HESI Med Surg Latest Version C Real Exam Questions And Verified Answers

1. A client's laboratory findings indicate elevations in thyroxine and triiodothyronine hormones. The nurse suspects that the client may have hyperthyroidism. Which assessment finding is most often associated with hyperthyroidism? a. Increased pulse rate b. Periorbital edema c. Diarrhea stools d. Atrophied thyroid gland Ans. A 2. Doctor prescribes metoclopramide 7.5 mg/ml- 1M every 3 hours PRN vomiting for a client who is receiving chemotherapy. The nurse prepares an injection using a 2 ml prefilled syringe cartridge labeled, " metoclopramide 5mg/mL". How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth ANS. 1.3 3. A healthcare worker with no known exposure to tuberculosis has received a Mantoux tuberculin skin test. The nurse's assessment of the test after 72 hours indicates 5 mm of erythema without induration. What is the best initial nursing action? a. Review client's history for possible exposure to TB b. Instruct the client to return for a repeat test in 1 week c. Refer client to a healthcare provider for isoniazid (INH) therapy d. Document negative results in the client's medical record Ans. A 4. A male client in skeletal traction tells the nurse that he is frustrated because he needs help repositioning himself in bed. Which intervention should the nurse implement? a. Inform the client that it is the nurse's responsibility to reposition b. Provide an overhead trapeze to the bed for the client to use c. Place a draw sheet under the client to assist with repositioning d. Administer an intravenous PRN anti-anxiety medication Ans. B 5. Following a transurethral of the prostate (TURP), a client is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan? a. Drink three titers of water each day b. Clamp the catheter when taking a shower c. Eliminate all spicy foods from your diet d. Avoid driving a car for two weeks Ans. A 6. A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 1 OIL) after completing chemotherapy. Which intervention is most important for the nurse to implement? a. Review need for pneumococcal vaccine b. Place the client in protective isolation c. Assess vital signs every four hours d. Implement bleeding precautions Ans. B 7. An older adult recently diagnosed with type 2 diabetes mellitus (DM) suddenly becomes confused and weak, with cool, clammy skin. The client is unable to remember what to do for such symptoms and is taken to a nearby urgent care facility by a neighbor. Which nursing interventions should the nurse implement? (Select all that apply) a. Check a blood sample for glucose level b. Prepare to administer regular insulin c. Report any changes in blood pressure d. Palpate for bladder pain or distention e. Observe respiratory rate and pattern Ans. A, C, E 8. Which dietary instructions should the nurse include when teaching a client how to reduce episodes of Raynaud's syndrome? a. Reduce saturated fat intake b. Eliminate caffeine intake