HESI MED SURG April
2022 COMPLETE WITH
ALL THE ANSWERS
(ACTUAL QUESTIONS)
, ● Raynaud's syndrome: avoid factors that initiate vasoconstriction such as cold, stress,
and caffeine intake
○ A female client who works as a data entry clerk is concerned as to how her
recent diagnosis of Raynaud's syndrome is going to affect her job performance.
Which instruction should the nurse provide this client?
A. Use a space heater to keep the workplace warm
B. Obtain a keyboard designed to limit wrist flexion
C. Keep both hands elevated during work breaks
D. Take a multivitamin that contains vitamin D daily
● Burning with urination, frequency, urgency = symptoms of cystitis: may be related to
hypertension: BP will be less than 140/80
● Diverticulosis frequently asymptomatic until the diverticula becomes inflamed
● Hyperparathyroidism with acute flank pain: strain all urine (could be kidney stones)
● Unstable angina to reduce cardiac overload > Place commode at bedside for toileting
● Leukopenia: Precautions should be taken to protect the client because of weaken
immune system
● In severe acute adrenal insufficiency > monitor pulse/ blood pressure
● Tuberculosis test: erythema without induration between 48-72 hours is is considered
negative
● Lupas teaching: Emphasize the importance of taking prescribed corticosteroids
accurately
● Pre Op assessment checklist: most immediate problem is clients low potassium
● Herpes zoster (shingles) educate patient about protecting family members
● Cataract post op care: stool softener
● Aplastic anemia: Monitor signs of bleeding & blood products should be administered as
prescribed
● Renal calculus: Pain should be first assessment
● Meningitis: Lumbar puncture
● Normal finding in AV fistula: Enlarged vein
● Diabetes & blurred vision: The clients A1C will be less than 7.0%
● Heart failure assessment: Respiratory, cardiac, and renal function
● GERD & painful swallowing: Typically present in severe cases of GERD (Determine if
client is taking medication)
● Type II diabetes: Blood pressure, current serum glucose, and respiratory status should
be assessed
● Influenza: Oxygen saturation (First intervention) due to client exhibiting shortness of
breath
● Asthma meds: Albuterol
2022 COMPLETE WITH
ALL THE ANSWERS
(ACTUAL QUESTIONS)
, ● Raynaud's syndrome: avoid factors that initiate vasoconstriction such as cold, stress,
and caffeine intake
○ A female client who works as a data entry clerk is concerned as to how her
recent diagnosis of Raynaud's syndrome is going to affect her job performance.
Which instruction should the nurse provide this client?
A. Use a space heater to keep the workplace warm
B. Obtain a keyboard designed to limit wrist flexion
C. Keep both hands elevated during work breaks
D. Take a multivitamin that contains vitamin D daily
● Burning with urination, frequency, urgency = symptoms of cystitis: may be related to
hypertension: BP will be less than 140/80
● Diverticulosis frequently asymptomatic until the diverticula becomes inflamed
● Hyperparathyroidism with acute flank pain: strain all urine (could be kidney stones)
● Unstable angina to reduce cardiac overload > Place commode at bedside for toileting
● Leukopenia: Precautions should be taken to protect the client because of weaken
immune system
● In severe acute adrenal insufficiency > monitor pulse/ blood pressure
● Tuberculosis test: erythema without induration between 48-72 hours is is considered
negative
● Lupas teaching: Emphasize the importance of taking prescribed corticosteroids
accurately
● Pre Op assessment checklist: most immediate problem is clients low potassium
● Herpes zoster (shingles) educate patient about protecting family members
● Cataract post op care: stool softener
● Aplastic anemia: Monitor signs of bleeding & blood products should be administered as
prescribed
● Renal calculus: Pain should be first assessment
● Meningitis: Lumbar puncture
● Normal finding in AV fistula: Enlarged vein
● Diabetes & blurred vision: The clients A1C will be less than 7.0%
● Heart failure assessment: Respiratory, cardiac, and renal function
● GERD & painful swallowing: Typically present in severe cases of GERD (Determine if
client is taking medication)
● Type II diabetes: Blood pressure, current serum glucose, and respiratory status should
be assessed
● Influenza: Oxygen saturation (First intervention) due to client exhibiting shortness of
breath
● Asthma meds: Albuterol
