HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
The registered nurse (RN) is caring for a client who developed oliguria and
was diagnosed with sepsis and dehydration 48 hours ago. Which assessment
finding indicates to the RN that the client is stabilizing?
○ Urine output of 40 mL/hour.
i. A decrease in urinary output is a sign of dehydration. When the
urine output returns to a normal range, 40 mL/hour, the client's
kidneys are perfusing adequately and indicates the client's
status is stabilizing.
A man who smokes two packs of cigarettes a day wants to know if smoking
is contributing to the difficulty that he and his wife are having getting
pregnant. What information is best for the nurse to provide? (Select all that
apply.)
○ Smoking can decrease the quantity and quality of sperm
○ The first semen analysis should be repeated to confirm sperm
counts
○ Cessation of smoking improves general health and fertility
i. The use of tobacco, alcohol, and marijuana may affect a man's
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
,HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
sperm counts.
Which assessment is most important for the nurse to perform on a client
who is hospitalized for Guillain-Barre syndrome that is rapidly
progressing?
○ Respiratory Effect
i. Guillain-Barre syndrome causes paralysis or weakness that
typically starts at the feet and progresses upwards. As the
condition progresses, the nurse must ensure that the client is
able to breathe effectively.
The nurse is caring for a client after a transurethral resection of the
prostate (TURP) and determines the client's urinary catheter is not
draining. What should the nurse implement?
○ Irrigate the catheter.
i. Obstruction urinary flow after a TURP is most often due to
blood clots, and sterile irrigation should be implemented to
remove the clots that are blocking the catheter.
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
,HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
A client with osteoarthritis receives a prescription for naproxen. Which
potential side effect should the nurse discuss with the client about this
medication?
○ Gastrointestinal disturbance.
i. Prostaglandin synthesis inhibitors such as naproxen can have
gastrointestinal side effects such as nausea and gastric
burning. It is recommended that this medication be taken with
food to avoid gastrointestinal upset.
A client is admitted to the emergency department after being lost for four
days while hiking in a national forest. Upon review of the laboratory
results, the nurse determines the client's serum
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
, HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
level for thyroid-stimulating hormone (TSH) is elevated. Which additional
assessment should the nurse make?
○ Exposure to cold environmental temperatures.
i. TSH influences the amount of thyroxine secretion which
increases the rate of metabolism to maintain body temperature
near normal. Prolonged exposure to cold environmental
temperatures stimulates the hypothalamus to secrete
thyrotropin-releasing hormone, which increases anterior
pituitary serum release of TSH.
Which client should be further assessed for an ectopic pregnancy?
○ A 24-year-old with shoulder and lower abdominal quadrant pain
i. A 24-year-old with sudden onset of lower abdominal
quadrant pain should be assessed for an ectopic pregnancy.
The pain can also be referred to the shoulder and may be
associated with vaginal bleeding.
The nurse is teaching a client about precautions for a new prescription for
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
The registered nurse (RN) is caring for a client who developed oliguria and
was diagnosed with sepsis and dehydration 48 hours ago. Which assessment
finding indicates to the RN that the client is stabilizing?
○ Urine output of 40 mL/hour.
i. A decrease in urinary output is a sign of dehydration. When the
urine output returns to a normal range, 40 mL/hour, the client's
kidneys are perfusing adequately and indicates the client's
status is stabilizing.
A man who smokes two packs of cigarettes a day wants to know if smoking
is contributing to the difficulty that he and his wife are having getting
pregnant. What information is best for the nurse to provide? (Select all that
apply.)
○ Smoking can decrease the quantity and quality of sperm
○ The first semen analysis should be repeated to confirm sperm
counts
○ Cessation of smoking improves general health and fertility
i. The use of tobacco, alcohol, and marijuana may affect a man's
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
,HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
sperm counts.
Which assessment is most important for the nurse to perform on a client
who is hospitalized for Guillain-Barre syndrome that is rapidly
progressing?
○ Respiratory Effect
i. Guillain-Barre syndrome causes paralysis or weakness that
typically starts at the feet and progresses upwards. As the
condition progresses, the nurse must ensure that the client is
able to breathe effectively.
The nurse is caring for a client after a transurethral resection of the
prostate (TURP) and determines the client's urinary catheter is not
draining. What should the nurse implement?
○ Irrigate the catheter.
i. Obstruction urinary flow after a TURP is most often due to
blood clots, and sterile irrigation should be implemented to
remove the clots that are blocking the catheter.
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
,HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
A client with osteoarthritis receives a prescription for naproxen. Which
potential side effect should the nurse discuss with the client about this
medication?
○ Gastrointestinal disturbance.
i. Prostaglandin synthesis inhibitors such as naproxen can have
gastrointestinal side effects such as nausea and gastric
burning. It is recommended that this medication be taken with
food to avoid gastrointestinal upset.
A client is admitted to the emergency department after being lost for four
days while hiking in a national forest. Upon review of the laboratory
results, the nurse determines the client's serum
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
, HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
level for thyroid-stimulating hormone (TSH) is elevated. Which additional
assessment should the nurse make?
○ Exposure to cold environmental temperatures.
i. TSH influences the amount of thyroxine secretion which
increases the rate of metabolism to maintain body temperature
near normal. Prolonged exposure to cold environmental
temperatures stimulates the hypothalamus to secrete
thyrotropin-releasing hormone, which increases anterior
pituitary serum release of TSH.
Which client should be further assessed for an ectopic pregnancy?
○ A 24-year-old with shoulder and lower abdominal quadrant pain
i. A 24-year-old with sudden onset of lower abdominal
quadrant pain should be assessed for an ectopic pregnancy.
The pain can also be referred to the shoulder and may be
associated with vaginal bleeding.
The nurse is teaching a client about precautions for a new prescription for
HESI RN MEDICAL-SURGICAL
ASSIGNMENT EXAM 4 STUDY
GUIDE BEST EXAM SOLUTION
LATEST UPDATE GRADED A+
