NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
What instruction is most important for the nurse to provide a client with neutropenia
Avoid sources of potential infection
Client with acute laryngitis reports feeling “SOB”. Nurse assesses RR and it has
increased from 16 to 28. What intervention?
Assess for stridor and increased respiratory effort
When caring for client who had craniotomy yesterday for removal of pituitary
tumor, which finding indicates further info is needed?
UO for 8 hrs is 2000 ml with specific gravity of 1.001
Nursing action has highest priority in preventing post-op bleeding following a
sub-mucosal resection for deviated septum?
Maintain intact nasal packing
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
, NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Female client chooses prophylactic mastectomy for positive BRCA1, mother died
of breast CA at age 30, cousin diagnosed at age 28. Intervention
Ensure adequate pain control using postoperative analgesics
Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60,
PaCO2 62, HCO3 35. Which needs immediate communication to HCP?
Drowsiness and diff in arousing
Nurse is caring for client with acute renal failure who complains of SOB,
weakness, headache, and swelling of lower legs and feet. Intervention
Elevate the HOB at least 45 degrees
Client with acute low back pain reports pain radiating down buttocks to
below knee. Initial nursing actions?
This pain is along the path of the sciatic nerve
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
, NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Nurse attempting to teach male client newly diagnosed with diabetes to administer
insulin. Nurse attempts to answer Qs but he gets angry and tells the entire process
is too much to learn. Action Acknowledge the client feelings and tell him that he
will eventually be able to do the self administration
Male Muslim client with pneumonia scheduled to receive dose of IV antibiotics
but refuses to let nurse begin it, stating he cannot allow fluids to enter his body
once he is cleansed for prayer. Action Reschedule administration of the
antibiotic until after he completes his prayers
Assess a 78 year old with L sided HF. Symptoms?
Dyspnea, cough, fatigue
Patient scheduled for liver biopsy. Most important
PT results
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
, NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Patient with glaucoma who had trabaeculotomy Discharge teaching effective if
“I should take my eye drops continuously”
Caring for a burn patient with serum potassium of 4. Question which medication?
Potassium
Client after AKA in wheelchair for past 3 hours. Nurse assists to bed in prone
position. Why is this position important
Extend the affected hip joint
Patient had liver biopsy. Most important for nurse to do
Monitor VS
Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40,
HCO3 25, hypoalbuminemia and hypocalcemia. Priority action
Turn patient side to side q2h
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
What instruction is most important for the nurse to provide a client with neutropenia
Avoid sources of potential infection
Client with acute laryngitis reports feeling “SOB”. Nurse assesses RR and it has
increased from 16 to 28. What intervention?
Assess for stridor and increased respiratory effort
When caring for client who had craniotomy yesterday for removal of pituitary
tumor, which finding indicates further info is needed?
UO for 8 hrs is 2000 ml with specific gravity of 1.001
Nursing action has highest priority in preventing post-op bleeding following a
sub-mucosal resection for deviated septum?
Maintain intact nasal packing
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
, NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Female client chooses prophylactic mastectomy for positive BRCA1, mother died
of breast CA at age 30, cousin diagnosed at age 28. Intervention
Ensure adequate pain control using postoperative analgesics
Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60,
PaCO2 62, HCO3 35. Which needs immediate communication to HCP?
Drowsiness and diff in arousing
Nurse is caring for client with acute renal failure who complains of SOB,
weakness, headache, and swelling of lower legs and feet. Intervention
Elevate the HOB at least 45 degrees
Client with acute low back pain reports pain radiating down buttocks to
below knee. Initial nursing actions?
This pain is along the path of the sciatic nerve
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
, NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Nurse attempting to teach male client newly diagnosed with diabetes to administer
insulin. Nurse attempts to answer Qs but he gets angry and tells the entire process
is too much to learn. Action Acknowledge the client feelings and tell him that he
will eventually be able to do the self administration
Male Muslim client with pneumonia scheduled to receive dose of IV antibiotics
but refuses to let nurse begin it, stating he cannot allow fluids to enter his body
once he is cleansed for prayer. Action Reschedule administration of the
antibiotic until after he completes his prayers
Assess a 78 year old with L sided HF. Symptoms?
Dyspnea, cough, fatigue
Patient scheduled for liver biopsy. Most important
PT results
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
, NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
Patient with glaucoma who had trabaeculotomy Discharge teaching effective if
“I should take my eye drops continuously”
Caring for a burn patient with serum potassium of 4. Question which medication?
Potassium
Client after AKA in wheelchair for past 3 hours. Nurse assists to bed in prone
position. Why is this position important
Extend the affected hip joint
Patient had liver biopsy. Most important for nurse to do
Monitor VS
Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40,
HCO3 25, hypoalbuminemia and hypocalcemia. Priority action
Turn patient side to side q2h
NUR 2311
Medical –Surgical (Adult Health)
Exit HESI Q & As BEST EXAM
SOLUTION LATEST UPDATE
20212022 RATED A+
