HESI MED SURG Questions & Answers(Version-2)(NEW-2020/2021, All Correct Answers)(50 Q/A)

HESI MED SURG Questions & Answers (Version-2)

1. Guaiac Occult Test. What lab is most important?

Platelet Count

2. Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate

intervention?

Positive Gastro Occult

3. A patient with Parkinson’s. “Freezes.” Pretends there is a crack on the floor and Carefully lifts

leg and steps over.

Confirm that this is the correct and effective technique.

4. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes

in to ventricular Tachycardia. What should the nurse do?

Administer Adenosine over 1-2 seconds IV

5. Heart failure acute exacerbation. How to Reduce Cardiac Workload?

Bedside Commode

6. External Fixation Device- What should the nurse do first?

Assess for peripheral pulse atthe foot

7. COPD patient is experience shortness of breath.

Pursed Lip Breathing

8. Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition.

What should the nurse tell the family?

Demonstrate the use of Visual Scanning.

9. A male client with asthma has bronchoconstriction and mucous production due to exercising.

What should the nurse do?

Determine if the client is using an inhaler before exercising.

10. A client with liver abscess and drainage of abscess. Which lab value?

White blood CellCount

11. Suprapubic prostatectomy. Three-way catheter. Which assessment?

Urine Leaking meatus

12. A client with ulcerative colitis. UAP report what finding?

Stool with fatty streaks

13. Flank pain and acute pyelonephritis. Priority nursing action.

Administer IV antibiotics.

14. Long-standing pulmonary infection. Assess for hypoxia. Select All That Apply.

Breathingpatterns, Check mentation, color of skin and nailbeds

15. Traction applied, but client is frustrated because client keeps calling nurse for help with

repositioning.

Use a trapeze bar.

16. Multiple Sclerosis and urinary retention.

Self-Catheterization

17. Client works as a data desk job with Raynaud’s syndrome. What to do to prevent wrist

injury?

Space Heater

18. C.K.D. Lab to report.

Potassium 6.5

19. Client withy Gullian Barre is not blinking.

Administer Lubricant

20. Taking prednisone PO 5mg. What symptom?

Rapid Weight Gain.

21. Succinylcholine. High Temperature.

Ice Pack axillary

22. The nurse drops a sterile package of supplies on the floor in the operating room (OR) suite.

The … impervious wrapper. Which action should the nurse implement?

Open contents to sterile field package intact.

23. Client with Acute Glomerulonephritis.

Restrict Sodium.

24. Client ask about biopsy results from cancer cells well differentiated. What response?

AskHealthcare provider to gather more information.

25. Right cataract and lens implant. Which intervention should the nurse first?

Provide an eyeshield to be worn while sleeping.

26. The unlicensed assistive personnel (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?

- Test the stool for occult blood.

27.Which action is most important for the nurse to implement to reduce the risk for deep vein

thrombosis in a postoperative client?

-Advise the client to perform leg exercises regularly.

28. The nurse is preparing a client for a bronchoscopy. While obtaining consent, the client

complains of thirst and admits to drinking a small amount of orange juice two hours ago.

What action should the nurse take?

-Delay procedure for 6 hours.

29. A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused

by a chronic skin rash. The client calls the clinic nurse to report increased erythema with

purulent exudate at the site. What action should the nurse implement?

-Schedule an appointment for the client to the healthcare provider.

30. The nurse learns in change of shift report that the x-ray report for a newly admitted client

indicates consolidation in the left lower lung. What action should the nurse take?

-Administer a PRN dose of a bronchodilator.

31. The nurse is monitoring the glucose q4h of an adult woman admitted with DKA. Two hours

after receiving 10 units of regular insulin for glucose of 255, the client is perspiring and

complaining of shakiness. What intervention should the nurse implement?

-Check Capillaryglucose level.

32. The chest x-ray for a client who is admitted for pneumonia shows pleural effusion with

decreased air flow in the entire left upper lobe. What breath sounds that verify the x-ray

findings should the nurse document after auscultation of the left upper lobe?

-Diminishedbreath sounds

33.Which food is most important for the nurse to encourage a male patient with osteomalacia to

include in his daily diet?

- Fortified milk and cereals.

34. An older adult woman is seen in the clinic 3 months following her diagnosis of type 2 diabetes

mellitus (DM). She tells the nurse that she has had a difficult time keeping her blood sugar in

control. The nurse reviews the client's current finger-stick and daily log of blood glucose levels.

Which intervention is most important for the nurse to implement?

-Review theclient’s glycosylated hemoglobin (A1c) level.

35. The nurse is taking a client's blood pressure and observes carpal spasm after the

sphygmomanometer cuff is inflated. What action should the nurse implement next?

-Assessthe client’s recent serum calcium level.

36. A male client is recovering from an episode of urinary tract calculi. During discharge

teaching, the client asks about the dietary restriction he should follow. In discussing fluid

intake, the nurse should include which type of fluid limitation?

-Tea and hot chocolate.

37. During preoperative teaching for a male client scheduled for repair of an inguinal hernia, the

client tells the nurse that he has had several surgeries and understands the need to perform

coughing and deep breathing exercises after surgery. How should the nurse respond?

-Ask for demonstration of these exercises.

38. A pt suffered an electrical injury with the entrance site on the left hand and the exit site on

the left foot is admitted to the burn unit. Which intervention is most important for the nurse to

include in this pt's plan of care?

- Continuous cardiac monitoring.

39. After 3 days of persistent epigastric pain, a female pt presents to the clinic. She has been

taking oral antacids w/o relief. Her vital signs are HR 122 beats/min, respirations 16

breaths/min, O2 96% and BP 116/70. The nurse obtains a 12-lead ECG. Which assessment

finding is most critical?

-ST elevation in three leads

40. A male client with an external fixation device for a fractured left femur is complaining of left

foot pain. Which intervention should the nurse implement first?

- Administer PRN pain medication.

41. Two days following abdominal surgery a client begins to complain of cramping abdominal

pain, and the nurse's inspection of the abdomen indicates slight distention. Which action

should the nurse implement first?

-Auscultate abdomen quadrants

42. A fair-skinned female client who is an avid runner is diagnosed with malignant melanoma,

which is located on the lateral surface of the lower leg. After wide margin resection, the

nurse provides discharge teaching. it is most important for the nurse to emphasize the need

to observe for changes in which characteristic?

-Appearance of any moles.

43. Math question: Order of 8,200 units. Each 1mL of solution contains 10,000 units of alfa. How

many mL? (If Rounding is necessary, then round to the nearest tenth). Simply, divide 8200

and 10,000, which equals = 0.82mL after calculation. THEN ROUND TO THE NEAREST

TENTH, and final answer is 0.8mL

44.What instruction should the nurse include in the discharge teaching plan of a client who had

a cataract extraction today?

Light housekeeping is permitted, but avoid heavy lifting.

45.When a nurse is caring for a client with acute hypothyroidism, which serum laboratory value

requires immediate intervention?

Serum sodium 122 mEq/L.

46.A potential donor of corneal tissue for the eye bank has just died. The nurse enters the room

prescribed antibiotic eye drops. What action should the nurse take next?

Secure eye shields over the closed after instilling the eyedrops.

47. 3 months following her diagnosis of type II diabetes…had a difficult time keeping her blood

sugar is centered. The nurse reviews that..blood glucose levels. Which interventions in most

important for the nurse to implement?

Review the client’s glycosylated hemoglobin (A1c)level.

48. I forgot the question, but the answer was

Prepare Discharging patient.

49. Retinal Tear. What to do to avoid risk of retina damage?

50. 2-year old boy is having health assessment. Which further assessment by nurse?

“Herefuses to feed, but I make him eat meats”

13. Parkinson's disease: Teach the client to make an intentional swallow

14. Cushing Syndrome: Irregular apical pulse due to hypokalemia

15.Addison's Disease: Monitor glucose levels [Hypoglycemia]

16. Congestive Heart Failure: Daily weights

17. Sputum culture: Observe for color,quantity and consistency

18. SIADH: Difficulty swallowing

19.Nephrotic syndrome: Monitor for weight

20. A patient with diabetes complains that he is unable to sleep at night because of cold feet.What

should the nurse advice? Apply warm blankets to the feet

21. Carpel Tunnel Syndrome: Compression of median nerve

22. LAD,CAD, another artery that supply the heart have blockage of 95%, 99% and 99%. How should the

nurse explain to the client:1-5% of blood gets to your heart.[Explain in layman/simple terms to the

patient]

23. Emphysema client teaching: Deep breathing and pursed lips

24. NG Tube: Fowler's position, 30-90 degrees sitting position

25. Paracentesis procedure-Sitting upright during procedure

26.Finger stick glucose check with milking: Check radial pulse

27. Eczema: Dog allergy-Grandson and the dog visited the client

28. A patient with ventricular tachycardia was given Lidocaine. How do the nurse measure the treatment

is effective? Decrease episodes of ventricular tachycardia

29. A patient who had intercourse 4 days ago comes to the clinic with burning pain/sensation on

urination: Obtain discharge in a swab for culture

30. Open angle glaucoma: Decrease in periphery vision

31. Obstruction of the common bile duct: Yellow sclera

32. A patient is having a seizure is assisted to the floor. Which is priority? Monitor for Apnea

33. A male client has urinary dripping at night: Palpate bladder above the pubic symphysis

34.Patient is unable to wear his shoes: Ask about weight

35.Sodium level is 117. Client may be in acute renal failure. With excessive water retention the sodium

levels appear decreased (dilution). Nursing diagnosis: Excess fluid volume

36. Decreased peripheral pulses: Doppler sound

37. CVA occurs in: Carotid arteries