CHAMBERLAIN COLLEGE OF NURSING NUR 1234
HESI MED SURG EXAM QUESTIONS AND ANSWERS
BEST RATED A+ NEW UPDATE 2022
A male client reports to the nurse that he is experiencing GI
distress from high dose of a corticosteroid and is planning to
stop taking the
medication. In response to the client’s statement what nursing
action is
most important for the nurse to take?
a. Encourage the client to take medication with food to
decrease GI distress
b. Advice the client that the medication should be
CONFIDENTIAL
stopped gradually rather than abruptly.
c. Review the clients dosing schedule to ensure he is
taking the prescribed amount
d. Assess the client for other indication of adverse
effects of corticosteroid
Fifteen minutes after receiving sulfa athenozole. A male client
report a burning sensation over his abdomen chest and groin.
Which intervention is most important for the nurse to
implement?
a. Auscultate lung sounds for wheezing
b. Review the clients list if drugs allergies
c. Add sulfamethinozole to clients allergies
, d. Check neurological vital signs
Antibiotic resistant organism are a major infection control
problems. To help minimize the emergence of resistant
bacteria what instruction should the nurse provide to the
clients?
a. stop taking prescribed antibiotics when symptoms decrease
b. avoid using antibiotics when suffering from colds or the flu
c. ask the healthcare provider to prescribe the newest
antibiotic when needed
d. request a prescription for first time vancomysin for a sore
throat
A client with symptoms of influenza that started the previous
day ask the clinic nurse about taking oseltamivir (Tamiflu) to
treat the infection. Which response should the nurse provide?
a. Advise the client once symptoms occur is too late to
receive an influenza vaccination
b. Refer the client to the healthcare provider at the clinic
to obtain a medication prescription
c. Explain to the client that antibiotics are not useful in
treating viral infections such as influenza
d. Instruct the client that over the counter medications are
sufficient to manage influenza symptoms
, Twenty minutes after the nurse starts a secondary IV
infusion of cafepime (maxipime) 2 grams using an infusion
pump to deliver the dose in one hour, the client reports
feeling nauseated. What action should the nurse implement?
a. stop medication infusion and notify the healthcare
provider of the adverse effect
b. increase the rate of the infusion to complete the
dose of the medication more rapidly
c. continue the infusion and administer a prn
antiemetic prescription
d. reassure the client that the nausea is not related to the iv
infusion
The nurse administer donepezil hydrochloride (Aricept) to a client
with
Alzheimer’s disease as an intervention for which client problem?
a. fluid volume excess
b. disturbed thought processes
c. chronic pain
d. altered breathing patterns
To prevent deep vein thrombosis following knee replacement
surgery, an adult male client is receiving enoxaparin
(Lovenox) subcutaneously daily. Which laboratory finding
requires immediate action by the nurse?
, a. blood urea nitrogen (BUN) 20mg/dl or 7.1 mmol/L (SI)
b. Hematocrit 45%
c. Serum creatinine 1.0 mg/dl or 88.4 mol/L (SI)
d. Platelet count of 100,000/mm3 or 100x10??/ L (SI)
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
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
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
HESI MED SURG EXAM QUESTIONS AND ANSWERS
BEST RATED A+ NEW UPDATE 2022
A male client reports to the nurse that he is experiencing GI
distress from high dose of a corticosteroid and is planning to
stop taking the
medication. In response to the client’s statement what nursing
action is
most important for the nurse to take?
a. Encourage the client to take medication with food to
decrease GI distress
b. Advice the client that the medication should be
CONFIDENTIAL
stopped gradually rather than abruptly.
c. Review the clients dosing schedule to ensure he is
taking the prescribed amount
d. Assess the client for other indication of adverse
effects of corticosteroid
Fifteen minutes after receiving sulfa athenozole. A male client
report a burning sensation over his abdomen chest and groin.
Which intervention is most important for the nurse to
implement?
a. Auscultate lung sounds for wheezing
b. Review the clients list if drugs allergies
c. Add sulfamethinozole to clients allergies
, d. Check neurological vital signs
Antibiotic resistant organism are a major infection control
problems. To help minimize the emergence of resistant
bacteria what instruction should the nurse provide to the
clients?
a. stop taking prescribed antibiotics when symptoms decrease
b. avoid using antibiotics when suffering from colds or the flu
c. ask the healthcare provider to prescribe the newest
antibiotic when needed
d. request a prescription for first time vancomysin for a sore
throat
A client with symptoms of influenza that started the previous
day ask the clinic nurse about taking oseltamivir (Tamiflu) to
treat the infection. Which response should the nurse provide?
a. Advise the client once symptoms occur is too late to
receive an influenza vaccination
b. Refer the client to the healthcare provider at the clinic
to obtain a medication prescription
c. Explain to the client that antibiotics are not useful in
treating viral infections such as influenza
d. Instruct the client that over the counter medications are
sufficient to manage influenza symptoms
, Twenty minutes after the nurse starts a secondary IV
infusion of cafepime (maxipime) 2 grams using an infusion
pump to deliver the dose in one hour, the client reports
feeling nauseated. What action should the nurse implement?
a. stop medication infusion and notify the healthcare
provider of the adverse effect
b. increase the rate of the infusion to complete the
dose of the medication more rapidly
c. continue the infusion and administer a prn
antiemetic prescription
d. reassure the client that the nausea is not related to the iv
infusion
The nurse administer donepezil hydrochloride (Aricept) to a client
with
Alzheimer’s disease as an intervention for which client problem?
a. fluid volume excess
b. disturbed thought processes
c. chronic pain
d. altered breathing patterns
To prevent deep vein thrombosis following knee replacement
surgery, an adult male client is receiving enoxaparin
(Lovenox) subcutaneously daily. Which laboratory finding
requires immediate action by the nurse?
, a. blood urea nitrogen (BUN) 20mg/dl or 7.1 mmol/L (SI)
b. Hematocrit 45%
c. Serum creatinine 1.0 mg/dl or 88.4 mol/L (SI)
d. Platelet count of 100,000/mm3 or 100x10??/ L (SI)
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
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
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
