HESI Med surg practice questions
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HESI Guaranteed pass NUR 160-Hondros Exam 1, HONDRO... Communications
55 terms 455 terms 8 terms
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A female client with a B. The priority is to determined if the tube is functioning
nasogastric tube attached to correctly, which would relieve the client's nausea. The least
low suction states that she is invasive intervention is to reposition the client (B), should be
nauseated. The nurse assesses attempted first, followed by (A & C) if these are unsuccessful
that there has been no drainage then (D).
through the nasogastric tube in
the last 2 hours. Which action
should the nurse take first?
A. Irrigate the nasogastric tube
with sterile normal saline.
B. Reposition the client on her
side.
C. Advance the nasogastric tube
5 cm.
D. Administer an intravenous
antiemetic as prescribed.
When assigning clients on a B. Is the most stable. A, C, D have an increased risk for elevated
medical-surgical floor to a RN ICP.
and a LPN, it is best for the
charge nurse to assign which
client to the LPN?
A. A child with bacterial
meningitis with recent seizures.
B. An older adult client with
pneumonia and viral meningitis.
C. A female client in isolation
wiht meningococcal meningitis.
D. A male client 1 day post-op
after drainage of a brain
abscess.
See an expert-written answer!
,Which description of symptoms B. Trigeminal neuralgia is characterized by paroxysms of pain,
is characteristic of a client with similar to an electric shock, in the area innervated by one or
diagnosed with trigeminal more branches of the trigeminal nerve.
neuralgia (tic douloureux)? A. Characteristic of Meniere's
C. Characteristic of Bell palsey
A. Tinnitus, vertigo, and hearing D. Characteristic of disorders of the hypoglossal (12th cranial
difficulties. nerve)
B. Sudden, stabbing, severe pain
over the lip and chin.
C. Unilateral facial weakness and
paralysis.
D. Difficulty in talking, chewing,
and swallowing.
See an expert-written answer!
Which abnormal lab finding B. Microalbuminuria is the earliest sign of nephropathy and
indicates that a client with indicates the need for follow-up evaluation. Hyperkalemia (A) is
diabetes needs further associated with end stage renal disease caused by diabetic
evaluation for diabetic nephropathy. (C) may be elevated in end stage renal disease. (D)
nephropathy? may signal the onset of DKA.
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria
See an expert-written answer!
An older male client comes to B. Since the client may have a pulmonary embolus secondary to
the geriatric screening clinic the thrombophlebitis.
complaining of pain in his left A. Would support the nurses assessment.
calf. The nurse notices a C. Least helpful since bruising is not associated with
reddened area on the calf of his thrombophlebitis.
right leg that is warm to touch D. Less important then auscultation.
and the nurse suspects that the
client may have
thrombophlebitis. Which
addition assessment is most
important for the nurse to
perform?
A. Measure calf circumference.
B. Auscultate the client's breath
sounds.
C. Observe for ecchymosis and
petechiae.
D. Obtain the client's blood
pressure.
, The nurse know that a client D. A U wave is a positive deflection following the T wave and is
taking diuretics must be often present with hypokalemia. A, B, C indicate hyperkalemia.
assessed for the development of
hypokalemia, and that
hypokalemia will create changes
in the client's normal ECG
tracing. Which ECG change
would be an expected finding in
the client with hypokalemia?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave
See an expert-written answer!
An older client is admitted with D. The onset of pneumonia is the older may be signaled by
a diagnosis of bacterial general deterioration, confusion, increased heart rate or
pneumonia. The nurse's increased respiratory rate.
assessment of the client will (A, B, C) are often absent in the older with bacterial pneumonia.
most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum
production.
D. Confusion and tachycardia.
The nurse observes ventricular B. Ventricular fibrillation is a life-threatening dysrhythmia and
fibrillation on telemetry and CPR should be started immediately. A & C are appropriate but B
upon entering the clients is the priority. D does not address the seriousness of the
bathroom finds the client situation.
unconscious on the floor. What
intervention should the nurse
implement first?
A. Administer an antidysrhythmic
medication.
B. Start cardiopulmonary
resuscitation.
C. Defibrillate the client at 200
joules.
D. Assess the client's pulse
oximetry.
See an expert-written answer!
Save
Students also studied
Flashcard sets Study guides
HESI Guaranteed pass NUR 160-Hondros Exam 1, HONDRO... Communications
55 terms 455 terms 8 terms
palangpalang Preview Kayleee01 Preview nickt371
A female client with a B. The priority is to determined if the tube is functioning
nasogastric tube attached to correctly, which would relieve the client's nausea. The least
low suction states that she is invasive intervention is to reposition the client (B), should be
nauseated. The nurse assesses attempted first, followed by (A & C) if these are unsuccessful
that there has been no drainage then (D).
through the nasogastric tube in
the last 2 hours. Which action
should the nurse take first?
A. Irrigate the nasogastric tube
with sterile normal saline.
B. Reposition the client on her
side.
C. Advance the nasogastric tube
5 cm.
D. Administer an intravenous
antiemetic as prescribed.
When assigning clients on a B. Is the most stable. A, C, D have an increased risk for elevated
medical-surgical floor to a RN ICP.
and a LPN, it is best for the
charge nurse to assign which
client to the LPN?
A. A child with bacterial
meningitis with recent seizures.
B. An older adult client with
pneumonia and viral meningitis.
C. A female client in isolation
wiht meningococcal meningitis.
D. A male client 1 day post-op
after drainage of a brain
abscess.
See an expert-written answer!
,Which description of symptoms B. Trigeminal neuralgia is characterized by paroxysms of pain,
is characteristic of a client with similar to an electric shock, in the area innervated by one or
diagnosed with trigeminal more branches of the trigeminal nerve.
neuralgia (tic douloureux)? A. Characteristic of Meniere's
C. Characteristic of Bell palsey
A. Tinnitus, vertigo, and hearing D. Characteristic of disorders of the hypoglossal (12th cranial
difficulties. nerve)
B. Sudden, stabbing, severe pain
over the lip and chin.
C. Unilateral facial weakness and
paralysis.
D. Difficulty in talking, chewing,
and swallowing.
See an expert-written answer!
Which abnormal lab finding B. Microalbuminuria is the earliest sign of nephropathy and
indicates that a client with indicates the need for follow-up evaluation. Hyperkalemia (A) is
diabetes needs further associated with end stage renal disease caused by diabetic
evaluation for diabetic nephropathy. (C) may be elevated in end stage renal disease. (D)
nephropathy? may signal the onset of DKA.
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria
See an expert-written answer!
An older male client comes to B. Since the client may have a pulmonary embolus secondary to
the geriatric screening clinic the thrombophlebitis.
complaining of pain in his left A. Would support the nurses assessment.
calf. The nurse notices a C. Least helpful since bruising is not associated with
reddened area on the calf of his thrombophlebitis.
right leg that is warm to touch D. Less important then auscultation.
and the nurse suspects that the
client may have
thrombophlebitis. Which
addition assessment is most
important for the nurse to
perform?
A. Measure calf circumference.
B. Auscultate the client's breath
sounds.
C. Observe for ecchymosis and
petechiae.
D. Obtain the client's blood
pressure.
, The nurse know that a client D. A U wave is a positive deflection following the T wave and is
taking diuretics must be often present with hypokalemia. A, B, C indicate hyperkalemia.
assessed for the development of
hypokalemia, and that
hypokalemia will create changes
in the client's normal ECG
tracing. Which ECG change
would be an expected finding in
the client with hypokalemia?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave
See an expert-written answer!
An older client is admitted with D. The onset of pneumonia is the older may be signaled by
a diagnosis of bacterial general deterioration, confusion, increased heart rate or
pneumonia. The nurse's increased respiratory rate.
assessment of the client will (A, B, C) are often absent in the older with bacterial pneumonia.
most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum
production.
D. Confusion and tachycardia.
The nurse observes ventricular B. Ventricular fibrillation is a life-threatening dysrhythmia and
fibrillation on telemetry and CPR should be started immediately. A & C are appropriate but B
upon entering the clients is the priority. D does not address the seriousness of the
bathroom finds the client situation.
unconscious on the floor. What
intervention should the nurse
implement first?
A. Administer an antidysrhythmic
medication.
B. Start cardiopulmonary
resuscitation.
C. Defibrillate the client at 200
joules.
D. Assess the client's pulse
oximetry.
See an expert-written answer!
