NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
Questions
□ The nurse is assessing a client's laboratory values
following administration of chemotherapy. Which lab value leads the
nurse to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and
hyperphosphatemia. A serum calcium level of 5 (B), which is low, is
an indicator of possible tumor lysis syndrome. (A, C, and D) are not
particularly related to TLS. Awarded 0.0 points out of 1.0 possible
points.
□ 2.ID: 6974889585A client is admitted to the hospital with a
diagnosis of severe acute diverticulitis. Which assessment finding
should the nurse expect this client to exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and nausea. C
Abdominal pain and intermittent tenesmus.
D Exacerbations of severe diarrhea.
□ Left lower quadrant pain occurs with diverticulitis because the
sigmoid colon is the most common area for diverticula, and the
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
, NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
inflammation of diverticula causes a low- grade fever (A). (B) would be
indicative of appendicitis. (C and D) are symptoms exhibited with
ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
□ 3.ID: 6974891763During CPR, when attempting to ventilate a
client's lungs, the nurse notes that the chest is not moving. What
action should the nurse take first?
A Use a laryngoscope to check for a foreign body lodged in the
esophagus.
B Reposition the head to validate that the head is in the proper position
to open the airway. Correct
C Turn the client to the side and administer three back blows. D
Perform a finger sweep of the mouth to remove any vomitus.
□ The most frequent cause of inadequate aeration of the
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
, NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
client's lungs during CPR is improper positioning of the head resulting
in occlusion of the airway (B). A foreign body can occlude the airway,
but this is not common unless choking preceded the cardiac
emergency, and (A, C and D) should not be the nurse's first action.
Awarded 0.0 points out of 1.0 possible points.
□ 4.ID: 6974891794A client is admitted to the hospital with a
medical diagnosis of pneumococcal pneumonia. The nurse knows
that the prognosis for gram-negative pneumonias (such as E. coli,
Klebsiella, Pseudomonas, and Proteus) is very poor because
A they occur in the lower lobe alveoli which are more sensitive to
infection.
B gram-negative organisms are more resistant to antibiotic therapy.
Correct
C they occur in healthy young adults who have recently been
debilitated by an upper respiratory infection.
D gram-negative pneumonias usually affect infants and small children.
□ The gram-negative organisms are resistant to drug therapy (B)
which makes recovery very difficult. Gram- negative pneumonias
affect all lobes of the lung (A). The mean age for contracting this
type of pneumonia is 50 years (C and D), and it usually strikes
debilitated persons such as alcoholics, diabetics, and those with
chronic lung diseases.
Awarded 0.0 points out of 1.0 possible points.
□ 5.ID: 6974891705A client is placed on a mechanical ventilator
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
, NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
following a cerebral hemorrhage, and vecuronium bromide (Norcuron)
0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing
diagnosis for this client?
A Impaired communication related to paralysis of skeletal muscles.
Correct
B High risk for infection related to increased intracranial
pressure.
C Potential for injury related to impaired lung expansion. D
Social isolation related to inability to communicate.
□ To increase the client's tolerance of endotracheal intubation
and/or mechanical ventilation, a skeletal-muscle relaxant, such as
vecuronium, is usually prescribed. Impaired
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
Questions
□ The nurse is assessing a client's laboratory values
following administration of chemotherapy. Which lab value leads the
nurse to suspect that the client is experiencing tumor lysis syndrome
(TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and
hyperphosphatemia. A serum calcium level of 5 (B), which is low, is
an indicator of possible tumor lysis syndrome. (A, C, and D) are not
particularly related to TLS. Awarded 0.0 points out of 1.0 possible
points.
□ 2.ID: 6974889585A client is admitted to the hospital with a
diagnosis of severe acute diverticulitis. Which assessment finding
should the nurse expect this client to exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and nausea. C
Abdominal pain and intermittent tenesmus.
D Exacerbations of severe diarrhea.
□ Left lower quadrant pain occurs with diverticulitis because the
sigmoid colon is the most common area for diverticula, and the
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
, NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
inflammation of diverticula causes a low- grade fever (A). (B) would be
indicative of appendicitis. (C and D) are symptoms exhibited with
ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
□ 3.ID: 6974891763During CPR, when attempting to ventilate a
client's lungs, the nurse notes that the chest is not moving. What
action should the nurse take first?
A Use a laryngoscope to check for a foreign body lodged in the
esophagus.
B Reposition the head to validate that the head is in the proper position
to open the airway. Correct
C Turn the client to the side and administer three back blows. D
Perform a finger sweep of the mouth to remove any vomitus.
□ The most frequent cause of inadequate aeration of the
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
, NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
client's lungs during CPR is improper positioning of the head resulting
in occlusion of the airway (B). A foreign body can occlude the airway,
but this is not common unless choking preceded the cardiac
emergency, and (A, C and D) should not be the nurse's first action.
Awarded 0.0 points out of 1.0 possible points.
□ 4.ID: 6974891794A client is admitted to the hospital with a
medical diagnosis of pneumococcal pneumonia. The nurse knows
that the prognosis for gram-negative pneumonias (such as E. coli,
Klebsiella, Pseudomonas, and Proteus) is very poor because
A they occur in the lower lobe alveoli which are more sensitive to
infection.
B gram-negative organisms are more resistant to antibiotic therapy.
Correct
C they occur in healthy young adults who have recently been
debilitated by an upper respiratory infection.
D gram-negative pneumonias usually affect infants and small children.
□ The gram-negative organisms are resistant to drug therapy (B)
which makes recovery very difficult. Gram- negative pneumonias
affect all lobes of the lung (A). The mean age for contracting this
type of pneumonia is 50 years (C and D), and it usually strikes
debilitated persons such as alcoholics, diabetics, and those with
chronic lung diseases.
Awarded 0.0 points out of 1.0 possible points.
□ 5.ID: 6974891705A client is placed on a mechanical ventilator
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
, NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
following a cerebral hemorrhage, and vecuronium bromide (Norcuron)
0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing
diagnosis for this client?
A Impaired communication related to paralysis of skeletal muscles.
Correct
B High risk for infection related to increased intracranial
pressure.
C Potential for injury related to impaired lung expansion. D
Social isolation related to inability to communicate.
□ To increase the client's tolerance of endotracheal intubation
and/or mechanical ventilation, a skeletal-muscle relaxant, such as
vecuronium, is usually prescribed. Impaired
NURSING Med SURG Practice EXAM STUDY
GUIDE QUIZZES FROM EVOLVE HESI RATED
A+
