MED SURG HESI - NUR 311 QUESTIONS WITH CORRECT
SOLUTIONS
1.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?
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 avail
able for the equipment.: Willingness of the client to learn the injection site
2.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: Elimination of hazards to home
safety.!!!
3.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.: -
Episodes of vaginal bleeding.!!!!
4.A client with a completed ischemic stroke has a blood pressure of
180/90 mm Hg. Which action should the nurse implement?
Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication.: Give an antihypertensive
medication.!!!!
5.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 fo
me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an
otherwise healthy individual: "AIDS is diagnosed when a specific
opportunistic infection is found in an otherwise healthy individual.!!!
6.Despite several eye surgeries, a 78-year-old client who lives alone has
per- sistent 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.:
. Medium
yellow.!!!
7.The nurse would be correct in withholding a dose of digoxin in a client
with congestive heart 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.: serum potassium level is 3.!!!
8.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 forcefull
exhaling.
Place one hand on the chest, one hand the abdomen and make both hands
move outward.: Place a small book or magazine on the abdomen and
make it rise while inhaling deeply.!!!!
9.A male client receives a local anesthetic during surgery. During the post-
,op- erative 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: Evaluate his blood pressure, pulse, and respiratory
status.!!!
10. 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: Prevention of deformities.!!!
11.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.: The usual activity
patterns of each member of the group.
12.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?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum.: Productive cough with
gray- ish-white sputum.
13.A client with multiple sclerosis has experienced an exacerbation of
, symp- toms, including paresthesias, diplopia, and nystagmus. Which
instruction should the nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
SOLUTIONS
1.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?
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 avail
able for the equipment.: Willingness of the client to learn the injection site
2.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: Elimination of hazards to home
safety.!!!
3.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.: -
Episodes of vaginal bleeding.!!!!
4.A client with a completed ischemic stroke has a blood pressure of
180/90 mm Hg. Which action should the nurse implement?
Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication.: Give an antihypertensive
medication.!!!!
5.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 fo
me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an
otherwise healthy individual: "AIDS is diagnosed when a specific
opportunistic infection is found in an otherwise healthy individual.!!!
6.Despite several eye surgeries, a 78-year-old client who lives alone has
per- sistent 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.:
. Medium
yellow.!!!
7.The nurse would be correct in withholding a dose of digoxin in a client
with congestive heart 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.: serum potassium level is 3.!!!
8.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 forcefull
exhaling.
Place one hand on the chest, one hand the abdomen and make both hands
move outward.: Place a small book or magazine on the abdomen and
make it rise while inhaling deeply.!!!!
9.A male client receives a local anesthetic during surgery. During the post-
,op- erative 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: Evaluate his blood pressure, pulse, and respiratory
status.!!!
10. 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: Prevention of deformities.!!!
11.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.: The usual activity
patterns of each member of the group.
12.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?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum.: Productive cough with
gray- ish-white sputum.
13.A client with multiple sclerosis has experienced an exacerbation of
, symp- toms, including paresthesias, diplopia, and nystagmus. Which
instruction should the nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
