MEDSURG PRACTICE HESI QUESTIONS &
ANSWERS (111 Q/A)
1.
A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen
500 mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of
acetaminophen (Tylenol) 325 mg every 12 hours. How many grams of
acetaminophen is the patient taking daily? Record your answer using one
decimal place. g
ANS:
3.3
The nurse should calculate the dosage taken via the first medication and add it to
the daily intake of the second medication. Then, convert milligrams to grams.
500 mg × 6 doses a day = 3000 mg/day + (2 tablets × 325 mg) × 2 doses a day =
1300 mg/day = 3300 mg/day total of acetaminophen; 3300 mg converted to grams
= 3.3 grams.
2. The nurse is administering 250 mg of a medication elixir to the patient.
The medication comes in a dose of 1000 mg/5 mL. How many milliliters should
the nurse administer? Record your answer using two decimal places. mL
ANS:
1.25
The nurse needs to first determine how many milligrams are in each milliliter of the
elixir. Then the nurse calculates how many milliliters would contain 250 mg.
1000 mg/5 mL = 200 mg/1 mL
250 mg/(X mL) = 200 mg/mL = 1.25 mL. OR Dose ordered over dose on hand
(250/1000) × volume or amount on hand (5). 250/1000 = 0.25 × 5 = 1.25 mL.
3. The
patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250
mg/5 mL. How many milliliters will the nurse administer for one dose? Record
your answer using a whole number. mL
ANS:
10
The drug is dispensed at 250 mg/5 mL. The nurse is to give 500 mg, which is 10
mL. OR Dose ordered over dose on hand (500/250) × volume or amount on hand
, MEDSURG PRACTICE HESI QUESTIONS &
ANSWERS (111 Q/A)
(5). 500/250 × 5 = 10 mL.
1. A nurse is preparing to provide hygiene care. Which principle should the
nurse consider when planning hygiene care?
a. Hygiene care is always routine and expected.
b. No two individuals perform hygiene in the same manner.
c. It is important to standardize a patient’s hygienic practices.
d. During hygiene care do not take the time to learn about patient needs.
ANS: B
No two individuals perform hygiene in the same manner; it is important to
individualize the patient’s care based on knowing about the patient’s unique
hygiene practices and preferences. Hygiene care is never routine; this care requires
intimate contact with the patient and communication skills to promote the
therapeutic relationship. In addition, during hygiene, the nurse should take time to
learn about the patient’s health promotion practices and needs, emotional needs,
and health care education needs.
2. A patient’s hygiene schedule of bathing and brushing teeth is largely
influenced by family customs. For which age group is the nurse most likely
providing care?
a. Adolescent
b. Preschooler
c. Older adult
d. Adult
ANS: B
Family customs play a major role during childhood in determining hygiene
, MEDSURG PRACTICE HESI QUESTIONS &
ANSWERS (111 Q/A)
practices such as the frequency of bathing, the time of day bathing is performed,
and even whether certain hygiene practices such as brushing of the teeth or
flossing are performed. As children enter adolescence, peer groups and media
often influence hygiene practices. During the adult years involvement with
friends and work groups shape the expectations that people have about personal
appearance. Some older adults’ hygiene practices change because of changes in
living conditions and available resources.
3. The patient has been diagnosed with diabetes. When admitted, the patient is
unkempt and is in need of a bath and foot care. When questioned about hygiene
habits, the nurse learns the patient takes a bath once a week and a sponge bath
every other day. To provide ultimate care for this patient, which principle should
the nurse keep in mind?
Patients who appear unkempt place little importance on hygiene
a. practices.
Personal preferences determine hygiene practices and are
b. unchangeable.
c. The patient’s illness may require teaching of new hygiene practices.
d. All cultures value cleanliness with the same degree of importance.
ANS: C
The nurse must assist the patient in developing new hygiene practices when
indicated by an illness or condition. For example, the nurse will need to teach a
patient with diabetes proper foot hygiene. Patients who appear unkempt often need
further assessment regarding their ability to participate in daily hygiene. Patients
with certain types of physical limitations or disabilities often lack the physical
energy and dexterity to perform hygienic care. Culturally, maintaining cleanliness
does not hold the same importance for some ethnic groups as it does for others.
4. The nurse is caring for a patient who refuses to bathe in the morning. When
asked why, the patient says “I always bathe in the evening.” Which action by the
nurse is best?
Defer the bath until evening and pass on the information to the next
a. shift.
ANSWERS (111 Q/A)
1.
A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen
500 mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of
acetaminophen (Tylenol) 325 mg every 12 hours. How many grams of
acetaminophen is the patient taking daily? Record your answer using one
decimal place. g
ANS:
3.3
The nurse should calculate the dosage taken via the first medication and add it to
the daily intake of the second medication. Then, convert milligrams to grams.
500 mg × 6 doses a day = 3000 mg/day + (2 tablets × 325 mg) × 2 doses a day =
1300 mg/day = 3300 mg/day total of acetaminophen; 3300 mg converted to grams
= 3.3 grams.
2. The nurse is administering 250 mg of a medication elixir to the patient.
The medication comes in a dose of 1000 mg/5 mL. How many milliliters should
the nurse administer? Record your answer using two decimal places. mL
ANS:
1.25
The nurse needs to first determine how many milligrams are in each milliliter of the
elixir. Then the nurse calculates how many milliliters would contain 250 mg.
1000 mg/5 mL = 200 mg/1 mL
250 mg/(X mL) = 200 mg/mL = 1.25 mL. OR Dose ordered over dose on hand
(250/1000) × volume or amount on hand (5). 250/1000 = 0.25 × 5 = 1.25 mL.
3. The
patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250
mg/5 mL. How many milliliters will the nurse administer for one dose? Record
your answer using a whole number. mL
ANS:
10
The drug is dispensed at 250 mg/5 mL. The nurse is to give 500 mg, which is 10
mL. OR Dose ordered over dose on hand (500/250) × volume or amount on hand
, MEDSURG PRACTICE HESI QUESTIONS &
ANSWERS (111 Q/A)
(5). 500/250 × 5 = 10 mL.
1. A nurse is preparing to provide hygiene care. Which principle should the
nurse consider when planning hygiene care?
a. Hygiene care is always routine and expected.
b. No two individuals perform hygiene in the same manner.
c. It is important to standardize a patient’s hygienic practices.
d. During hygiene care do not take the time to learn about patient needs.
ANS: B
No two individuals perform hygiene in the same manner; it is important to
individualize the patient’s care based on knowing about the patient’s unique
hygiene practices and preferences. Hygiene care is never routine; this care requires
intimate contact with the patient and communication skills to promote the
therapeutic relationship. In addition, during hygiene, the nurse should take time to
learn about the patient’s health promotion practices and needs, emotional needs,
and health care education needs.
2. A patient’s hygiene schedule of bathing and brushing teeth is largely
influenced by family customs. For which age group is the nurse most likely
providing care?
a. Adolescent
b. Preschooler
c. Older adult
d. Adult
ANS: B
Family customs play a major role during childhood in determining hygiene
, MEDSURG PRACTICE HESI QUESTIONS &
ANSWERS (111 Q/A)
practices such as the frequency of bathing, the time of day bathing is performed,
and even whether certain hygiene practices such as brushing of the teeth or
flossing are performed. As children enter adolescence, peer groups and media
often influence hygiene practices. During the adult years involvement with
friends and work groups shape the expectations that people have about personal
appearance. Some older adults’ hygiene practices change because of changes in
living conditions and available resources.
3. The patient has been diagnosed with diabetes. When admitted, the patient is
unkempt and is in need of a bath and foot care. When questioned about hygiene
habits, the nurse learns the patient takes a bath once a week and a sponge bath
every other day. To provide ultimate care for this patient, which principle should
the nurse keep in mind?
Patients who appear unkempt place little importance on hygiene
a. practices.
Personal preferences determine hygiene practices and are
b. unchangeable.
c. The patient’s illness may require teaching of new hygiene practices.
d. All cultures value cleanliness with the same degree of importance.
ANS: C
The nurse must assist the patient in developing new hygiene practices when
indicated by an illness or condition. For example, the nurse will need to teach a
patient with diabetes proper foot hygiene. Patients who appear unkempt often need
further assessment regarding their ability to participate in daily hygiene. Patients
with certain types of physical limitations or disabilities often lack the physical
energy and dexterity to perform hygienic care. Culturally, maintaining cleanliness
does not hold the same importance for some ethnic groups as it does for others.
4. The nurse is caring for a patient who refuses to bathe in the morning. When
asked why, the patient says “I always bathe in the evening.” Which action by the
nurse is best?
Defer the bath until evening and pass on the information to the next
a. shift.
