Medical Surgical Hesi Latest Version Exa
k k k k k
m and Answers k k
Theknursekiskteachingkakfemalekclientkwhokuseskakcontraceptivekdiaphragmkaboutkreducing
k thekriskkforktoxickshockksyndromek(TSS).kWhichkinformationkshouldktheknursekinclude?k–
k answer
-kdoknotkleavekthekdiaphragmkinkplaceklongerkthank8khourskafterkintercourse
-kreplacekthekoldkdiaphragmkeveryk3kmonths
Whichkfindingskshouldktheknursekidentifykaskmostksignificantkforkakclientkdiagnosedkwithkpol
ycystickkidneykdiseasek(PKD)?k–kanswerk3+kbacteriakinkurine
Akclientktakingkakthiazidekdiuretickforkthekpastk6kmonthskhaskakserumkpotassiumklevelkofk3k(n
ormalk3.5-5).kTheknursekanticipateskwhichkchangeskinkprescriptionkforkthekclient?k–
k answerkakpotassiumksupplementkwillkbekprescribed
Akclientkhaskbeenktakingkoralkcorticosteroidskforkthekpastk5kdayskbecausekofkseasonalkallerg
ies.kWhichkassessmentkfindingkiskofkmostkconcernktoktheknurse?k–
k answerkpurulentksputumk(indicationkofkinfection)
AkclientkiskadmittedktokthekmedicalkICUkwithkakdxkofkmyocardialkinfarction.kThekclientskhistor
ykindicateskthekinfarctionkoccurredktenkhourskago.kWhichklaboratoryktestkresultkwouldktheknu
rsekexpectkthiskclientktokexhibit?k–kanswerkElevatedkCK-MB
(peakskwithink12-20khourskpostkMI.kIndicateskmyocardialkdamage)
HealthcarekworkerskmustkprotectkthemselveskagainstkbecomingkinfectedkwithkHIV.kThekCe
nterkforkDiseasekControlkhaskissuedkguidelineskforkhealthcarekworkerskinkrelationktokprotecti
onkfromkHIV.kThesekguidelineskincludekwhichkrecommendation?k–
k answerkWearkgloveskwhenkcomingkinkcontactkwithkthekbloodkorkbodykfluidskofkanykpt.
, Theknursekiskplanningktokinitiatekaksocializationkgroupkforkolderkresidentskofkaklong-
termkfacility.kWhichkinformationkwouldkbekmostkusefulktoktheknursekwhenkplanningkactivitiesk
forkthekgroup?k–kanswerkthekusualkactivitykpatternskofkeachkmemberkofkthekgroup
Akmalekclientkreceiveskaklocalkanesthetickduringksurgery.kDuringkthekpost-
operativekassessment,ktheknurseknoticeskthekclientkiskslurringkhiskspeech.kWhichkactionksh
ouldktheknursektake?k–kanswerkEvaluatekhiskbp,kpulse,kandkrespiratorykstatus
Ankadultkclientkiskadmittedktokthekhospitalkburnkunitkwithkpartial-thicknesskandkfull-
thicknesskburnskoverk40%kofkthekbodyksurfacekarea.kInkassessingkthekpotentialkforkskinkreg
eneration,kwhatkshouldktheknursekrememberkaboutkfull-thicknesskburns?k–
k answerkRegenerativekfunctionkofkthekskinkiskabsentkbecausekthekdermalklayerkhaskbeenkde
stroyed
Akclientkwithkak16kyearkhxkofkDMkiskhavingkrenalkfunctionktestskbecausekofkrecentkfatigue,kw
eakness,kelevatedkBUN,kandkserumkcreatinineklevels.kWhichkfindingkshouldktheknursekconc
ludekaskankearlyksymptomkofkrenalkinsufficiency?k–
k answerkNocturiak(inkearlykstageskpolyuriakiskpresentkfromkthekinabilitykofkthekkidneysktokcon
centratekurinekandkcontributesktoknocturia)
Akclientkiskadmittedktokthekhospitalkwithkakdxkofkseverekacutekdiverticulitis.kWhichkassessme
ntkfindingkshouldktheknursekexpectkthiskclientktokexhibit?k-
k answerkLowerkleftkquadrantkpainkandkaklowkgradekfeverk(becausektheksigmoidkcolonkiskthek
mostkcommonkareakandkinflammationkcauseskthekfever)
AkclientkwithkDMkiskexperiencingkpolyphagia.kWhichkoutcomekstatementkiskthekprioritykforkth
iskclient?k-kanswerkadequatekcellularknutrition
Duringkakhealthkfair,kak72-year-
oldkmalekclientktellsktheknursekthatkhekiskexperiencingkshortnesskofkbreath.kAuscultationkrev
ealskcrackleskandkwheezingkinkbothklungs.kSuspectingkthatkthekclientkmightkhavekchronickbr
k k k k k
m and Answers k k
Theknursekiskteachingkakfemalekclientkwhokuseskakcontraceptivekdiaphragmkaboutkreducing
k thekriskkforktoxickshockksyndromek(TSS).kWhichkinformationkshouldktheknursekinclude?k–
k answer
-kdoknotkleavekthekdiaphragmkinkplaceklongerkthank8khourskafterkintercourse
-kreplacekthekoldkdiaphragmkeveryk3kmonths
Whichkfindingskshouldktheknursekidentifykaskmostksignificantkforkakclientkdiagnosedkwithkpol
ycystickkidneykdiseasek(PKD)?k–kanswerk3+kbacteriakinkurine
Akclientktakingkakthiazidekdiuretickforkthekpastk6kmonthskhaskakserumkpotassiumklevelkofk3k(n
ormalk3.5-5).kTheknursekanticipateskwhichkchangeskinkprescriptionkforkthekclient?k–
k answerkakpotassiumksupplementkwillkbekprescribed
Akclientkhaskbeenktakingkoralkcorticosteroidskforkthekpastk5kdayskbecausekofkseasonalkallerg
ies.kWhichkassessmentkfindingkiskofkmostkconcernktoktheknurse?k–
k answerkpurulentksputumk(indicationkofkinfection)
AkclientkiskadmittedktokthekmedicalkICUkwithkakdxkofkmyocardialkinfarction.kThekclientskhistor
ykindicateskthekinfarctionkoccurredktenkhourskago.kWhichklaboratoryktestkresultkwouldktheknu
rsekexpectkthiskclientktokexhibit?k–kanswerkElevatedkCK-MB
(peakskwithink12-20khourskpostkMI.kIndicateskmyocardialkdamage)
HealthcarekworkerskmustkprotectkthemselveskagainstkbecomingkinfectedkwithkHIV.kThekCe
nterkforkDiseasekControlkhaskissuedkguidelineskforkhealthcarekworkerskinkrelationktokprotecti
onkfromkHIV.kThesekguidelineskincludekwhichkrecommendation?k–
k answerkWearkgloveskwhenkcomingkinkcontactkwithkthekbloodkorkbodykfluidskofkanykpt.
, Theknursekiskplanningktokinitiatekaksocializationkgroupkforkolderkresidentskofkaklong-
termkfacility.kWhichkinformationkwouldkbekmostkusefulktoktheknursekwhenkplanningkactivitiesk
forkthekgroup?k–kanswerkthekusualkactivitykpatternskofkeachkmemberkofkthekgroup
Akmalekclientkreceiveskaklocalkanesthetickduringksurgery.kDuringkthekpost-
operativekassessment,ktheknurseknoticeskthekclientkiskslurringkhiskspeech.kWhichkactionksh
ouldktheknursektake?k–kanswerkEvaluatekhiskbp,kpulse,kandkrespiratorykstatus
Ankadultkclientkiskadmittedktokthekhospitalkburnkunitkwithkpartial-thicknesskandkfull-
thicknesskburnskoverk40%kofkthekbodyksurfacekarea.kInkassessingkthekpotentialkforkskinkreg
eneration,kwhatkshouldktheknursekrememberkaboutkfull-thicknesskburns?k–
k answerkRegenerativekfunctionkofkthekskinkiskabsentkbecausekthekdermalklayerkhaskbeenkde
stroyed
Akclientkwithkak16kyearkhxkofkDMkiskhavingkrenalkfunctionktestskbecausekofkrecentkfatigue,kw
eakness,kelevatedkBUN,kandkserumkcreatinineklevels.kWhichkfindingkshouldktheknursekconc
ludekaskankearlyksymptomkofkrenalkinsufficiency?k–
k answerkNocturiak(inkearlykstageskpolyuriakiskpresentkfromkthekinabilitykofkthekkidneysktokcon
centratekurinekandkcontributesktoknocturia)
Akclientkiskadmittedktokthekhospitalkwithkakdxkofkseverekacutekdiverticulitis.kWhichkassessme
ntkfindingkshouldktheknursekexpectkthiskclientktokexhibit?k-
k answerkLowerkleftkquadrantkpainkandkaklowkgradekfeverk(becausektheksigmoidkcolonkiskthek
mostkcommonkareakandkinflammationkcauseskthekfever)
AkclientkwithkDMkiskexperiencingkpolyphagia.kWhichkoutcomekstatementkiskthekprioritykforkth
iskclient?k-kanswerkadequatekcellularknutrition
Duringkakhealthkfair,kak72-year-
oldkmalekclientktellsktheknursekthatkhekiskexperiencingkshortnesskofkbreath.kAuscultationkrev
ealskcrackleskandkwheezingkinkbothklungs.kSuspectingkthatkthekclientkmightkhavekchronickbr
