Science Medicine Nursing
MED/SURG NCLEX HESI PRACTICE
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Med-Surg Hesi PN*++ HESI - Medical Surgical Nursing test... spA Part 1
107 terms 170 terms 1,897 terms
Astra-dutchie Preview gregorypeel Preview m_g7088
During a health fair, a male client A
with emphysema tells the nurse Manifestations of emphysema include an increase in AP diameter
that he fatigues easily. (referred to as a barrel chest), nail bed clubbing, and fatigue. The
Assessment reveals marked nurse can provide instructions to promote energy management,
clubbing of the fingernails and such as pacing activities and scheduling rest periods (A). (B) may
an increased anteroposterior result in a decreased drive to breathe. The client is not exhibiting
chest diameter. Which any symptoms of infection, so (C) is not necessary. (D) is less
instruction is best to provide the beneficial than (A).
client?
A."Pace your activities and
schedule rest periods."
B."Increase the amount of
oxygen you use at night."
C."Obtain medical evaluation for
antibiotic therapy."
D."Reduce your intake of fluids
containing caffeine."
,The nurse assesses a B
postoperative client whose skin The client is at risk for hypovolemic shock because of the
is cool, pale, and moist. The postoperative status and is exhibiting early signs of shock. A
client is very restless and has priority intervention is the initiation of IV fluids (B) to restore
scant urine output. Oxygen is tissue perfusion. (A, C, and D) are all important interventions, but
being administered at 2 L/min, are of less priority than (B).
and a saline lock is in place.
Which intervention should the
nurse implement first?
A.Measure the urine specific
gravity.
B.Obtain IV fluids for infusion
per protocol.
C.Prepare for insertion of a
central venous catheter.
D.Auscultate the client's breath
sounds.
See an expert-written answer!
During the change of shift C
report, the charge nurse reviews All four of these clients have the potential to have significant
the infusions being received by complications. The client with the morphine epidural infusion (C)
clients on the oncology unit. The is at highest risk for respiratory depression and should be
client receiving which infusion assessed first. (A) can cause hypotension. The client receiving (B)
should be assessed first? is at lowest risk for serious complications. Although (D) can cause
nephrotoxicity and phlebitis, these problems are not as
A.Continuous IV infusion of immediately life threatening as (C).
magnesium
B.One-time infusion of albumin
C.Continuous epidural infusion
of morphine
D.Intermittent infusion of IV
vancomycin
The nurse is conducting an A, C, D
osteoporosis screening clinic at (A, C, and D) are factors that decrease the risk for developing
a health fair. What information osteoporosis. Vitamin D and calcium are important supplements
should the nurse provide to to aid in the decrease of bone loss (B). Regular sleep patterns
individuals who are at risk for are important to overall health but are not identified with a
osteoporosis? (Select all that decreasing risk for osteoporosis (E).
apply.)
A.Encourage alcohol and
smoking cessation.
B.Suggest supplementing diet
with vitamin E.
C.Promote regular weight-
bearing exercises.
D.Implement a home safety plan
to prevent falls.
E.Propose a regular sleep
pattern of 8 hours nightly.
, The nurse is planning care for a B
client with diabetes mellitus who The prevention of infection is a priority goal for this client (B).
has gangrene of the toes to the Gangrene is the result of necrosis (tissue death). If infection
midfoot. Which goal should be develops, there is insufficient circulation to fight the infection and
included in this client's plan of the infection can result in osteomyelitis or sepsis. Because tissue
care? death has already occurred, (A and C) are unattainable goals. (D)
is important but of less priority than (B).
A.Restore skin integrity.
B.Prevent infection.
C.Promote healing.
D.Improve nutrition.
The nurse is assessing a client D
who presents with jaundice. Obstructive cholelithiasis and alcoholism are the two major
Which assessment finding is causes of pancreatitis, and elevated serum amylase and lipase
most important for the nurse to levels (D) indicate pancreatic injury. (A) is a normal finding. (B and
follow up? C) are expected findings related to jaundice.
A.Urine specific gravity of 1.03
B.Frothy, tea-colored urine
C.Clay-colored stools
D.Elevated serum amylase and
lipase levels
An 81-year-old male client has A
emphysema. He lives at home Clients with COPD should ingest 3 L of fluids daily but may
with his cat and manages self- experience a fluid deficit because of shortness of breath. The
care with no difficulty. When nurse should suggest creative methods to increase the intake of
making a home visit, the nurse fluids (A), such as having fruit juices in disposable containers
notices that this client's tongue is readily available. (B) is not indicated. Humidified oxygen will not
somewhat cracked and his effectively treat the client's fluid deficit, and there is no indication
eyeballs appear sunken into his that the client needs supplemental oxygen at night (C). These
head. Which nursing intervention symptoms are not indicative of (D) and may unnecessarily upset
is indicated? the client, who depends on his pet for socialization.
A.Help the client determine
ways to increase his fluid intake.
B.Obtain an appointment for the
client to have an eye
examination.
C.Instruct the client to use
oxygen at night and increase the
humidification.
D.Schedule the client for tests to
determine his sensitivity to cat
hair.
MED/SURG NCLEX HESI PRACTICE
Save
Students also studied
Flashcard sets Study guides
Med-Surg Hesi PN*++ HESI - Medical Surgical Nursing test... spA Part 1
107 terms 170 terms 1,897 terms
Astra-dutchie Preview gregorypeel Preview m_g7088
During a health fair, a male client A
with emphysema tells the nurse Manifestations of emphysema include an increase in AP diameter
that he fatigues easily. (referred to as a barrel chest), nail bed clubbing, and fatigue. The
Assessment reveals marked nurse can provide instructions to promote energy management,
clubbing of the fingernails and such as pacing activities and scheduling rest periods (A). (B) may
an increased anteroposterior result in a decreased drive to breathe. The client is not exhibiting
chest diameter. Which any symptoms of infection, so (C) is not necessary. (D) is less
instruction is best to provide the beneficial than (A).
client?
A."Pace your activities and
schedule rest periods."
B."Increase the amount of
oxygen you use at night."
C."Obtain medical evaluation for
antibiotic therapy."
D."Reduce your intake of fluids
containing caffeine."
,The nurse assesses a B
postoperative client whose skin The client is at risk for hypovolemic shock because of the
is cool, pale, and moist. The postoperative status and is exhibiting early signs of shock. A
client is very restless and has priority intervention is the initiation of IV fluids (B) to restore
scant urine output. Oxygen is tissue perfusion. (A, C, and D) are all important interventions, but
being administered at 2 L/min, are of less priority than (B).
and a saline lock is in place.
Which intervention should the
nurse implement first?
A.Measure the urine specific
gravity.
B.Obtain IV fluids for infusion
per protocol.
C.Prepare for insertion of a
central venous catheter.
D.Auscultate the client's breath
sounds.
See an expert-written answer!
During the change of shift C
report, the charge nurse reviews All four of these clients have the potential to have significant
the infusions being received by complications. The client with the morphine epidural infusion (C)
clients on the oncology unit. The is at highest risk for respiratory depression and should be
client receiving which infusion assessed first. (A) can cause hypotension. The client receiving (B)
should be assessed first? is at lowest risk for serious complications. Although (D) can cause
nephrotoxicity and phlebitis, these problems are not as
A.Continuous IV infusion of immediately life threatening as (C).
magnesium
B.One-time infusion of albumin
C.Continuous epidural infusion
of morphine
D.Intermittent infusion of IV
vancomycin
The nurse is conducting an A, C, D
osteoporosis screening clinic at (A, C, and D) are factors that decrease the risk for developing
a health fair. What information osteoporosis. Vitamin D and calcium are important supplements
should the nurse provide to to aid in the decrease of bone loss (B). Regular sleep patterns
individuals who are at risk for are important to overall health but are not identified with a
osteoporosis? (Select all that decreasing risk for osteoporosis (E).
apply.)
A.Encourage alcohol and
smoking cessation.
B.Suggest supplementing diet
with vitamin E.
C.Promote regular weight-
bearing exercises.
D.Implement a home safety plan
to prevent falls.
E.Propose a regular sleep
pattern of 8 hours nightly.
, The nurse is planning care for a B
client with diabetes mellitus who The prevention of infection is a priority goal for this client (B).
has gangrene of the toes to the Gangrene is the result of necrosis (tissue death). If infection
midfoot. Which goal should be develops, there is insufficient circulation to fight the infection and
included in this client's plan of the infection can result in osteomyelitis or sepsis. Because tissue
care? death has already occurred, (A and C) are unattainable goals. (D)
is important but of less priority than (B).
A.Restore skin integrity.
B.Prevent infection.
C.Promote healing.
D.Improve nutrition.
The nurse is assessing a client D
who presents with jaundice. Obstructive cholelithiasis and alcoholism are the two major
Which assessment finding is causes of pancreatitis, and elevated serum amylase and lipase
most important for the nurse to levels (D) indicate pancreatic injury. (A) is a normal finding. (B and
follow up? C) are expected findings related to jaundice.
A.Urine specific gravity of 1.03
B.Frothy, tea-colored urine
C.Clay-colored stools
D.Elevated serum amylase and
lipase levels
An 81-year-old male client has A
emphysema. He lives at home Clients with COPD should ingest 3 L of fluids daily but may
with his cat and manages self- experience a fluid deficit because of shortness of breath. The
care with no difficulty. When nurse should suggest creative methods to increase the intake of
making a home visit, the nurse fluids (A), such as having fruit juices in disposable containers
notices that this client's tongue is readily available. (B) is not indicated. Humidified oxygen will not
somewhat cracked and his effectively treat the client's fluid deficit, and there is no indication
eyeballs appear sunken into his that the client needs supplemental oxygen at night (C). These
head. Which nursing intervention symptoms are not indicative of (D) and may unnecessarily upset
is indicated? the client, who depends on his pet for socialization.
A.Help the client determine
ways to increase his fluid intake.
B.Obtain an appointment for the
client to have an eye
examination.
C.Instruct the client to use
oxygen at night and increase the
humidification.
D.Schedule the client for tests to
determine his sensitivity to cat
hair.
