CACI Med-Surg Evolve HESI Practice EXAM
QUESTIONS AND CORRECT ANSWERS
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the HCP? - CORRECT
ANSWERS Lung Tissue Biopsy
(http://en.wikipedia.org/wiki/Sarcoidosis)
A 58y/o client who has been post-menopausal for 5 years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
- CORRECT ANSWERS Calcium loss from bones can be slowed by increasing calcium intake
and exercise.
After the 4th dose of gentamicin (Garamycin) IV, the nurse plans to draw blood samples to
determine peak and trough levels. What are the best times to draw these samples? - CORRECT
ANSWERS 5 minute before and 30 minutes after the next dose.
A client who is HIV positive asked the nurse, ¨How will I know when I have AIDS?¨ How should
the nurse respond? - CORRECT ANSWERS AIDS is diagnosed when a specific opportunistic
infection is found in an otherwise health individual
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not
moving. Which action should the nurse take FIRST? - CORRECT ANSWERS Reposition the
head and validate that the head is in the proper position to open the airway.
Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation? - CORRECT ANSWERS Place a large
tourniquet at the bedside
, When preparing a client who has had a total laryngectomy for discharge, which instruction is
most important to include in discharge teaching? - CORRECT ANSWERS Tell the client to
carry a medical alert card stating that he is a total neck breather.
When working with a 70y/o obese client with bilateral osteoarthritis (OA) of the hips, what
should the nurse recommend that is most beneficial in protecting the client's joints? - CORRECT
ANSWERS Initiate a weight-reduction diet to achieve a healthy body weight
A 58y/o client who has no health problems asks the nurse about the Pneumovax vaccine. The
response should be based on which information? - CORRECT ANSWERS The vaccine is
administered once to older adults or persons with a history of chronic illnesses.
Which information about mammograms is most important to provide a post-menopausal
female client? - CORRECT ANSWERS Yearly mammograms should be done regardless of
previous normal x-rays.
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce
which home care activity? - CORRECT ANSWERS Eliminate hazards to home safety
Physical exams of a comatose clients reveals decorticate posturing. Which statement is accurate
regarding the client's status? - CORRECT ANSWERS Severe dysfunction of the cerebral
cortex has occurred
A 77y/o female client is admitted to the hospital. She is confused, has no appetite, is N/V, and is
complaining of a headache. Her pulse rate is 43 bpm. Which question is priority for the nurse to
ask the client/family on admission? - CORRECT ANSWERS Does the client take digitalis?
A client with a completed ischemic stroke has blood pressure of 180/90. Which action should
the nurse implement? - CORRECT ANSWERS Give antihypertensive medications.
QUESTIONS AND CORRECT ANSWERS
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the HCP? - CORRECT
ANSWERS Lung Tissue Biopsy
(http://en.wikipedia.org/wiki/Sarcoidosis)
A 58y/o client who has been post-menopausal for 5 years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
- CORRECT ANSWERS Calcium loss from bones can be slowed by increasing calcium intake
and exercise.
After the 4th dose of gentamicin (Garamycin) IV, the nurse plans to draw blood samples to
determine peak and trough levels. What are the best times to draw these samples? - CORRECT
ANSWERS 5 minute before and 30 minutes after the next dose.
A client who is HIV positive asked the nurse, ¨How will I know when I have AIDS?¨ How should
the nurse respond? - CORRECT ANSWERS AIDS is diagnosed when a specific opportunistic
infection is found in an otherwise health individual
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not
moving. Which action should the nurse take FIRST? - CORRECT ANSWERS Reposition the
head and validate that the head is in the proper position to open the airway.
Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation? - CORRECT ANSWERS Place a large
tourniquet at the bedside
, When preparing a client who has had a total laryngectomy for discharge, which instruction is
most important to include in discharge teaching? - CORRECT ANSWERS Tell the client to
carry a medical alert card stating that he is a total neck breather.
When working with a 70y/o obese client with bilateral osteoarthritis (OA) of the hips, what
should the nurse recommend that is most beneficial in protecting the client's joints? - CORRECT
ANSWERS Initiate a weight-reduction diet to achieve a healthy body weight
A 58y/o client who has no health problems asks the nurse about the Pneumovax vaccine. The
response should be based on which information? - CORRECT ANSWERS The vaccine is
administered once to older adults or persons with a history of chronic illnesses.
Which information about mammograms is most important to provide a post-menopausal
female client? - CORRECT ANSWERS Yearly mammograms should be done regardless of
previous normal x-rays.
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce
which home care activity? - CORRECT ANSWERS Eliminate hazards to home safety
Physical exams of a comatose clients reveals decorticate posturing. Which statement is accurate
regarding the client's status? - CORRECT ANSWERS Severe dysfunction of the cerebral
cortex has occurred
A 77y/o female client is admitted to the hospital. She is confused, has no appetite, is N/V, and is
complaining of a headache. Her pulse rate is 43 bpm. Which question is priority for the nurse to
ask the client/family on admission? - CORRECT ANSWERS Does the client take digitalis?
A client with a completed ischemic stroke has blood pressure of 180/90. Which action should
the nurse implement? - CORRECT ANSWERS Give antihypertensive medications.
