Hesi Evolve Med Surg Mini Questions

Front 1

During a well-woman exam, a sexually active female client asks the nurse about a recent vaginal infection and says she is afraid she has another sexually transmitted infection. The client discloses her history of previous STI. Which condition should the nurse identify as the most prevalent STI in the United States among woman?

Back 1

Chlamydia

Front 2

The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include?

Back 2

Do not leave the diaphragm in place longer than 8 hours after intercourse.

Contact a healthcare provider when a sudden onset of fever greater than 101F appears

Front 3

A client is admitted with a medical diagnosis of Addisonian crisis. When completing the admission assessment, the nurse expects this client to exhibit which clinical manifestations?

Back 3

Hypotension, Rapid weak pulse, and palpitations
(Addisonian crisis=shock)

Front 4

The nurse is caring for critically ill clients. Which client should be monitored for teh development of distributive shock? A client with

Back 4

Neurogenic shock. Neurogenic shock is the rarest form of shock. It is caused by trauma to the spinal cord resulting in the sudden loss of autonomic and motor reflexes below the injury level. Without stimulation by sympathetic nervous system the vessel walls relax uncontrolled, resulting in a sudden decrease in peripheral vascular resistance, leading to vasodilation and hypotension. (Spinal cord injury)

Front 5

A client is admitted to the hospital with a diagnosis of Type II diabtes mellitus and influenza. Which categories of illness should the nurse should the nurse develop goals for the client's plan of care?

Back 5

One chronic and one acute illness.

Front 6

A 49 year old female client arrives at the clinin for an annual exam and asks the nurse why she becomes excessively diaphoretic and feels warm during nighttime. What is the nurse's best response?

Back 6

Discuss perimenopause and related comfort measures.

Front 7

The nurse should be correct in withholding a dose of digoxin in a client with congestive heart failure without specific instruction from the healthcare provider if the client's

Back 7

Serum potassium level is 3.

Front 8

When preparing a client who has had a total laryngectomy for discharge, which instruction is most important for the nurse to include in the discharge teaching?

Back 8

Tell the client to carry a medic alert card stating that he is a total neck breather.

Front 9

The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease. Which question should provide information relevant to the client's plan of care?

Back 9

Have you ever been frozen in one spot unable to move?

Front 10

A 46 year old female client is admitted for acute renal failure secondary to diabetes and hypertension. Which test is the best indicator of adequate glomerular filtration?

Back 10

Serum creatinine

Front 11

Despite several eye surgeries, a 78 year old client who lives alone has persistent vision problems. The visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the steps should be painted which color?

Back 11

Medium Yellow

Front 12

While working in the emergency room, the nurse is exposed to a client with active TB. When should the nurse plan to obtain a TB skin test?

Back 12

Four to six weeks after the exposure.

Front 13

The nurse is teaching a client with maple syrup disease, an autosomal recessive disorder, about the inheritance pattern. Which information should the nurse provide?

Back 13

Both genes of a pair must be affected for the disorder to occur.

Front 14

A client is brought to the Emergency Center after a snow-sking accident. Which intervention is most important for the nurse to implement?

Back 14

Review teh EKG tracing.
Airway, breathing, and circulation are priorities in client assessment and treatment. Continuous cardiac monitoring is indicated (A) because hypothermic clients have an increased risk for dysrhythmias. Coagulations studies (A) and re-warming procedures (C and D) can be initiated after a review of the ECG tracing

Front 15

The nurse is planning care for a client who is having abdominal surgey. To achieve desired postoperative outcomes, the nurse includes interventions that promote mobilization, such as turn, cough, deep breathe, and early ambulation. Which additional intervention should the nurse include?

Back 15

Administer analgesics prior to encouraging progressive activities and ambulation.

Front 16

A client has a staging procedure for cancer of the breast and asks the nurse which type of breast cancer has the poorest prognosis. Which information should the nurse offer the client?

Back 16

Inflammatory with peau d' orange

Front 17

The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema?

Back 17

She sustained an insect bite to her left arm yesterday.

Front 18

Physical examination of a comatose client reveals decorticate posturing. Which statement is accurate regarding this client's status based upon this finding?

Back 18

Severe dysfunction of the cerebral cortex has occurred
decorticatg=inward

Front 19

Which milestone indicates to the nurse sucessful achievement of young adulthood?

Back 19

Completes education and becomes self-supporitng.

Front 20

Which symptom should the nurse expect a client to exhibit who is known to have a
pheochromocytomia?

Back 20

Headache, diaphoresis, and palpitations

Front 21

During CPR, when attempting to ventilate a client's lung, the nurse notes that the chest is nt moving. What action should the nurse take first?

Back 21

Reposition the head to validate that the head is in the proper position to open the airway.

Front 22

Which intervention should the nurse plan to implement when caring for a client who has just undergone a right above the knee amputation?

Back 22

Place a large tourniquet at the client's bedside.

Front 23

Prior to a cardiac catheterization, which activity should the nurse have the client practice?

Back 23

Valsalva's maneuver and coughing.