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MED SURG HESI LATEST EXAM ACTUAL EXAM WITH 200 QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+ OR MEDICAL SURGICAL HESI EXAM$19.99
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MED SURG HESI LATEST EXAM ACTUAL EXAM WITH 200 QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+ OR MEDICAL SURGICAL HESI EXAM
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Course
2024-2025 MED SURG HESI
Institution
2024-2025 MED SURG HESI
MED SURG HESI LATEST EXAM ACTUAL
EXAM WITH 200 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+ OR MEDICAL SURGICAL HESI
EXAM
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis
f...
A client is admitted to the hospital with a medical diagnosis of
pneumococcal pneumonia. The nurse knows that the prognosis
for gram-negative pneumonias (such as E. coli , Klebsiella,
Pseudomonas, and Proteus) is very poor because
they occur in the lower lobe alveoli which are more sensitive to
infection.
gram-negative organisms are more resistant to antibiotic therapy.
they occur in healthy young adults who have recently been
debilitated by an upper respiratory infection.
gram-negative pneumonias usually affect infants and small
children. - ANSWER-gram-negative organisms are more resistant
to antibiotic therapy.
,2|Page
The gram-negative organisms are very resistant to drug
therapy which makes recovery very difficult and has become
a world-wide concern in which the World Health Organization
is keeping a very close surveillance on these occurrences.
A client receiving cholestyramine (Questran) for hyperlipidemia
should be evaluated for what vitamin deficiency?
K.
B12.
B6.
C. - ANSWER-K.
This drug is administered to help lower the triglycerides
levels. One of the side effects clients should be monitored
for an increased prothrombin time and prolonged bleeding
times which would alert the nurse to a vitamin K deficiency.
These drugs reduce absorption of the fat soluble (lipid)
vitamins A, D, E, and K.
A male client receives a local anesthetic during surgery. During
the post-operative assessment, the nurse notices the client is
slurring his speech. Which action should the nurse take?
,3|Page
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia. -
ANSWER-Evaluate his blood pressure, pulse, and respiratory
status.
Slurred speech in the post-operative client who received a
local anesthetic is an atypical finding and may indicate
neurological deficits that require further assessment, so
obtaining the client's vital signs will provide information
about possible cardiovascular complications, such as stroke.
A client has undergone insertion of a permanent pacemaker.
When developing a discharge teaching plan, the nurse writes a
goal of, "The client will verbalize symptoms of pacemaker failure."
Which symptoms are most important to teach the client?
Facial flushing.
Fever.
Pounding headache.
, 4|Page
Feelings of dizziness. - ANSWER-Feelings of dizziness.
Feelings of dizziness may occur as the result of a decreased
heart rate, leading to a decreased cardiac output which may
be an indication of pacemaker failure.
Which milestone indicates to the nurse successful achievement of
young adulthood?
Demonstrates a conceptualization of death and dying.
Completes education and becomes self-supporting.
Creates a new definition of self and roles with others.
Develops a strong need for parental support and approval. -
ANSWER-Completes education and becomes self-supporting.
Transitioning through young adulthood is characterized by
establishing independence as an adult, and includes
developmental tasks such as completing education,
beginning a career, and becoming self-supporting (B). (A and
C) are characteristic of adolescence. Although strong bonds
with parents are an expected finding for this age group, the
need for support and approval (D) indicates dependency,
which is a developmental delay.
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