeakmcough
D.mSlowmurinemstream
, massivemproteinminmurine
hypoalbunemiam(lowmproteinminmthemblood)
hyperlipidemia
edemam(anasarca;minmanklesminmfeet)
Weightmgain
makemsuremtomdomdailymweights
monitormedemaminmlowermlegsmandminmabdomenm(ascitesmoccursmcommonlymw/mnephroticmsyndro
me)m-mCORRECTmANSWERmIndicatorsmofmnephroticmsyndrome
C.mUsempicturemchartsmtomcommunicatem(theymcanmpointmoutmwhatmtheymaremtryingmtomsay)m-
mCORRECTmANSWERmAmpatientmismadmittedmtomthemERmwithmexpressivemaphasia.mTomfurthermasses
smthempatient,mthemnursemshouldmincludemwhichmofmthemfollowingmtechniques:
A.mSpeakmslowermtomcommunicate
B.mSpeakmloudermtomcommunicate
C.mUsempicturemchartsmtomcommunicate
D.mTypemonmcomputermscreenmtomcommunicate
amyotrophicmlateralmsclerosism(ALS)m-
mCORRECTmANSWERmconditionmofmprogressivemdeteriorationmofmmotormnervemcellsmresultingminmt
otalmlossmofmvoluntarymmusclemcontrol;msymptomsmadvancemfrommmusclemweaknessminmthemarmsm
andmlegs,mtomthemmusclesmofmspeech,mswallowing,mandmbreathing,mtomtotalmparalysismandmdeath;m
alsomknownmasmLoumGehrigmdisease
expressivemaphasiam-
mCORRECTmANSWERmslurredmspeechmorminabilitymtomspeak;mthey'remunablemtomgetmoutmwhatmthey
mwantmtomsay
Nomheavymliftingmormbendingmovermatmthemwastem(nothingmthatmwillmincreasemIOPm)
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
AlternatemIVm&mIMmmedicationsm-
mCORRECTmANSWERmAm73myearmoldmpatientmwithmendmstagemcancermisminmthemhospitalmformpainmc
ontrolmandmratesmpainmatmam"12"monmthemnumericmratingmscalemofm0mtom10.mWhatmismthemappropria
temmethodmofmpainmcontrolmformthismpatient?
A.mAlternatemacetaminophenm&mibuprofen
B.mOnlymgivemPOmmedicationsmonmamscheduledmbasis
C.mAlternatemIVm&mIMmmedications
D.mWaitmformpatientmtomrequestmmedicationmeachmtime
Dyspnea
Barrelmchest
Tripodmposition
Pursed-lipmbreathingm-
mCORRECTmANSWERmWhatmphysicalmassessmentmfindingsmwouldmamnursemexpectmtomfindminmamclie
ntmwithmCOPD?
Increasemfluidmintakemtom3L/daymifmtoleratedm-
mCORRECTmANSWERmWhatmismthemprioritymnursingminterventionminmhelpingmampatientmexpectorate
mthickmlungmsecretions?
A.mHumidifymthemoxygenmasmable
B.mAdministermcoughmsuppressantmQ24HR
C.mTeachmpatientmtomsplintmthemaffectedmarea
D.mIncreasemfluidmintakemtom3L/Daymifmtolerated
,*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stressm-mCORRECTmANSWERmRiskmfactorsmformhypertension
Decreasemcalciumm(milk,mcheese,mtofood)
Wantmthemmtomgetmupmandmambulatemtomgetmthosemstonesmdown
Increasemwater/fluidmintakem
Strainmurinem-
mCORRECTmANSWERmWhatminterventionsmdomyoumplanmtomincludemw/mamptmwhomhasmrenalmcalculi
?
Increasemwater/fluidmintakem
Decreasemcalcium
Limitmcoffee,mtea,m&mcolam-
mCORRECTmANSWERmWhatmaremdietarymconsiderationsmformrenalmcalculi?
C.mWeakmcoughm-
mCORRECTmANSWERmAmpatientmismadmittedmtomthemERmwithmamyotrophicmlateralmsclerosis.mWhich
mnursingmassessmentmwarrantsmimmediatemintervention?
A.mMusclemspasms
B.mSeveremconstipation
C.mWeakmcough
D.mSlowmurinemstream
, massivemproteinminmurine
hypoalbunemiam(lowmproteinminmthemblood)
hyperlipidemia
edemam(anasarca;minmanklesminmfeet)
Weightmgain
makemsuremtomdomdailymweights
monitormedemaminmlowermlegsmandminmabdomenm(ascitesmoccursmcommonlymw/mnephroticmsyndro
me)m-mCORRECTmANSWERmIndicatorsmofmnephroticmsyndrome
C.mUsempicturemchartsmtomcommunicatem(theymcanmpointmoutmwhatmtheymaremtryingmtomsay)m-
mCORRECTmANSWERmAmpatientmismadmittedmtomthemERmwithmexpressivemaphasia.mTomfurthermasses
smthempatient,mthemnursemshouldmincludemwhichmofmthemfollowingmtechniques:
A.mSpeakmslowermtomcommunicate
B.mSpeakmloudermtomcommunicate
C.mUsempicturemchartsmtomcommunicate
D.mTypemonmcomputermscreenmtomcommunicate
amyotrophicmlateralmsclerosism(ALS)m-
mCORRECTmANSWERmconditionmofmprogressivemdeteriorationmofmmotormnervemcellsmresultingminmt
otalmlossmofmvoluntarymmusclemcontrol;msymptomsmadvancemfrommmusclemweaknessminmthemarmsm
andmlegs,mtomthemmusclesmofmspeech,mswallowing,mandmbreathing,mtomtotalmparalysismandmdeath;m
alsomknownmasmLoumGehrigmdisease
expressivemaphasiam-
mCORRECTmANSWERmslurredmspeechmorminabilitymtomspeak;mthey'remunablemtomgetmoutmwhatmthey
mwantmtomsay
Nomheavymliftingmormbendingmovermatmthemwastem(nothingmthatmwillmincreasemIOPm)
