MED SURG RN HESI EXIT LATEST 2023-2024 ACTUAL
EXAM ALL 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
During preoperative teaching for a male client schedule for repair of an inguinal hernia, the client tells
the nurse that he has had several surgeries and understand the need to perform coughing and deep
breathing exercise after surgery. How should the nurse respond? - answer-Ask for a demonstration of
these exercises
An older adult with heart failure is hospitalized during an acute exacerbation. To reduce cardiac
workload, which intervention should the nurse include in the client's plan of care? - answer-Provide a
bedside commode for toileting
Which instruction should the nurse include in the discharge teaching for a client who has
gastroesophageal reflux? - answer-Teach the client to elevate the head of the bed on blocks
A client with pheochromocytoma reports the onset of a severe headache. The nurse observes that the
client is very diaphoretic. Which assessment data should the nurse obtain next? - answer-Blood
pressure The healthcare provider prescribes epoetin alfa (Procrit) 8,200 units subcutaneously for a client
with chronic kidney disease (CKD). The 2 ml multidose vial is labeled, "Each 1 ml of solution contains
10,000 units of epoetin alfa." How many ml should the nurse administer? - answer-0.8
A nurse assists a male client with Parkinson's disease (PD) to ambulate in the hallway. The client appears
to "freeze" and then carefully lifts one leg and steps forward. He tells the nurse that he is pretending to
step over a crack on the floor. How should the nurse respond? - answer-Confirm that this is an
effective technique to help with ambulation
Which food is most important for the nurse to encourage a male client with osteomalacia to include in
his daily diet? - answer-Fortified milk and cereals
,A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse
should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's
bowel movements? - answer-Stool with fatty streaks
The healthcare provider prescribes an IV solution of regular insulin (Hummulin-R) 100 units in 250 ml of
0.45% saline to infuse at 12 units/hour. The nurse should program the infusion pump to deliver how
many ml/hour? - answer-30
A client with chronic kidney disease (CDK) arrives at the clinic reporting shortness of breath on exertion
and extreme weakness. Vital signs are temperature 100.4 F (38 C), heart rate 110
beats/minute, respirations 28 breaths/minute, and blood pressure 175/98 mmHg. The client usually
receives dialysis three times a week but missed the last treatment. STAT blood specimens are sent to the
laboratory for analysis. Which laboratory results should the nurse report to the healthcare provider
immediately? - answer-Potassium 6.5 mEq/L (mmol/L)
A client with unstable asthma had an emergent cardiac catheterization. Which complication should the
nurse monitor for in the initial 24 hours after the procedure? - answer-Thrombus formation
A male client with a history of asthma reports having episodes of bronchoconstriction and increased
mucous production while exercising. Which action should the nurse implement? - answer-Determine if
the client is using an inhaler before exercising
After a transurethral resection of the prostate (TURP), a client has bloody urine output with large clots.
The nurse implements the postoperative prescription to irrigate the indwelling catheter PRN to maintain
the catheter's patency. Which action should the nurse implement? - answer-Clamp the catheter for 30
minutes prior to irrigating with saline
A male client with chronic kidney disease (CKD) is beginning his first hemodialysis 3 times per week.
Which short-term goal is most important for the nurse to include in the plan of care for this client as he
begins the series? - answer-Verbalizes understanding of the reasoning for dialysis
The nurse is collecting information from a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. To help the client manage the pain, which assessment data is most important for the
nurse to obtain? - answer-Eating patterns and dietary intake
, Three days after a female client with multiple sclerosis (MS) is admitted to the hospital with a severe
urinary tract infection, she reports experiencing double vision. Which intervention should the nurse
implement? - answer-Patch one eye and then the other every few hours
The clinic nurse is reviewing strategies for blood glucose monitoring with a client who is newly diagnosed
with diabetes mellitus. When helping the client select a blood glucose meter, which client assessments
should the nurse complete? - answer-Manual dexterity and visual acuity
A client who is receiving chemotherapy is vomiting. Which nursing intervention should the nurse
implement first? - answer-Administer ondansetron hydrochloride (Zofran)
The nurse calculates the body mass index (BMI) for an obese adult. Which additional assessment finding
places the client at high risk for cardiac disease? - answer-Large waist circumference with central fat
An adult male client is admitted for Pneumocystis carinal pneumonia (PCP) secondary to AIDSs. While
hospitalized, he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what
important aspect regarding his medication therapy should the nurse explain? - answer-It will be
necessary to continue prophylactic doses of IV or aerosol pentamidine every month
A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling he is
experiencing worsens at night. What client teaching should the nurse provide? - answer-Wear braces
as both writs during the night
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The
healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should
the nurse monitor? - answer-Serum iron and ferritin
The nurse is evaluating a male client understanding of diet teaching about the DASH (Dietary Approaches
to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating
plan? - answer-Carefully cleans and peels all fresh fruit and vegetables
Two days after a nephrectomy, the client reports abdominal pressure and nausea, which assessment
should the nurse implement? - answer-Auscultate bowels sounds.
EXAM ALL 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
During preoperative teaching for a male client schedule for repair of an inguinal hernia, the client tells
the nurse that he has had several surgeries and understand the need to perform coughing and deep
breathing exercise after surgery. How should the nurse respond? - answer-Ask for a demonstration of
these exercises
An older adult with heart failure is hospitalized during an acute exacerbation. To reduce cardiac
workload, which intervention should the nurse include in the client's plan of care? - answer-Provide a
bedside commode for toileting
Which instruction should the nurse include in the discharge teaching for a client who has
gastroesophageal reflux? - answer-Teach the client to elevate the head of the bed on blocks
A client with pheochromocytoma reports the onset of a severe headache. The nurse observes that the
client is very diaphoretic. Which assessment data should the nurse obtain next? - answer-Blood
pressure The healthcare provider prescribes epoetin alfa (Procrit) 8,200 units subcutaneously for a client
with chronic kidney disease (CKD). The 2 ml multidose vial is labeled, "Each 1 ml of solution contains
10,000 units of epoetin alfa." How many ml should the nurse administer? - answer-0.8
A nurse assists a male client with Parkinson's disease (PD) to ambulate in the hallway. The client appears
to "freeze" and then carefully lifts one leg and steps forward. He tells the nurse that he is pretending to
step over a crack on the floor. How should the nurse respond? - answer-Confirm that this is an
effective technique to help with ambulation
Which food is most important for the nurse to encourage a male client with osteomalacia to include in
his daily diet? - answer-Fortified milk and cereals
,A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse
should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's
bowel movements? - answer-Stool with fatty streaks
The healthcare provider prescribes an IV solution of regular insulin (Hummulin-R) 100 units in 250 ml of
0.45% saline to infuse at 12 units/hour. The nurse should program the infusion pump to deliver how
many ml/hour? - answer-30
A client with chronic kidney disease (CDK) arrives at the clinic reporting shortness of breath on exertion
and extreme weakness. Vital signs are temperature 100.4 F (38 C), heart rate 110
beats/minute, respirations 28 breaths/minute, and blood pressure 175/98 mmHg. The client usually
receives dialysis three times a week but missed the last treatment. STAT blood specimens are sent to the
laboratory for analysis. Which laboratory results should the nurse report to the healthcare provider
immediately? - answer-Potassium 6.5 mEq/L (mmol/L)
A client with unstable asthma had an emergent cardiac catheterization. Which complication should the
nurse monitor for in the initial 24 hours after the procedure? - answer-Thrombus formation
A male client with a history of asthma reports having episodes of bronchoconstriction and increased
mucous production while exercising. Which action should the nurse implement? - answer-Determine if
the client is using an inhaler before exercising
After a transurethral resection of the prostate (TURP), a client has bloody urine output with large clots.
The nurse implements the postoperative prescription to irrigate the indwelling catheter PRN to maintain
the catheter's patency. Which action should the nurse implement? - answer-Clamp the catheter for 30
minutes prior to irrigating with saline
A male client with chronic kidney disease (CKD) is beginning his first hemodialysis 3 times per week.
Which short-term goal is most important for the nurse to include in the plan of care for this client as he
begins the series? - answer-Verbalizes understanding of the reasoning for dialysis
The nurse is collecting information from a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. To help the client manage the pain, which assessment data is most important for the
nurse to obtain? - answer-Eating patterns and dietary intake
, Three days after a female client with multiple sclerosis (MS) is admitted to the hospital with a severe
urinary tract infection, she reports experiencing double vision. Which intervention should the nurse
implement? - answer-Patch one eye and then the other every few hours
The clinic nurse is reviewing strategies for blood glucose monitoring with a client who is newly diagnosed
with diabetes mellitus. When helping the client select a blood glucose meter, which client assessments
should the nurse complete? - answer-Manual dexterity and visual acuity
A client who is receiving chemotherapy is vomiting. Which nursing intervention should the nurse
implement first? - answer-Administer ondansetron hydrochloride (Zofran)
The nurse calculates the body mass index (BMI) for an obese adult. Which additional assessment finding
places the client at high risk for cardiac disease? - answer-Large waist circumference with central fat
An adult male client is admitted for Pneumocystis carinal pneumonia (PCP) secondary to AIDSs. While
hospitalized, he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what
important aspect regarding his medication therapy should the nurse explain? - answer-It will be
necessary to continue prophylactic doses of IV or aerosol pentamidine every month
A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling he is
experiencing worsens at night. What client teaching should the nurse provide? - answer-Wear braces
as both writs during the night
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The
healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should
the nurse monitor? - answer-Serum iron and ferritin
The nurse is evaluating a male client understanding of diet teaching about the DASH (Dietary Approaches
to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating
plan? - answer-Carefully cleans and peels all fresh fruit and vegetables
Two days after a nephrectomy, the client reports abdominal pressure and nausea, which assessment
should the nurse implement? - answer-Auscultate bowels sounds.
