Med-Surg HESI Remediation TEST Exam
Questions And Answers Verified 100% Correct
The nurse is presenting a class at the community center about the prevention of
colorectal cancer. Which statements should the nurse include in their teaching? (SATA)
A: Decrease the consumption of fat, refined carbohydrates and low in animal fat. B:
After the age of 50, a colonoscopy should be done every 10 years.
C: Increase the consumption vegetables such as broccoli, cabbage and sprouts.
D: Exercise a minimum of three to four times a week.
E: Fecal occult blood testing should be done yearly, starting at the age of 30. -
ANSWER A: Decrease the consumption of fat, refined carbohydrates and low in animal
fat.
B: After the age of 50, a colonoscopy should be done every 10 years.
C: Increase the consumption vegetables such as broccoli, cabbage and sprouts. D:
Exercise a minimum of three to four times a week.
Rationale:
The nurse should include in the class on colorectal cancer: decrease the amount of fat,
refined carbohydrates and animal fat in their diets. Clients should be told to consumed
more baked and broiled foods, high fiber and plants that come from a stem or stalk such
as broccoli, cabbage, cauliflower and sprouts. These types of plants have been shown
to help protect the intestinal mucosa from colon cancer. The class should also include
the importance of not being sedentary, avoidance of smoking and excessive alcohol.
After the age of 50, the participants should be told that they should have a colonoscopy
every 10 years; or a double-contrast barium enema or sigmoidoscopy with fecal occult
blood testing every five years.
The nurse is reviewing the electronic health record of a 70 year old client. Which
vaccinations should be current for this client? (SATA)
A: Cholera.
B: Smallpox. C:
Influenza.
D: Meningitis.
E: Pneumococcal. - ANSWER C: Influenza.
E: Pneumococcal.
Rationale:
Vaccination recommendations from the CDC for individuals over the age of 65 include
influenza yearly and pneumococcal every 5 years to help prevent these illnesses.
, A client is admitted for a thyroid scan to rule out Graves Disease. The nurse has
delegated care of this client to an unlicensed assistive personnel (UAP). Which is the
most important data that the UAP should report to the nurse immediately?
A: Apical pulse of 110 beats per minute.
B: Blood glucose reading of 150mg/dl.
C: Presence of tremors and blurred vision.
D: Temperature change from 99.1 to 100.1°F (37.3-37.8°C). - ANSWER D:
Temperature change from 99.1 to 100.1°F (37.3-37.8°C).
Rationale:
For the client with Graves disease (hyperthyroidism), an increase in temperature may
indicate worsening of the condition and the onset of a thyroid storm. An increase of 1° F
should be reported immediately.
The nurse is assessing a client with a deep puncture wound, accompanied with swelling
and erythema noted at the base of frontal (L) knee; the area is hot to touch; and the
client complains of constant, throbbing pain which increases with movement. Client's
current temperature is 101.6°F (38.7°C) and their leukocytes are double the normal
value and the erythrocyte sedimentation rate (ESR) reflects a normal value. The
presenting clinical signs and symptoms are indicative of which condition?
A: Osteomyelitis.
B: Ewing's sarcoma.
C: Rheumatoid arthritis.
D: Compartment syndrome. - ANSWER A: Osteomyelitis
Rationale:
Osteomyelitis is an infection in the bony tissue. Osteomyelitis can be caused by
bacteria, viruses or fungi. Invasion of one of these stimulate an inflammatory response
which leads to vascular leakage and edema. Ischemia and necrosis of the bone occurs
as a result. Acute osteomyelitis presents with fevers above 101°F (38.3°C); swelling
around the affected area; erythema; tenderness and bone pain which is constant,
localized, pulsating which increases with movement. Puncture wounds provide a
mechanism of direct entry for the invasion of pathogenic organisms.
The nurse is reviewing client education with a parent and their teenager. Which
interventions should help minimize the occurrence of sickle cell crisis? (SATA)
A: Receive a yearly pneumonia vaccination.
B: Always wear socks and gloves when outside on cold days.
C: Engage in vigorous aerobic exercise at least 3-4 times a week.
D: You should drink at least 3-4 liters of non-caffeinated liquid a day.
Questions And Answers Verified 100% Correct
The nurse is presenting a class at the community center about the prevention of
colorectal cancer. Which statements should the nurse include in their teaching? (SATA)
A: Decrease the consumption of fat, refined carbohydrates and low in animal fat. B:
After the age of 50, a colonoscopy should be done every 10 years.
C: Increase the consumption vegetables such as broccoli, cabbage and sprouts.
D: Exercise a minimum of three to four times a week.
E: Fecal occult blood testing should be done yearly, starting at the age of 30. -
ANSWER A: Decrease the consumption of fat, refined carbohydrates and low in animal
fat.
B: After the age of 50, a colonoscopy should be done every 10 years.
C: Increase the consumption vegetables such as broccoli, cabbage and sprouts. D:
Exercise a minimum of three to four times a week.
Rationale:
The nurse should include in the class on colorectal cancer: decrease the amount of fat,
refined carbohydrates and animal fat in their diets. Clients should be told to consumed
more baked and broiled foods, high fiber and plants that come from a stem or stalk such
as broccoli, cabbage, cauliflower and sprouts. These types of plants have been shown
to help protect the intestinal mucosa from colon cancer. The class should also include
the importance of not being sedentary, avoidance of smoking and excessive alcohol.
After the age of 50, the participants should be told that they should have a colonoscopy
every 10 years; or a double-contrast barium enema or sigmoidoscopy with fecal occult
blood testing every five years.
The nurse is reviewing the electronic health record of a 70 year old client. Which
vaccinations should be current for this client? (SATA)
A: Cholera.
B: Smallpox. C:
Influenza.
D: Meningitis.
E: Pneumococcal. - ANSWER C: Influenza.
E: Pneumococcal.
Rationale:
Vaccination recommendations from the CDC for individuals over the age of 65 include
influenza yearly and pneumococcal every 5 years to help prevent these illnesses.
, A client is admitted for a thyroid scan to rule out Graves Disease. The nurse has
delegated care of this client to an unlicensed assistive personnel (UAP). Which is the
most important data that the UAP should report to the nurse immediately?
A: Apical pulse of 110 beats per minute.
B: Blood glucose reading of 150mg/dl.
C: Presence of tremors and blurred vision.
D: Temperature change from 99.1 to 100.1°F (37.3-37.8°C). - ANSWER D:
Temperature change from 99.1 to 100.1°F (37.3-37.8°C).
Rationale:
For the client with Graves disease (hyperthyroidism), an increase in temperature may
indicate worsening of the condition and the onset of a thyroid storm. An increase of 1° F
should be reported immediately.
The nurse is assessing a client with a deep puncture wound, accompanied with swelling
and erythema noted at the base of frontal (L) knee; the area is hot to touch; and the
client complains of constant, throbbing pain which increases with movement. Client's
current temperature is 101.6°F (38.7°C) and their leukocytes are double the normal
value and the erythrocyte sedimentation rate (ESR) reflects a normal value. The
presenting clinical signs and symptoms are indicative of which condition?
A: Osteomyelitis.
B: Ewing's sarcoma.
C: Rheumatoid arthritis.
D: Compartment syndrome. - ANSWER A: Osteomyelitis
Rationale:
Osteomyelitis is an infection in the bony tissue. Osteomyelitis can be caused by
bacteria, viruses or fungi. Invasion of one of these stimulate an inflammatory response
which leads to vascular leakage and edema. Ischemia and necrosis of the bone occurs
as a result. Acute osteomyelitis presents with fevers above 101°F (38.3°C); swelling
around the affected area; erythema; tenderness and bone pain which is constant,
localized, pulsating which increases with movement. Puncture wounds provide a
mechanism of direct entry for the invasion of pathogenic organisms.
The nurse is reviewing client education with a parent and their teenager. Which
interventions should help minimize the occurrence of sickle cell crisis? (SATA)
A: Receive a yearly pneumonia vaccination.
B: Always wear socks and gloves when outside on cold days.
C: Engage in vigorous aerobic exercise at least 3-4 times a week.
D: You should drink at least 3-4 liters of non-caffeinated liquid a day.
