HESI MED SURG QUESTIONS & ANSWERS
1. What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep because
he has to get up several times at night to go to the bathroom that
he has trouble starting his urinary stream and that he does not feel
like his bladder is ever completely empty. Which intervention should
the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics
and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour
of administration of a unit of packed red blood cell. When notifying
the healthcare provider what information should the nurse provide
first using the SBAR communication process?
a. explain specific reason for urgent notification
TestBankWorld.org
1. What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. A male adult comes to the urgent care clinic 5 days after being
diagnose with influenza. He is short of breath, febrile, and coughing
green colored sputum. Which intervention should the nurse
implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosing sleep because
he has to get up several times at night to go to the bathroom that
he has trouble starting his urinary stream and that he does not feel
like his bladder is ever completely empty. Which intervention should
the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics
and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour
of administration of a unit of packed red blood cell. When notifying
the healthcare provider what information should the nurse provide
first using the SBAR communication process?
a. explain specific reason for urgent notification
TestBankWorld.org
