2022 Hesi Med-Surg Practice Questions & Answers,
Graded A+
When providing care for a client following a bronchoscopy, which assessment finding
should the nurse immediately report to the HCP?
a) slight blood-tinged sputum
b) dyspnea and dysphagia
c) sore throat and hoarseness
d) no gag reflex after thirty minutes - b) dyspnea and dysphagia
To reduce the risk for pulmonary complication for a client with amyotrophic lateral
sclerosis (ALS), what interventions should the nurse implement?
a. initiate passive range of motion
b. establish a regular routine
c. teach the client breathing exercises
d. perform chest physiotherapy
e. encourage use of incentive spirometer - C, E
A male client who reports feeling chronically fatigued has a Hgb of 11.0 grams/dl,
hematocrit of 34%, and microcytic and hypochromic red blood cells. Based on these
findings, which dinner selection should the nurse suggest to the client?
a) cheese pasta and a lettuce and tomato salad
b) beef steak with steamed broccoli and orange slices
c) broiled white fish with a baked sweet potato
d) grilled shrimp and seasoned rice with asparagus salad - b) beef steak with steamed
broccoli and orange slices
Two days following abdominal surgery a client c/o of cramping abdominal pain, and
the nurse's inspection of the abdomen indicates slight distention. Which action should
the nurse implement first?
a) encourage pt to ambulate
b) offer ice chips or warm liquids
c) auscultate abdomen
d) assess temperature - c) Auscultate the client's abdomen
, A client with a liver abscess undergoes surgical evacuation and drainage of the
abscess. Which lab value is most important for the nurse to monitor following the
procedure?
a. Serum creatinine
b. Blood urea nitrogen (BUN)
c. White blood cell count
d. Serum glucose - c. White blood cell count
A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain
and tingling he is experiencing worsens at night. What client teaching should the nurse
provide?
a. Elevate the hands on two pillows at night
b. Notify the healthcare provider as soon as possible
c. Wear braces as both wriSts during the night
d. Apply cold compresses for 30 min before bedtime - c. Wear braces as both wriSts
during the night
A client returns to the unit following a suprapubic prostatectomy. He has a three-way
catheter in place with a continuous bladder irrigation infusing. Which assessment
finding warrants immediate intervention by the nurse
a. True urinary output of 50ml/hr
b. Lower abdominal tenderness
c. Blood urine output with clots
d. Urine leaking around the meatus - d. Urine leaking around the meatus
An adult female client is diagnosed with restless leg syndrome and is referred to the
sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO
daily. Which laboratory values should the nurse monitor?
a. Serum electrolytes
b. Neutrophils and eosinophils
c. Serum iron and ferritin
d. Platelet count and hematocrit - c. Serum iron and ferritin
A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus
caused by a chronic skin rash. The client calls the clinic nurse to report increased
erythema with purulent exudate at the site. Which action should the nurse implement?
Graded A+
When providing care for a client following a bronchoscopy, which assessment finding
should the nurse immediately report to the HCP?
a) slight blood-tinged sputum
b) dyspnea and dysphagia
c) sore throat and hoarseness
d) no gag reflex after thirty minutes - b) dyspnea and dysphagia
To reduce the risk for pulmonary complication for a client with amyotrophic lateral
sclerosis (ALS), what interventions should the nurse implement?
a. initiate passive range of motion
b. establish a regular routine
c. teach the client breathing exercises
d. perform chest physiotherapy
e. encourage use of incentive spirometer - C, E
A male client who reports feeling chronically fatigued has a Hgb of 11.0 grams/dl,
hematocrit of 34%, and microcytic and hypochromic red blood cells. Based on these
findings, which dinner selection should the nurse suggest to the client?
a) cheese pasta and a lettuce and tomato salad
b) beef steak with steamed broccoli and orange slices
c) broiled white fish with a baked sweet potato
d) grilled shrimp and seasoned rice with asparagus salad - b) beef steak with steamed
broccoli and orange slices
Two days following abdominal surgery a client c/o of cramping abdominal pain, and
the nurse's inspection of the abdomen indicates slight distention. Which action should
the nurse implement first?
a) encourage pt to ambulate
b) offer ice chips or warm liquids
c) auscultate abdomen
d) assess temperature - c) Auscultate the client's abdomen
, A client with a liver abscess undergoes surgical evacuation and drainage of the
abscess. Which lab value is most important for the nurse to monitor following the
procedure?
a. Serum creatinine
b. Blood urea nitrogen (BUN)
c. White blood cell count
d. Serum glucose - c. White blood cell count
A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain
and tingling he is experiencing worsens at night. What client teaching should the nurse
provide?
a. Elevate the hands on two pillows at night
b. Notify the healthcare provider as soon as possible
c. Wear braces as both wriSts during the night
d. Apply cold compresses for 30 min before bedtime - c. Wear braces as both wriSts
during the night
A client returns to the unit following a suprapubic prostatectomy. He has a three-way
catheter in place with a continuous bladder irrigation infusing. Which assessment
finding warrants immediate intervention by the nurse
a. True urinary output of 50ml/hr
b. Lower abdominal tenderness
c. Blood urine output with clots
d. Urine leaking around the meatus - d. Urine leaking around the meatus
An adult female client is diagnosed with restless leg syndrome and is referred to the
sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO
daily. Which laboratory values should the nurse monitor?
a. Serum electrolytes
b. Neutrophils and eosinophils
c. Serum iron and ferritin
d. Platelet count and hematocrit - c. Serum iron and ferritin
A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus
caused by a chronic skin rash. The client calls the clinic nurse to report increased
erythema with purulent exudate at the site. Which action should the nurse implement?
