HESI - Medical Surgical Nursing Test BANK COMPLETE 180+
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
The physician orders Lasix (furosemide) 60 mg po every day for your patient. On
hand you have Lasix 40 mg. How many tablets will you give the patient?
a. 3
b. 1
c. 1 1/2
d. 2 1/5
C
60/40 (desired/have)
A client has been taught to restrict dietary sodium. Which food selection by the
client indicates to the nurse that teaching has been effective?
a. a grilled cheese sandwich with tomato soup
b. Chinese take-out, including steamed rice
c. a chicken leg, one slice of bread with butter, and steamed carrots
d. slices of ham and cheese on whole grain crackers
C
Clients on restricted sodium diets generally should avoid processed, smoked, and
pickled foods and those with sauces and other condiments. Foods lowest in sodium
include fish, poultry, and fresh produce. The chinese food likely would have soy
sauce, the tomato soup is processed, and the crackers are a snack food - a category
of foods often high in sodium.
,When a client is assessed, which behavior best indicates that he or she is
experiencing changes associated with acute pain?
a. inability to concentrate
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility
A
The characteristics most common to chronic pain are psychosocial withdrawal, anger
and hostility, depression, and hopelessness. The inability to concentrate is associated
much more with acute pain, before any physiologic or behavioral adaptation has
occurred.
A nurse is caring for several clients at risk for overhydration. The nurse assesses the
older client with which finding first?
A) Has had diabetes mellitus for 12 years
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently
C
Blood replacement therapy involves intravenous fluid administration, which
inherently increases the risk for overhydration. The fact that the fluid consists of
packed red blood cells greatly increases the risk, because this fluid increases the
colloidal oncotic pressure of the blood, causing fluid to move from interstitial and
intracellular spaces into the plasma volume. An older adult may not have sufficient
cardiac or renal reserve to manage this extra fluid.
,The client with a stroke was admitted to a medical-surgical unit. Which tasks does the
nurse delegate to the unlicensed assistive personnel?
A) Assess level of consciousness.
B) Evaluate the pulse oximetry reading.
C) Assist the client with meals.
D) Complete the nursing care plan.
C
The nurse needs to know the five rights of delegation: right task, right circumstances,
right person, right communication, and right supervision. Unlicensed assistive
personnel can help with feeding, but only the nurse can care plan, assess the level of
consciousness, and evaluate the oxygenation of the client.
Interrelated concepts to the professional nursing role a nurse manager would
consider when addressing concerns about the quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology.
D
The interrelated concepts to the professional role of a nurse include health
promotion, leadership, technology/informatics, quality, collaboration, and
communication. Adherence, culture, developmental level, family dynamics, and
motivation are considered interrelated concepts to patient attributes and preference.
, During orientation to an emergency department, the nurse educator would be
concerned if the new nurse listed which of the following as a risk factor for impaired
thermoregulation?
A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
D) Physical agility
D
Physical agility is not a risk factor for impaired thermoregulation. The nurse educator
would use this information to plan additional teaching to include medical conditions
and gait disturbance as risk factors for hypothermia, because their bodies have a
reduced ability to generate heat. Impaired cognition is a risk factor. Recreational or
occupational exposure is a risk factor. Temperature extremes are risk factors for
impaired thermoregulation.
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
The physician orders Lasix (furosemide) 60 mg po every day for your patient. On
hand you have Lasix 40 mg. How many tablets will you give the patient?
a. 3
b. 1
c. 1 1/2
d. 2 1/5
C
60/40 (desired/have)
A client has been taught to restrict dietary sodium. Which food selection by the
client indicates to the nurse that teaching has been effective?
a. a grilled cheese sandwich with tomato soup
b. Chinese take-out, including steamed rice
c. a chicken leg, one slice of bread with butter, and steamed carrots
d. slices of ham and cheese on whole grain crackers
C
Clients on restricted sodium diets generally should avoid processed, smoked, and
pickled foods and those with sauces and other condiments. Foods lowest in sodium
include fish, poultry, and fresh produce. The chinese food likely would have soy
sauce, the tomato soup is processed, and the crackers are a snack food - a category
of foods often high in sodium.
,When a client is assessed, which behavior best indicates that he or she is
experiencing changes associated with acute pain?
a. inability to concentrate
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility
A
The characteristics most common to chronic pain are psychosocial withdrawal, anger
and hostility, depression, and hopelessness. The inability to concentrate is associated
much more with acute pain, before any physiologic or behavioral adaptation has
occurred.
A nurse is caring for several clients at risk for overhydration. The nurse assesses the
older client with which finding first?
A) Has had diabetes mellitus for 12 years
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently
C
Blood replacement therapy involves intravenous fluid administration, which
inherently increases the risk for overhydration. The fact that the fluid consists of
packed red blood cells greatly increases the risk, because this fluid increases the
colloidal oncotic pressure of the blood, causing fluid to move from interstitial and
intracellular spaces into the plasma volume. An older adult may not have sufficient
cardiac or renal reserve to manage this extra fluid.
,The client with a stroke was admitted to a medical-surgical unit. Which tasks does the
nurse delegate to the unlicensed assistive personnel?
A) Assess level of consciousness.
B) Evaluate the pulse oximetry reading.
C) Assist the client with meals.
D) Complete the nursing care plan.
C
The nurse needs to know the five rights of delegation: right task, right circumstances,
right person, right communication, and right supervision. Unlicensed assistive
personnel can help with feeding, but only the nurse can care plan, assess the level of
consciousness, and evaluate the oxygenation of the client.
Interrelated concepts to the professional nursing role a nurse manager would
consider when addressing concerns about the quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology.
D
The interrelated concepts to the professional role of a nurse include health
promotion, leadership, technology/informatics, quality, collaboration, and
communication. Adherence, culture, developmental level, family dynamics, and
motivation are considered interrelated concepts to patient attributes and preference.
, During orientation to an emergency department, the nurse educator would be
concerned if the new nurse listed which of the following as a risk factor for impaired
thermoregulation?
A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
D) Physical agility
D
Physical agility is not a risk factor for impaired thermoregulation. The nurse educator
would use this information to plan additional teaching to include medical conditions
and gait disturbance as risk factors for hypothermia, because their bodies have a
reduced ability to generate heat. Impaired cognition is a risk factor. Recreational or
occupational exposure is a risk factor. Temperature extremes are risk factors for
impaired thermoregulation.
