HESI RN MED SURG
1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the
best initial nursing action?
Answer: Administer the first dose of prescribed antibiotic therap
...
HESI RN MED SURG
1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the
best initial nursing action?
Answer: Administer the first dose of prescribed antibiotic therapy
2. A client is brought to the Emergency Department by ambulation in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client isintubated and receiving 100% oxygen per self‐inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and diaphoretic. Which assessment is most
important for the nurse to obtain?
Answer: deep tendon reflexes.
3. After hospitalization for Syndrome of Inappropriate Antidiuretic hormone (SIADH), a client develops
myelinolysis. Which intervention should the nurse implement first?
Answer: Reorient client to hisroom.
4. A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on because
they are too tight. Which additional information should the nurse obtain?
Answer: Has his weight changed in the lastseveral days?
5. An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
persistent cough. She is anxious and is complaining of a dry mouth. Which intervention should the nurse
implement?
Answer: Apply a high‐flow venturi mask.
6. A client with a history of asthma and bronchitis arrives at the clinic with SOB, productive cough with
thickened, tenacious mucous, and the inability to walk up flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct the client about self‐care?
Answer: Increase the daily intake of oral fluids to liquefy secretions.
7. A cardiac catheterization of a client with heart disease indicates the following blockages: 95% LAD, 99%
proximal circumflex, and 95% proximal RCA. The client later asks the nurse “what does all that mean for
me?”
Answer: Three main arteries have major blockage with only 1 to 5% of the blood flow getting through to
the heart muscle.
8. A client who weighs 175 pounds is receiving an IV bolus dose of heparin 80 units/kg. The heparin is
available in a 2 mL vial, labeled 10,000 units/mL. How many mL should the nurse administer? (enter
numeric value only. If rounding, round to nearest tenth.)
Answer: 1.3 mL
after calculations: the calculator willshow 1.272727272727273, but you must round to the nearest tenth.
So, the answer is 1.3 mL.
9. What information should the nurse include in the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
2 | P a g e
Answer: minimize symptoms by wearing loose, comfortable clothing.
10. The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position should the nurse
instruct the client to maintain?
Answer: Left Lateral.
11. A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink
without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare
provider?
Answer: Yellow Sclera
12. While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neurological
assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?
Answer: Increasing anxiety.
13. The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to
promote burn healing. Which information should the nurse provide this client?
Answer: The xenograft is taken from nonhuman sources.
[Show More]
