HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
MED-SURGE HESI RN
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with
a rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option
A is a medication used for ventricular dysrhythmias. Option C is not for a client
with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias,
such as ventricular fibrillation and unstable ventricular tachycardia. Option D is the
drug of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2.A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is
the best managerial decision?
A. Notify the family that the resident will have to
be discharged if his behavior does not improve.
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
,HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
B. Notify administration of the PN's insubordination
and need for counseling about her statements.
C. Ask the PN what she has done to encourage
the resident to believe that she is his daughter.
D. Reassign the PN until the resident can be
assessed more completely for reality orientation.
Rationale:
Temporary reassignment is the best option until the resident can be examined and
his medications reviewed. He may have worsening cerebral dysfunction from an
infection or electrolyte imbalance. Option A is not the best option because the
family cannot control the resident's actions. The administration may need to know
about the situation, but not as a case of insubordination. Implying that the PN is
somehow creating the situation is inappropriate until a further evaluation has been
conducted.
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
,HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
3. Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
A. Midnight census
B. Oncoming shift census
C. Average daily census
D. Hourly census
Rationale:
An average daily census is determined by trend data and takes into account
seasonal and daily fluctuations, so it is the best method for determining staffing
needs. Options A and B provide data at a certain point in time, and that data could
change quickly. It is unrealistic to expect to obtain an hourly census, and such data
would only provide information about a certain point in time.
4. The nurse is counseling a healthy 30-year-old female client regarding
osteoporosis prevention. Which activity would be most beneficial in achieving
the client's goal of osteoporosis prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
, HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
Rationale:
Weight-bearing exercise is an important measure to reduce the risk of osteoporosis.
Of the activities listed, cross-country skiing includes the most weight-bearing,
whereas options B, C, and D involve less.
5. Which condition should the nurse anticipate as a potential problem in a
female client with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis
Rationale:
Infection is the major complication resulting from stasis of urine and subsequent
catheterization. Option A is the involuntary loss of urine through an intact urethra
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
MED-SURGE HESI RN
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with
a rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option
A is a medication used for ventricular dysrhythmias. Option C is not for a client
with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias,
such as ventricular fibrillation and unstable ventricular tachycardia. Option D is the
drug of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2.A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is
the best managerial decision?
A. Notify the family that the resident will have to
be discharged if his behavior does not improve.
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
,HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
B. Notify administration of the PN's insubordination
and need for counseling about her statements.
C. Ask the PN what she has done to encourage
the resident to believe that she is his daughter.
D. Reassign the PN until the resident can be
assessed more completely for reality orientation.
Rationale:
Temporary reassignment is the best option until the resident can be examined and
his medications reviewed. He may have worsening cerebral dysfunction from an
infection or electrolyte imbalance. Option A is not the best option because the
family cannot control the resident's actions. The administration may need to know
about the situation, but not as a case of insubordination. Implying that the PN is
somehow creating the situation is inappropriate until a further evaluation has been
conducted.
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
,HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
3. Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
A. Midnight census
B. Oncoming shift census
C. Average daily census
D. Hourly census
Rationale:
An average daily census is determined by trend data and takes into account
seasonal and daily fluctuations, so it is the best method for determining staffing
needs. Options A and B provide data at a certain point in time, and that data could
change quickly. It is unrealistic to expect to obtain an hourly census, and such data
would only provide information about a certain point in time.
4. The nurse is counseling a healthy 30-year-old female client regarding
osteoporosis prevention. Which activity would be most beneficial in achieving
the client's goal of osteoporosis prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
, HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
Rationale:
Weight-bearing exercise is an important measure to reduce the risk of osteoporosis.
Of the activities listed, cross-country skiing includes the most weight-bearing,
whereas options B, C, and D involve less.
5. Which condition should the nurse anticipate as a potential problem in a
female client with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis
Rationale:
Infection is the major complication resulting from stasis of urine and subsequent
catheterization. Option A is the involuntary loss of urine through an intact urethra
HESI 101MED-SURGE HESI RN QUESTIONS &
ANS RATIONALE BEST STUDY GUIDE EXAM
LATEST UPDATE 2021/2022 GRADED A+
