MED SURG RN HESI EXAM
A client with pheochromocytoma reports the onset of a severe headache. The
nurse observes that the client is very diaphoretic. Which assessment data should
the nurse obtain next? - ANSWERS-Blood pressure
The healthcare provider prescribes epoetin alfa (Procrit) 8,200 units
subcutaneously for a client with chronic kidney disease (CKD). The 2 ml multidose
vial is labeled, "Each 1 ml of solution contains 10,000 units of epoetin alfa." How
many ml should the nurse administer? - ANSWERS-0.8
A nurse assists a male client with Parkinson's disease (PD) to ambulate in the
hallway. The client appears to "freeze" and then carefully lifts one leg and steps
forward. He tells the nurse that he is pretending to step over a crack on the floor.
How should the nurse respond? - ANSWERS-Confirm that this is an effective
technique to help with ambulation
Which food is most important for the nurse to encourage a male client with
osteomalacia to include in his daily diet? - ANSWERS-Fortified milk and cereals
A client with ulcerative colitis is admitted to the medical unit during an acute
exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP)
to report which finding related to the client's bowel movements? - ANSWERS-
Stool with fatty streaks
,The healthcare provider prescribes an IV solution of regular insulin (Hummulin-R)
100 units in 250 ml of 0.45% saline to infuse at 12 units/hour. The nurse should
program the infusion pump to deliver how many ml/hour? - ANSWERS-30
A client with chronic kidney disease (CDK) arrives at the clinic reporting shortness
of breath on exertion and extreme weakness. Vital signs are temperature 100.4 F
(38 C), heart rate 110
beats/minute, respirations 28 breaths/minute, and blood pressure 175/98 mmHg.
The client usually receives dialysis three times a week but missed the last
treatment. STAT blood specimens are sent to the laboratory for analysis. Which
laboratory results should the nurse report to the healthcare provider
immediately? - ANSWERS-Potassium 6.5 mEq/L (mmol/L)
A client with unstable asthma had an emergent cardiac catheterization. Which
complication should the nurse monitor for in the initial 24 hours after the
procedure? - ANSWERS-Thrombus formation
A male client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising. Which
action should the nurse implement? - ANSWERS-Determine if the client is using an
inhaler before exercising
After a transurethral resection of the prostate (TURP), a client has bloody urine
output with large clots. The nurse implements the postoperative prescription to
irrigate the indwelling catheter PRN to maintain the catheter's patency. Which
action should the nurse implement? - ANSWERS-Clamp the catheter for 30
minutes prior to irrigating with saline
, A male client with chronic kidney disease (CKD) is beginning his first hemodialysis
3 times per week. Which short-term goal is most important for the nurse to
include in the plan of care for this client as he begins the series? - ANSWERS-
Verbalizes understanding of the reasoning for dialysis
The nurse is collecting information from a client with chronic pancreatitis who
reports persistent gnawing abdominal pain. To help the client manage the pain,
which assessment data is most important for the nurse to obtain? - ANSWERS-
Eating patterns and dietary intake
Three days after a female client with multiple sclerosis (MS) is admitted to the
hospital with a severe urinary tract infection, she reports experiencing double
vision. Which intervention should the nurse implement? - ANSWERS-Patch one
eye and then the other every few hours
The clinic nurse is reviewing strategies for blood glucose monitoring with a client
who is newly diagnosed with diabetes mellitus. When helping the client select a
blood glucose meter, which client assessments should the nurse complete? -
ANSWERS-Manual dexterity and visual acuity
A client who is receiving chemotherapy is vomiting. Which nursing intervention
should the nurse implement first? - ANSWERS-Administer ondansetron
hydrochloride (Zofran)
The nurse calculates the body mass index (BMI) for an obese adult. Which
additional assessment finding places the client at high risk for cardiac disease? -
ANSWERS-Large waist circumference with central fat
A client with pheochromocytoma reports the onset of a severe headache. The
nurse observes that the client is very diaphoretic. Which assessment data should
the nurse obtain next? - ANSWERS-Blood pressure
The healthcare provider prescribes epoetin alfa (Procrit) 8,200 units
subcutaneously for a client with chronic kidney disease (CKD). The 2 ml multidose
vial is labeled, "Each 1 ml of solution contains 10,000 units of epoetin alfa." How
many ml should the nurse administer? - ANSWERS-0.8
A nurse assists a male client with Parkinson's disease (PD) to ambulate in the
hallway. The client appears to "freeze" and then carefully lifts one leg and steps
forward. He tells the nurse that he is pretending to step over a crack on the floor.
How should the nurse respond? - ANSWERS-Confirm that this is an effective
technique to help with ambulation
Which food is most important for the nurse to encourage a male client with
osteomalacia to include in his daily diet? - ANSWERS-Fortified milk and cereals
A client with ulcerative colitis is admitted to the medical unit during an acute
exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP)
to report which finding related to the client's bowel movements? - ANSWERS-
Stool with fatty streaks
,The healthcare provider prescribes an IV solution of regular insulin (Hummulin-R)
100 units in 250 ml of 0.45% saline to infuse at 12 units/hour. The nurse should
program the infusion pump to deliver how many ml/hour? - ANSWERS-30
A client with chronic kidney disease (CDK) arrives at the clinic reporting shortness
of breath on exertion and extreme weakness. Vital signs are temperature 100.4 F
(38 C), heart rate 110
beats/minute, respirations 28 breaths/minute, and blood pressure 175/98 mmHg.
The client usually receives dialysis three times a week but missed the last
treatment. STAT blood specimens are sent to the laboratory for analysis. Which
laboratory results should the nurse report to the healthcare provider
immediately? - ANSWERS-Potassium 6.5 mEq/L (mmol/L)
A client with unstable asthma had an emergent cardiac catheterization. Which
complication should the nurse monitor for in the initial 24 hours after the
procedure? - ANSWERS-Thrombus formation
A male client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising. Which
action should the nurse implement? - ANSWERS-Determine if the client is using an
inhaler before exercising
After a transurethral resection of the prostate (TURP), a client has bloody urine
output with large clots. The nurse implements the postoperative prescription to
irrigate the indwelling catheter PRN to maintain the catheter's patency. Which
action should the nurse implement? - ANSWERS-Clamp the catheter for 30
minutes prior to irrigating with saline
, A male client with chronic kidney disease (CKD) is beginning his first hemodialysis
3 times per week. Which short-term goal is most important for the nurse to
include in the plan of care for this client as he begins the series? - ANSWERS-
Verbalizes understanding of the reasoning for dialysis
The nurse is collecting information from a client with chronic pancreatitis who
reports persistent gnawing abdominal pain. To help the client manage the pain,
which assessment data is most important for the nurse to obtain? - ANSWERS-
Eating patterns and dietary intake
Three days after a female client with multiple sclerosis (MS) is admitted to the
hospital with a severe urinary tract infection, she reports experiencing double
vision. Which intervention should the nurse implement? - ANSWERS-Patch one
eye and then the other every few hours
The clinic nurse is reviewing strategies for blood glucose monitoring with a client
who is newly diagnosed with diabetes mellitus. When helping the client select a
blood glucose meter, which client assessments should the nurse complete? -
ANSWERS-Manual dexterity and visual acuity
A client who is receiving chemotherapy is vomiting. Which nursing intervention
should the nurse implement first? - ANSWERS-Administer ondansetron
hydrochloride (Zofran)
The nurse calculates the body mass index (BMI) for an obese adult. Which
additional assessment finding places the client at high risk for cardiac disease? -
ANSWERS-Large waist circumference with central fat
