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Medical –Surgical Adult Health Exit HESI Questions &

Answers

Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of

lung and preparing for DC. When teaching about self-management with demeclocycline (declomycin),

instruct to report what?

Muscle cramping

Determining the client position for insertion of indwelling catheter, Most important?

Orthopnea

Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When

performing return demonstration pt applies pressure to the umbilical area of his abdomen. What

instruction?

Apply downward manual pressure at the suprapubic region

35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What

statement reflects accurate understanding of expected outcome for client?

Supplemental hormone therapy will probably be necessary

Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the

shunt is effective?

Decreased abdominal girth

Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do?

Get a BP cuff

Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information?

Personality changes or expressive aphasia are likely

Greatest benefit for the client with which problem related to DM to change from the use of insulin

syringes to using an insulin pen for med administration?

Diminished dexterity due to dinger paresthesias

Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding

indicates the med has been effective in controlling asthma symptoms.

Increased peak flow meter rates

Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client

with ambulation. HCP has prescription for bed rest. Action

Change the planned interventions to include range of motion exercises rather than ambulation

Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to

help communicate?

Be consistent in using the same words each time a Q is asked

When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on

right side only. Action

Reposition the depth of the ET tube

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Nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assess finding

anticipate?

Absent breath sounds on the left side of the chest

Male client with type 1 DM takes a combination of short-acting and intermediate-acting insulin. Client

complains of headache when awakening, blood glucose average for the past week has been 210ng/dl.

Nurse recognizes client is experiencing a daily or rebound effect. Which dosing method

Move the PM intermediate-acting dose to bedtime

Which condition would likely cause secondary polycythemia

High altitude exposure

Nurse caring for 42 year old male excreting less sodium than consuming. If continues, what

complication?

Edema

What instruction is most important for the nurse to provide a client with neutropenia

Avoid sources of potential infection

Client with acute laryngitis reports feeling “SOB”. Nurse assesses RR and it has increased from 16 to 28.

What intervention?

Assess for stridor and increased respiratory effort

When caring for client who had craniotomy yesterday for removal of pituitary tumor, which finding

indicates further info is needed?

UO for 8 hrs is 2000 ml with specific gravity of 1.001

Nursing action has highest priority in preventing post-op bleeding following a sub-mucosal resection for

deviated septum?

Maintain intact nasal packing

Female client chooses prophylactic mastectomy for positive BRCA1, mother died of breast CA at age 30,

cousin diagnosed at age 28. Intervention

Ensure adequate pain control using postoperative analgesics

Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60, PaCO2 62, HCO3 35.

Which needs immediate communication to HCP?

Drowsiness and diff in arousing

Nurse is caring for client with acute renal failure who complains of SOB, weakness, headache, and

swelling of lower legs and feet. Intervention

Elevate the HOB at least 45 degrees

Client with acute low back pain reports pain radiating down buttocks to below knee. Initial nursing

actions?

This pain is along the path of the sciatic nerve

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