MESI – SURG 2 HESI TEST BANK WITH QUESTIONS AND
CORRECT ANWERS.
1. A client is admitted to the hospital with symptoms consistent with a right
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hemisphere stroke. which neurovascular assessment requires immediate
intervention by the nurse?
ANSWER pupillary changes to ipsilateral dilation
2. A female client who recently married returns to the clinic with recurrent cystitis
and urethritis. The client presents with pain on urinating, urinary frequency and
urgency which additional information should the nurse obtain?
ANSWER inquire about her hygiene practices after sexual intercourse.
3. which long term outcome is most important for the nurse to include in the plan of
care for an older adult client with chronic pyelonephritis?
ANSWER maintains blood pressure within normal limits
4. The nurse is providing discharge instruction to a client who is receiving
prednisone 5mg PO daily for a rash due to contact with poison ivy. Which
symptom should the nurse tell the client to report to the healthcare provider?
ANSWER Rapid weight gain
5. A young adult mail client has a cast following an open reduction for a fracture
tibia. He is in skeletal traction with 10 lbs of weight. Approximately two hours
after returning to the unit, he reports severe pain in the affected extremity, and
the the nurse observes that the limb is blue and blanched, what should the nurse
do first?
ANSWER Administer PRN pain medication routinely as prescribed
6. AN adult client who was admitted yesterday with bilateral pneumonia has
congested breath sounds, an oxygen saturation of 94% and a temperature of 100
degree F(37.8c). He has a weak cough effort and is using his accessory muscles
to breathe. Which intervention should the nurse implement first?
ANSWER suction to clear secretion from airways
7. which nursing problem has the highest priority when planning care for a client
with Meniere disease –
ANSWER potential for injury related to vertigo
8. A home-bound client with severe, end -stage chronic obstructive pulmonary
disease (COPD) is being visited by the home-health nurse. which instruction
should the nurse include in the client's teaching plan? –
ANSWER use oxygen continuously, at the lowest dose possible
9. An obese client with emphysema who smokes at least a pack of cigarettes daily
is admitted after experiencing a sudden increase in dyspnea and activity
intolerance. Oxygen therapy is initiated and it is determined that the client will be
discharged with oxygen. which information will be MOST important for the nurse
to emphasize in the discharge teaching plan?
ANSWER Guidelines for oxygen use
10.An adult male with hypertension cannot control his blood pressure with oral
medication, so he is admitted to the hospital for antihypertensive management
and further evaluation. Laboratory finding include an elevated blood urea
nitrogen (BUN), serum creatinine and white blood cell count. when the client
becomes dyspneic and reports palpitations, his heart rate is 150 beats/minutes.
Which intervention should the nurse implement?
ANSWER Initiate telemetry and supplemental O2
11.A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which
intervention of this finding should the nurse make?
ANSWER Confirmation of the autoimmune disease process
12.The nurse is planning care for a client with a direct (sliding) hiatal hernia. nursing
actions should be planned to meet which goal? –
ANSWER prevent esophageal reflux
13.The nurse is planning care for an older adult male who experienced [Show Less]