Med Surg RN HESI / HESI Med-Surg RN
Custom Exam (for Med Surg ) QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
,A client who is newly diagnosed with emphysema is being
prepared for discharge. Which instruction is best for the nurse to
provide the client to assist them with dyspnea self-management? -
CORRECT ANSWER-Practice inhaling through the nose and
exhaling slowly through pursed lips
A client with cancer is receiving chemotherapy with a known
vesicant. The client's IV has been in place for 72 hours. The
nurse determines that a new IV site cannot be obtained, and
leaves the present IV in place. What is the greatest clinical risk
related to this situation? - CORRECT ANSWER-Impaired skin
integrity
A postoperative client reports incisional pain. The client has two
prescriptions for PRN analgesia that accompanied the client from
the postanasthesia unit. Before selecting which medication to
administer, which action should the nurse implement? -
CORRECT ANSWER-Compare the client's pain scale rating
with the prescribed dosing
While assisting a female client to the toilet, the client begins to
have a seizure and the nurse eases her to the floor. The nurse
calls for help and monitors the client until the seizing stops.
Which intervention should the nurse implement first? -
CORRECT ANSWER-Observe for prolonged periods of apnea
,A male client with diabetes mellitus (DM) is transferred from the
hospital to a rehabilitation facility following treatment for a stroke
with resulting right hemiplegia. He tells the nurse that his feet are
always uncomfortably cool at night, preventing him from falling
asleep. Which action should the nurse implement. - CORRECT
ANSWER-Place warm blankets next to the client's feet
, A client with a productive cough has obtained a sputum specimen
for culture as instructed. What is the best initial nursing action? -
CORRECT ANSWER-Observe the color, consistency, and
amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to
obtain? - CORRECT ANSWER-Breath sounds over bilateral
lung fields.
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? - CORRECT ANSWER-Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports
that he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain? - CORRECT
ANSWER-Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
Custom Exam (for Med Surg ) QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
,A client who is newly diagnosed with emphysema is being
prepared for discharge. Which instruction is best for the nurse to
provide the client to assist them with dyspnea self-management? -
CORRECT ANSWER-Practice inhaling through the nose and
exhaling slowly through pursed lips
A client with cancer is receiving chemotherapy with a known
vesicant. The client's IV has been in place for 72 hours. The
nurse determines that a new IV site cannot be obtained, and
leaves the present IV in place. What is the greatest clinical risk
related to this situation? - CORRECT ANSWER-Impaired skin
integrity
A postoperative client reports incisional pain. The client has two
prescriptions for PRN analgesia that accompanied the client from
the postanasthesia unit. Before selecting which medication to
administer, which action should the nurse implement? -
CORRECT ANSWER-Compare the client's pain scale rating
with the prescribed dosing
While assisting a female client to the toilet, the client begins to
have a seizure and the nurse eases her to the floor. The nurse
calls for help and monitors the client until the seizing stops.
Which intervention should the nurse implement first? -
CORRECT ANSWER-Observe for prolonged periods of apnea
,A male client with diabetes mellitus (DM) is transferred from the
hospital to a rehabilitation facility following treatment for a stroke
with resulting right hemiplegia. He tells the nurse that his feet are
always uncomfortably cool at night, preventing him from falling
asleep. Which action should the nurse implement. - CORRECT
ANSWER-Place warm blankets next to the client's feet
, A client with a productive cough has obtained a sputum specimen
for culture as instructed. What is the best initial nursing action? -
CORRECT ANSWER-Observe the color, consistency, and
amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to
obtain? - CORRECT ANSWER-Breath sounds over bilateral
lung fields.
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? - CORRECT ANSWER-Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports
that he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain? - CORRECT
ANSWER-Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
