MEDICAL –SURGICAL (ADULT HEALTH)
EXIT HESI
, Medical –Surgical (Adult Health) Exit HESI
Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of
lung and preparing for DC. When teaching about self-management with demeclocycline (declomycin),
instruct to report what?
Muscle cramping
Determining the client position for insertion of indwelling catheter, Most important?
Orthopnea
Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When
performing return demonstration pt applies pressure to the umbilical area of his abdomen. What
instruction?
Apply downward manual pressure at the suprapubic region
35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What
statement reflects accurate understanding of expected outcome for client?
Supplemental hormone therapy will probably be necessary
Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the
shunt is effective?
Decreased abdominal girth
Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do?
Get a BP cuff
Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information?
Personality changes or expressive aphasia are likely
Greatest benefit for the client with which problem related to DM to change from the use of insulin
syringes to using an insulin pen for med administration?
Diminished dexterity due to dinger paresthesias
Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding
indicates the med has been effective in controlling asthma symptoms.
Increased peak flow meter rates
Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client
with ambulation. HCP has prescription for bed rest. Action
Change the planned interventions to include range of motion exercises rather than ambulation
Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to
help communicate?
Be consistent in using the same words each time a Q is asked
When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on
right side only. Action
Reposition the depth of the ET tube
EXIT HESI
, Medical –Surgical (Adult Health) Exit HESI
Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of
lung and preparing for DC. When teaching about self-management with demeclocycline (declomycin),
instruct to report what?
Muscle cramping
Determining the client position for insertion of indwelling catheter, Most important?
Orthopnea
Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When
performing return demonstration pt applies pressure to the umbilical area of his abdomen. What
instruction?
Apply downward manual pressure at the suprapubic region
35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What
statement reflects accurate understanding of expected outcome for client?
Supplemental hormone therapy will probably be necessary
Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the
shunt is effective?
Decreased abdominal girth
Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do?
Get a BP cuff
Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information?
Personality changes or expressive aphasia are likely
Greatest benefit for the client with which problem related to DM to change from the use of insulin
syringes to using an insulin pen for med administration?
Diminished dexterity due to dinger paresthesias
Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding
indicates the med has been effective in controlling asthma symptoms.
Increased peak flow meter rates
Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client
with ambulation. HCP has prescription for bed rest. Action
Change the planned interventions to include range of motion exercises rather than ambulation
Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to
help communicate?
Be consistent in using the same words each time a Q is asked
When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on
right side only. Action
Reposition the depth of the ET tube
