MED SURG HESI - NUR 311 Exam Questions and Answers
The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires
insulin. Which assessment should the nurse identify before beginning the teaching session?
Page | 1
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Financial resources available for the
equipment. - ANSWER -Willingness of the client to learn the injection sites
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce
which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety - ANSWER -Elimination of hazards to home
safety.!!!
Which postmenopausal client's complaint should the nurse refer to the healthcare provider?
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis occurs at night. - ANSWER -Episodes
of vaginal bleeding.!!!!
, A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action
should the nurse implement?
Page | 2 Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication. - ANSWER -Give an antihypertensive medication.!!!!
A client who is HIV positive asks the nurse, "How will I know when I have AIDS?" Which
response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your
minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual - ANSWER -"AIDS is diagnosed when a specific opportunistic infection is found
in an otherwise healthy individual.!!!
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision
problems. The visiting nurse is discussing home safety hazards with the client. The nurse
suggests that the edges of the steps be painted which color?
Black.
White.
Light green.
Medium yellow. - ANSWER -.
, Medium yellow.!!!
The nurse would be correct in withholding a dose of digoxin in a client with congestive heart
Page | 3 failure without specific instruction from the healthcare provider if the client's
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min. - ANSWER -serum potassium level is 3.!!!
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease
(COPD), which information should the nurse provide?
Place a small book or magazine on the abdomen and make it rise while inhaling deeply.
Purse the lips while inhaling as deeply as possible and then exhale through the nose.
Wrap a towel around the abdomen and push against the towel while forcefully exhaling.
Place one hand on the chest, one hand the abdomen and make both hands move outward. -
ANSWER -Place a small book or magazine on the abdomen and make it rise while inhaling
deeply.!!!!
A male client receives a local anesthetic during surgery. During the post-operative assessment,
the nurse notices the client is slurring his speech. Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
, Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Submit - ANSWER -Evaluate his blood pressure, pulse, and respiratory status.!!!
Page | 4
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement
by the nurse provides the most accurate explanation for use of the splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit - ANSWER -Prevention of deformities.!!!
The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information would be most useful to the nurse when planning activities for the group?
he length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group. - ANSWER -The usual activity
patterns of each member of the group.
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client
might have chronic bronchitis, which classic symptom would the nurse expect this client to
have?
The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires
insulin. Which assessment should the nurse identify before beginning the teaching session?
Page | 1
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Financial resources available for the
equipment. - ANSWER -Willingness of the client to learn the injection sites
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce
which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety - ANSWER -Elimination of hazards to home
safety.!!!
Which postmenopausal client's complaint should the nurse refer to the healthcare provider?
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis occurs at night. - ANSWER -Episodes
of vaginal bleeding.!!!!
, A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action
should the nurse implement?
Page | 2 Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication. - ANSWER -Give an antihypertensive medication.!!!!
A client who is HIV positive asks the nurse, "How will I know when I have AIDS?" Which
response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your
minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual - ANSWER -"AIDS is diagnosed when a specific opportunistic infection is found
in an otherwise healthy individual.!!!
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision
problems. The visiting nurse is discussing home safety hazards with the client. The nurse
suggests that the edges of the steps be painted which color?
Black.
White.
Light green.
Medium yellow. - ANSWER -.
, Medium yellow.!!!
The nurse would be correct in withholding a dose of digoxin in a client with congestive heart
Page | 3 failure without specific instruction from the healthcare provider if the client's
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min. - ANSWER -serum potassium level is 3.!!!
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease
(COPD), which information should the nurse provide?
Place a small book or magazine on the abdomen and make it rise while inhaling deeply.
Purse the lips while inhaling as deeply as possible and then exhale through the nose.
Wrap a towel around the abdomen and push against the towel while forcefully exhaling.
Place one hand on the chest, one hand the abdomen and make both hands move outward. -
ANSWER -Place a small book or magazine on the abdomen and make it rise while inhaling
deeply.!!!!
A male client receives a local anesthetic during surgery. During the post-operative assessment,
the nurse notices the client is slurring his speech. Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
, Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Submit - ANSWER -Evaluate his blood pressure, pulse, and respiratory status.!!!
Page | 4
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement
by the nurse provides the most accurate explanation for use of the splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit - ANSWER -Prevention of deformities.!!!
The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information would be most useful to the nurse when planning activities for the group?
he length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group. - ANSWER -The usual activity
patterns of each member of the group.
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client
might have chronic bronchitis, which classic symptom would the nurse expect this client to
have?
