Med- Surg HESI Practice Exam Questions And
Answers Verified 100% Correct
A client has been taking oral corticosteroids for the past five days
because of seasonal allergies. Which assessment finding is of most
concern to the nurse?
A. White blood count of 10,000 mm3
B. Serum Glucose of 115 mg/dl
C. Purulent sputum
D. Excessive hunger - ANSWER -C. Steroids cause
immunosuppression, and a purulent sputum is indication of
infection, so this symptom is of greatest concern
(A) Oral steroids may increase and often cause (D)
(B) May remain normal, borderline, or increase while taking oral
steroids
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis for
gram-negative pneumonias (such as E. coli, Klebsiella,
Pseudomonas, and Proteus) is very poo because
,A. They occur in the lower lobe alveoli which are most sensitive to
infection
B. Gram-negative organisms are more resistant to antibiotic therapy
C. They occur in healthy young adults who have recently been
debilitated by an upper respiratory infection
D. Gram-negative pneumonias usually affect infants and small
children - ANSWER -B. The gram-negative organisms are resistant
to drug therapy which makes recovery difficult
(A) Gram-negative pneumonias affect all lobes of the lung
(C and D) The mean age for contracting this type of pneumonia is 50
years and it usually strikes debilitated persons such as alcoholics,
diabetics, and those with chronic lung diseases
The nurse is assessing a client who has a history of Parkinson's
disease for the past 5 years. What symptoms would this client most
likely exhibit?
A. Loss of short-term memory, facial tics and grimaces, and constant
writhing movements
B. Shuffling gait, masklike facial expression, and tremors of the head
, C. Extreme muscular weakness, easy fatigability, and ptosis
D. Numbness of the extremities, loss of balance, and visual
disturbances - ANSWER -B. Are common clinical features of
Parkinsonism
(A) Are symptoms of Chorea
(C) Of Myasthenia Gravis
(D) Of multiple sclerosis
The nurse is working with a 71-year-old obese client with bilateral
osteoarthritis (OA) of the hips. What recommendation should the
nurse make that is most beneficial in protecting the client's joints?
A. Increase the amount of calcium intake in the diet
B. Apply alternating heat and cold therapies
C. Initiate a weight-reduction diet to achieve a healthy body weight
D. Use a walker for ambulation to lessen weight- bearing on the hips -
ANSWER -C. Achieving a healthy weight is critical to protect the
joints of clients with OA
Answers Verified 100% Correct
A client has been taking oral corticosteroids for the past five days
because of seasonal allergies. Which assessment finding is of most
concern to the nurse?
A. White blood count of 10,000 mm3
B. Serum Glucose of 115 mg/dl
C. Purulent sputum
D. Excessive hunger - ANSWER -C. Steroids cause
immunosuppression, and a purulent sputum is indication of
infection, so this symptom is of greatest concern
(A) Oral steroids may increase and often cause (D)
(B) May remain normal, borderline, or increase while taking oral
steroids
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis for
gram-negative pneumonias (such as E. coli, Klebsiella,
Pseudomonas, and Proteus) is very poo because
,A. They occur in the lower lobe alveoli which are most sensitive to
infection
B. Gram-negative organisms are more resistant to antibiotic therapy
C. They occur in healthy young adults who have recently been
debilitated by an upper respiratory infection
D. Gram-negative pneumonias usually affect infants and small
children - ANSWER -B. The gram-negative organisms are resistant
to drug therapy which makes recovery difficult
(A) Gram-negative pneumonias affect all lobes of the lung
(C and D) The mean age for contracting this type of pneumonia is 50
years and it usually strikes debilitated persons such as alcoholics,
diabetics, and those with chronic lung diseases
The nurse is assessing a client who has a history of Parkinson's
disease for the past 5 years. What symptoms would this client most
likely exhibit?
A. Loss of short-term memory, facial tics and grimaces, and constant
writhing movements
B. Shuffling gait, masklike facial expression, and tremors of the head
, C. Extreme muscular weakness, easy fatigability, and ptosis
D. Numbness of the extremities, loss of balance, and visual
disturbances - ANSWER -B. Are common clinical features of
Parkinsonism
(A) Are symptoms of Chorea
(C) Of Myasthenia Gravis
(D) Of multiple sclerosis
The nurse is working with a 71-year-old obese client with bilateral
osteoarthritis (OA) of the hips. What recommendation should the
nurse make that is most beneficial in protecting the client's joints?
A. Increase the amount of calcium intake in the diet
B. Apply alternating heat and cold therapies
C. Initiate a weight-reduction diet to achieve a healthy body weight
D. Use a walker for ambulation to lessen weight- bearing on the hips -
ANSWER -C. Achieving a healthy weight is critical to protect the
joints of clients with OA
