1 / 30
HESI Med Surg 1 Final Exam Questions and
Answers 2023 (Verified Answers)
- The nurse is assessing a client’s laboratory values followingadministration of chemotherapy. Which lab value leads the nurse to suspectthat the client is experiencing tumor lysis syndrome (TLS)?
a. Serum PTT of 10 seconds.
b. Serum calcium of 5 mg/dL.
c. Oxygen saturation of 90%.
d. Hemoglobin of 10 g/dL ANS B – Tumor lysis syndrome (TLS) results inhyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. Aserum calcium level of 5, which is low, is an indicator of possible tumorlysis syndrome. - Which description of symptoms is characteristic of a client diagnosed
with trigeminal neuralgia (tic douloureux)?
a.Tinnitus, vertigo, and hearing difficulties.
b. Sudden, stabbing, severe pain over the lip and chin.
c. Facial weakness and paralysis.
d. Difficulty in chewing, talking, and swallowing. ANS B – Trigeminaneuralgia is char- acterized by paroxysms of pain, similar to an electric
2 / 30
shock, in the area innervated by one or more branches of the trigeminanerve (5th cranial). Women are more often afflicted with this conditionand generally occurs in clients over the age of 50 years old. - Which discharge instruction is most important for a client after a
kidney transplant?
a. Weigh weekly.
b. Report symptoms of secondary Candidiasis.
c. Use daily reminders to take immunosuppressants.
d. Stop cigarette smoking. ANS C – After a renal transplantation, acute
rejection is a high risk for several months. The organ recipient will have
to take immunosuppres- sive therapy for the rest of their lives, such as
corticosteroids and azathioprine, to prevent organ transplant rejection.
Discharge instructions include measures such as daily reminders to
ensure the client takes these medications regularly to prevent organ
rejection from occurring. - The nurse is providing dietary instructions to a 68-year-old client who isat high risk for development of coronary heart disease (CHD). Whichinformation should the nurse include?
a. Limit dietary selection of cholesterol to 300 mg per day.
b. Increase intake of soluble fiber to 10 to 25 grams per day.
c. Decrease plant stanols and sterols to less than 2 grams/day.
d. Ensure saturated fat is less than 30% of total caloric intake. ANS B – To
reduce risk factors associated with coronary heart disease, the daily
3 / 30
intake of soluble fiber
4 / 30
should be increased to between 10 and 25 grams per day. According to
the American Heart Association, soluble fibers helps reduce LDL
cholesterol levels.
- Two days postoperative, a male client reports aching pain in his left legThe nurse assesses redness and warmth on the lower left calf. Whichintervention would be most helpful to this client?
a. Apply sequential compression devices (SCDs) bilaterally.
b. Assess for a positive Homan’s sign in each leg.
c. Pad all bony prominences on the affected leg.
d. Advise the client to remain in bed with the leg elevated. ANS D – For a
client exhibiting symptoms of deep vein thrombosis (DVT), a
complication of immobility, the initial care includes bedrest and
elevation of the extremity. - A middle-aged male client with diabetes continues to eat an abundance
of foods that are high in sugar and fat. According to the Health Belief
Model, which event is most likely to increase the client’s willingness to
become compliant with the prescribed diet?
a. He visits his diabetic brother who just had surgery to amputate an
infected foot.
b. He is provided with the most current information about the dangers
of untreated diabetes.
c. He comments on the community service announcements about
preventing complications associated with diabetes.