Medical Surgical HESI · NurseQuizzes

HESI LPN · Medical Surgical HESI

Question 1 of 46

How should the nurse record the observation of a child with Duchenne muscular dystrophy rising from the floor by walking up the thighs with the hands?

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HESI LPN · Medical Surgical HESI

Question 2 of 46

When selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse?

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HESI LPN · Medical Surgical HESI

Question 3 of 46

A client is currently receiving an infusion labeled as 5% dextrose injection 500 ml with heparin sodium 25,000 units at 14 mL/hour per pump. A prescription is received to change the rate of the infusion to heparin 1,000 units/hour. How many ml/hour should the nurse program the infusion pump?

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HESI LPN · Medical Surgical HESI

Question 4 of 46

During the admission interview, an older client answers some questions inappropriately. The nurse notes that a hearing aid is in one ear. Which intervention is most helpful in assisting the client to hear the nurse's question?

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HESI LPN · Medical Surgical HESI

Question 5 of 46

A client with rheumatoid arthritis has elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?

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HESI LPN · Medical Surgical HESI

Question 6 of 46

A healthcare worker with no known exposure to tuberculosis has received a Mantoux tuberculosis skin test. The nurse's assessment of the test after 62 hours indicates 5mm of erythema without induration. Which is the best initial nursing action?

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HESI LPN · Medical Surgical HESI

Question 7 of 46

Which nursing intervention is most important for the nurse to implement when caring for an older client who is legally blind?

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HESI LPN · Medical Surgical HESI

Question 8 of 46

After a CT scan with intravenous contrast medium, a client returns to the room complaining of shortness of breath and itching. Which intervention should the nurse implement?

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HESI LPN · Medical Surgical HESI

Question 9 of 46

A client with cancer is receiving chemotherapy with a known vesicant. The client's IV has been in place for 72 hours. The nurse determines that a new IV site cannot be obtained and leaves the present IV in place. What is the greatest clinical risk related to this situation?

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HESI LPN · Medical Surgical HESI

Question 10 of 46

A client with hyperthyroidism is prescribed methimazole. Which adverse effect should the nurse monitor for?

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HESI LPN · Medical Surgical HESI

Question 11 of 46

Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. How often should children be assessed for side effects of the drug therapy?

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HESI LPN · Medical Surgical HESI

Question 12 of 46

The nurse instructs the mother of a child with a ventricular septal defect that she can expect the child to become cyanotic when the child does what?

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HESI LPN · Medical Surgical HESI

Question 13 of 46

A client with chronic kidney disease is advised to follow a low-phosphorus diet. Which food should the client avoid?

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HESI LPN · Medical Surgical HESI

Question 14 of 46

Which pathology is associated with an asthma condition?

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HESI LPN · Medical Surgical HESI

Question 15 of 46

Laboratory findings indicate that a client's serum potassium level is 2.5 mEq/L. What action should the nurse take?

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HESI LPN · Medical Surgical HESI

Question 16 of 46

To assess the quality of an adult client's pain, what approach should the nurse use?

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HESI LPN · Medical Surgical HESI

Question 17 of 46

What are early signs of varicella disease?

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HESI LPN · Medical Surgical HESI

Question 18 of 46

Which individual has the highest risk for developing skin cancer?

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HESI LPN · Medical Surgical HESI

Question 19 of 46

While performing a skin assessment on an older adult, the nurse notices a number of irregular round brownish-colored lesions on the client's hands, arms, and face. On palpation, they are flat and slightly rough to the touch. Based on this assessment finding, which action should the nurse implement?

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HESI LPN · Medical Surgical HESI

Question 20 of 46

When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in which position to sleep?

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HESI LPN · Medical Surgical HESI

Question 21 of 46

The nurse provides dietary instructions about iron-rich foods to a client with iron deficiency anemia. Which food selection made by the client indicates a need for additional instructions?

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HESI LPN · Medical Surgical HESI

Question 22 of 46

Twelve hours following a unilateral total knee replacement, a client reports being unable to sleep because of severe incisional pain. What is the best initial nursing action?

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HESI LPN · Medical Surgical HESI

Question 23 of 46

An adult client is admitted with AIDS and oral candidiasis manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to assist the client. Which instruction should the nurse provide the UAP?

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HESI LPN · Medical Surgical HESI

Question 24 of 46

The wife of a client with Parkinson's disease expresses concern because her husband has lost so much weight. Which teaching is best for the nurse to provide?

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HESI LPN · Medical Surgical HESI

Question 25 of 46

A middle-aged man who has a 35-year smoking history presents to the emergency department confused and short of breath. Before starting oxygen, these baseline arterial blood gases (ABGs) are obtained: pH=7.25, pCO2=50 mmHg, HCO3=30 mEq/L. These findings indicate to the nurse that the client is experiencing which acid-base imbalance?

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HESI LPN · Medical Surgical HESI

Question 26 of 46

In planning care for a postoperative client with hypovolemic shock, which problem is most important to include in the plan of care?

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HESI LPN · Medical Surgical HESI

Question 27 of 46

The client with osteoporosis is being taught about dietary modifications by the nurse. Which food should the nurse recommend to increase calcium intake?

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HESI LPN · Medical Surgical HESI

Question 28 of 46

The nurse is caring for a client with a suspected stroke. Which assessment finding is most indicative of a stroke?

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HESI LPN · Medical Surgical HESI

Question 29 of 46

Following surgical repair of a cleft palate, what should be used to prevent injury to the suture line?

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HESI LPN · Medical Surgical HESI

Question 30 of 46

While planning care for a client with carpal tunnel syndrome, the nurse identifies a collaborative problem of pain. What is the etiology of this problem?

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HESI LPN · Medical Surgical HESI

Question 31 of 46

An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her fingers. After warming her hands, the fingers turn red, and the client reports a burning sensation. What action should the nurse take?

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HESI LPN · Medical Surgical HESI

Question 32 of 46

Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What would be the best response by the nurse?

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HESI LPN · Medical Surgical HESI

Question 33 of 46

A client admitted with left-sided heart failure has a heart rate of 110 beats per minute and is becoming increasingly dyspneic. Which additional assessment finding by the nurse supports the client's admitting diagnosis?

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HESI LPN · Medical Surgical HESI

Question 34 of 46

A 55-year-old client with symptoms of osteoarthritis asks which form of exercise would be most beneficial. What is the best response by the nurse?

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HESI LPN · Medical Surgical HESI

Question 35 of 46

Which additional congenital malformation is expected in 80% of infants with a myelomeningocele?

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HESI LPN · Medical Surgical HESI

Question 36 of 46

Which dietary modification is most appropriate for a client with nephrotic syndrome?

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HESI LPN · Medical Surgical HESI

Question 37 of 46

The nurse is caring for a client with acute pancreatitis. Which laboratory result is most indicative of this condition?

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HESI LPN · Medical Surgical HESI

Question 38 of 46

An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a persistent cough, is anxious, and is complaining of dry mouth. Which intervention should the nurse implement?

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HESI LPN · Medical Surgical HESI

Question 39 of 46

When performing an assessment of a child with recurrent abdominal pain (RAP), what symptom is the child most likely to experience?

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HESI LPN · Medical Surgical HESI

Question 40 of 46

A client with chronic heart failure is being discharged with a new prescription for furosemide. Which instruction should the nurse include in the discharge teaching?

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HESI LPN · Medical Surgical HESI

Question 41 of 46

Fluids are restricted to 1500 ml/day for a male client with AKI. He is frustrated and complaining of constant thirst, and the nurse discovers that the family is providing the client with additional fluids. What intervention should the nurse implement?

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HESI LPN · Medical Surgical HESI

Question 42 of 46

How is gastroesophageal reflux (GER) typically treated in infants?

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HESI LPN · Medical Surgical HESI

Question 43 of 46

A young adult client, admitted to the emergency department following a motor vehicle collision, is transfused with 4 units of PRBCs. The client's pretransfusion hematocrit is 17%. Which hematocrit value should the nurse expect the client to have after all PRBCs have been transfused?

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HESI LPN · Medical Surgical HESI

Question 44 of 46

Which statement correctly explains the etiology of Down syndrome?

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HESI LPN · Medical Surgical HESI

Question 45 of 46

What is the most effective therapy for maintaining remission of acute lymphoblastic leukemia in a child?

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HESI LPN · Medical Surgical HESI

Question 46 of 46

A client with rheumatoid arthritis is prescribed methotrexate. Which instruction should the nurse include in the teaching plan?

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