2022-23 Med-Surg HESI Practice
Questions with answers
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 - -b. light housekeeping is
permitted but avoid heavy lifting
-A male adult comes to the urgent care clinic 5 days after being diagnosed 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 - -a. obtain a sputum sample for culture
-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 and that he does not feel like his bladder is ever completely empty.
Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake - -c. palpate the bladder above the symphysis pubis
-An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are
initiated. Which serum laboratory value warrants the most immediate intervention
by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l - -d. potassium of 2.5 meq/l
-A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f - -a. explain specific
reason for urgent notification
, -An adult male client is admitted for pneumocystis carinil pneumonia (PCP)
secondary to aids. While hospitalized he receives IV pentamidine isethionate
therapy. In preparing this client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine
every month
d. IV pentamine may offer protection to others aids related conditions such as
kaposis sarcoma - -c. it will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
-A client subjective data includes dysuria, urgency, and urinary frequency. What
action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity - -a. collect a clean catch specimen
-A client tells the nurse that her biopsy results indicate that the cancer cells are
well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer
cells are benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
c. ask the client if the healthcare provider has given her any information about the
classification of her cancer
d. help the client make plans to begin immediate treatment since her cancer is
likely to spread quickly - -c. ask the client if the healthcare provider has given her
any information about the classification of her cancer
-A client with a chronic kidney disease is treated on hemodialysis. During the 1
treatment clients blood pressure drops from 150/90 to 80/30 Which action should
the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - -c. stop dialysis treatment
-A client with deep vain thrombosis (DVT) is receiving a continues infusion of
heparin sodium 25,000 unit in 5% dextrose injection 250ml. The prescription
indicates the dosage should be increase 900 units/hr. The nurse should program the
infusion pump to deliver how many ml/hr? - -9 mL/hour
-The nurse is obtaining the admission history for a client with suspected peptic
ulcer disease (PUD). Which subjective data reported by the client supports this
diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eating spicy foods
c. marked loss of weight and appetite over the last few months
Questions with answers
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 - -b. light housekeeping is
permitted but avoid heavy lifting
-A male adult comes to the urgent care clinic 5 days after being diagnosed 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 - -a. obtain a sputum sample for culture
-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 and that he does not feel like his bladder is ever completely empty.
Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake - -c. palpate the bladder above the symphysis pubis
-An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are
initiated. Which serum laboratory value warrants the most immediate intervention
by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l - -d. potassium of 2.5 meq/l
-A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f - -a. explain specific
reason for urgent notification
, -An adult male client is admitted for pneumocystis carinil pneumonia (PCP)
secondary to aids. While hospitalized he receives IV pentamidine isethionate
therapy. In preparing this client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine
every month
d. IV pentamine may offer protection to others aids related conditions such as
kaposis sarcoma - -c. it will be necessary to continue prophylactic doses of IV or
aerosol pentamine every month
-A client subjective data includes dysuria, urgency, and urinary frequency. What
action should the nurse implement next?
a. collect a clean catch specimen
b. palpate the suprapubic region
c. instruct to wipe from front to back
d. inquire about recent sexual activity - -a. collect a clean catch specimen
-A client tells the nurse that her biopsy results indicate that the cancer cells are
well differentiated How should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer
cells are benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
c. ask the client if the healthcare provider has given her any information about the
classification of her cancer
d. help the client make plans to begin immediate treatment since her cancer is
likely to spread quickly - -c. ask the client if the healthcare provider has given her
any information about the classification of her cancer
-A client with a chronic kidney disease is treated on hemodialysis. During the 1
treatment clients blood pressure drops from 150/90 to 80/30 Which action should
the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5% albumin IV - -c. stop dialysis treatment
-A client with deep vain thrombosis (DVT) is receiving a continues infusion of
heparin sodium 25,000 unit in 5% dextrose injection 250ml. The prescription
indicates the dosage should be increase 900 units/hr. The nurse should program the
infusion pump to deliver how many ml/hr? - -9 mL/hour
-The nurse is obtaining the admission history for a client with suspected peptic
ulcer disease (PUD). Which subjective data reported by the client supports this
diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eating spicy foods
c. marked loss of weight and appetite over the last few months
