Medical surgical hesi main exam.
A nurse is reinforcing discharge teaching with a client
about how to care for a newly created ileal conduit. Which
of the following instructions should the nurse include in
the teaching? CORRECT ANSWER1) Change the ostomy pouch daily.
A nurse is assisting in the plan of care for a client who had
a removal of the pituitary gland. Which of the following
actions should the nurse include in the plan? CORRECT ANSWER2) Change the nasal
drip pad as needed.
A nurse is caring for a client who asks why she is being
prescribed aspirin 325 mg daily following a myocardial
infarction. The nurse should instruct the client that aspirin
is prescribed for clients who have coronary artery disease
for which of the following effects? CORRECT ANSWER3) To prevent blood clotting
A nurse is collecting data from a client who has open-an-
gle glaucoma. Which of the following findings should the
nurse expect? CORRECT ANSWER1) Loss of peripheral vision
A nurse is collecting data from a client who has acute gas-
troenteritis. Which of the following data collection findings
should the nurse identify as the priority? CORRECT ANSWER3) Potassium 2.5 mEq/L
A nurse is reinforcing discharge teaching with a client who
had a total abdominal hysterectomy and a vaginal repair.
Which of the following statements by the client indicates
a need for further teaching? CORRECT ANSWER"I will take a tub bath instead of a
shower.
A nurse is assisting with the care of a client who has
a femur fracture and is in skeletal traction. Which of the
following actions should the nurse take? CORRECT ANSWER2) Ensure the client's
weights are hanging freely
from the bed
A nurse in a provider's office is reinforcing teaching with
a client who has anemia and has been taking ferrous
gluconate for several weeks. Which of the following in-
structions should the nurse include? CORRECT ANSWER1) Take this medication
between meals
, Medical surgical hesi main exam.
A nurse is reviewing the plan of care for a client who has
cellulitis of the leg. Which of the following interventions
should the nurse recommend? CORRECT ANSWER3) Wash daily with an antibacterial
soap
A nurse is reinforcing teaching with a client who is post-
operative after having an ileostomy established. Which of
the following instructions should the nurse include in the
teaching? CORRECT ANSWER4) Avoid medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both low-
er extremities. The client is scheduled for an escharotomy
and wants to know what the procedure involves. Which of
the following statements is appropriate for the nurse to
make? CORRECT ANSWER3) "A piece of skin will be removed and grafted over the
burned area."
A nurse is collecting data from a client who has a possible
cataract. Which of the following manifestations should the
nurse expect the client to report? CORRECT ANSWER1) Decreased color perception
A nurse is contributing to the plan of care for a client who
has an intestinal obstruction and is receiving continuous
gastrointestinal decompression using a nasogastric tube.
Which of the following interventions should the nurse
include in the plan of care CORRECT ANSWER3) Maintain the client in Fowler's
position.
A nurse is caring for a client who has Cushing's syndrome.
Which of the following clinical manifestations should the
nurse expect to observe? (Select all that apply. CORRECT ANSWER1) Buffalo hump
2) Purple striations
3) Moon face
A nurse is caring for a client who is in the oliguric phase of
acute kidney injury. Which of the following actions should
the nurse take? CORRECT ANSWER3) Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastro-
duodenoscopy with a client who has upper
gastric pain. Which of the following statements should the
nurse include in the teaching? CORRECT ANSWER3) "You will remain NPO for 8 hours
before the procedure."
A nurse is reinforcing discharge teaching with a client
about how to care for a newly created ileal conduit. Which
of the following instructions should the nurse include in
the teaching? CORRECT ANSWER1) Change the ostomy pouch daily.
A nurse is assisting in the plan of care for a client who had
a removal of the pituitary gland. Which of the following
actions should the nurse include in the plan? CORRECT ANSWER2) Change the nasal
drip pad as needed.
A nurse is caring for a client who asks why she is being
prescribed aspirin 325 mg daily following a myocardial
infarction. The nurse should instruct the client that aspirin
is prescribed for clients who have coronary artery disease
for which of the following effects? CORRECT ANSWER3) To prevent blood clotting
A nurse is collecting data from a client who has open-an-
gle glaucoma. Which of the following findings should the
nurse expect? CORRECT ANSWER1) Loss of peripheral vision
A nurse is collecting data from a client who has acute gas-
troenteritis. Which of the following data collection findings
should the nurse identify as the priority? CORRECT ANSWER3) Potassium 2.5 mEq/L
A nurse is reinforcing discharge teaching with a client who
had a total abdominal hysterectomy and a vaginal repair.
Which of the following statements by the client indicates
a need for further teaching? CORRECT ANSWER"I will take a tub bath instead of a
shower.
A nurse is assisting with the care of a client who has
a femur fracture and is in skeletal traction. Which of the
following actions should the nurse take? CORRECT ANSWER2) Ensure the client's
weights are hanging freely
from the bed
A nurse in a provider's office is reinforcing teaching with
a client who has anemia and has been taking ferrous
gluconate for several weeks. Which of the following in-
structions should the nurse include? CORRECT ANSWER1) Take this medication
between meals
, Medical surgical hesi main exam.
A nurse is reviewing the plan of care for a client who has
cellulitis of the leg. Which of the following interventions
should the nurse recommend? CORRECT ANSWER3) Wash daily with an antibacterial
soap
A nurse is reinforcing teaching with a client who is post-
operative after having an ileostomy established. Which of
the following instructions should the nurse include in the
teaching? CORRECT ANSWER4) Avoid medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both low-
er extremities. The client is scheduled for an escharotomy
and wants to know what the procedure involves. Which of
the following statements is appropriate for the nurse to
make? CORRECT ANSWER3) "A piece of skin will be removed and grafted over the
burned area."
A nurse is collecting data from a client who has a possible
cataract. Which of the following manifestations should the
nurse expect the client to report? CORRECT ANSWER1) Decreased color perception
A nurse is contributing to the plan of care for a client who
has an intestinal obstruction and is receiving continuous
gastrointestinal decompression using a nasogastric tube.
Which of the following interventions should the nurse
include in the plan of care CORRECT ANSWER3) Maintain the client in Fowler's
position.
A nurse is caring for a client who has Cushing's syndrome.
Which of the following clinical manifestations should the
nurse expect to observe? (Select all that apply. CORRECT ANSWER1) Buffalo hump
2) Purple striations
3) Moon face
A nurse is caring for a client who is in the oliguric phase of
acute kidney injury. Which of the following actions should
the nurse take? CORRECT ANSWER3) Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastro-
duodenoscopy with a client who has upper
gastric pain. Which of the following statements should the
nurse include in the teaching? CORRECT ANSWER3) "You will remain NPO for 8 hours
before the procedure."
