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HESI EXIT EXAMS- MEDICAL SURGICAL EXAM 2 FINAL EXAM QUESTIONS AND ANSWERS (in bold) $17.99
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HESI EXIT EXAMS- MEDICAL SURGICAL EXAM 2 FINAL EXAM QUESTIONS AND ANSWERS (in bold)
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HESI EXIT EXAMS- MEDICAL SURGICAL EXAM 2 FINAL EXAM QUESTIONS AND ANSWERS (in bold) A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse? a. Serum sodium of 185 mEq/L (185 mmol/L) b. Dry skin with inelastic turgor c. Api...

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  • October 4, 2023
  • 8
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • hesi exit exams medical surgical exam 2 final exa
  • a nurse is caring for a client with diabetes insip

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HESI EXIT EXAMS- MEDICAL SURGICAL EXAM 2 FINAL
EXAM QUESTIONS AND ANSWERS (in bold)
1. A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most
immediate intervention by the nurse?
a. Serum sodium of 185 mEq/L (185 mmol/L)
b. Dry skin with inelastic turgor
c. Apical rate of 100 beats per minute
d. Polyuria and excessive thirst

2. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease
(PUD). Which subjective data reported by the client supports the medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. SSevereabdominal cramps and diarrhea after eating spicy foods
c. Upper mid-abdominal pain described as gnawing and burning
d. Marked loss of weight and appetite over the last 3-4 months

3. Then nurse assesses a client who is newly diagnosed with hyperthyroidism and observes that
the client’s eyeballs are protuberant, causing a wide-eyes appearance and eye discomfort.
Based on this finding, which action should the nurse include in this client’s plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client’s serum electrolyte values
d. Obtain a prescription for arti cial tear drops

4. To reduce the risk for pulmonary complications for a client with Amyotrophic Lateral Sclerosis
(ALS), which interventions should the nurse implement? (Select all that apply)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spirometer

5. A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to
improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal cannula
d. Increase the client’s activity level

6. A client who was involved in a motor vehicle collision is admitted with a fractured left femur
which is immobilized using a fracture traction splint in preparation for an open reduction
internal fixation (ORIF). The nurse determines that the client’s distal pulses are diminished in
the left foot. Which interventions should the nurse implement? (Select all that apply)
A. Verify pedal pulses using a doppler pulse device
B. Evaluate the application of the a splint to the left leg
C. Offer ice chips and oral clear liquids
D. Monitor left leg for pain, pallor, parathesia, paralysis, pressure
E. Administer oral antispasmodics and narcotic analgesics

7. The healthcare provider prescribes diagnostic test for a client whose chest X-ray indicates
pneumonia. Which diagnostic test should the nurse review for implementation in the most
therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)


fi

, d. Computerized tomography (CT) of chest
8. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough, and thickened, tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most important for the nurse to instruct the
client about self-care?
a. Call the clinic if undesirable side effects of medications occur
b. Avoid crowed enclosed areas to reduce pathogen exposure
c. Increase the daily intake of oral uids to liquefy secretions
d. Teach anxiety reduction methods of feelings of suffocation

9. The home health nurse provides teaching about insulin self-injection to a client who was recently
diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of
an insulin injection into the abdomen as seen in the video, which instruction should the nurse
provide?
a. Select a different injection site
b. Continue with the insulin injection
c. Keep the skin flat rather than bunched
d. Lie down flat for better skin exposure

10. The nurse observes an increased number of blood clots in the drainage tubing of a client with
continuous bladder irrigation following a trans-urethral resection of the prostate (TURP). Which
is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client’s intake and output
c. Increase the ow of the bladder irrigation
d. Administer a PRN dose of an antispasmodic agent

11. Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of
both lower extremities, and pedal pulses are not palpable. Which action should the nurse
implement first?
a. Evaluate extremities on pillows
b. Evaluate edema for pitting
c. Assess pulses with a vascular doppler
d. Wrap the feet with warmed blankets

12. A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the
prostate A triple lumen catheter for continuous bladder irrigation with normal saline is infusing
and the tinged outflow with blood clots in the tubing and collection bag. Which action should
the nurse take?
a. Monitor catheter drainage
b. Decreasing the flow rate
c. Irrigating the catheter manually
d. Discontinuing infusing solution

13. The nurse is planning care for an older adult client who experienced a cerebrovascular
accident several weeks ago. The client has expressive aphasia and often becomes frustrated
with the nursing staff. Which intervention should the nurse implement?
a. Teach the client use of basic sign language
b. Speak slowly to the client
c. Encourage client’s use of picture charts
d. Ask the client simple question

14. After three days of persistent epigastric pain, a female client presents to the clinic. She has been
taking oral antacids without relief. Her vital signs are heart rate 122 beats/minute, respirations 16

fl fl

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