NUR 1234 HESI MED SURG
REVIEW |NUR1234 HESI MED
SURG REVIEW
1. What instruction should the nurse include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep
because he has to get up several times at night to go to the
bathroom that he has trouble starting his urinary stream and
that he does not feel like his bladder is ever completely empty.
Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics
and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
Page 1 of 179
, d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour of
Page 2 of 179
,administration of a unit of packed red blood cell. When
notifying the healthcare provider what information should the
nurse provide first using the SBAR communication process?
a. explain specific reason for urgent notification
Page 3 of 179
, b. preface the report by stating the clients name and
admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis carinil
pneumonia (PCP) secondary to aids. While hospitalize he receives
IV pentamidine isethionate therapy. In preparing this client for
discharge what important aspect regarding his medication therapy
should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is
being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
d. Iv pentamine may offer protection to others aids related
conditions such as kaposis sarcoma
7. A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that the
cancer cells are well differentiated How should the nurse
respond?
a. offer the client reassurance that this information indicates
that the clients cancer cells are benign
b. explain that these tissue cells often respond more
effectively to radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help the client make plans to begin inmediate treatment
since her cancer is likely to spread quickly
9. A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90
to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
Page 4 of 179
REVIEW |NUR1234 HESI MED
SURG REVIEW
1. What instruction should the nurse include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep
because he has to get up several times at night to go to the
bathroom that he has trouble starting his urinary stream and
that he does not feel like his bladder is ever completely empty.
Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics
and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
Page 1 of 179
, d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour of
Page 2 of 179
,administration of a unit of packed red blood cell. When
notifying the healthcare provider what information should the
nurse provide first using the SBAR communication process?
a. explain specific reason for urgent notification
Page 3 of 179
, b. preface the report by stating the clients name and
admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
6. An adult male client is admitted for pneumocystis carinil
pneumonia (PCP) secondary to aids. While hospitalize he receives
IV pentamidine isethionate therapy. In preparing this client for
discharge what important aspect regarding his medication therapy
should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is
being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
d. Iv pentamine may offer protection to others aids related
conditions such as kaposis sarcoma
7. A client subjective data includes dysuria, urgency, and urinary
frequency. What action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that the
cancer cells are well differentiated How should the nurse
respond?
a. offer the client reassurance that this information indicates
that the clients cancer cells are benign
b. explain that these tissue cells often respond more
effectively to radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any
information about the classification of her cancer
d. help the client make plans to begin inmediate treatment
since her cancer is likely to spread quickly
9. A client with a chronic kidney disease is treated on hemodialysis.
During the 1 treatment clients blood pressure drops from 150/90
to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
Page 4 of 179
