NursingHero 2020

HESI RN Med-Surg V4 2020 –

55 Questions

 PLEASE NOTE: Health care system is continuously changing, guidelines and

recommendation could differ from time to time, the answers of below questions were

made up to our best knowledge and elimination of wrong answers – and remember that

most of the time there are more than a correct answer but you have to choose the MOST

important or priority or what’s within nursing scope of practice. We tried our best to have

all answers correct but we do not guarantee that 100%. You must study and review them

as well. Good luck!

1. A client with eczema is using an OTC topical product with urea 10% OTC (Aqua Care

Cream) to the affected skin areas. Which finding reflects the expected therapeutic

response.

A. Hydration of affected dry skin areas

B. Healing with a return to normal skin appearance

C. Reduced pain in eczematous areas

D. Decreased weeping of ulcerations in affected area

2. A male client with a primary lung cancer was told by his healthcare provider that he

now has a secondary tumor. After the healthcare provider leaves, the client asks the

nurse what "secondary tumor" means. What response would be best for the nurse to

provide.

A. Tell me why you are concerned about this term?

B. Your original cancer has spread to another location

C. You need to remain hopeful, treatment can still be effective

D. Let me call your health care provider back to explain the meaning of secondary

tumors.

3. The UAP reports to the nurse that a client who was admitted with abdominal pain has

just had a large black tarry stool. What intervention should the nurse implement first.

A. Test the stool for occult blood

B. Obtain consent for a blood transfusion

C. Review history for gastrointestinal bleeding

D. Notify the rapid response team

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NursingHero 2020

4. Which action is most important for the nurse to implement to reduce the risk for DVT

in a post op client?

A. Change the client’s IV access site in the next 72 h

B. Assist the client in turning from side to side q 2h

C. Advise the client to perform leg exercises regularly

D. Encourage frequent cough and deep breathing exercises

5. A male tells the clinic nurse that he is experiencing burning on urination, and

assessment reveals that he had sexual intercourse four days ago with a woman he

casually met. Which action should the nurse implement?

A. Assess for perineal itching, erythema, and excoriation

B. Obtain a specimen of urethral drainage for culture

C. Observe the perineal area for a chancroid-like lesion

D. Identify all sexual partners in the last four days

6. The nurse is planning care for a pt with CKD who is a resident at a long-term care

facility. The patient is anuric and has hemodialysis 3x per week. Which intervention

should the nurse include in the patient 's plan of care?

A. plan meals that include dark leafy veg

B. use adult briefs to prevent skin breakdown

C. monitor for signs of bleeding

D. record strict urinary output

7. A male client who reports feeling chronically fatigued has a hemoglobin of 11.0

grams/dl (110 mmol/L or SI), hematocrit of 34% and microcytic and hypochromic red

blood cells. Based on the findings, which dinner selection should the nurse suggest for

the patient?

A. Beef steak with steam broccoli and orange slices

B. Cheese pasta and a lettuce and tomato salad

C. Broil white fish with a baked sweet potato

D. Grill shrimp and seasoned rice with asparagus salad.

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